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Selenium,
Found in A Variety of Foods, May Have Many Health Benefits
By Alan Franciscus
Editor
Selenium is an essential trace mineral needed in small daily amounts
for proper health maintenance. Selenium is also believed to act as an
antioxidant to fight viral infections and other diseases. Unfortunately,
it has also been touted as a cure all for a variety of diseases from HIV
to HCV and even cancer. Unfortunate because it raises false hopes and can
be harmful if taken in large doses. Let me repeat this - selenium is not a
cure for HCV and can be toxic if taken in high doses. However, some
evidence does suggest that selenium can have many health benefits if taken
in the proper dosage and under the guidance of a trained health care
practitioner.
Selenium can be found in many foods. The amount of selenium in the soil
varies from region to region and country to country, which impacts the
amount of selenium available in the food we eat from plant and animal
sources as well as in the water we drink. Good sources of selenium include
grains, cereals, brewer's yeast, wheat germ, liver, butter, and most fish
especially shellfish. Additionally, broccoli, tomatoes, radishes, Swiss
chard, garlic and mushrooms are rich in selenium. Another excellent source
can be obtained from the herb Astragalus which accumulates selenium from
the soil. In the United States, regular and healthy meals tend to meet the
nutritional requirements of selenium for healthy individuals.
Selenium toxicity is well known although debate continues on the amount
needed to induce toxic effects. Toxicity can manifest as visual, muscular
or heart problems, increased tooth decay, loss of hair or nails as well as
nausea and fatigue.
Deficiencies are more common in areas with low concentrations of selenium
in the soil. Selenium deficiencies can occur in association with an
increased risk for certain diseases such as cancer, cardiovascular
disease, hypertension, strokes, kidney and liver disease. In China, where
selenium intake averages 10 to 15 mcg., a day, selenium deficiency occurs
in association with Keshan disease, an endemic viral cardiomyopathy
affecting children and young women in that country. Treatment with
selenium in the form of Astragalus manages Keshan disease, but does not
cure it.
Some evidence suggests that vitamin C may inactivate selenium in the
stomach or small intestine if taking sodium slenite rather than the
organic selenium, selenocysteine or selenomethione. On the other hand,
Vitamin E is believed to increase selenium's effectiveness.
The July issue of The Lancet, a leading medical journal, reviewed data on
selenium and its importance and potential in fighting disease. Highlights
include:
- Hepatitis B or C - Selenium appears to be protective against disease
progression to liver cancer.
- Immune function - Studies suggest that a deficiency of selenium can
lead to a compromised immune system. Supplements of selenium have been
shown to increase immune system response.
- Viral infection - Selenium plays a role in immune response to a
viral infection and low selenium levels may influence infection and
disease progression.
- Reproduction - Selenium is essential for male fertility. Some
studies have suggested that supplementation with selenium may increase
sperm stability and motility or movement.
- Mood - Selenium seems important for brain function. Some studies
indicate that when selenium intake is marginal or low, mood changes,
depression, anxiety, confusion and hostility may occur.
- Thyroid - A low intake of selenium may compromise thyroid-hormone
metabolism.
- Cardiovascular disease - Selenium may be protective against
cardiovascular disease.
- Cancer - Selenium deficiencies may be related to some cancers -
notably lung, prostate and liver cancer.
Another study published in Medline, 1999 reports the results of a small
study of three patients with cirrhosis, portal hypertension and esophageal
varices secondary to chronic hepatitis C infection. The three patients
were treated with 3 antioxidants (alpha-lipoic acid [thioctic acid],
silymarin, and selenium) and recovered quickly and their laboratory values
improved. While it is a small study, it does suggest the potential for
antioxidant therapy, which should be researched further.
The American Recommended Dietary Allowance (RDA) for selenium was revised
in April 2000. Taken from two conservative studies, The Panel on Dietary
Antioxidants and Related Compounds arrived at a new RDA of 55 mcg., per
day. A well-balanced diet will supply the necessary selenium in healthy
individuals. Supplements of selenium are believed to be safe as long as
the total daily intake is no more than 400-450mcg.,from all sources.
There are many exciting studies that are being planned or already
underway. The PRECISE (Prevention of Cancer by Intervention with Selenium)
study will recruit about 33,000 Europeans to examine the effect of
selenium on mood and quality of life. In addition, The US National Cancer
Institute has agreed to fund a 12-year study - SELECT (Selenium and
Vitamin E Cancer Prevention Trial). SELECT will recruit 32,000 men to
investigate the effect of selenium and vitamin E on prostate cancer.
Selenium's low cost and its potential to improve the health of those
suffering from a variety of conditions such as hepatitis C, make it a very
appealing subject for future research.
Sources:
The Lancet, Vol 356, July 15, 2000, Margaret P Rayman
Selenium: Important New Review of Health Findings, AIDS Treatment News
& Selenium, Elson M. Haas, MD
Medline, 2000 - Liver, Oct;19(5):381-8, Lirussi, F.
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