Healthy Clinical Trial
The purpose of this study is to determine whether patients with liver disease can improve their nutritional selenium status by taking supplemental selenium.
Selenium is an essential nutrient. Selenium carries out its biological functions through
selenoproteins. The most abundant selenoprotein in the plasma is selenoprotein P, which is
largely synthesized in the liver. Patients with liver disease often have less than half the
selenoprotein P levels of normal individuals. This suggests that people with liver disease
are not meeting their selenium requirements and may benefit from additional selenium.
We proposed to compare the effects of two different forms of supplemental selenium on plasma
selenium levels among patients with severe liver cirrhosis and healthy individuals
(controls). Patients and controls were randomly assigned to one of 3 treatment groups: 200
µg selenium per day as selenate, 200 µg selenium per day as selenomethionine, or a placebo.
The intervention lasted 8 weeks. Blood was measured initially and after 2 and 4 weeks of
supplementation. Selenium, selenoprotein P and glutathione peroxidase were measured in the
plasma. We compared changes in selenium and selenoprotein levels between liver cirrhosis
patients and healthy controls.
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Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Double-Blind
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