Skip to content
2000
Volume 5, Issue 1
  • ISSN: 0250-6882
  • E-ISSN: 0250-6882

Abstract

Introduction

Iron-Deficiency Anemia (IDA) is a global burden affecting more than a billion individuals. It is most prevalent due to nutritional deficiencies. Researchers have linked Selenium (Se) to anemia and erythropoiesis.

Aim

This interventional-study was designed to investigate the plasma Se concentration and its supplementation impact in IDA patients receiving standard treatment.

Methodology

In the present study, a total of 215 IDA patients were enrolled from different departments of AIIMS, New Delhi, after getting ethical authorization from the Institutional-Ethical Committee. Iron supplements were administered to patients with only IDA, while a combination of iron and selenium supplements was given to patients with selenium-deficient IDA for 90 days. Parameters such as hemoglobin, hematocrit, RBC count, serum ferritin, transferrin, TIBC, and plasma Se levels were measured on the baseline and the 90th day.

Results

All blood parameters were significantly below the normal reference range on the 0th day. Se levels were found to be higher in the study population {57% (122/215) in IDA}. Further, in low plasma Se IDA patients 26% (55/215), treatment with iron and Se supplements for 90 days significantly improved all blood parameters and led to a subjective improvement of the patient’s well-being.

Conclusion

Selenium levels are variable in patients with IDA, and no correlation can be drawn for the benefit of selenium in the IDA. Further, the high prevalence of nutrition-related disorders such as IDA highlights the need to avoid blind Se supplementation along with iron. These combination in the form of nutritional supplements having Se are rampantly available and sold over the counter. So, supplements with Se shouldn’t be generalized to IDA patients..

Clinical Trial Registration No.

CTRI/2023/04/051405

© 2024 The Author(s). Published by Bentham Science Publishers. This is an open access article published under CC BY 4.0 https://creativecommons.org/licenses/by/4.0/legalcode
Loading

Article metrics loading...

/content/journals/nemj/10.2174/0102506882362987250314044238
2024-01-01
2025-10-31
Loading full text...

Full text loading...

/deliver/fulltext/nemj/5/1/NEMJ-5-E02506882362987.html?itemId=/content/journals/nemj/10.2174/0102506882362987250314044238&mimeType=html&fmt=ahah

References

  1. GardnerW.M. RazoC. McHughT.A. HaginsH. Vilchis-TellaV.M. HennessyC. TaylorH.J. PerumalN. FullerK. CercyK.M. ZoecklerL.Z. ChenC.S. LimS.S. AaliA. AbateK.H. Abd-ElsalamS. AbdurehmanA.M. AbebeG. AbidiH. AboagyeR.G. AbolhassaniH. AboyeG.B.A. AbtewY.D. AccrombessiM.M.K. AdaneD.E.A. AdaneT.D. AddoI.Y. AdesinaM.A. AdeyinkaD.A. AdnaniQ.E.S. AfzalM.S. AfzalS. AgustinaR. AhinkorahB.O. AhmadA. AhmadS. AhmadiS. AhmedA. Ahmed RashidT. AimanW. AjamiM. AkbarialiabadH. AlahdabF. Al-AlyZ. AlamN. AlemayehuA. AlhassanR.K. AliM.A. AlmustanyirS. Al-RaddadiR.M. Al-RifaiR.H. AltirkawiK.A. AlvandS. Alvis-GuzmanN. AmerY.S.A.D. AmeyawE.K. AmuH. AnagawT.F. AncuceanuR. AnoushirvaniA.A. AntwiM.H. AnvariD. ArablooJ. AravkinA.Y. AriffinH. AripovT. ArjaA. ArndtM.B. ArulappanJ. ArulebaR.T. AshrafT. AsresieM.B. AthariS.S. AtlawD. AujayebA. AwokeA.A. AwokeM.A. AzadnajafabadS. Azangou-KhyavyM. BD.B. BadawiA. BadiyeA.D. BaghcheghiN. BagheriN. BagheriehS. BaigA.A. BanachM. BanikP.C. BantieA.T. BarrR.D. BarrowA. BashiriA. BasuS. BatihaA-M.M. BegumT. BeleteM.A. BeloL. BensenorI.M. BerhieA.Y. BhagavathulaA.S. BhardwajN. BhardwajP. BhatA.N. BhuttaZ.A. BikbovB. BillahS.M. BiraraS. BishaiJ.D. BitarafS. BoloorA. BotelhoJ.S.B. BurkartK. CalinaD. CembranelF. ChakrabortyP.A. ChanieG.S. ChattuV.K. ChienJ-H. ChukwuI.S. ChungE. CriquiM.H. Cruz-MartinsN. DadrasO. DagnewG.W. DaiX. DanawiH.A. DandonaL. DandonaR. DarweshA.M. DasJ.K. DasS. De la Cruz-GóngoraV. DemisseF.W. DemissieS. DemsieD.G. DesaiH.D. DesalegnM.D. DessalegnF.N. DessieG. DharmaratneS.D. DhimalM. DhingraS. DiazD. DidehdarM. DiracM.A. DiressM. DoaeiS. DodangehM. DokuP.N. DongarwarD. DoraB.T. DsouzaH.L. EdinurH.A. EkholuenetaleM. ElagaliA.E.M. ElbahnasawyM.A. ElbaraziI. ElGoharyG.M.T. ElhadiM. El-HuneidiW. ElmonemM.A. EnyewD.B. EshetuH.B. EwaldS.B. EzzeddiniR. FagbamigbeA.F. FasanmiA.O. FatehizadehA. FekaduG. FeyisaB.R. FischerF. FitzgeraldR. ForoutanM. FowobajeK.R. GadanyaM.A. GaidhaneA.M. GaihreS. GaipovA. GalaliY. GalehdarN. GargP. GargT. GebremariamY.H. GebremedhinK.B. GebremichaelB. GelaY.Y. GeremaU. GetacherL. GhaffariK. GhafourifardM. GhamariS-H. Ghasemi NourM. GhashghaeeA. GholamalizadehM. GhozyS. GizawA.T.T. GlasbeyJ.C. GolechhaM. GoleijP. GolitalebM. GoulartA.C. GoyomsaG.G. GuadieH.A. GubariM.I.M. GudisaZ. GunawardaneD.A. GuptaR. GuptaR.D. GuptaS. GuptaV.K. GutaA. HabibzadehP. HamidiS. HandalA.J. HanifA. HannanM.A. HarapanH. HaroraniM. HasaballahA.I. HasanM.M. HasaniH. HassankhaniH. HassenM.B. HayS.I. HayatK. HeidariG. HessS.Y. HeyiD.Z. HezamK. HiraikeY. HollaR. HossainS.J. HosseiniK. HosseiniM-S. HosseinzadehM. HostiucM. HostiucS. HuangJ. HussainS. HussienF.M. IbitoyeS.E. IlesanmiO.S. IlicI.M. ImmuranaM. InbarajL.R. IslamS.M.S. IsmailN.E. JL.M. JamshidiE. JanodiaM.D. JayarajahU. JayaramS. JebaiR. JemalB. JeyakumarA. JhaR.P. JonasJ.B. JosephN. JozwiakJ.J. KabirA. KalankeshL.R. KalhorR. KamalV.K. KandelH. KankoT.K. KarayeI.M. KashooF.Z. KatotoP.D.M.C. KauppilaJ.H. KaurH. KayodeG.A. KebedeA.D. KeshriV.R. KeykhaeiM. KhaderY.S. KhajuriaH. KhalidN. KhammarniaM. KhanI.A. KhanM.A.B. KhatabK. KhazaeiZ. KhubchandaniJ. KimY.J. KimokotiR.W. KisaS. KompaniF. KosenS. Koulmane LaxminarayanaS.L. KrishanK. Kuate DefoB. KuddusM. KumarG.A. KumarN. KumarN. KurmiO.P. KutiO. LalD.K. LandiresI. LarssonA.O. LassiZ.S. LatiefK. LaxmaiahA. LeddaC. LeeS. LegesseS.M. LiuX. LorenzoviciL. MachadoV.S.M. MahajanP.B. MahjoubS. MahmoodpoorA. MahmoudiE. Malakan RadE. MallhiT.H. MaltaD.C. MasoudiS. MasoumiS.Z. MedinaJ.R.C. Mejia-RodriguezF. MendesJ.J.M. MendozaW. Mendoza-CanoO. MentisA-F.A. MeresaH.A. MestrovicT. MiazgowskiT. MirghafourvandM. MiricaA. MirzaM. MisganawA. MisraS. MohammadD.K. MohammadiS. MohammedS. MohanS. MokaN. MokdadA.H. MomtazmaneshS. MonastaL. MoniM.A. MoosaviD. MoradiM. MosapourA. MostafaviE. MucheT. MulitaF. MuluG.B. MurrayC.J.L. MusinaA-M. MustafaG. NagarajanA.J. NairT.S. Narasimha SwamyS. NassereldineH. NattoZ.S. NayakB.P. NazS. NegoiI. NegoiR.I. Nguefack-TsagueG. NgunjiriJ.W. NiaziR.K. NooriM. NowrooziA. NurrikaD. NuruzzamanK.M. NzoputamO.J. OanceaB. ObaidurR.M. ObsaM.M.S.S. OdhiamboJ.N. OgunsakinR.E. Okati-AliabadH. OkonjiO.C. OladunjoyeA.O. OladunjoyeO.O. OlagunjuA.T. OlufadewaI.I. Omar BaliA. OmonisiA.E.E. OrtizA. OwolabiM.O. PadubidriJ.R. PakzadR. PaliczT. PandeyA. PandyaA.K. PapadopoulouP. PardhanS. PatelJ. PathakA. PathanA.R. PaudelR. PaudelU. PawarS. PereiraG. PericoN. PernaS. PerumalsamyN. PetcuI-R. PickeringB.V. PirachaZ.Z. PollokR.C.G. PradhanP.M.S. PrashantA. QatteaI. Quazi SyedZ. RahimF. RahimiM. RahmanA. RahmanM.H.U. RahmanM. RahmaniA.M. RahmaniS. RaiR.K. RaimondoI. RajaaS. RamP. RanaJ. RanjhaM.M.A.N. RaoC.R. RaoS.J. RashediS. RashidiM-M. RawafS. RawalL. RazaR.Z. RedwanE.M.M. RemuzziG. RezaeiM. RezaeiN. RezaeiN. RichardsT. RickardJ. RodriguezJ.A.B. RoeverL. RoshandelG. RoyB. RwegereraG.M. SaadA.M.A. SabourS. SaddikB. SadeghiM. SadeghianS. SaeedU. SahebkarA. SahooH. SalemM.R. SamyA.M. SankararamanS. SantoroR. SantosI.S. SatpathyM. SayaG.K. SebokaB.T. SenbetaA.M. SenthilkumaranS. SeylaniA. ShafeghatM. ShahP.A. ShaikhM.A. ShanawazM. ShannawazM. SharewM.M.S. SharmaP. SheikhiR.A. ShenoyS.M. ShettyA. ShettyB.S.K. ShettyJ.K. ShettyP.H. ShinJ.I. ShivalliS. ShivarovV. ShobeiriP. ShorofiS.A. SikderM.K. SimaA.R. SimegnW. SinghJ.A. SinghN.P. SinghP. SinghS. SirajM.S. SisayY. SkryabinaA.A. SolomonY. SongY. SorensenR.J.D. StanawayJ.D. SuchdevP.S. SufiyanM.B. SultanaS. SzetoM.D. TabaeianS.P. TahamtanA. TaheriM. Taheri SoodejaniM. TamirZ. TanK-K. TariqujjamanM. TarkangE.E. TatN.Y. TeferaY.M. TemsahM-H. ThaparR. ThiyagarajanA. TicoaluJ.H.V. TigabuB.M. TiyuriA. Tobe-GaiR. Tovani-PaloneM.R. TranM.T.N. TusaB.S. UllahI. UmerA.A. UnnikrishnanB. VacanteM. Valadan TahbazS. ValdezP.R. VartP. VarthyaS.B. VaziriS. VermaM. VerouxM. VervoortD. VuL.G. WagayeB. WeldegebrealF. WickramasingheN.D. WoldemariamM. WondeT.E. WubetieG.A. XuX. YariK. YazdanpanahF. YehualashetS.S. YigitA. YiğitV. YisihakE. YonD.K. YonemotoN. YoungM.F. YuC. YunusaI. ZahirM. ZakiL. ZamanB.A. ZamoraN. ZareI. ZareshahrabadiZ. ZenebeG.A. ZhangZ-J. ZhengP. ZoladlM. KassebaumN.J. Prevalence, years lived with disability, and trends in anaemia burden by severity and cause, 1990–2021: Findings from the global burden of disease study 2021.Lancet Haematol.2023109e713e73410.1016/S2352‑3026(23)00160‑6
    [Google Scholar]
  2. Garcia-CasalM.N. PasrichaS.R. SharmaA.J. Peña-RosasJ.P. Use and interpretation of hemoglobin concentrations for assessing anemia status in individuals and populations: Results from a WHO technical meeting.Ann. N. Y. Acad. Sci.20191450151410.1111/nyas.1409031006883
    [Google Scholar]
  3. ShortM.W. DomagalskiJ.E. Iron deficiency anemia: Evaluation and management.Am. Fam. Physician20138729810423317073
    [Google Scholar]
  4. SharmaJ. DevanathanS. SenguptaA. RajeshwariP.N. Assessing the prevalence of iron deficiency anemia and risk factors among children and women: A case study of rural Uttar Pradesh.Clin. Epidemiol. Glob. Health20242610154510.1016/j.cegh.2024.101545
    [Google Scholar]
  5. ShubhamK. AnukiruthikaT. DuttaS. KashyapA.V. MosesJ.A. AnandharamakrishnanC. Iron deficiency anemia: A comprehensive review on iron absorption, bioavailability and emerging food fortification approaches.Trends Food Sci. Technol.202099587510.1016/j.tifs.2020.02.021
    [Google Scholar]
  6. KleinE.A. Selenium: Epidemiology and basic science.J. Urol.20041712SS50S5310.1097/01.ju.0000107837.66277.e914713754
    [Google Scholar]
  7. Selenium2021Available from: https://ods.od.nih.gov/factsheets/Selenium-Consumer/
  8. SembaR.D. RicksM.O. FerrucciL. XueQ-L. GuralnikJ.M. FriedL.P. Low serum selenium is associated with anemia among older adults in the United States.Eur. J. Clin. Nutr.2009631939910.1038/sj.ejcn.160288917805227
    [Google Scholar]
  9. GibsonR.S. KafwembeE. MwanzaS. GossetL. BaileyK.B. MullenA. BaisleyK. FilteauS. A micronutrient-fortified food enhances iron and selenium status of Zambian infants but has limited efficacy on zinc.J. Nutr.2011141593594310.3945/jn.110.13522821411608
    [Google Scholar]
  10. NhienN.V. KhanN.C. YabutaniT. NinhN.X. ChungL.T.K. MotonakaJ. NakayaY. Relationship of low serum selenium to anemia among primary school children living in rural Vietnam.J. Nutr. Sci. Vitaminol.200854645445910.3177/jnsv.54.45419155583
    [Google Scholar]
  11. LiaoC. CarlsonB.A. PaulsonR.F. PrabhuK.S. The intricate role of selenium and selenoproteins in erythropoiesis.Free Radic. Biol. Med.201812716517110.1016/j.freeradbiomed.2018.04.57829719207
    [Google Scholar]
  12. SteinbrennerH. DuntasL.H. RaymanM.P. The role of selenium in type-2 diabetes mellitus and its metabolic comorbidities.Redox Biol.20225010223610.1016/j.redox.2022.10223635144052
    [Google Scholar]
  13. RadomskaD. CzarnomysyR. RadomskiD. BielawskiK. Selenium compounds as novel potential anticancer agents.Int. J. Mol. Sci.2021223100910.3390/ijms2203100933498364
    [Google Scholar]
  14. PanaiyadiyanS. QuadriJ.A. NayakB. PanditS. SinghP. SethA. ShariffA. Association of heavy metals and trace elements in renal cell carcinoma: A case-controlled study.Urol. Oncol.2022403111.e11111.e1810.1016/j.urolonc.2021.11.017
    [Google Scholar]
  15. RanganathanP.N. LuY. FuquaB.K. CollinsJ.F. Discovery of a cytosolic/soluble ferroxidase in rodent enterocytes.Proc. Natl. Acad. Sci. USA201210993564356910.1073/pnas.112083310922331876
    [Google Scholar]
  16. BárányE. BergdahlI.A. BrattebyL.E. LundhT. SamuelsonG. SkerfvingS. OskarssonA. Iron status influences trace element levels in human blood and serum.Environ. Res.200598221522310.1016/j.envres.2004.09.01015820728
    [Google Scholar]
  17. MiziaS. FelińczakA. WłodarekD. Syrkiewicz-ŚwitałaM. Evaluation of eating habits and their impact on health among adolescents and young adults: A cross-sectional study.Int. J. Environ. Res. Public Health2021188399610.3390/ijerph1808399633920229
    [Google Scholar]
  18. WeyhC. KrügerK. PeelingP. CastellL. The role of minerals in the optimal functioning of the immune system.Nutrients202214364410.3390/nu14030644
    [Google Scholar]
  19. XiaY. HillK.E. ByrneD.W. XuJ. BurkR.F. Effectiveness of selenium supplements in a low-selenium area of China.Am. J. Clin. Nutr.200581482983410.1093/ajcn/81.4.82915817859
    [Google Scholar]
  20. AngelovaM.G. Petkova-MarinovaT.V. PogorielovM.V. LobodaA.N. Nedkova-KolarovaV.N. BozhinovaA.N. Trace element status (Iron, Zinc, Copper, Chromium, Cobalt, and Nickel) in iron-deficiency anaemia of children under 3 years.Anemia201471808910.1155/2014/718089
    [Google Scholar]
  21. HuntJ.R. Bioavailability of iron, zinc, and other trace minerals from vegetarian diets.Am. J. Clin. Nutr.2003783Suppl.633S639S10.1093/ajcn/78.3.633S12936958
    [Google Scholar]
  22. KleinL. DawczynskiC. SchwarzM. MaaresM. KippK. HaaseH. KippA.P. Selenium, Zinc, and Copper status of vegetarians and vegans in comparison to omnivores in the nutritional evaluation (NuEva) study.Nutrients20231516353810.3390/nu1516353837630729
    [Google Scholar]
  23. BorawskaM.H. WitkowskaA.M. HukałowiczK. MarkiewiczR. Influence of dietary habits on serum selenium concentration.Ann. Nutr. Metab.200448313414010.1159/00007837515133317
    [Google Scholar]
  24. ImaiH. SuzukiT. KashiwazakiH. TakemotoT. IzumiT. MojiK. Dietary habit and selenium concentrations in erythrocyte and serum in a group of middle-aged and elderly japanese.Nutr. Res.199010111205121410.1016/S0271‑5317(05)80159‑9
    [Google Scholar]
  25. PujolA. SanchisP. GrasesF. MasmiquelL. Phytate intake, health and disease: “Let thy food be thy medicine and medicine be thy food”.Antioxidants202312114610.3390/antiox1201014636671007
    [Google Scholar]
  26. Public health statement for selenium2014Available from: https://wwwn.cdc.gov/TSP/PHS/PHS.aspx?phsid=151&toxid=28
  27. ZhouQ. ZhangB. ChenX. ChenQ. HaoL. Association of serum selenium with anemia‐related indicators and risk of anemia.Food Sci. Nutr.2021963039304710.1002/fsn3.226134136169
    [Google Scholar]
  28. JóźwiakW. PolityckaB. Effect of selenium on alleviating oxidative stress caused by a water deficit in cucumber roots.Plants20198721710.3390/plants807021731336811
    [Google Scholar]
  29. ObeaguE.I. IgweM.C. ObeaguG.U. Oxidative stress’s impact on red blood cells: Unveiling implications for health and disease.Medicine20241039e3736010.1097/MD.000000000003736038428906
    [Google Scholar]
/content/journals/nemj/10.2174/0102506882362987250314044238
Loading
/content/journals/nemj/10.2174/0102506882362987250314044238
Loading

Data & Media loading...

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error
Please enter a valid_number test