Selenium in diet

Answer 1

Definition

Selenium is an essential trace mineral. Small amounts of selenium are good for your health.

Alternative Names

Diet - selenium

Function

Selenium has a variety of functions. It helps make special proteins, called antioxidant enzymes, which play a role in preventing cell damage. Some medical information suggests that selenium may help prevent certain cancers, but better studies are needed.

There have also been mixed results regarding selenium's impact on cardiovascular disease.

Selenium seems to stimulate antibodies after you receive a vaccination. It also may help protect the body from the poisonous effects of heavy metals and other harmful substances.

Selenium may boost fertility, especially among men. The mineral has been shown to improve the production of sperm and sperm movement.

Food Sources

Plant foods, such as vegetables, are the most common dietary sources of selenium. How much selenium is the vegetables you eat depends on how much of the mineral was in the soil where the plants grew.

Fish, shellfish, red meat, grains, eggs, chicken, liver, and garlic are all good sources of selenium. Meats produced from animals that ate grains or plants found in selenium-rich soil have higher levels of selenium.

Brewer's yeast, wheat germ, and enriched breads are also good sources of selenium.

Side Effects

Selenium deficiency is rare in people in the United States. However, selenium deficiency may occur when a person is fed through a vein (IV line) for long periods of time.

Keshan disease is caused by a deficiency of selenium. This leads to an abnormality of the heart muscle. Keshan disease caused many childhood deaths in China until the link to selenium was discovered and selenium supplements were provided.

Two other diseases have been linked to selenium deficiency:

• Kashin-Beck disease, which results in joint and bone disease
• Myxedematous endemic cretinism, which results in mental retardation

Severe gastrointestinal disorders may also affect the body's ability to absorb selenium.

Too much selenium in the blood can cause a condition called selenosis. Selenosis can cause loss of hair, nail problems, nausea, irritability, fatigue, and mild nerve damage. However, selenium toxicity is rare in the United States.

Recommendations

Selenium is often available in multivitamin and mineral supplements.

The Food and Nutrition Board at the Institute of Medicine recommends the following dietary intake for selenium:

Infants

• 0 - 6 months: 15 micrograms per day (mcg/day)
• 7 - 12 months: 20 mcg/day

Children

• 1 - 3 years: 20 mcg/day
• 4 - 8 years: 30 mcg/day
• 9 - 13 years: 40 mcg/day

Adolescents and Adults

• Males age 14 and older: 55 mcg/day
• Females age 14 and older: 55 mcg/day

The best way to get the daily requirement of essential vitamins is to eat a balanced diet that contains a variety of foods from the food guide pyramid.

Specific recommendations depend on age, gender, and other factors (such as pregnancy). Women who are pregnant or producing breast milk (lactating) need higher amounts. Ask your health care provider which amount is best for you.

References

Institute of Medicine, Food and Nutrition Board. Dietary Reference Intakes: Vitamin C, Vitamin E, Selenium, and Carotenoids. National Academy Press, Washington, DC, 2000.

Rakel D, ed. Integrative Medicine. 2nd ed. Philadelphia, Pa: Saunders Elsevier; 2007.

Hamrick I, Counts SH. Vitamin and mineral supplements. Wellness and Prevention. December 2008:35(4);729-747.

Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007.

Answer 2

Definition

Selenium is an essential trace mineral. This means your body must get this mineral in the food you eat. Small amounts of selenium are good for your health.

Function

Selenium is a trace mineral. The body only needs it in small amounts.

Selenium helps the body with:

• Making special proteins, called antioxidant enzymes, which play a role in preventing cell damage
• Helping your body protect you after a vaccination

Some medical studies suggest that selenium may help with the following conditions, but more studies are needed:

• Prevent certain cancers
• Prevent cardiovascular disease
• Help protect the body from the poisonous effects of heavy metals and other harmful substances
• Boost fertility, especially among men. The mineral has been shown to improve the production of sperm and sperm movement.

Food Sources

Plant foods, such as vegetables, are the most common dietary sources of selenium. How much selenium is in the vegetables you eat depends on how much of the mineral was in the soil where the plants grew.

Fish, shellfish, red meat, grains, eggs, chicken, liver, and garlic are all good sources of selenium. Meats produced from animals that ate grains or plants found in selenium-rich soil have higher levels of selenium.

Brewer's yeast, wheat germ, and enriched breads are also good sources of selenium.

Side Effects

Selenium deficiency is rare in people in the United States. However, selenium deficiency may occur when a person is fed through a vein (IV line) for long periods of time.

Keshan disease is caused by a lack of selenium. This leads to an abnormality of the heart muscle. Keshan disease caused many childhood deaths in China until the link to selenium was discovered and selenium supplements were provided.

Two other diseases have been linked to selenium deficiency:

• Kashin-Beck disease, which results in joint and bone disease
• Myxedematous endemic cretinism, which results in mental retardation

Severe gastrointestinal disorders may also affect the body's ability to absorb selenium.

Too much selenium in the blood can cause a condition called selenosis. Selenosis can cause hair loss, nail problems, nausea, irritability, fatigue, and mild nerve damage. However, selenium toxicity is rare in the United States.

Recommendations

The Recommended Dietary Allowance (RDA) for vitamins reflects how much of each vitamin most people should get each day. The RDA for vitamins may be used as goals for each person.

How much of each vitamin you need depends on your age and gender. Other factors, such as pregnancy and illnesses, are also important. Women who are pregnant or breast-feeding need higher amounts. Ask your health care provider which amount is best for you.

Dietary Reference Intakes for selenium:

Infants

• 0 - 6 months: 15 micrograms per day (mcg/day)
• 7 - 12 months: 20 mcg/day

Children

• 1 - 3 years: 20 mcg/day
• 4 - 8 years: 30 mcg/day
• 9 - 13 years: 40 mcg/day

Adolescents and Adults

• Males age 14 and older: 55 mcg/day
• Females age 14 and older: 55 mcg/day

The best way to get the daily requirement of essential vitamins is to eat a balanced diet that contains a variety of foods.

References

Escott-Stump S, ed. Nutrition and Diagnosis-Related Care. 6th ed. Philadelphia, Pa: Lippincott Williams & Wilkins; 2008.

Sarubin Fragaakis A, Thomson C. The Health Professional's Guide to Popular Dietary Supplements. 3rd ed. Chicago, Il: American Dietetic Association; 2007.

Institute of Medicine, Food and Nutrition Board. Dietary Reference Intakes: Vitamin C, Vitamin E, Selenium, and Carotenoids. National Academy Press, Washington, DC, 2000.

Reviewed By

Review Date: 02/14/2011

Alison Evert, MS, RD, CDE, Nutritionist, University of Washington Medical Center Diabetes Care Center, Seattle, Washington. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.