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Research paper

The effects of selenium supplementation on biomarkers of inflammation and oxidative stress in patients with diabetic nephropathy: a randomised, double-blind, placebo-controlled trial

British Journal of Nutrition
Q1
Sep 2016
Citations: 42
Influential: 0
Interventional (Human) Studies
86

Study answer

What this study found

Selenium supplementation showed favorable effects on several inflammation and oxidative stress biomarkers, but the findings were mixed rather than uniformly positive. Compared with placebo, unadjusted changes favored selenium for hs-CRP (-1069.2 ng/ml vs -135.3 ng/ml, P = 0.02), MMP-2 (-612.3 ng/ml vs +76.0 ng/ml, P < 0.001), MDA (-0.1 µmol/l vs +0.4 µmol/l, P = 0.01), TAC (+174.9 vs +15.8 mmol/l, P = 0.04), and GPx (+2.3 U/ml vs -27.7 U/ml, P = 0.001). After adjustment for baseline biochemical values, age, and BMI, NO (P = 0.02) and GSH (P < 0.001) remained significant, while hs-CRP (P =…

Study & population
Randomized, double-blind, placebo-controlled trial in adults with diabetic nephropathy and proteinuria at Shahid Beheshti Clinic in Kashan, Iran.
Intervention
The active regimen was 200 µg/day selenium as selenium yeast capsules for 12 weeks, compared with identical placebo capsules.
Key limitation
The trial was small and short term, with only 12 weeks of follow-up and limited power for clinical outcomes.
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Original abstract

Abstract This study was carried out to assess the effects of Se supplementation on biomarkers of inflammation and oxidative stress in patients with diabetic nephropathy (DN). This randomised, double-blind, placebo-controlled clinical trial was conduc…