Selenium supplementation

补硒
  • 文章类型: Journal Article
    本研究旨在研究不同水平的有机硒(Se)补充剂对猪腰贮藏期间品质的影响。从三组中随机采购了15个猪腰,Con(饲喂基础饮食),Se15(加入0.15ppm有机Se和0.10ppm无机Se),和Se45(进料0.45ppm有机Se以及0.10ppm无机Se)。分析每个样品的硒含量,抗氧化特性(谷胱甘肽过氧化物酶[GPx]活性,2,2'-嗪双-[3-乙基苯并噻唑啉-6-磺酸][ABTS]和2,2-二苯基-1-吡啶酰肼[DPPH]自由基清除活性,2-硫代巴比妥酸反应性物质),物理化学性质(持水量,pH值,颜色),和14天储存期间的代谢组学分析。在整个存储期间,补充Se45的组显示出比其他组明显更高的Se含量和GPx活性。然而,补充硒对其他抗氧化性能没有显着影响。硒补充对理化性质没有不利影响。基于核磁共振的代谢组学分析表明,硒的供应条件不足以诱导代谢变化。这些结果表明,有机硒(0.15和0.45ppm)可以在猪腰中积累高硒含量,而不会影响质量。
    This research was conducted to study the effects of organic selenium (Se) supplements at different levels on pork loin quality during storage. Fifteen pork loins were procured randomly from three groups, Con (fed basal diet), Se15 (fed 0.15 ppm organic Se along with 0.10 ppm inorganic Se), and Se45 (fed 0.45 ppm organic Se along with 0.10 ppm inorganic Se). Each sample was analyzed for Se contents, antioxidant properties (glutathione peroxidase [GPx] activity, 2,2\'-azinobis-[3-ethylbenzothiazoline-6-sulfonic acid] [ABTS] and 2,2-diphenyl-1-picrylhydrazyl [DPPH] radical scavenging activities, 2-thiobarbituric acid reactive substances), physicochemical properties (water holding capacity, pH, color), and metabolomic analysis during 14-day storage period. Se45-supplemented group showed significantly higher Se contents and GPx activity than the other groups throughout the storage period. However, other antioxidant properties were not significantly affected by Se supplementation. Selenium supplementation did not have an adverse impact on physicochemical properties. Nuclear Magnetic Resonance-based metabolomic analysis indicated that the selenium supply conditions were insufficient to induce metabolic change. These results suggest that organic Se (0.15 and 0.45 ppm) can accumulate high Se content in pork loins without compromising quality.
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  • 文章类型: Journal Article
    高产奶牛的过渡期是氧化应激风险升高的关键阶段。这项研究评估了口服硒三甘油酯对围产期奶牛氧化应激管理的影响。对12头母牛进行了对照实验,分为两组:实验组(STG)接受硒三甘油酯(0.5mgSe/kgBW),而对照组(CON)给予安慰剂,开始12天之前产卵,直到产卵日。在分娩前后以预定间隔收集血液和肝组织样品。与对照组相比,该研究观察到STG组的血清硒水平和NEFA稳定性显着增加。抗氧化剂参数表明STG组中GSH-Px和CAT浓度升高。肝脏基因表达分析显示STG组SOD2mRNA水平显着增加(FC=4.68,p<0.01)。相反,CON组产后第7天GSH-Px3表达显著降低(FC=0.10,p<0.05)。然而,SOD1、SOD3和CAT表达在两组中保持稳定。这些发现强调了硒三甘油酯在增强抗氧化能力和影响与围产期奶牛氧化应激管理相关的特定基因表达中的有益作用。
    The transition period in high-yielding dairy cows is a critical phase marked by an elevated risk of oxidative stress. This study evaluated the effect of oral selenitetriglyceride supplementation on oxidative stress management in periparturient cows. A controlled experiment was conducted on 12 cows, divided into two groups: the experimental group (STG) received selenitetriglycerides (0.5 mg Se/kg BW), while the control group (CON) was given a placebo, starting 12 days before calving until the calving day. Blood and liver tissue samples were collected at predetermined intervals around the time of parturition. The study observed a significant increase in serum selenium levels and NEFA stabilization in the STG group compared with the control. Antioxidant parameters indicated elevated GSH-Px and CAT concentrations in the STG group. Liver gene expression analysis revealed a significant increase in SOD2 mRNA levels in the STG group (FC = 4.68, p < 0.01). Conversely, GSH-Px3 expression significantly decreased (FC = 0.10, p < 0.05) on the 7th day postpartum in the CON group. However, SOD1, SOD3, and CAT expressions remained stable in both groups. These findings highlight the beneficial role of selenitetriglycerides in enhancing antioxidant capacity and influencing specific gene expressions associated with oxidative stress management in dairy cows during the peripartum period.
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  • 文章类型: Journal Article
    硒(Se)是维持人体健康的必需微量元素,例如,在预防衰老相关疾病中起着至关重要的作用。然而,大多数关于硒对社区中老年人健康影响的研究都是观察性的或健康指标单一的,在中国人群中的相关研究是有限的。此外,中国被认为是硒严重缺乏的国家之一,随着年龄的增长,人体内的硒含量可能会降低。因此,进行了一项两步研究,以探讨中国此类人群中硒暴露和补充对健康的影响。首先,进行了一项回顾性队列研究,以比较居住在富硒地区和非富硒地区的这些人群之间的健康结果。共涉及102个科目,51人居住在富硒地区,51人居住在非富硒地区。头发Se(H-Se)含量,血清硒(S-Se)含量,来自富硒地区的受试者的总胆固醇显着高于他们的同龄人。值得注意的是,在S-Se和脂质之间观察到显着的正相关。其次,在居住在非富硒地区的受试者中进行了自我对照硒补充前后研究。共有40名受试者口服硒片30天,硒为120μg/天。结果显示H-Se和S-Se显著增加。补充硒对丙氨酸转氨酶也表现出积极作用,同型半胱氨酸,和空腹血糖;然而,高密度脂蛋白胆固醇明显下降。总的来说,居住在富硒地区或接受定量补硒的社区中老年人可以有效提高体内硒含量和某些健康指标,不包括脂质。这些改善包括肝功能,心血管健康,和葡萄糖代谢。这些发现增强了我们对硒如何影响中老年人健康的理解,强调针对非富硒地区此类人群采取针对性干预措施的重要性。试用注册:ChiCTR2000040987(https://www.chictr.org.cn)。
    Selenium (Se) is an essential trace element for maintaining human health, for example, plays a crucial role in preventing aging-related diseases. However, most studies on the health effects of Se among the community middle-aged and elderly have been observational or the health indices were single, and the related study among the Chinese population is limited. Additionally, China is recognized as among the countries facing a significant deficiency in Se, and Se contents in the human body may decrease with age. Therefore, a two-step study was conducted to explore the health effects of Se exposure and supplementation among such populations in China. Firstly, a retrospective cohort study was conducted to compare the health outcomes between such populations residing in Se-rich regions and non-Se-rich regions, involving a total of 102 subjects, with 51 residing in Se-rich regions and 51 in non-Se-rich regions. The hair-Se (H-Se) contents, serum-Se (S-Se) contents, and total cholesterol of subjects from Se-rich regions were significantly higher than their counterparts. Notably, significant positive associations were observed between S-Se and lipids. Secondly, a before-after self-control Se supplementation study among subjects residing in non-Se-rich regions was conducted. A total of 40 subjects administered Se tablets orally for 30 days, with Se of 120 μg/day. The results showed significant increases in H-Se and S-Se. Se supplementation also exhibited positive effects on alanine aminotransferase, homocysteine, and fasting glucose; however, high-density lipoprotein cholesterol significantly decreased. Overall, the community middle-aged and elderly residing in Se-rich regions or receiving quantitative Se supplementation could effectively improve Se contents in bodies and certain health indices, excluding lipids. These improvements encompass liver function, cardiovascular health, and glucose metabolism. These findings enhance our understanding of how Se impacts the health of the middle-aged and elderly, emphasizing the significance of targeted interventions for such populations in non-Se-rich regions. Trial registration: ChiCTR2000040987 ( https://www.chictr.org.cn ).
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  • 文章类型: Journal Article
    硒(Se)是人体健康必需的微量元素,在中枢神经系统功能的发育和维持中起着重要作用。硒缺乏与认知能力下降和氧化应激增加有关。氧化应激的增加是神经退行性疾病出现和恶化的假设之一,如阿尔茨海默病(AD)。探讨有机硒化合物对分化为胆碱能神经元样的人神经母细胞瘤细胞(SH-SY5Y)的神经保护作用。SH-SY5Y细胞与视黄酸(RA)和脑源性神经营养因子(BDNF)分化成胆碱能神经元样。模拟AD,将细胞暴露于冈田酸(OA)和β-淀粉样蛋白(Aβ)。有机硒化合物的神经保护作用,硒代蛋氨酸(SeMet)和Ebselen,通过细胞活力测试进行评估,乙酰胆碱酯酶和抗氧化酶活性,和活性氧(ROS)的检测。所测试的SeMet浓度均未保护免受OA+Aβ的毒性作用。另一方面,先前暴露于0.1和1µMEbselen可保护细胞免受OAAβ的毒性作用。RA和BDNF暴露诱导的细胞分化是有效的,显示神经元细胞的特征,并指向一个有前途的AD模型。Ebselen表现出保护作用,但是需要更多的研究来确定作用机制。
    Selenium (Se) is an essential trace element for human health and plays an important role in the development and maintenance of central nervous system functions. Se deficiency has been associated with cognitive decline and increased oxidative stress. The increase in oxidative stress is one of the hypotheses for the emergence and worsening of neurodegenerative diseases, such as Alzheimer\'s disease (AD). To investigate the neuroprotective effects of organic Se compounds in human neuroblastoma cells (SH-SY5Y) differentiated into cholinergic neurons-like. The SH-SY5Y cells were differentiated into cholinergic neuron-like with retinoic acid (RA) and brain-derived neurotrophic factor (BDNF). AD was mimicked exposing the cells to okadaic acid (OA) and beta-amyloid protein (Aβ). The neuroprotective effect of organic Se compounds, selenomethionine (SeMet) and Ebselen, was evaluated through cell viability tests, acetylcholinesterase and antioxidant enzyme activities, and detection of reactive oxygen species (ROS). None of the SeMet concentrations tested protected against the toxic effect of OA + Aβ. On the other hand, previous exposure to 0.1 and 1 µM Ebselen protected cells from the toxic effect of OA + Aβ. Cell differentiation induced by RA and BDNF exposure was effective, showing characteristics of neuronal cells, and pointing to a promising model of AD. Ebselen showed a protective effect, but more studies are needed to identify the mechanism of action.
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  • 文章类型: Journal Article
    硒(Se)是一种对人体健康至关重要的微量元素。最近,已经指出了补充硒对肠道微生物群的影响以及其对某些硒蛋白和肠道代谢物表达的影响。本研究旨在阐明硒补充之间的联系,脑硒蛋白和脑代谢组以及与肠-脑轴的可能联系。为此,对40只BALB/c小鼠进行了体内研究。该研究包括常规(n=20)和小鼠模型,在常规或补充硒的饮食下,微生物群被抗生素耗尽(n=20)。通过转录组/基因表达谱确定脑硒蛋白质组,而大脑代谢组和肠道菌群分布是通过非靶向代谢组学和扩增子测序完成的,分别。还测定了脑中硒的总含量。硒蛋白基因Dio和Gpx同工酶,硒诺,硒,硒,在常规小鼠中补充硒后,大脑中的硒和硒和31代谢物显着改变,而11硒蛋白和26代谢物在微生物群耗尽的小鼠中发生了改变。主要的脑代谢改变与乙醛酸和二羧酸代谢有关,氨基酸代谢,和先前与肠-脑轴相关的肠道微生物群(例如,Lachnospiphaceae和Ruminocycaceae家族的成员)。此外,确定了大脑硒蛋白质组和代谢组之间的特定关联,与相同的细菌相关,暗示了一种交织的机制。我们的结果表明硒通过特定的硒蛋白基因表达和肠道菌群对大脑代谢组的影响。
    Selenium (Se) is a trace element crucial for human health. Recently, the impact of Se supplementation on gut microbiota has been pointed out as well as its influence on the expression of certain selenoproteins and gut metabolites. This study aims to elucidate the link between Se supplementation, brain selenoproteins and brain metabolome as well as the possible connection with the gut-brain axis. To this end, an in vivo study with 40 BALB/c mice was carried out. The study included conventional (n=20) and mice model with microbiota depleted by antibiotics (n=20) under a regular or Se supplemented diet. Brain selenoproteome was determined by a transcriptomic/gene expression profile, while brain metabolome and gut microbiota profiles were accomplished by untargeted metabolomics and amplicon sequencing, respectively. The total content of Se in brain was also determined. The selenoproteins genes Dio and Gpx isoenzymes, SelenoH, SelenoI, SelenoT, SelenoV, and SelenoW and 31 metabolites were significantly altered in the brain after Se supplementation in conventional mice, while 11 selenoproteins and 26 metabolites were altered in microbiota depleted mice. The main altered brain metabolites were related to glyoxylate and dicarboxylate metabolism, amino acid metabolism, and gut microbiota that have been previously related with the gut-brain axis (e.g., members of Lachnospiraceae and Ruminococcaceae families). Moreover, specific associations were determined between brain selenoproteome and metabolome, which correlated with the same bacteria, suggesting an intertwined mechanism. Our results demonstrated the effect of Se on brain metabolome through specific selenoproteins gene expression and gut microbiota.
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  • 文章类型: Meta-Analysis
    过度暴露于硒(Se)对葡萄糖代谢有害,主要是因为它的促氧化作用和硒蛋白的过表达。这项系统评价和荟萃分析前所未有地评估了补充硒对健康啮齿动物血糖控制的影响。该方法遵循系统审查和荟萃分析(PRISMA)的首选报告项目。我们在电子数据库中搜索了截至2022年5月发表的文章。使用实验动物实验系统审查中心(SYRCLE)和荟萃分析和实验研究动物数据审查协作方法(CAMARADES)评估偏倚风险和方法学质量。结果表示为整体(SMD)和95%置信限(CI)的荟萃分析估计。在检索到的2359条记录中,包括13项研究,其中11个使用亚硒酸钠,两个使用零价硒纳米颗粒(SeNP)作为补充。9项研究纳入荟萃分析。一般来说,偏倚风险较高,23.1%的研究质量较高.补充亚硒酸钠显着增加空腹血糖(FBG)[SMD=2.57(95%CI1.07-4.07),I2=93.5%(p=0.001)。亚组分析显示,持续21天至28天的干预措施效果更大[SMD=25.74(95%CI2.29-9.18),I²=96.1%(p=0.001)]和剂量为864.7μg/kg/天的亚硒酸钠[SMD=10.26(95%CI2.42-18.11),I²=97.1%(p=0.010)]。然而,它不影响谷胱甘肽过氧化物酶(GPX)活性[SMD=0.60(95%CI-0.71-1.91),I²=83.2%(p=0.37])。当前的分析表明,亚硒酸钠补充剂对健康啮齿动物的血糖控制有不利影响。
    Overexposure to Se is detrimental to glucose metabolism, mainly because of its pro-oxidant effects and the overexpression of selenoproteins. This systematic review evaluated the effects of Se supplementation on glycaemic control in healthy rodents. The methodology followed the PRISMA. We searched the databases for articles published up to May 2022. The risk of bias and the methodological quality were assessed using the SYRCLE and CAMARADES. The results are presented as meta-analytic estimates of the overall standardised mean difference (SMD) and 95 % CI. Of the 2359 records retrieved, thirteen studies were included, of which eleven used sodium selenite and two used zero-valent Se nanoparticles as supplement. Nine studies were included in the meta-analysis. Generally, the risk of bias was high, and 23·1 % of the studies were of high quality. Supplementation with sodium selenite significantly increased fasting blood glucose (SMD = 2·57 (95 % CI (1·07, 4·07)), I2 = 93·5 % (P = 0·001). Subgroup analyses showed effect size was larger for interventions lasting between 21 and 28 d (SMD = 25·74 (95 % CI (2·29, 9·18)), I2 = 96·1 % (P = 0·001)) and for a dose of 864·7 μg/kg/d of sodium selenite (SMD = 10·26 (95 % CI (2·42, 18·11), I2 = 97·1 % (P = 0·010)). However, it did not affect glutathione peroxidase activity (SMD = 0·60 (95 % CI (-0·71, 1·91)), I2 = 83·2 % (P = 0·37)). The current analysis demonstrated the adverse effects of sodium selenite supplementation on glycaemic control in healthy rodents.
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  • 文章类型: Journal Article
    本研究调查了妊娠后期母羊日粮补硒(有机和无机)对母羊及其羔羊血硒浓度及代谢和抗氧化状态指标的影响。此外,确定了在哺乳期间硒从母羊转移到羔羊的功效。该研究对30只Merinolandschaf母羊及其羔羊进行,持续了四个月。对照组(I组)的饲料混合物不含硒,第二组饲料混合物富含0.3mg/kg有机硒源,第三组饲料混合物富含0.3mg/kg无机硒源。在母羊和它们的羔羊中,补硒显著(p<0.01;p<0.05)增加硒浓度,谷胱甘肽过氧化物酶,与对照组相比,超氧化物歧化酶活性和丙二醛浓度降低。补硒对羔羊代谢和血液学指标有积极影响。母羊和羔羊全血中抗氧化指标呈正相关。与无机硒相比,当饲料混合物补充有机硒时,硒从母羊到羔羊的良好转移得到了更高的相关系数。
    This study investigated the effect of dietary selenium supplementation (organic and inorganic) of late-gestation ewes on blood selenium concentrations and metabolic and antioxidant status indicators in ewes and their lambs. In addition, the efficacy of selenium transfer from ewes to lambs during the suckling period was determined. The study was conducted on 30 Merinolandschaf ewes and their lambs and lasted four months. The feed mixture of the control group (group I) contained no added selenium, while the feed mixture of group II was enriched with 0.3 mg/kg of organic selenium sources and the third group with 0.3 mg/kg of inorganic selenium sources. In ewes and their lambs, selenium supplementation significantly (p < 0.01; p < 0.05) increased selenium concentration, glutathione peroxidase, and superoxide dismutase activity and decreased malondialdehyde concentration compared to the control group. Selenium supplementation had a positive effect on metabolism and hematological indicators in lambs. A positive correlation was found between antioxidant indicators in the whole blood of ewes and lambs. The good transfer of selenium from ewes to lambs was complemented by higher correlation coefficients when the feed mixture was supplemented with organic compared to inorganic selenium.
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  • 文章类型: Meta-Analysis
    简介:补硒对多囊卵巢综合征的疗效难以捉摸。本Meta分析旨在探讨补硒治疗多囊卵巢综合征的疗效。方法:PubMed,EMBase,WebofScience,EBSCO,Cochrane图书馆数据库,CNKI,重庆VIP数据库和万方数据库已在2022年7月进行了搜索,我们纳入了随机对照试验(RCT),报告了补硒与安慰剂对多囊卵巢综合征患者的影响。结果:5个RCT纳入meta分析。与安慰剂组相比,对于多囊卵巢综合征,硒补充与总睾酮(SMD=-0.42;95%CI=-0.78至-0.06;p=0.02)和胆固醇(SMD=-0.71;95%CI=-1.41至-0.02;p=0.04)显着降低相关,但对SHBG没有显着影响(SMD=-0.52;95%CI=-1.29至0.25;p=0.19),甘油三酯(SMD=-1.45;95%CI=-3.62至0.73;p=0.19),LDL(SMD=-0.17;95%CI=-0.72至0.37;p=0.53),FPG(SMD=-0.95;95%CI=-3.72至1.82;p=0.50)或HOMA-IR(SMD=-0.51;95%CI=-3.79至2.77;p=0.76)。结论:补硒可改善多囊卵巢综合征患者的代谢反应。这一发现应谨慎解释。
    Introduction: The efficacy of selenium supplementation was elusive for polycystic ovary syndrome. This meta-analysis aimed to explore the efficacy of selenium supplementation for polycystic ovary syndrome. Methods: PubMed, EMbase, Web of science, EBSCO, Cochrane library database, CNKI, Chongqing VIP database and Wanfang databases have been searched through July 2022 and we included randomized controlled trials (RCTs) reporting the effect of selenium supplementation versus placebo in patients with polycystic ovary syndrome. Results: Five RCTs were included in the meta-analysis. Compared with placebo group for polycystic ovary syndrome, selenium supplementation was associated with significantly reduced total testosterone (SMD=-0.42; 95% CI=-0.78 to -0.06; p = 0.02) and cholesterol (SMD=-0.71; 95% CI=-1.41 to -0.02; p = 0.04), but revealed no remarkable influence on SHBG (SMD=-0.52; 95% CI=-1.29 to 0.25; p = 0.19), triglyceride (SMD=-1.45; 95% CI=-3.62 to 0.73; p = 0.19), LDL (SMD=-0.17; 95% CI=-0.72 to 0.37; p = 0.53), FPG (SMD=-0.95; 95% CI=-3.72 to 1.82; p = 0.50) or HOMA-IR (SMD=-0.51; 95% CI=-3.79 to 2.77; p = 0.76). Conclusions: Selenium supplementation may be able to improve the metabolic response for polycystic ovary syndrome, and this finding should be interpreted with caution.
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  • 文章类型: Journal Article
    微量元素缺乏在终末期肾病(ESRD)患者中很常见;原因是由于这些患者接受了透析,他们比健康人失去这些元素更多,并且由于食欲不振,微量元素的使用也受到限制。硒(Se)是一种微量元素,对氧化应激防御系统至关重要。硒缺乏导致一些并发症,与ESRD患者常见的并发症相似,如心血管疾病导致的全因死亡率,骨丢失,尿酸升高,和贫血。本文旨在回顾ESRD患者硒缺乏后果的证据,以及补充硒对血液透析患者的影响。搜索了多个数据库,以总结硒在肾脏疾病中作用的现有证据。由于ESRD的并发症和硒缺乏的并发症大多相似,这引发了硒缺乏可能被认为是这些问题的原因的想法,但硒缺乏是单一因素还是有其他因素参与,还需要更多的评估。补充硒对解决上述并发症的作用,需要通过精心设计的临床研究进行更多的研究。
    Trace element deficiency is common among patients with end-stage renal disease (ESRD); the reason is that since these patients undergo dialysis, they lose these elements more than healthy people, and also the use of trace elements is restricted due to loss of appetite. Selenium (Se) is a trace element that is essential for the oxidative stress defense system. Se deficiency leads to some complications similar to those often seen in ESRD patients, such as all-cause mortality due to cardiovascular diseases, bone loss, uric acid elevation, and anemia. This article aims to review the evidence on consequences of Se deficiency in ESRD patients, as well as effects of Se supplementation in hemodialysis patients. Multiple databases were searched to summarize the available evidence on selenium\'s role in kidney diseases. Since the complications of ESRD and those of Se deficiency are mostly similar, this triggers the idea that Se deficiency may be considered as a cause of these problems, but it needs to be more assessed that Se deficiency is a single factor or there are other factors participated in. Also the role of Se supplementation on resolving the mentioned complications, needs to be more studied through welldesigned clinical studies.
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  • 文章类型: Journal Article
    膳食抗氧化剂的摄入与动脉粥样硬化发展的标志物如颈动脉内膜-中膜厚度(CIMT)的减少呈负相关。
    本研究旨在评估补充硒对糖尿病血液透析(HD)患者的CIMT和代谢谱的影响。
    这是随机的,双盲,我们对60例糖尿病HD患者进行了安慰剂对照试验.受试者被随机分配接受硒补充剂或安慰剂(淀粉)。硒组(n=30)的个体每天接受200μg硒,安慰剂组(n=30)接受24周。在研究基线和干预24周后采集空腹血样。
    服用硒补充剂后,观察到血清胰岛素水平显着降低(P=0.003),胰岛素抵抗(P=0.003),总胆固醇(P=0.008),LDL-胆固醇(P<0.001)和C反应蛋白(CRP)(P<0.001),胰岛素敏感性显着增加(P<0.001),与安慰剂组相比,HDL-胆固醇(P<0.001)和总谷胱甘肽(GSH)(P<0.001)。
    在糖尿病HD患者中补充硒对胰岛素代谢标志物有有益作用,total-,LDL-,HDL-胆固醇,CRP和GSH水平。该试验已在www上注册。irct.ir为http://www。irct.IR:IRCT20170513033941N47。
    Intake of dietary antioxidants is inversely associated with reduced markers of atherosclerosis development such as carotid intima-media thickness (CIMT).
    This study was designed to assess the effects of selenium supplementation on CIMT and metabolic profiles of in diabetic hemodialysis (HD) patients.
    This randomized, double-blind, placebo-controlled trial was performed on 60 diabetic HD patients. Subjects were randomly assigned to receive selenium supplements or placebo (starch). Individuals in the selenium group (n = 30) received 200 μg selenium per day in the placebo group (n = 30) received for 24 weeks. Fasting blood samples were taken at the study baseline and after 24 weeks of intervention.
    Following the administration of selenium supplements, was observed a significant reduction in serum insulin levels (P = 0.003), insulin resistance (P = 0.003), total cholesterol (P = 0.008), LDL-cholesterol (P < 0.001) and C-reactive protein (CRP) (P < 0.001), and a significant increase in insulin sensitivity (P < 0.001), HDL-cholesterol (P < 0.001) and total glutathione (GSH) (P < 0.001) compared with the placebo.
    Selenium supplementation in diabetic HD patients had beneficial effects on markers of insulin metabolism, total-, LDL-, HDL-cholesterol, CRP and GSH levels. This trial was registered at www.irct.ir as http://www.irct.ir: IRCT20170513033941N47.
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