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Selenium and cardiovascular diseases--an update

J K Huttunen1

  • 1National Public Health Institute, Helsinki, Finland.

Biomedical and Environmental Sciences : BES
|October 7, 1997
PubMed
Summary
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Low selenium intake may contribute to heart disease, including cardiomyopathy and atherosclerosis. More research, specifically controlled trials, is needed to confirm selenium

Area of Science:

  • Nutritional science
  • Cardiovascular medicine
  • Epidemiology

Background:

  • Dietary selenium deficiency is implicated in cardiovascular disease (CVD) etiology.
  • Cardiomyopathy linked to low selenium intake observed in specific populations and TPN patients.
  • Epidemiological data suggests a potential role for selenium deficiency in atherosclerotic disease.

Purpose of the Study:

  • To review the evidence linking selenium intake to cardiovascular diseases.
  • To assess the association between selenium levels and ischemic heart disease and atherosclerosis.
  • To identify the need for further research, particularly controlled trials.

Main Methods:

  • Review of epidemiological studies examining selenium intake and cardiovascular disease incidence.

Related Experiment Videos

  • Analysis of population comparisons showing an inverse association between ischemic heart disease and selenium intake.
  • Evaluation of conflicting results from longitudinal studies on serum selenium levels and coronary disease risk.
  • Main Results:

    • Low selenium intake is associated with cardiomyopathy in specific geographic areas and in patients on total parenteral nutrition.
    • Population studies suggest an inverse relationship between selenium intake and ischemic heart disease incidence.
    • Longitudinal studies yield conflicting results regarding serum selenium levels and coronary heart disease risk.

    Conclusions:

    • Selenium deficiency is a potential etiological factor in cardiovascular diseases, including atherosclerosis.
    • Conflicting evidence from longitudinal studies necessitates further investigation.
    • Controlled prevention trials are essential to establish the definitive role of selenium in preventing atherosclerotic disease.