Clinical Relevance of Selenium with Liver Stiffness and Steatosis Detected by Transient Elastography in Adults
| Autor: | Hong Shen, Jun Shao, Mingfeng Chen, Xiaohui Liu |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
Liver Cirrhosis Male medicine.medical_specialty National Health and Nutrition Examination Survey Endocrinology Diabetes and Metabolism Clinical Biochemistry chemistry.chemical_element Biochemistry Reference Daily Intake Gastroenterology Inorganic Chemistry Selenium Internal medicine medicine Humans Obesity business.industry Biochemistry (medical) General Medicine Odds ratio Hepatitis B Nutrition Surveys medicine.disease Fatty Liver Liver chemistry Elasticity Imaging Techniques Female Steatosis business Transient elastography |
| Zdroj: | Biological Trace Element Research. 200:3041-3049 |
| ISSN: | 1559-0720 0163-4984 |
| Popis: | The associations between selenium and liver stiffness and steatosis remain uncertain. This study aimed to explore the clinical relevance of selenium with liver stiffness and steatosis in adults from the 2017-2018 National Health and Nutrition Examination Survey. Subjects with excessive alcohol consumption and hepatitis B or C infection were excluded. Liver stiffness and steatosis were detected by transient elastography. Dietary selenium intakes and blood selenium concentrations were included as exposures. In multivariate analysis without adjustment for obesity, higher dietary selenium intakes (tertile 3 vs. tertile 1) were positively associated with liver stiffness in females (odds ratio (95% confidence interval): 2.64 (1.88-3.70)), and were positively associated with liver steatosis overall (1.54 (1.20-1.97)) and also in males (1.55 (1.06-2.26)). In multivariate analysis without adjustment for obesity, higher blood selenium concentrations (tertile 3 vs. tertile 1) were positively associated with liver steatosis overall (1.33 (1.02-1.76)) and also in males (1.56 (1.13-2.16)). After further adjustment for obesity, the abovementioned associations remain significant between dietary selenium intakes and liver stiffness in females (2.29 (1.69-3.12)) and liver steatosis overall (1.37 (1.01-1.86)), and between blood selenium concentrations and liver steatosis in males (1.67 (1.25-2.21)). Dose-response analysis showed that the abovementioned associations were linear. However, dietary selenium intakes meeting the recommended daily allowance (≥ 55 µg/day) were not associated with liver stiffness (0.99 (0.62-1.55)) and steatosis (1.01 (0.69-1.49)). In conclusion, higher dietary selenium intakes and blood selenium concentrations were positively associated with liver stiffness and steatosis, and obesity may partially account for the observed associations. |
| Databáze: | OpenAIRE |
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