关于硒可耐受最高摄入量的科学意见。

Scientific opinion on the tolerable upper intake level for selenium.

作者信息

Turck Dominique, Bohn Torsten, Castenmiller Jacqueline, de Henauw Stefaan, Hirsch-Ernst Karen-Ildico, Knutsen Helle Katrine, Maciuk Alexandre, Mangelsdorf Inge, McArdle Harry J, Peláez Carmen, Pentieva Kristina, Siani Alfonso, Thies Frank, Tsabouri Sophia, Vinceti Marco, Aggett Peter, Crous Bou Marta, Cubadda Francesco, Ciccolallo Laura, de Sesmaisons Lecarré Agnès, Fabiani Lucia, Titz Ariane, Naska Androniki

出版信息

EFSA J. 2023 Jan 20;21(1):e07704. doi: 10.2903/j.efsa.2023.7704. eCollection 2023 Jan.

Abstract

Following a request from the European Commission, the EFSA Panel on Nutrition, Novel Foods and Food Allergens (NDA) was asked to deliver a scientific opinion on the tolerable upper intake level (UL) for selenium. Systematic reviews of the literature were conducted to identify evidence regarding excess selenium intake and clinical effects and potential biomarkers of effect, risk of chronic diseases and impaired neuropsychological development in humans. Alopecia, as an early observable feature and a well-established adverse effect of excess selenium exposure, is selected as the critical endpoint on which to base a UL for selenium. A lowest-observed-adverse-effect-level (LOAEL) of 330 μg/day is identified from a large randomised controlled trial in humans (the Selenium and Vitamin E Cancer Prevention Trial (SELECT)), to which an uncertainty factor of 1.3 is applied. A UL of 255 μg/day is established for adult men and women (including pregnant and lactating women). ULs for children are derived from the UL for adults using allometric scaling (body weight). Based on available intake data, adult consumers are unlikely to exceed the UL, except for regular users of food supplements containing high daily doses of selenium or regular consumers of Brazil nuts. No risk has been reported with the current levels of selenium intake in European countries from food (excluding food supplements) in toddlers and children, and selenium intake arising from the natural content of foods does not raise reasons for concern. Selenium-containing supplements in toddlers and children should be used with caution, based on individual needs.

摘要

应欧盟委员会的要求,欧洲食品安全局营养、新型食品及食品过敏原专家委员会(NDA)被要求就硒的可耐受最高摄入量(UL)提供科学意见。开展了文献系统综述,以确定有关过量硒摄入及其临床影响、潜在效应生物标志物、人类慢性疾病风险和神经心理发育受损的证据。脱发作为过量硒暴露的一个早期可观察到的特征和已确定的不良反应,被选为确定硒UL的关键终点。从一项大型人体随机对照试验(硒与维生素E癌症预防试验(SELECT))中确定了最低观察到有害作用水平(LOAEL)为330μg/天,并应用了1.3的不确定系数。确定成年男性和女性(包括孕妇和哺乳期妇女)的UL为255μg/天。儿童的UL通过异速生长标度法(体重)从成人的UL推导得出。根据现有的摄入量数据,成年消费者不太可能超过UL,但经常服用高剂量硒的食品补充剂的人或经常食用巴西坚果的人除外。在欧洲国家,未报告幼儿和儿童从食物(不包括食品补充剂)中摄入的当前硒水平存在风险,并且食物天然含有的硒不会引起担忧。幼儿和儿童应根据个体需求谨慎使用含硒补充剂。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e793/9854220/1a8ea353dc13/EFS2-21-e07704-g017.jpg

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