Abstract
A cross-sectional study was carried out with 210 women divided into a case group (obese, n = 84) and a control group (eutrophic, n = 126). Body weight, height, waist circumference (WC), and hip and neck circumference were measured and the waist-hip ratio and conicity index were calculated. Selenium in plasma, erythrocytes and urine, erythrocyte GPx activity, lipid profile, Castelli I and II indices, and systolic and diastolic blood (DBP) pressure were evaluated. Mean dietary selenium intake (µg/kg/day) and plasma and erythrocyte concentrations were lower in the obese group compared to the healthy group (p < 0.001). while urinary selenium concentrations were higher (p < 0.001). There was a statistical difference between groups regarding cardiovascular risk parameters: waist circumference, neck circumference, waist-hip ratio, conicity index, triacylglycerols (TGC), and lipoproteins rich in triacylglycerols (VLDL-c) (p > 0.05). There was a negative correlation between plasma selenium concentrations and total cholesterol (TC), non-high-density lipoprotein (non-HDL), low-density lipoprotein (LDL-c), and systolic blood pressure (SBP). Urinary selenium correlated negatively with waist circumference and hip circumference and positively with neck circumference, TC, TGC, high-density lipoprotein (HDL-c), non-HDL, and VLDL-c. There was a negative correlation between dietary selenium and waist circumference, waist-hip ratio, neck circumference, conicity index, non-HDL cholesterol, LDL-c, and Castelli indices I and II, as well as a positive correlation with HDL-c and diastolic blood pressure. Women with obesity present changes in their nutritional status related to selenium, as well as increased cardiovascular risk parameters. Thus, the positive role of selenium in protecting the risk of cardiovascular disease is likely.
Similar content being viewed by others
Data Availability
The dataset that support the results and findings of this research are available from [DM], upon request.
References
Corrêa TA, Rogero MM (2018) Polyphenols regulating microRNAs and inflammation biomarkers in obesity. Nutrition 59:150–157
Cercato C, Fonseca FA (2019) Cardiovascular risk and obesity. Diabetol Metab Syndr 11(1):1–15
World Health Organization.(WHO). World Health Statistics 2018: Monitoring health for the SDGs. [Internet]. [citado 30 mai 2021]. Disponível em: http://www.who.int/gho/publications/world_health_statistics/2018/en/
Mika A, Sledzinski T (2017) Alterations of specific lipid groups in serum of obese humans: a review. Obes Rev 18:247–2722
Manjunath CN et al (2013) Atherogenic dyslipidemia. Indian J Endocrinol Metab 17(6):969
Bays HE et al (2016) Lipids and bariatric procedures part 1 of 2: scientific statement from the National Lipid Association, American Society for Metabolic and Bariatric Surgery, and obesity medicine association: FULL REPORT. J Clin Lipidol 10(1):33–57
Nikolic D et al (2013) Lipoprotein subfractions in metabolic syndrome and obesity: clinical significance and therapeutic approaches. Nutrients 5(3):928–948
Richardson TG et al (2020) Evaluating the relationship between circulating lipoprotein lipids and apolipoproteins with risk of coronary heart disease: a multivariable Mendelian randomisation analysis. PLoS Med 17(3):e1003062
da Silva NC et al (2021) Selênio eritrocitário e sua relação com o perfil lipídico em mulheres obesas. Res Soc Dev 10.3:e36410313476–e3641031347
Su L et al (2015) Selenium level and dyslipidemia in rural elderly Chinese. PLoS One 10.9:e0136706
Yang K et al (2010) Serum selenium concentration is associated with metabolic factors in the elderly: a cross-sectional study. Nutr Metab 7(1):1–7
Bleys J et al (2008) Serum selenium and serum lipids in US adults. Am J Clin Nutr 88(2):416–423
Dhingra S, Mohinder PB (2006) Modulation of hypercholesterolemia-induced alterations in apolipoprotein B and HMG-CoA reductase expression by selenium supplementation. Chem Biol Interact 161(1):49–56
Fontenelle LC et al (2020) The role of selenium in insulin resistance. Braz J Pharm Sci 54:2018
Petry ER et al (2013) Suplementações nutricionais e estresse oxidativo: implicações na atividade física e no esporte. Revista Brasileira de Ciências do Esporte 35:1071–1092
Alasfar F, Ben-Nakhi M, Khoursheed M et al (2011) Selenium is significantly depleted among morbidly obese female patients seeking bariatric surgery. OBES SURG 21:1710–1713
American Diabetes Association (2010) Diagnosis and classification of diabetes mellitus. Diabetes Care 33:S62–S69
Brasil Ministério da Saúde (2013) Conselho Nacional de Saúde. Resolução nº 466, de 12 de dezembro de 2012. Diretrizes e normas regulamentadoras de pesquisas envolvendo seres humanos. Diário Oficial da União [da] República Federativa do Brasil. 13;150(112 Seção 1):59–62
Brasil Ministério da Saúde (2011) Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Orientações para coleta e análise de dados antropométricos em serviços de saúde: norma técnica do Sistema de Vigilância Alimentar e Nutricional - SISVAN [Internet]. Brasília: Ministério da Saúde; [citado 2015 abr 8]. (Série G. Estatística e Informação em Saúde). Disponível em: http://bvsms.saude.gov.br/bvs/publicacoes/orientacoes_coleta_analise_dados_antropometricos.pdf
Nolasco MPB(1995) Diagnóstico Clínico e Laboratorial – Composição Corporal. In: FISBERG, M. Obesidade na Infância e adolescência. 1ª ed. São Paulo: Fundação BYK, pp 28–35
World Health Organization (2000) Obesity: preventing and managing the global epidemic. n 894. WHO Technical Report Series, Geneva
World Health Organization (2008) Waist circumference and waistehip ratio: report of a WHO Expert Consultation. WHO Press, Geneva
Associação Brasileira para o Estudo da Obesidade e da Síndrome Metabólica Diretrizes brasileiras de obesidade 2016 / ABESO (2016) - Associação Brasileira para o Estudo da Obesidade e da Síndrome Metabólica. – 4.ed. - São Paulo, SP
Ben-Noun L, Sohar E, Laor A (2001) Neck circumference as a simple screening measure for identifying overweight and obese patients. Obes Res 9(8):470–477
ANÇÃO MS et al (2002) Programa de apoio à nutrição Nutwin: versão 1.5. São Paulo: Departamento de Informática em Saúde, SPDM, Unifesp/EPM, 1 CDROM
Núcleo de Estudos e Pesquisa em Alimentação (2011) Universidade Estadual de Campinas [NEPA/Unicamp]. Tabela Brasileira de Composição de Alimentos [TACO]: versão, 1, 633–642
Instituto Brasileiro de Geografia e Estatística (2011) Pesquisa de Orçamentos Familiares 2008–2009: tabelas de composição nutricional dos alimentos consumidos no Brasil. Rio de Janeiro: IBGE, p 351. Available in http://www.ibge.gov.br/home/
Ferreira KS et al (2002) Concentrações de selênio em alimentos consumidos no Brasil. Pan Am J Public Health 11:172–177
Instituto Brasileiro de Geografia e Estatística (2011) Pesquisa de Orçamentos Familiares 2008–2009: tabela de medidas referidas para os alimentos consumidos no Brasil. IBGE, Rio de Janeiro, p 545
US Department of Agriculture, Agricultural Research Service, Nutrient Data Laboratory (2016) USDA national nutrient database for standard reference, release 28 (slightly revised). http://www.ars.usda.gov/ba/bhnrc/ndl
Pinheiro ABV et al (2009) Tabela para avaliação de consumo alimentar em medidas caseiras, 5th edn. Atheneu, São Paulo, p 78
Alvarenga ESL, Alencar MAPM, Melo MTSM (2005) Alimentos – Medidas caseiras: correspondência peso-volume. UFPI, Teresina
IOM (Institute of Medicine) (2006) Dietary reference intakes: the essential guide to nutrient requirements. National Academy Press, Washington
Institute of Medicine (2000) Dietary reference intakes: applications in dietary assessment. National Academy Press, Washington (DC)
Robberecht HJ, Deelstra HA (1984) Selenium in human urine determination, speciation and concentration levels. Talanta 31:497–508
Błażewicz A et al (2015) Serum and urinary selenium levels in obese children: a cross-sectional study. J Trace Elem Med Biol 29:116–122
Harrington JM et al (2014) Analysis of human serum and whole blood for mineral content by ICP-MS and ICP-OES: development of a mineralomics method. Biol Trace Elem Res 160:132–142
Niedzielski P, Siepak M (2003) Analytical methods for determining arsenic, antimony and selenium in environmental samples. Pol J Environ Stud 12:653–667
Thomson CD (2004) Assessment of requirements for selenium and adequacy of selenium status: a review. Eur J Clin Nutr 58:391–402
Vitoux D, Arnaud J, Chappuis P (1999) Are copper, zinc and selenium in erythrocytes valuable biological indexes of nutrition and pathology? J Trace Elem Med Biol 13:113–128
Yang GQ et al (1983) Endemic selenium intoxication of humans in China. Am J Clin Nutr 37:872–881
Robinson JR et al (1985) Urinary excretion of selenium by New Zealand and north american human subjects on differing intakes. Am J Clin Nutr 41:1023–1031
Paglia DE, Valentine WN (1967) Studies on the quantitative and qualitative characterization of erythrocyte glutathione peroxidase. J Lab Clin Med 70(1):158–169
Friedewald WT, Levy RI, Fredrickson DS (1972) Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge. Clin Chem 18(6):499–502
Faludi AA et al (2017) Atualização da diretriz brasileira de dislipidemias e prevenção da aterosclerose–2017. Arq Bras Cardiol 109:1–76
World Health Organization (1998) Obesity: preventing and managing the global epidemic. Report of a WHO Consulation on Obesity. Genebra (Suíça)
Castelli WP, Abbott RD, McNamara PM (1983) Summary estimates of cholesterol used to predict coronary heart disease. Circulation 67(4):730–734
Malachias MVB, Souza WKSB, Plavnik FL, Rodrigues CIS, Brandão AA, Neves MFT et al (2016) 7th Brazilian guideline of arterial hypertension. Arq Bras Cardiol 107(3 Suppl 3):1–83
Dempster AP, Laird NM, Rubin DB (1977) Maximum likelihood from incomplete data via the EM algorithm. J Roy Stat Soc: Ser B (Methodol) 39(1):1–22
Kipp AP et al (2015) Revised reference values for selenium intake. J Trace Elem Med Biol 32:195–199
Pitanga FJG, Lessa I (2004) Sensibilidade e especificidade do índice de conicidade como discriminador do risco coronariano de adultos em Salvador. Brasil Revista Brasileira de Epidemiologia 7:259–269
Estrela KCA et al (2017) Adesão às orientações nutricionais: uma revisão de literatura. Demetra: alimentação, nutrição & saúde 12(1):249–274
Tinkov AA et al (2020) Selenium and selenoproteins in adipose tissue physiology and obesity. Biomolecules 10:1–31
Damms-Machado A, Weser G, Bischoff SC (2012) Micronutrient deficiency in obese subjects undergoing low calorie diet. Nutr J 11(1):1–10
Tinkov AA et al (2021) Selenium, zinc, chromium, and vanadium levels in serum, hair, and urine samples of obese adults assessed by inductively coupled plasma mass spectrometry. Biol Trace Elem Res 199:490–499
Reis BZ et al (2019) Brazil nut intake increases circulating miR-454-3p and miR-584-5p in obese women. Nutr Res 67:40–52
Alasfar F et al (2011) Selenium is significantly depleted among morbidly obese female patients seeking bariatric surgery. Obes Surg 21(11):1710–1713
Fontenelle LC et al (2021) Selenium status and its relationship with thyroid hormones in obese women. Clin Nutr ESPEN 41:398–404
Cominetti C et al (2012) Brazilian nut consumption improves selenium status and glutathione peroxidase activity and reduces atherogenic risk in obese women. Nutr Res 32(6):403–407
Larvie DY et al (2019) Relationship between selenium and hematological markers in young adults with normal weight or overweight/obesity. Antioxidants 8(10):463
Feitosa MM et al (2017) Selenium status and its relation to markers of oxidative stress in obese women. Revista de Alimentação Humana 23:2–11
Oliveira ARS et al (2021) Selenium status and oxidative stress in obese: influence of adiposity. Eur J Clin Invest 51(9):e13538
Burk RF et al (2006) Deletion of selenoprotein P upregulates urinary selenium excretion and depresses whole-body selenium content. Biochim Biophys Acta Gen Subj 1760(12):1789–1793
Burk RF, Hill KE (2015) Regulation of selenium metabolism and transport. Annu Rev Nutr 35:109–134
Wastney ME et al (2011) A human model of selenium that integrates metabolism from selenite and selenomethionine. J Nutr 141(4):708–717
Vekic J et al (2019) Obesity and dyslipidemia. Metabolism 92:71–81
Araújo DSC et al (2019) Selênio plasmático e sua relação com parâmetros de risco cardiovascular em mulheres obesas. Research, Society and Development 8(12):e298121734
Lee O, Moon J, Chung Y (2003) The relationship between serum selenium levels and lipid profiles in adult women. J Nutr Sci Vitaminol 49(6):397–404
Stranges S et al (2010) Higher selenium status is associated with adverse blood lipid profile in British adults. J Nutr 140(1):81–87
Dhingra S, Bansal MP (2006) Hypercholesterolemia and LDL receptor mRNA expression: modulation by selenium supplementation. Biometals 19(5):493–501
Gofman JW et al (1950) The role of lipids and lipoproteins in atherosclerosis. Science 111(2877):166–186
Ouimet M, Barrett TJ, Fisher EA (2019) HDL and reverse cholesterol transport: basic mechanisms and their roles in vascular health and disease. Circ Res 124(10):1505–1518
Winkel LH et al (2015) Selenium cycling across soil-plant-atmosphere interfaces: a critical review. Nutrients 7(6):4199–4239
Author information
Authors and Affiliations
Contributions
Cardoso BE, Morais JBS, Cruz KJC, Santos LR, Melo SRS, and Dias TM have participated to the redaction and the review of the manuscript; Cardoso BE, Morais JBS, Sores TC, Cruz KJC, Santos LR, Fontenelle LC, Sousa MP, Sousa TGV, Sores TC, Melo SRS, Oliveira FE, and Freitas ST have participated to generation, collection, assembly, analysis, and/or interpretation of data; Silva MT and Henriques GS analysis and/or interpretation of data; Cardoso BE and Marreiro DN had supervised the paper and participated in the redaction and the review of the paper.
Corresponding author
Ethics declarations
Competing Interests
The authors declare no competing interests.
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.
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.
About this article
Cite this article
Cardoso, B.E.P., da Cunha Soares, T., da Silva Dias, T.M. et al. Selenium Biomarkers and Their Relationship to Cardiovascular Risk Parameters in Obese Women. Biol Trace Elem Res 202, 866–877 (2024). https://doi.org/10.1007/s12011-023-03726-9
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12011-023-03726-9