Selenium

Sheaf of wheat against a blue sky

Dr Sarah Brewer explains all you need to know about the ‘miracle mineral’, Selenium.

Selenium is arguably the most important trace element in our diet. It forms part of an amino-acid, selenocysteine, which is found in at least 25 human proteins, including a series of powerful antioxidant enzymes. As a result, selenium provides protection against a number of health problems and is especially important for immunity.

The best food sources of selenium are brazil nuts, fish, poultry, meats (especially game), wholegrains, mushrooms, onions, garlic, broccoli and cabbage. Although dietary sources of selenium should always come first, the lack of it in our food is a growing cause for concern. During the last ice age, selenium was leached out of the soil in many parts of Europe, including the UK. While we used to obtain good amounts from wheat imported from America and Canada, it is now mainly sourced from within Europe and our selenium intake fell dramatically between 1978 and 1994 from 60mcg per day to 34mcg per day - half the recommended amount. The minimum daily intake to obtain full anti-cancer protection is between 75 and 125 micrograms per day.

Supplements are a good way to boost our shortfall, but for maximum absorption we need to obtain selenium in a body-ready form, already incorporated into the amino-acid, selenocysteine. The best-quality supplements therefore contain selenium-enriched yeasts, as this form has been shown to be absorbed most readily and to increase the activity of our antioxidant selenoenzymes more effectively than inorganic chemical sources such as selenium selenite. That’s why all the published, placebo-controlled, cancer-prevention studies have used selenium-yeast supplements.

Selenium-enriched yeast supplements are notoriously ‘smelly’, but look out for lowodour products which, thanks to new coating technology, are more pleasant to take.

Cancer: Selenium provides one of our most powerful antioxidant defences against cancer. Taking 200mcg selenium per day has been shown to reduce the risk of developing prostate cancer by 63%, bowel cancer by 58% and lung cancer by 46% and to reduce related deaths by 52%. Results from this trial were so impressive that the research was stopped early - it was considered unethical to withhold selenium from those taking inactive placebo.

Stroke: Research involving over 1,110 Finnish males suggests that selenium helps to protect against stroke. Those with the lowest levels were almost four times more likely to die from a stroke than those with the highest. Whether or not it also protects against coronary heart disease remains uncertain, although it is possible that the mineral may reduce the risk of non-fatal attack.

Immunity: Selenium increases the activity of scavenger white blood cells, involved in the production of antibodies and helps to reduce the severity of viral illnesses. In one study, people taking 100mcg per day selenium supplements showed a significantly better response when immunised with live poliovirus vaccine and cleared the virus from their system more quickly than those taking placebo.

Asthma: Several studies have found that people with low selenium levels are more likely to develop asthma. And, in one study, taking 100mcg selenium supplements per day led to a clinically significant improvement in symptoms.

[1] Broome CS et al. 2004. An increase in selenium intake improves immune function and poliovirus handling in adults with marginal selenium status. Am J Clin Nutr. 80;1:154-62.
[1] Ip C. 1984. Selenium inhibition of chemical carcinogenesis. Fed. Proc. 44:2573-2578.
[1] Wei WQ et al. 2004. Prospective study of serum selenium concentrations and esophageal and gastric cardia cancer, heart disease, stroke, and total death. Am J Clin Nutr. 79;1:80-5.
[1] van den Brandt PA et al. 2003. Toenail selenium levels and the subsequent risk of prostate cancer: a prospective cohort study. Cancer Epidemiol Biomarkers Prev. 12;9:866-71.
[1] Brooks JD et al. 2001 Plasma selenium level before diagnosis and the risk of prostate cancer development. J Urol. 166;6:2034-8.
[1] Yoshizawa K et al. 1998. Study of prediagnostic selenium level in toenails and the risk of advanced prostate cancer. J Natl Cancer Inst.90;16:1219-24.
[1] Clark LC et al. 1996 Effects of selenium supplementation for cancer prevention in patients with carcinoma of the skin. JAMA. 276;24:1957-1963 and Clark LC et al. Br J Urol 1998 81(5) 730-4
[1] Virtamo J et al. 1985. Serum selenium and the risk of coronary heart disease and stroke. Am J Epidemiol. 122;2:276-82.
[1] Yoshizawa K et al. 2003. Prospective study of selenium levels in toenails and risk of CHD in men. Am J Epidemiol. 158;9:852-60.
[1] Omland O et al. 2002. Selenium serum and urine is associated to mild asthma and atopy. The SUS study. J Trace Elem Med Biol. 16;2:123-7.
[1] Kadrabova J 1996. Selenium status is decreased in patients with intrinsic asthma. Biol Trace Elem Res. 52;3:241-8.
[1] Shaw R et al. 1994. Risk factors for asthma symptoms in Kawerau children. N Z Med J.107;987:387-91.
[1] Shaheen SO et al. Dietary antioxidants and asthma in adults: population-based case-control study. Am J Respir Crit Care Med. 164;10 (Pt 1):1823-8.
[1] Hasselmark L et al. 1993. Selenium supplementation in intrinsic asthma. Allergy. 48;1:30-6.
[1] Rayman MP. 2002 The argument for increasing selenium intake. Proc Nutr Soc. 61;2:203-15.
[1] Brown KM, Arthur JR. 2001 Selenium, selenoproteins and human health: a review. Public Health Nutr. 4;2B:593-9.
[1] Rayman MP. 2000 The importance of selenium to human health. Lancet. 356;9225:233-41.
[1] Rayman MP 1997 Dietary selenium: time to act. BMJ 314:387-388
[1] Brown KM et al. 2000. Effects of organic and inorganic selenium supplementation on selenoenzyme activity in blood lymphocytes, granulocytes, platelets and erythrocytes. Clin Sci (Lond). 98(5):593-9.
[1] Rayman MP. 2004 The use of high-selenium yeast to raise selenium status: how does it measure up? Br J Nutr.92, 557-73
[1] Rayman M. 2004. The use of high-selenium yeast to raise selenium status: how does it measure up? British Journal of Nutrition. 92:557-573

back to the top »

Dr Sarah Brewer

Dr Sarah Brewer 

Sarah Brewer graduated as a doctor from Cambridge University in 1983. She was a full-time GP for five years and now works in hospital medicine. She is the author of 40 books and writes widely on all aspects of health including complementary medicine. 

your basket
Your basket does not yet contain any items.
Best Sellers


Nutriprofile - Free Nutritional Analysis
ABOUT SSL CERTIFICATES