探究美国肥胖成年男性血清硒与高血压之间的潜在关联。
Exploring the potential association between serum selenium and hypertension in obese adult males in the United States.
作者信息
Li Bei, Ma Haiyan, Yu Ying, Chen Jieli, He Shengnan, Yang Lan
机构信息
Department of Gastrointestinal Surgery, Peking University Shenzhen Hospital, Shenzhen, 518036, People's Republic of China.
Department of Urology, Shenzhen Children's Hospital, Shenzhen, 518026, People's Republic of China.
出版信息
Sci Rep. 2025 Jan 8;15(1):1268. doi: 10.1038/s41598-025-85343-1.
Previous studies on the correlation between serum selenium and hypertension have yielded inconsistent results. Our previous analysis of participants from the National Health and Nutrition Examination Survey (NHANES) 2011-2018 indicated that elevated serum selenium concentrations were associated with an increased risk of metabolic abnormalities in obese individuals, with the primary effect being on blood pressure in males. The aim of this study was to further elucidate the relationship between serum selenium and the risk of hypertension in obese males. In this study, we examined the correlation between serum selenium concentrations and hypertension in 2,585 male participants with a body mass index (BMI) ≥ 30 kg/m aged between 20 and 80 years from the 2011-2018 NHANES database. The associations between serum selenium levels and hypertension were evaluated through weighted generalized linear regression analyses. To examine the saturation threshold effect between serum selenium and hypertension, a generalized additive model (GAM) and a two-piecewise linear regression model were employed. Furthermore, the saturation threshold effect was evaluated separately in subgroups stratified by BMI and age. The weighted prevalence of hypertension (51.84%) was slightly higher than that of nonhypertension (48.16%) in the participants included in this study. After rigorous adjustment for sociodemographic, physical, and laboratory test covariates, the weighted odds ratio (OR) of hypertension increased by 103% for every 1 standard deviation (SD) increase (approximately 24.41 µg) in the serum selenium concentration in participants assigned to the highest serum selenium group (weighted OR = 2.03; 95% CI = 1.24-3.32; P = 0.013). A calculation was subsequently performed to determine the saturation threshold effect of selenium on hypertension among participants in the medium and highest selenium concentration subgroups. The findings indicated that participants with serum selenium concentrations exceeding the saturation threshold (2.56 µM) demonstrated an elevated risk of developing hypertension (weighted OR = 9.58; 95% CI = 2.74-33.46; P = 0.000) in comparison to those with serum selenium concentrations below the threshold. Subgroup analyses demonstrated that serum selenium concentrations exceeding the saturation threshold were associated with an increased risk of hypertension in participants with a BMI ≤ 35 kg/m (weighted OR = 9.11; 95% CI = 1.43-58.24; P = 0.030) or those aged less than 55 years or younger (weighted OR = 8.37; 95% CI = 1.71-40.94; P = 0.014). For obese adult males who require additional selenium supplementation to enhancing their overall health and well-being, it is strongly recommended that the serum selenium concentrations be monitored throughout the course of supplementation to ensure that they remain within the relatively safe range (approximately less than 215.75 µg/L).
先前关于血清硒与高血压之间相关性的研究结果并不一致。我们之前对2011 - 2018年美国国家健康与营养检查调查(NHANES)参与者的分析表明,血清硒浓度升高与肥胖个体代谢异常风险增加有关,主要影响男性血压。本研究的目的是进一步阐明血清硒与肥胖男性高血压风险之间的关系。在本研究中,我们从2011 - 2018年NHANES数据库中选取了2585名年龄在20至80岁、体重指数(BMI)≥30 kg/m²的男性参与者,检测了血清硒浓度与高血压之间的相关性。通过加权广义线性回归分析评估血清硒水平与高血压之间的关联。为了研究血清硒与高血压之间的饱和阈值效应,采用了广义相加模型(GAM)和两段式线性回归模型。此外,还分别在按BMI和年龄分层的亚组中评估了饱和阈值效应。本研究纳入的参与者中,高血压的加权患病率(51.84%)略高于非高血压患病率(48.16%)。在对社会人口学、身体和实验室检查协变量进行严格调整后,血清硒浓度处于最高组的参与者,血清硒浓度每增加1个标准差(SD)(约24.41μg),高血压的加权比值比(OR)增加103%(加权OR = 2.03;95%CI = 1.24 - 3.32;P = 0.013)。随后进行计算以确定中等和高硒浓度亚组参与者中硒对高血压的饱和阈值效应。结果表明,血清硒浓度超过饱和阈值(2.56μM)的参与者患高血压的风险高于血清硒浓度低于阈值的参与者(加权OR = 9.58;95%CI = 2.74 - 33.46;P = 0.000)。亚组分析表明,血清硒浓度超过饱和阈值与BMI≤35 kg/m²的参与者(加权OR = 9.11;95%CI = 1.43 - 58.24;P = 0.030)或年龄小于55岁的参与者(加权OR = 8.37;95%CI = 1.71 - 40.94;P = 0.014)患高血压风险增加有关。对于需要额外补充硒以改善整体健康和幸福感的肥胖成年男性,强烈建议在补充过程中监测血清硒浓度,以确保其保持在相对安全的范围内(约低于215.75μg/L)。