Whole Blood Selenium Levels and Selenium Supplementation in Patients Treated in a Family Doctor Practice in Golßen (State of Brandenburg, Germany): A Laboratory Study

Introduction: The supply of selenium (Se) varies widely in Germany. Therefore, a laboratory study was conducted in patients treated at a family doctor practice in Brandenburg, Germany, to determine whether there is a general Se deficiency in this area; specifically, whether Se concentrations differ...

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Main Authors: Ralph Muecke MD, PhD, Knut Waldschock MD, Lutz Schomburg PhD, Oliver Micke MD, PhD, Jens Buentzel MD, PhD, Klaus Kisters MD, PhD, Irenaeus A. Adamietz MD, PhD, Jutta Huebner MD, PhD
Format: Article
Language:English
Published: SAGE Publishing 2018-12-01
Series:Integrative Cancer Therapies
Online Access:https://doi.org/10.1177/1534735418807971
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author Ralph Muecke MD, PhD
Knut Waldschock MD
Lutz Schomburg PhD
Oliver Micke MD, PhD
Jens Buentzel MD, PhD
Klaus Kisters MD, PhD
Irenaeus A. Adamietz MD, PhD
Jutta Huebner MD, PhD
author_facet Ralph Muecke MD, PhD
Knut Waldschock MD
Lutz Schomburg PhD
Oliver Micke MD, PhD
Jens Buentzel MD, PhD
Klaus Kisters MD, PhD
Irenaeus A. Adamietz MD, PhD
Jutta Huebner MD, PhD
author_sort Ralph Muecke MD, PhD
collection DOAJ
description Introduction: The supply of selenium (Se) varies widely in Germany. Therefore, a laboratory study was conducted in patients treated at a family doctor practice in Brandenburg, Germany, to determine whether there is a general Se deficiency in this area; specifically, whether Se concentrations differ with age, sex, or presence of cancer. Moreover, we tested the effects of a Se supplementation on whole blood Se levels (WBSL). Methods: In 2006, WBSL were analyzed in 871 patients (496 females, 375 males, median age: 67 years). Of these, 143 (78 females, 65 males) had cancer and were in an aftercare situation. From 2006 to 2012, 317 patients (76 with tumors, 241 without tumors) received continuous Se supplementation with sodium selenite (300 µg per day) and annual WBSL measurements. WBSL were compared by Student’s t test for paired and independent samples. Results: The initial WBSL of all patients was 97.2 ± 20.7 µg/L (mean ± SD). WBSL did not differ with regard to age or sex, but patients with cancer had the lowest WBSL. Se supplementation increased mean WBSL in both patients with (to 128.5 µg/L) and without (to 119.52 µg/L) cancer ( P < .001). Discussion: Patients with cancer displayed significantly lower WBSL than patients without cancer, indicating a negative effect of tumors on Se uptake, absorption, or metabolism. Significant influences of age or sex were not observed. Selenite supplementation efficiently improved WBSL to concentrations considered necessary for health benefits.
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spelling doaj.art-2c6dae807619460ab53a5a69acc88d542022-12-21T20:46:34ZengSAGE PublishingIntegrative Cancer Therapies1534-73541552-695X2018-12-011710.1177/1534735418807971Whole Blood Selenium Levels and Selenium Supplementation in Patients Treated in a Family Doctor Practice in Golßen (State of Brandenburg, Germany): A Laboratory StudyRalph Muecke MD, PhD0Knut Waldschock MD1Lutz Schomburg PhD2Oliver Micke MD, PhD3Jens Buentzel MD, PhD4Klaus Kisters MD, PhD5Irenaeus A. Adamietz MD, PhD6Jutta Huebner MD, PhD7Ruhr University Bochum, Bochum, GermanyFamily Doctor Practice, Golßen, GermanyInstitute for Experimental Endocrinology, Charité, Berlin, GermanyFranziskus Hospital, Bielefeld, GermanySüdharz-Hospital, Nordhausen, GermanySt. Anna Hospital, Herne, GermanyRuhr University Bochum, Bochum, GermanyUniversity Jena, Jena, GermanyIntroduction: The supply of selenium (Se) varies widely in Germany. Therefore, a laboratory study was conducted in patients treated at a family doctor practice in Brandenburg, Germany, to determine whether there is a general Se deficiency in this area; specifically, whether Se concentrations differ with age, sex, or presence of cancer. Moreover, we tested the effects of a Se supplementation on whole blood Se levels (WBSL). Methods: In 2006, WBSL were analyzed in 871 patients (496 females, 375 males, median age: 67 years). Of these, 143 (78 females, 65 males) had cancer and were in an aftercare situation. From 2006 to 2012, 317 patients (76 with tumors, 241 without tumors) received continuous Se supplementation with sodium selenite (300 µg per day) and annual WBSL measurements. WBSL were compared by Student’s t test for paired and independent samples. Results: The initial WBSL of all patients was 97.2 ± 20.7 µg/L (mean ± SD). WBSL did not differ with regard to age or sex, but patients with cancer had the lowest WBSL. Se supplementation increased mean WBSL in both patients with (to 128.5 µg/L) and without (to 119.52 µg/L) cancer ( P < .001). Discussion: Patients with cancer displayed significantly lower WBSL than patients without cancer, indicating a negative effect of tumors on Se uptake, absorption, or metabolism. Significant influences of age or sex were not observed. Selenite supplementation efficiently improved WBSL to concentrations considered necessary for health benefits.https://doi.org/10.1177/1534735418807971
spellingShingle Ralph Muecke MD, PhD
Knut Waldschock MD
Lutz Schomburg PhD
Oliver Micke MD, PhD
Jens Buentzel MD, PhD
Klaus Kisters MD, PhD
Irenaeus A. Adamietz MD, PhD
Jutta Huebner MD, PhD
Whole Blood Selenium Levels and Selenium Supplementation in Patients Treated in a Family Doctor Practice in Golßen (State of Brandenburg, Germany): A Laboratory Study
Integrative Cancer Therapies
title Whole Blood Selenium Levels and Selenium Supplementation in Patients Treated in a Family Doctor Practice in Golßen (State of Brandenburg, Germany): A Laboratory Study
title_full Whole Blood Selenium Levels and Selenium Supplementation in Patients Treated in a Family Doctor Practice in Golßen (State of Brandenburg, Germany): A Laboratory Study
title_fullStr Whole Blood Selenium Levels and Selenium Supplementation in Patients Treated in a Family Doctor Practice in Golßen (State of Brandenburg, Germany): A Laboratory Study
title_full_unstemmed Whole Blood Selenium Levels and Selenium Supplementation in Patients Treated in a Family Doctor Practice in Golßen (State of Brandenburg, Germany): A Laboratory Study
title_short Whole Blood Selenium Levels and Selenium Supplementation in Patients Treated in a Family Doctor Practice in Golßen (State of Brandenburg, Germany): A Laboratory Study
title_sort whole blood selenium levels and selenium supplementation in patients treated in a family doctor practice in golssen state of brandenburg germany a laboratory study
url https://doi.org/10.1177/1534735418807971
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