Skip to main content

Advertisement

Log in

Association Between the Ratios of Selenium to Several Elements and Mild Cognitive Impairment in the Elderly

  • Published:
Biological Trace Element Research Aims and scope Submit manuscript

Abstract

To investigate the relationship between the correlation ratios of selenium (Se) and other elements and mild cognitive impairment (MCI) among older adults. A total of 1000 individuals participated in our research analysis. The concentrations of elements in whole blood were determined using inductively coupled plasma mass spectrometry to reflect their exposure levels. Participants’ cognitive function was assessed using the Mini-Mental State Examination. Logistic regression analysis was used to evaluate the relationship between elemental ratios and MCI. Se concentration was positively correlated with red blood cell count (r = 0.219, p < 0.001), haemoglobin level (r = 0.355, p < 0.001), haematocrit (r = 0.215, p < 0.001), mean corpuscular haemoglobin (r = 0.294, p < 0.001) and mean corpuscular haemoglobin concentration (r = 0.428, p < 0.001) and negatively correlated with red cell volume distribution width-standard deviation (r = –0.232, p < 0.001) and platelet distribution width (r = –0.382, p < 0.001). Compared with the normal group, the ratios of Se/vanadium (V), Se/lead (Pb) and Se/cadmium (Cd) in the whole blood of the MCI group were significantly lower (all p < 0.001), while the ratios of manganese (Mn)/Se and iron (Fe)/Se were higher (all p < 0.001). The increase in the ratios of Se/V, Se/Pb and Se/Cd is related to a decreased risk of MCI among older adults; contrarily, an increase in the ratios of Mn/Se and Fe/Se may be a risk factor for MCI.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

Data Availability

The datasets generated during and analyzed during the current study are not publicly available due to the privacy of the research group, but are available from the corresponding author on reasonable request.

Code Availability

The software has been licensed.

References

  1. Cardoso BR, Szymlek-Gay EA, Roberts BR, Formica M, Gianoudis J, O'Connell S, Nowson CA, Daly RM (2018) Selenium status is not associated with cognitive performance: a cross-sectional study in 154 older Australian adults. Nutrients 10(12):5717. https://doi.org/10.3390/nu10121847

  2. Yan X, Liu K, Sun X, Qin S, Wu M, Qin L, Wang Y, Li Z, Zhong X, Wei X (2020) A cross-sectional study of blood selenium concentration and cognitive function in elderly Americans: National Health and Nutrition Examination Survey 2011–2014. Ann Hum Biol 47(7–8):610–619. https://doi.org/10.1080/03014460.2020.1836253

    Article  PubMed  Google Scholar 

  3. Xiao L, Zan G, Qin J, Wei X, Lu G, Li X, Zhang H, Zou Y, Yang L, He M, Zhang Z, Yang X (2021) Combined exposure to multiple metals and cognitive function in older adults. Ecotoxicol Environ Saf 222:112465. https://doi.org/10.1016/j.ecoenv.2021.112465

    Article  CAS  PubMed  Google Scholar 

  4. Paglia G, Miedico O, Cristofano A, Vitale M, Angiolillo A, Chiaravalle AE, Corso G, Di Costanzo A (2016) Distinctive pattern of serum elements during the progression of Alzheimer’s disease. Sci Rep 6:22769. https://doi.org/10.1038/srep22769

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  5. Sun H (2018) Association of soil selenium, strontium, and magnesium concentrations with Parkinson’s disease mortality rates in the USA. Environ Geochem Health 40(1):349–357. https://doi.org/10.1007/s10653-017-9915-8

    Article  CAS  PubMed  Google Scholar 

  6. Liu MC, Xu Y, Chen YM, Li J, Zhao F, Zheng G, Jing JF, Ke T, Chen JY, Luo WJ (2013) The effect of sodium selenite on lead induced cognitive dysfunction. Neurotoxicology 4294(36):82–88. https://doi.org/10.1016/j.neuro.2013.03.008

    Article  CAS  Google Scholar 

  7. Oliveira CS, Piccoli BC, Aschner M, Rocha JBT (2017) Chemical speciation of selenium and mercury as determinant of their neurotoxicity. Adv Neurobiol 18:53–83. https://doi.org/10.1007/978-3-319-60189-2_4

    Article  CAS  PubMed  Google Scholar 

  8. Oliveira CS, Piccoli BC, Nogara PA, Pereira ME, de Carvalho KAT, Skalny AV, Tinkov AA, Aschner M, da Rocha JBT (2021) Selenium neuroprotection in neurodegenerative disorders. In: Kostrzewa RM (ed) Handbook of Neurotoxicity, 2nd edn, vol 1. Springer, Cham, Switzerland pp 1–35. https://doi.org/10.1007/978-3-030-71519-9_238-1

  9. Wang H, Jiang R, Wang B, Yao S (2021) The effect of gypsum on the fixation of selenium in the iron/calcium-selenium coprecipitation process. Bull Environ Contam Toxicol 106(1):121–125. https://doi.org/10.1007/s00128-020-02881-2

    Article  CAS  PubMed  Google Scholar 

  10. Sharma SK, Bansal MP, Sandhir R (2019) Altered dietary selenium influences brain iron content and behavioural outcomes. Behav Brain Res 372:112011. https://doi.org/10.1016/j.bbr.2019.112011

    Article  CAS  PubMed  Google Scholar 

  11. He Z, Han S, Zhu H, Hu X, Li X, Hou C, Wu C, Xie Q, Li N, Du X, Ni J, Liu Q (2020) The protective effect of vanadium on cognitive impairment and the neuropathology of Alzheimer’s disease in APPSwe/PS1dE9 mice. Front Mol Neurosci 13:21. https://doi.org/10.3389/fnmol.2020.00021

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  12. Galiciolli MEA, Lima LS, da Costa NS, de Andrade DP, Irioda AC, Oliveira CS (2022) IQ alteration induced by lead in developed and underdeveloped/developing countries: a systematic review and a meta-analysis. Environ Pollut 292(Pt A):118316. https://doi.org/10.1016/j.envpol.2021.118316

  13. Pedroso TF, Oliveira CS, Fonseca MM, Oliveira VA, Pereira ME (2017) Effects of zinc and N-Acetylcysteine in damage caused by lead exposure in young rats. Biol Trace Elem Res 180(2):275–284. https://doi.org/10.1007/s12011-017-1009-z

    Article  CAS  PubMed  Google Scholar 

  14. Lima LS, Galiciolli MEA, Pereira ME, Felisbino K, Machado-Souza C, de Oliveira CS, Guiloski IC (2022) Modification by genetic polymorphism of lead-induced IQ alteration: a systematic review. Environ Sci Pollut Res Int 29(29):43435–43447. https://doi.org/10.1007/s11356-022-19981-7

    Article  PubMed  Google Scholar 

  15. Kippler M, Bottai M, Georgiou V, Koutra K, Chalkiadaki G, Kampouri M, Kyriklaki A, Vafeiadi M, Fthenou E, Vassilaki M, Kogevinas M, Vahter M, Chatzi L (2016) Impact of prenatal exposure to cadmium on cognitive development at preschool age and the importance of selenium and iodine. Eur J Epidemiol 31(11):1123–1134. https://doi.org/10.1007/s10654-016-0151-9

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  16. Peng Y, Li Z, Yang X, Yang L, He M, Zhang H, Wei X, Qin J, Li X, Lu G, Zhang L, Yang Y, Zhang Z, Zou Y (2020) Relation between cadmium body burden and cognitive function in older men: a cross-sectional study in China. Chemosphere 7086(250):126535. https://doi.org/10.1016/j.chemosphere.2020.126535

    Article  CAS  Google Scholar 

  17. Peres TV, Schettinger MR, Chen P, Carvalho F, Avila DS, Bowman AB, Aschner M (2016) Manganese-induced neurotoxicity: a review of its behavioral consequences and neuroprotective strategies. BMC Pharmacol Toxicol 17(1):57. https://doi.org/10.1186/s40360-016-0099-0

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  18. Liu J, Hu XF, Xue Y, Liu C, Liu DH, Shang YN, Shi YS, Cheng L, Zhang JQ, Chen AT, Wang J (2020) Targeting hepcidin improves cognitive impairment and reduces iron deposition in a diabetic rat model. Am J Transl Res 12(8):4830–4839

    CAS  PubMed  PubMed Central  Google Scholar 

  19. Squadrone S, Brizio P, Abete MC, Brusco A (2020) Trace elements profile in the blood of Huntington’ disease patients. J Trace Elem Med Biol 57:18–20. https://doi.org/10.1016/j.jtemb.2019.09.006

    Article  CAS  PubMed  Google Scholar 

  20. Park RM, Berg SL (2018) Manganese and neurobehavioral impairment. A preliminary risk assessment. Neurotoxicology 4294(64):159–165. https://doi.org/10.1016/j.neuro.2017.08.003

    Article  CAS  Google Scholar 

  21. Liu S, Xu FP, Yang ZJ, Li M, Min YH, Li S (2014) Cadmium-induced injury and the ameliorative effects of selenium on chicken splenic lymphocytes: mechanisms of oxidative stress and apoptosis. Biol Trace Elem Res 160(3):340–351. https://doi.org/10.1007/s12011-014-0070-0

    Article  CAS  PubMed  Google Scholar 

  22. Jin X, Xu Z, Zhao X, Chen M, Xu S (2017) The antagonistic effect of selenium on lead-induced apoptosis via mitochondrial dynamics pathway in the chicken kidney. Chemosphere 7086(180):259–266. https://doi.org/10.1016/j.chemosphere.2017.03.130

    Article  CAS  Google Scholar 

  23. Gu L, Yu J, Fan Y, Wang S, Yang L, Liu K, Wang Q, Chen G, Zhang D, Ma Y, Wang L, Liu A, Cao H, Li X, Li K, Tao F, Sheng J (2021) The association between trace elements exposure and the cognition in the elderly in China. Biol Trace Elem Res 199(2):403–412. https://doi.org/10.1007/s12011-020-02154-3

    Article  CAS  PubMed  Google Scholar 

  24. Yu J, He Y, Yu X, Gu L, Wang Q, Wang S, Tao F, Sheng J (2022) Associations between mild cognitive impairment and whole blood zinc and selenium in the elderly cohort. Biol Trace Elem Res. https://doi.org/10.1007/s12011-022-03136-3

    Article  PubMed  PubMed Central  Google Scholar 

  25. Folstein MF, Folstein SE, McHugh PR (1975) “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 12(3):189–198. https://doi.org/10.1016/0022-3956(75)90026-6

    Article  CAS  PubMed  Google Scholar 

  26. Sreedevi U, Alaparthi GK, Krishnan S, Chakravarthy Bairapareddy K, Anand R, Acharya V (2020) Normative values for Londrina ADL protocol in healthy individuals in age group of 40–60 years among Indian population: a cross-sectional study. Can Respir J 2020:8612928. https://doi.org/10.1155/2020/8612928

    Article  PubMed  PubMed Central  Google Scholar 

  27. Heyman N, Tsirulnicov T, Ben Natan M (2017) Prediction of geriatric rehabilitation outcomes: comparison between three cognitive screening tools. Geriatr Gerontol Int 17(12):2507–2513. https://doi.org/10.1111/ggi.13117

    Article  PubMed  Google Scholar 

  28. Zhao B, Shang S, Li P, Chen C, Dang L, Jiang Y, Wang J, Huo K, Deng M, Wang J, Qu Q (2019) The gender- and age- dependent relationships between serum lipids and cognitive impairment: a cross-sectional study in a rural area of Xi’an China. Lipids Health Dis 18(1):4. https://doi.org/10.1186/s12944-018-0956-5

    Article  PubMed  PubMed Central  Google Scholar 

  29. Petersen RC, Smith GE, Waring SC, Ivnik RJ, Tangalos EG, Kokmen E (1999) Mild cognitive impairment: clinical characterization and outcome. Arch Neurol 56(3):303–308. https://doi.org/10.1001/archneur.56.3.303

    Article  CAS  PubMed  Google Scholar 

  30. Baierle M, Charao MF, Goethel G, Barth A, Fracasso R, Bubols G, Sauer E, Campanharo SC, Rocha RC, Saint’Pierre TD, Bordignon S, Zibetti M, Trentini CM, Avila DS, Gioda A, Garcia SC (2014) Are delta-aminolevulinate dehydratase inhibition and metal concentrations additional factors for the age-related cognitive decline? Int J Environ Res Public Health 11(10):10851–10867. https://doi.org/10.3390/ijerph111010851

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  31. Pereira ME, Souza JV, Galiciolli MEA, Sare F, Vieira GS, Kruk IL, Oliveira CS (2022) Effects of selenium supplementation in patients with mild cognitive impairment or Alzheimer's disease: a systematic review and meta-analysis. Nutrients 14(15):3205. https://doi.org/10.3390/nu14153205

  32. de Oliveira Ulbrecht MO, Goncalves DA, Zanoni LZG, do Nascimento VA, (2019) Association between selenium and malondialdehyde as an efficient biomarker of oxidative stress in infantile cardiac surgery. Biol Trace Elem Res 187(1):74–79. https://doi.org/10.1007/s12011-018-1378-y

    Article  CAS  PubMed  Google Scholar 

  33. Rita Cardoso B, Apolinario D, da Silva BV, Busse AL, Magaldi RM, Jacob-Filho W, Cozzolino SM (2016) Effects of Brazil nut consumption on selenium status and cognitive performance in older adults with mild cognitive impairment: a randomized controlled pilot trial. Eur J Nutr 55(1):107–116. https://doi.org/10.1007/s00394-014-0829-2

    Article  CAS  PubMed  Google Scholar 

  34. Tripathi D, Mani V, Pal RP (2018) Vanadium in biosphere and its role in biological processes. Biol Trace Elem Res 186(1):52–67. https://doi.org/10.1007/s12011-018-1289-y

    Article  CAS  PubMed  Google Scholar 

  35. Jiao X, Yang K, An Y, Teng X, Teng X (2017) Alleviation of lead-induced oxidative stress and immune damage by selenium in chicken bursa of Fabricius. Environ Sci Pollut Res Int 24(8):7555–7564. https://doi.org/10.1007/s11356-016-8329-y

    Article  CAS  PubMed  Google Scholar 

  36. Feng J, Chen S, Wang Y, Liu Q, Yang M, Li X, Nie C, Qin J, Chen H, Yuan X, Huang Y, Zhang Q (2019) Maternal exposure to cadmium impairs cognitive development of male offspring by targeting the Coronin-1a signaling pathway. Chemosphere 225:765–774. https://doi.org/10.1016/j.chemosphere.2019.03.094

    Article  CAS  PubMed  Google Scholar 

  37. Lee YH, Bang ES, Lee JH, Lee JD, Kang DR, Hong J, Lee JM (2019) Serum concentrations of trace elements zinc, copper, selenium, and manganese in critically ill patients. Biol Trace Elem Res 188(2):316–325. https://doi.org/10.1007/s12011-018-1429-4

    Article  CAS  PubMed  Google Scholar 

  38. Du K, Liu M, Pan Y, Zhong X, Wei M (2017) Association of serum manganese levels with Alzheimer's disease and mild cognitive impairment: a systematic review and meta-analysis. Nutrients 9(3):231. https://doi.org/10.3390/nu9030231

  39. Theerajangkhaphichai W, Sripetchwandee J, Sriwichaiin S, Svasti S, Chattipakorn N, Tantiworawit A, Chattipakorn SC (2021) An association between fibroblast growth factor 21 and cognitive impairment in iron-overload thalassemia. Sci Rep 11(1):8057. https://doi.org/10.1038/s41598-021-87597-x

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  40. Vahed M, Sweeney A, Shirasawa H, Vahed M (2019) The initial stage of structural transformation of Abeta(42) peptides from the human and mole rat in the presence of Fe(2+) and Fe(3+): Related to Alzheimer's disease. Comput Biol Chem 83:107128. https://doi.org/10.1016/j.compbiolchem.2019.107128

  41. Fatola OI, Olaolorun FA, Olopade FE, Olopade JO (2019) Trends in vanadium neurotoxicity. Brain Res Bull 145:75–80. https://doi.org/10.1016/j.brainresbull.2018.03.010

    Article  CAS  PubMed  Google Scholar 

  42. Lv Y, Xie L, Dong C, Yang R, Long T, Yang H, Chen L, Zhang L, Chen X, Luo X, Huang S, Yang X, Lin R, Zhang H (2021) Co-exposure of serum calcium, selenium and vanadium is nonlinearly associated with increased risk of type 2 diabetes mellitus in a Chinese population. Chemosphere 263:128021. https://doi.org/10.1016/j.chemosphere.2020.128021

  43. do Nascimento da Silva E, Cadore S (2019) Bioavailability assessment of copper, iron, manganese, molybdenum, selenium, and zinc from selenium-enriched lettuce. J Food Sci 84(10):2840–2846. https://doi.org/10.1111/1750-3841.14785

    Article  CAS  PubMed  Google Scholar 

  44. Zwolak I (2015) Increased cytotoxicity of vanadium to CHO-K1 cells in the presence of inorganic selenium. Bull Environ Contam Toxicol 95(5):593–598. https://doi.org/10.1007/s00128-015-1615-4

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  45. Wang H, Li S, Teng X (2016) The antagonistic effect of selenium on lead-induced inflammatory factors and heat shock proteins mRNA expression in chicken livers. Biol Trace Elem Res 171(2):437–444. https://doi.org/10.1007/s12011-015-0532-z

    Article  CAS  PubMed  Google Scholar 

  46. Jin X, Liu CP, Teng XH, Fu J (2016) Effects of dietary selenium against lead toxicity are related to the ion profile in chicken muscle. Biol Trace Elem Res 172(2):496–503. https://doi.org/10.1007/s12011-015-0585-z

    Article  CAS  PubMed  Google Scholar 

  47. Ozkan-Yilmaz F, Ozluer-Hunt A, Gunduz SG, Berkoz M, Yalin S (2014) Effects of dietary selenium of organic form against lead toxicity on the antioxidant system in Cyprinus carpio. Fish Physiol Biochem 40(2):355–363. https://doi.org/10.1007/s10695-013-9848-9

    Article  CAS  PubMed  Google Scholar 

  48. Romero D, Barcala E, Maria-Dolores E, Munoz P (2020) European eels and heavy metals from the Mar Menor lagoon (SE Spain). Mar Pollut Bull 158:111368. https://doi.org/10.1016/j.marpolbul.2020.111368

  49. Vizuete J, Perez-Lopez M, Miguez-Santiyan MP, Hernandez-Moreno D (2019) Mercury (Hg), Lead (Pb), Cadmium (Cd), Selenium (Se), and Arsenic (As) in liver, kidney, and feathers of gulls: a review. Rev Environ Contam Toxicol 247:85–146. https://doi.org/10.1007/398_2018_16

    Article  CAS  PubMed  Google Scholar 

  50. Lazarus M, Sekovanic A, Reljic S, Kusak J, Kovacic J, Orct T, Jurasovic J, Huber D (2014) Selenium in brown bears (Ursus arctos) from Croatia: relation to cadmium and mercury. J Environ Sci Health A Tox Hazard Subst Environ Eng 49(12):1392–1401. https://doi.org/10.1080/10934529.2014.928497

    Article  CAS  PubMed  Google Scholar 

  51. Ates Alkan F, Karis D, Cakmak G, Ercan AM (2019) Analysis of the relationship between hemorheologic parameters, aluminum, manganese, and selenium in smokers. Biol Trace Elem Res 187(1):22–31. https://doi.org/10.1007/s12011-018-1352-8

    Article  CAS  PubMed  Google Scholar 

  52. Subramaniapillai S, Almey A, Natasha Rajah M, Einstein G (2021) Sex and gender differences in cognitive and brain reserve: implications for Alzheimer’s disease in women. Front Neuroendocrinol 60:100879. https://doi.org/10.1016/j.yfrne.2020.100879

    Article  PubMed  Google Scholar 

  53. Angrisani M, Jain U, Lee J (2020) Sex differences in cognitive health among older adults in India. J Am Geriatr Soc 68(Suppl 3):S20–S28. https://doi.org/10.1111/jgs.16732

    Article  PubMed  PubMed Central  Google Scholar 

  54. MacDonell SO, Miller JC, Harper MJ, Reid MR, Haszard JJ, Gibson RS, Houghton LA (2018) A comparison of methods for adjusting biomarkers of iron, zinc, and selenium status for the effect of inflammation in an older population: a case for interleukin 6. Am J Clin Nutr 107(6):932–940. https://doi.org/10.1093/ajcn/nqy052

    Article  PubMed  Google Scholar 

  55. Dalia AM, Loh TC, Sazili AQ, Samsudin AA (2020) Influence of bacterial organic selenium on blood parameters, immune response, selenium retention and intestinal morphology of broiler chickens. BMC Vet Res 16(1):365. https://doi.org/10.1186/s12917-020-02587-x

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  56. Giacconi R, Costarelli L, Piacenza F, Basso A, Rink L, Mariani E, Fulop T, Dedoussis G, Herbein G, Provinciali M, Jajte J, Lengyel I, Mocchegiani E, Malavolta M (2017) Main biomarkers associated with age-related plasma zinc decrease and copper/zinc ratio in healthy elderly from ZincAge study. Eur J Nutr 56(8):2457–2466. https://doi.org/10.1007/s00394-016-1281-2

    Article  CAS  PubMed  Google Scholar 

  57. Wang H, Xu H, Qu L, Wang X, Wu R, Gao X, Jin Q, Niu J (2016) Red blood cell distribution width and globulin, noninvasive indicators of fibrosis and inflammation in chronic hepatitis patients. Eur J Gastroenterol Hepatol 28(9):997–1002. https://doi.org/10.1097/MEG.0000000000000662

    Article  CAS  PubMed  Google Scholar 

  58. Sanchez-Gonzalez C, Bermudez-Pena C, Trenzado CE, Goenaga-Infante H, Montes-Bayon M, Sanz-Medel A, Llopis J (2012) Changes in the antioxidant defence and in selenium concentration in tissues of vanadium exposed rats. Metallomics 4(8):814–819. https://doi.org/10.1039/c2mt20066j

    Article  CAS  PubMed  Google Scholar 

  59. Humann-Ziehank E (2016) Selenium, copper and iron in veterinary medicine-from clinical implications to scientific models. J Trace Elem Med Biol 37:96–103. https://doi.org/10.1016/j.jtemb.2016.05.009

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgements

We thank all participants of this study, and special thanks to the following people for their contributions to this paper, who were key members of the study and participated in the survey: Linsheng Yang and Kaiyong Liu (School of Public Health, Anhui Medical University); Guimei Chen, Dongmei Zhang, Li Wang and Ying Ma (School of Health Management, Anhui Medical University); Annuo Liu (School of Nursing, Anhui Medical University); Yong Fan (Anhui Provincial Center for Disease Control and Prevention); and Hongjuan Cao, Kaichun Li and Xiude Li (Lu’an Center of Disease Control and Prevention).

Funding

This work was supported by Grants for Major Projects on College Leading Talent Team Introduced of Anhui (0303011224); International (regional) cooperation and exchange projects (81861138049), and National Natural Science Foundation of China (81872662).

Author information

Authors and Affiliations

Authors

Contributions

Yu He contributed to formal analysis, software and writing—original draft. Jinhui Yu contributed to data curation and formal analysis. Nannan Yu and Rongrong Chen contributed to investigation and validation. Sufang Wang contributed to project administration. Qunan Wang contributed to resources and methodology. Fangbiao Tao contributed to funding acquisition and supervision. Jie Sheng contributed to conceptualization, writing—review and editing and supervision. All authors reviewed the manuscript for important intellectual content and approved the final version to be published.

Corresponding author

Correspondence to Jie Sheng.

Ethics declarations

Ethics Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee. The project was approved by the Biomedical Ethics Committee of Anhui Medical University, and the study was conducted in accordance with the Helsinki Declaration, and all participants provided the written informed consent.

Consent to Participate

Informed consent was obtained from all individual participants included in the study.

Consent for Publication

Participants signed informed consent regarding publishing their data.

Conflict of Interest

The authors declare no competing interests.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Supplementary Information

Below is the link to the electronic supplementary material.

Supplementary file1 (PDF 299 kb)

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

He, Y., Yu, J., Yu, N. et al. Association Between the Ratios of Selenium to Several Elements and Mild Cognitive Impairment in the Elderly. Biol Trace Elem Res 201, 4286–4297 (2023). https://doi.org/10.1007/s12011-022-03527-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12011-022-03527-6

Keywords

Navigation