Full metadata
Title
Selenium supplementation and cardiovascular outcome markers in hemodialysis patients: a randomized, controlled trial
Description
Background Hemodialysis (HD) patients elicit an oxidant-antioxidant imbalance in addition to a selenium deficiency, possibly contributing to cardiovascular disease (CVD) mortality. Objective To evaluate the effect of selenium supplementation on CVD outcomes and antioxidant status in HD patients. Design A randomized controlled intervention trial conducted from October 2012 to January 2013. Participants/setting The study included 27 maintenance HD patients (61.1+17.5y, 14M, 13F) receiving HD in the greater Phoenix, AZ area. Intervention Patients received one of three treatments daily: 2 Brazil nuts, (5g, 181µg/day of selenium as selenomethionine [predicted]), 1 tablet of selenium (200µg/day of selenium as selenomethionine), or control (3 gummy bears). Main outcome measures Antioxidant status outcome measures included total antioxidant capacity, vitamin C, and RBC and plasma glutathione peroxidase (GSH-Px). CVD outcomes measures included brain natriuretic peptide; plasma cholesterol, high density lipoprotein, low density lipoprotein, triglycerides; blood pressure, and thoracic cavity fluid accumulation. Statistical analyses performed Repeated measures ANOVA analyzed changes over time and between groups at months 0 and 2 and months 0 and 3. Results Independent analysis showed the Brazil nuts provided 11µg of selenium/day and the pill provided 266µg of selenium/day. Consequently, the Brazil nut group was combined with the placebo group. 21 patients completed 2 months of the study and 17 patients completed the study in its entirety. Data was analyzed for months 0, 1 and 2. No significant differences were noted for antioxidant status outcome measures with the exception of plasma GSH-Px. Patients receiving the selenium pill had a significant increase in plasma GSH-Px compared to the placebo group (6.0+11 and -4.0+7.6, respectively, p=0.023 for change between month 0 and month 2). No significant differences were seen in total antioxidant capacity or for CVD outcome measures over time or between groups. Conclusions These data indicate that selenium supplementation increased plasma GSH-Px concentration in HD patients; however, oxidative stress was not altered by selenium supplementation. The low vitamin C status of HD patients warrants further research, specifically in conjunction with selenium supplementation.
Date Created
2013
Contributors
- Sussman, Elizabeth Jessica (Author)
- Johnston, Carol S (Thesis advisor)
- Boren, Kenneth (Committee member)
- Mayol-Kreiser, Sandra (Committee member)
- Sweazea, Karen (Committee member)
- Vaughan, Linda (Committee member)
- Arizona State University (Publisher)
Topical Subject
Resource Type
Extent
viii, 76 p. : ill. (some col.)
Language
Copyright Statement
In Copyright
Primary Member of
Peer-reviewed
No
Open Access
No
Handle
https://hdl.handle.net/2286/R.I.17975
Statement of Responsibility
by Elizabeth Jessica Sussman
Description Source
Retrieved on Nov. 27, 2013
Level of coding
full
Note
Partial requirement for: Ph.D., Arizona State University, 2013
Note type
thesis
Includes bibliographical references (p. 53-63)
Note type
bibliography
Field of study: Nutrition
System Created
- 2013-07-12 06:25:26
System Modified
- 2021-08-30 01:41:14
- 2 years 8 months ago
Additional Formats