성인 여성의 생애주기별 셀레늄 영양상태에 대한 평가

Assessment of Selenium Status in Adult Females According to Life Cycle

  • 발행 : 2003.06.01

초록

Selenium is a strong antioxidant trace mineral, scavenging free radicals. The prevalence of chronic degenerative diseases is increasing in Korean adults with increasing age. The increased cell damage from free radicals has been implicated in the etiology of these diseases, and evidence is accumulating that the low selenium status that comes with advanced aged is involved in the prevalence of age-associated diseases. However, little is known about the selenium status of Koreans, its age-related change and its relationship to dietary nutrient intake. In this study, the serum selenium levels of healthy adult females according to life cycle and its association with blood albumin levels and nutrient intake were examined. Serum selenium level was measured with the Huwo research reactor using the neutron activation analysis method (NAA). The overall proportion of women with selenium deficiency, serum selenium concentrations below 7.0 $\mu\textrm{g}$/dl, was 9.4%. The average serum selenium levels were 12.39 $\mu\textrm{g}$/dl, 9.45 $\mu\textrm{g}$/dl and 9.16 $\mu\textrm{g}$/dl in the young adult, middle-aged and elderly groups, respectively, showing a reduction of selenium status with advancing age. Selenium deficiency was seen only in the elderly group. Generally, serum selenium levels positively or negatively correlated with nutrient intake, but these association patterns differed depending on the age. The nutrients that showed positive correlations with selenium levels were proteins and phosphate in the young adult group (p < 0.05, p < 0.05), and total calcium, potassium and vegetable-origin calcium in the middle-aged group. Vitamin C and fiber were the negative correlated nutrients with serum selenium levels in the elderly group (p < 0.05, p < 0.05). Multiple stepwise regression analysis of the determining factors responsible for selenium status showed that age and serum albumin levels were important factors which explained up to 26.9% variances in serum selenium levels. The average selenium concentrations of Korean adult female subjects were above the deficiency levels in all three age groups. There was a tendency toward decreasing selenium levels as the age of the subjects increased. The factors with the strongest in-fluence on selenium status in healthy adult Korean females were age and serum protein status. (Korean J Nutrition 36(5): 491~499, 2003)

키워드

참고문헌

  1. J Trace Elem Electrolytes Health v.3 no.3 Studies of safe maximal daily dietary Se-intake in a selniferous area in China. Part Ⅱ:Relation between Se-intake and the manifestation of clinical signs and certain biochemical alterations in blood and urine Yang,G.;Yin,S.;Zhou,R.;Gu,L.;Yan,B.;Liu,Y.;Liu,Y.
  2. J Nutr v.131 no.10 Selenium and zinc status are suboptimal in a sample of older New zealand women in a community-based study de Jong N.;Gibson,R.S.;Thomson,C.D.;Ferguson,E.I.;McKenzie,J.E.;Green,T.J.;Horwath,C.C.
  3. Ann Acad Med v.27 no.4 Serum selenium in the general population of Singapore Hughes,K.;Chuda,L.H.;Ong,C.N.
  4. Thromb Haemost v.64 no.2 Selenium dependent glutathione peroxidase regulatory system for platelet function Perona,G.;Schiavon,R.;Guidi,G.C.;Veneri,D.;Minuz,P.
  5. Free redicals in biology and Medicine Halliwell,B.;Gutterridge,J.M.
  6. Proc Natl Acad Sci v.78 The ageing process Harman,D. https://doi.org/10.1073/pnas.78.11.7124
  7. Antioxid Redox Signal v.4 no.2 Selenium and the regulation of cell signaling, growth, and survival:molecular and mechanistic aspects McKenzie,R.C.;Arthur,J.R.;Beckett,G.J. https://doi.org/10.1089/152308602753666398
  8. Proc Nutr Soc v.61 no.2 The argument for increasing selenium intake Rayman,M.P.;Rayman,M.P. https://doi.org/10.1079/PNS2002153
  9. Biol Trace Elem Res v.31 no.1 Selenium in Kashin-beck disease areas Xu,L.Q.;Sen,W.X.;Xiong,G.H.;Huang,H.M.;Schramel,P. https://doi.org/10.1007/BF02990354
  10. Biol Chem v.381 no.9-10 Selenium in biology:facts and medical perspectives Kohr,D.;Brigelius-Flohe,R.;Rock,R.;Gartner,R.;Meyer,O.;Flohe,L. https://doi.org/10.1515/BC.2000.107
  11. Clin Sci (Lond) v.89 no.6 Low selenium status in the elderly influences thyroid hormones Olivieri,O.;Girelli,D.;Azzini,M.;Stanzial,A.M.;Russo,C.;Ferroni,M.;Corrocher,R.
  12. Am J Clin Nutr v.48 no.2 Selenium intake and serum selenium in finland:effects of soil fertilization with selenium Varo,P.;Alfthan,G.;Ekholm,P.;Aro,A.;Koivistoinen,P.
  13. Biol Trace Elem Res v.80 no.2 Dietary selenium intake of Chinese adult women in the 1990s Zhang,Z.W.;Shimbo,S.;Qu,J.B.;Watanabe,T.;Nakatsuka,H.;Matshuda-Inoguchi,N.;Higashikawa,K.;Ikeda,M. https://doi.org/10.1385/BTER:80:2:125
  14. Kor J Nutr v.16 no.3 Distribution of selenium contents in human blood and foods produced in Korea Oh,S.H.;Cho,M.Y.
  15. Kor J Nutr v.31 no.3 A study on serum concentrations of antioxidant minerals in normal korean adults Lee-Kim,Y.C.;Chung,E.J.;Hwang,J.;Kim,M.K.;Lee,J.H.;Park,T.;Kim,S.T.;Park,K.S.
  16. Kor J Comm Nutr v.5 no.2S Relationship between serum levels of microminerals and lipids in korean adultson self-selected diet Choi,M.K.
  17. Kor J Nutr v.24 no.6 The study on concentration of serum selenium in patients with hepatoma Shin,W.S.;Hong,S.I.;Jung,M.R.;Kim,J.H.;Na,H.B.
  18. Anal Biochem v.208 Determination of the distribution of selenium between glutathione peroxidase, selenoprotein P, and albumin in plasma Deagon,J.T.;Butler,J.A.;Zachara,B.A.;Whanger,P.D. https://doi.org/10.1006/abio.1993.1025
  19. J Nutr v.119 no.7 Influence of dietary methionine on the metabolism of selenomethione in rats Butler,J.A.;Beilstein,M.A.;Whanger,P.D.
  20. Toxicol Lett v.96-97 Food supply abundant increase of serum selenium conentrations in middle-aged Dresden women between 1990 and 1996 Bergmann,S.;Neumeister,V.;Siekmeier,R;Mix,C.;Wahrung,U.;Jaross,W. https://doi.org/10.1016/S0378-4274(98)00067-8
  21. J Trace Elem Med Biol v.16 no.1 Selenium status and its correlates in a British national diet and nutrition survey:people age 65 years and over Bates,C.J.;Thane,C.W.;Prentice,A.;Delves,H.T. https://doi.org/10.1016/S0946-672X(02)80002-5
  22. IAEA Tec Rep no.273 Handbook on Nuclear Activation Analysis Data IAEA
  23. Nuclear analytical methods in the life sciences Combination of neutron activation analysis, tracer techniques, and biochemical methods in the investigation of selenium metanolism Behne,D.;Scheid,S.;Hilmert,H.;Gessner,D.;Gawlik,D.;Kyriakopoulos,A.;Zeisler,R.(ed.);Guinen,V.P.(ed.)
  24. Test book of clinical chemistry Tietz,N.W.
  25. Nutr Clin Care v.5 no.2 Selenium, an antioxidant nutrient Burk,R.F. https://doi.org/10.1046/j.1523-5408.2002.00006.x
  26. Int J Vitam Nutr Res v.59 no.4 Vitamin A, vitamin E, and selenium status in an aged Finnish male population Kivela,S.L.;Maenpaa,P.;Nissinen,A.;Alfthan,G.;Punsar,S.;Enlund,H.;Puska,P.
  27. Biol Trace Elem Res v.47 no.1-3 Evaluation of selenium supply and status of inhabitants in three selected rural and urban regions of Czech Republic Kvicala,J.;Zamrazil,V.;Cerovska,J.;Bednar,J.;Janda,J. https://doi.org/10.1007/BF02790139
  28. Biol Trace Elem Res v.46 no.1-2 Serum selenium levels in Slovak population Brtkova,A.;Magalova,T.;Babinska,K.;Bederova,A. https://doi.org/10.1007/BF02790076
  29. Biol Trace Elem Res v.37 no.2-3 Serum selenium in adult Czechoslovak (central Bohemia) population Korunova,V.;Skodova,Z.;Dedina,J.;Valenta,Z.;Parizek,J.;Pisa,Z.;Styblo,M. https://doi.org/10.1007/BF02783784
  30. Med Klin v.15 no.92;SUP.3 Reference values for blood and serum selenium in the Dresden area Meissner,D.
  31. J Nutr Sci Vitaminol v.43 no.5 Selenium level and gluthathione peroxidase activity in plasma, erythrocytes and platelets of healthy Japanese volunteers Matsuda,A.;Kimura,M.;Itokawa,Y. https://doi.org/10.3177/jnsv.43.497
  32. Am J Med v.81 Nutriional status of the elderly Morley,J.E. https://doi.org/10.1016/0002-9343(86)90557-7
  33. Cell Biochem Funct v.20 no.1 Age-related changes in the gluthathione redox system Erden-Inal,M.;Sunal,E.;Kanbak,G. https://doi.org/10.1002/cbf.937
  34. J Lab Clin Med v.120 no.5 Low blood gluthathione levels in healthy aging adults Lang,C.A.;Naryshkin,S.;Schneider,D.L.;Mills,B.J.;Lindeman,R.D.
  35. Int J Vitam Nutr Res v.66 no.1 Micomutrient status in elderly people Geriatric/Min Vit. Aux Network Monget,A.L.;Galan,P.;Preziosi,P.;Keller,H.;Bourgois,C.;Amaud,J.;Favier,A.;Hercberg,S.
  36. Am J Clin Nutr v.60 no.4 Selenium status, fatty acids, vitamin A and E, and aging:the Nove Study Olivieri,O.;Stanzial,A.M.;Girelli,O.;Trevisan,M.T.;Guarini,P.;Terzi,M.;Caffi,S.;Fontana,F.;Casaril,M.;Ferrari,S.
  37. Nahrung v.45 no.5 The role of trace elements for the health of elderly individuals Ekmekcioglu,C. https://doi.org/10.1002/1521-3803(20011001)45:5<309::AID-FOOD309>3.0.CO;2-0
  38. Br J Nutr v.62 no.1 Selenium and vitamin E status of healthy and institutionalized edlerly subjects:analysis of plasma, erythrocytes and platelets Campbell,D.;Bunker,V.W.;Thomas,A.J.;Clayton,B.E. https://doi.org/10.1079/BJN19890022
  39. Biol Trace Elem Res v.36 no.1 Effect of selenium and protein deficiency on selenium and glutathione peroxidase in rats Zhu,Z.;Kimura,M.;Itokawa,Y. https://doi.org/10.1007/BF02783776
  40. Am J Clin Nutr v.52 no.5 Selenium intake, age, gender, and smoking in relation to indices of selenium status of adults residing in a seleniferous area Swanson,C.A.;Longnecker,M.P.;Veillon,C.;Howe,M.;Levander,O.A.;Tazlor,p.R.;McAdam,P.A.;Brown,C.C.;Stampfer,M.J.;Willet,W.C.
  41. Eur J Clin Nutr v.52 no.11 Plasma levels of selenium, selenoprotein P and glutathione peroxidase and their correlations to fish intake and serum levels of thyrotropin and thyroid hormones:a study on Latvian consumers Hagmer,L.;Persson-Moschos,M.;Akesson,B.;Schutz,A. https://doi.org/10.1038/sj.ejcn.1600649
  42. Biol Trace Elem Res v.42 no.1 Alterations in plasma total high density lipoprotein cholesterol levels in hyperlipidemic rats fed diets with varied content of selenium and vitamin E Liu,W.;Boylan,L.M. https://doi.org/10.1007/BF02990484