Characterization of selenium status of inhabitants in the region Usti nad Orlici, Czech Republic by INAA of blood serum and hair and fluorimetric analysis of urine

A county-level spatial epidemiological study of hair selenium and Keshan disease

Background

No spatial analysis of hair selenium and Keshan disease (KD) on a nationwide county-level has been performed. Selenium deficiency is a recognized environmental risk factor for KD. Hair selenium is one of the recognized biomarkers of selenium nutrition. This study aimed to perform a geographically precise and visualized assessment of the achievement of KD prevention and control at the level of selenium nutrition in terms of etiology.

Methods

A spatial ecological study was conducted. The hair selenium content of the residents was assayed using an atomic fluorescence spectrometer. The spatial analysis was performed using ArcGIS.

Results

The median of the hair selenium levels of the 3,028 participants in the 1,174 counties was 0.38 mg/kg, and the content of inhabitants in KD endemic counties was significantly lower than that in KD non-endemic counties (0.34 vs. 0.39 mg/kg, z = −10.03, P < 0.0001). The proportion of Se-deficient and Se-marginal counties in KD endemic counties was significantly higher than that in KD non-endemic counties (59.4 vs. 29.0%, z = −7.45, P < 0.0001). The global autocorrelation analysis was not statistically significant (Moran's I = 0.0005, P = 0.68). Local autocorrelation analysis identified 174 low-low clusters of hair selenium levels, 83 (47.7%) of which are KD endemic counties located in KD endemic provinces of Henan, Gansu, Shaanxi, Inner Mongolia, Jilin, and Heilongjiang. The hair selenium featured a positive correlation with per capita GDP (rs = 0.20, P < 0.0001).

Conclusion

The median of the hair selenium levels of inhabitants living in KD endemic counties was significantly lower than that in KD non-endemic counties. All the 83 KD endemic counties with low-low clusters of hair selenium levels should be prioritized in KD precision prevention and control. These findings are geographically precise and visualized evidence of the assessment of the effectiveness of KD prevention and control at the level of selenium nutrition in terms of etiology.

Global survey of urinary selenium in children: A systematic review

BACKGROUND

Selenium (Se) is an essential element in the human body that plays an important role in numerous fundamental physiological functions. However, the distribution of Se in the environment varies widely resulting in this element being available in a large concentration range in the ecosystem, and thus, in the human body. Urinary Se is a biomarker considered to be involved in adaptive mechanisms that help prevent health problems.

OBJECTIVES

The purpose of the present study was to conduct a systematic review to identify studies reporting the status of urinary Se in healthy children and create a global map.

METHODS

A literature search was conducted using MEDLINE (United States National Library of Medicine), Web of Science, Toxicology Bibliographic Information (TOXLINE), Latin-American and Caribbean Literature on Health Sciences (LILACS), and the grey literature. This study was registered in PROSPERO (international prospective register of systematic reviews) and was conducted in accordance with the PRISMA guidelines.

RESULTS

We identified 322 relevant articles, out of which 15 were included in this systematic review. The study identified a total of 4038 healthy children worldwide with urinary Se concentrations from 7.7 to 145.0 μg/L.

CONCLUSION

This is a pioneering study that provides evidence for the presence of Se in the urine of healthy children; we have shown that the available data is restricted to a small number of individuals and specific groups. Furthermore, there is a lack of information on urinary Se, especially in Latin America, Africa, and Asia.

Hair analysis in health assessment

BACKGROUND

Hair analysis is used for estimation of the nutritional status of individuals. In the present work, a systematic review on the relation between the mineral composition of hair and the physical or mental disorders is discussed. Detailed information of examined populations, methods of sample preparations and analytical techniques are presented.

METHODS

A systematic literature search in four electronic databases Scopus, PubMed, Web of Science and Medline (from 1997 to 2012/01/31) for English language articles was performed. In addition, a reference list and manual search was undertaken.

RESULTS

The following number of studies was included: 66. Most of the authors reported that there exists a correlation between deficiency or excess of some elements in hair and occurrence of some diseases, such as: autism, cancer, hypertension, myocardial infarction, kidney disease and diabetes mellitus. However, not all results were consistent.

CONCLUSIONS

Most of the authors concluded that the profile of hair mineral imbalance might be useful as a diagnostic tool for the early diagnosis of many diseases. However, it seems that there is a need to standardize sample preparation procedures, in particular washing and mineralization methods.

Selenium, zinc and magnesium: serum levels in members of the Czech Republic rescue fire brigade

The Czech Republic ranks among the countries with the highest prevalence of dyslipoproteinemia and cardiovascular diseases (CVD). As a valid tool in their primary prevention, the authors consider monitoring of selected components (including metal ions and vitamins) of the body′s antioxidant system.

The study was focused on monitoring the health condition of members of the Czech Republic Rescue Fire Brigade. The concept of the study made it possible to reveal relationships between the serum magnesium, zinc, selenium levels and the age or biochemical and anthropometrical parameters generally used as risk indices of cardiovascular disease. The results contribute to the information about normal values of serum magnesium, zinc and selenium concentrations in the Czech population. The mean serum concentration of magnesium was 0.82 ± 0.06 mmol/l, that of zinc was 18.25 ± 2.54 µmol/l, and the mean selenium serum concentration was 0.80 ± 0.14 µmol/l.

Disposition kinetics of selenium in healthy volunteers following therapeutic shampoo treatment

This study was aimed at documenting the kinetic time courses of selenium (Se) in accessible biological matrices of volunteers following controlled applications of therapeutic shampoo containing Se, to better elucidate the mechanisms by which shampoo-Se accumulates in hair and hence estimate the contribution of this source to total Se body burden. Ten healthy volunteers were exposed to Se-shampoo three times a week over a month. Blood, hair and toenail concentrations along with daily urinary excretions were repeatedly measured over an 18-month period following the onset of application. Over the entire study period, blood concentrations of Se (range: 127-233μg/l) and daily urinary excretions (range: 11.9-150μg/d) remained within baseline range of the general population. Conversely, during shampoo application, mean Se concentrations in hair reached transitional levels of 89μg/g while, following cessation of treatment, a mono-exponential decrease was observed with a mean half-life of 4.5 weeks. Two of the volunteers also exhibited an increase in toenail concentrations of Se during the study period. Results show that Se-shampoo does not contribute significantly to total Se body burden, as assessed from blood and urine levels. Differences observed between blood and urine time courses as compared to hair profiles and the presence of Se on hair grown before treatment indicates an adsorption on hair; however, the gradual decrease in Se concentrations in successive centimeters of hair grown following the application period suggests a concomitant absorption from the scalp during treatment with subsequent excretion in hair.

The determination of total Se in urine and serum by graphite furnace atomic absorption spectrometry using Ir as permanent modifier and in situ oxidation for complete trimethylselenonium recovery

The present work evaluated the use of iridium (Ir) as permanent modifier for the determination of total selenium in urine and serum by graphite furnace atomic absorption spectrometry. Concerning urine, the presence of trimethylselenonium (TMSe(+)) was especially considered. Pyrolysis and atomization temperatures of 1,000 and 2,100 degrees C, respectively, were used. For nondigested urine and serum samples, 0.2% v/v HNO(3) and Triton X-100 were used as diluents, respectively, and the same initial platform Ir treatment was effective for up to 1,100 atomization cycles. Good precision [less than 5% relative standard deviation (RSD)] can be achieved with the proposed method. Low TMSe(+) recovery was observed for nondigested urine samples. Thus, if this species is to be considered in urine analysis, a previous external mineralization step was found to be necessary. Alternatively, an in situ oxidation treatment was developed. Detection limits of 8, 10, and 7 mug l(-1) were obtained after dilution, microwave-assisted digestion, and in situ oxidation procedures, respectively. The accuracy of the method was validated by the analysis of certified reference or commercial quality control materials and spiked samples.

Comparison of the serum selenium content of healthy adults living in the Antwerp region (Belgium) with recent literature data

Graphite furnace atomic absorption spectrometry, after improved matrix modification and using Zeeman background correction, was used to measure the serum selenium content of healthy adults living in the Antwerp region (Belgium). The mean serum concentration of 13 men and 13 women, sampled once a month during 1 year, was 84.3 +/- 9.4ng/ml with a broad range of 51.4-121.7 ng/ml. The intra-individual variation was remarkably high. Recent literature on selenium concentrations is reviewed and values are tabulated, with limitation to healthy adults and European countries. The mean serum selenium concentration measured corresponded well to older literature data for Belgium. The obtained values were found to be in the medium range compared with the literature data for other European countries.

Study of preanalytical conditions for selenium determination in urine

OBJECTIVE

Assessment of preanalytical and storage conditions for selenium determination in urine.

DESIGN AND METHOD

A design is established for the study of the effect of HCl as sample preservative, and for the stability of urine samples with time and temperature of storage. The effect of sample sonication before taking aliquots is also evaluated. All measurements are performed using hydride generation atomic fluorescence spectrometry. Selenium concentrations measured from 52 urine samples of healthy population in Barcelona are used for an estimation of the selenium reference level.

RESULTS

HCl addition to urine samples has no effect on Se stability. Significant differences are due to time and temperature of storage. The Se reference level in urine samples from population in Barcelona area is estimated to be 22.8 +/- 6.7 microg Se g(CT)(-1) (CT: creatinine).

CONCLUSIONS

No significant differences are observed in selenium content when HCl is added as preservative. The Se content remains constant at room temperature for one day, for a week at 4 degrees C and for a fortnight when stored at -20 degrees C.