Abstract
Purpose
Selenium (Se) is an essential nutrient required for maintaining brain health across lifespan, and adequate nutritional Se status has been positively associated with sustained cognitive performance in older adults. However, critical physiological sex differences in Se metabolism have not been specifically assessed in human studies. Therefore, we aimed to investigate sex differences in the association between Se concentration in whole blood and cognitive performance in US older adults.
Methods
This cross-sectional study included 2016 participants (984 male and 1032 female) ≥ 60 years from the 2011 to 2014 National Health and Nutrition Survey (NHANES). All participants were assessed for whole blood Se concentration and completed the following battery of cognitive tests: Consortium to Establish a Registry for Alzheimer’s Disease (CERAD) Word Learning Test, Animal Fluency test, and Digit Symbol Substitution Test (DSST).
Results
In this cohort, all participants presented with adequate Se status (mean 196.7 μg/L; 95% CI 193.5, 200.0), and cohort-wide scores were equivalent to a cognitively healthy population. A sex effect on CERAD recall (P = 0.005) and animal fluency (P = 0.018) was observed in models adjusted for age, diabetes, history of cardiovascular disease, physical activity and body mass index. Se concentration was positively associated with CERAD recall (β: 0.015, 95% CI 0.007, 0.022) and animal fluency (β: 0.017, 95% CI 0.003, 0.030) performance in males only, while no associations were observed for females.
Conclusion
This study provides the first evidence for sex differences in the association between Se status and cognitive performance in older adults.
Data availability
NHANES data used in this work is publicly available.
Code availability
The codebook of this study will be made available upon request.
Change history
22 February 2021
A Correction to this paper has been published: https://doi.org/10.1007/s00394-020-02442-7
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Acknowledgements
The authors would like to thank A/Prof Darren Saunders of the University of New South Wales and Dr. Erin McAllum at the Florey Institute of Neuroscience and Mental Health for their helpful advice during drafting of the manuscript.
Funding
DJH acknowledged the support of the National Health and Medical Research Council (NHMRC) through the Career Development Fellowship program (GNT1122981). This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
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Contributions
BRC: conceptualization; data curation; formal analysis; writing: original and final draft. DJH: writing: review and editing; HM: conceptualization; writing: review and editing.
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Conflict of interest
DJH receives research and materials support from Agilent Technologies via the NHMRC Career Development Fellowship (Industry) scheme. The other authors have no conflicts of interest to declare.
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R. Cardoso, B., Hare, D.J. & Macpherson, H. Sex-dependent association between selenium status and cognitive performance in older adults. Eur J Nutr 60, 1153–1159 (2021). https://doi.org/10.1007/s00394-020-02384-0
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DOI: https://doi.org/10.1007/s00394-020-02384-0