Quantitative and qualitative aspects of selenium utilization in pregnant and nonpregnant women: an application of stable isotope methodology.

Selenium utilization of women in early and late pregnancy was compared to that of nonpregnant controls. A defined diet providing about 150 micrograms Se/day was fed for 20 days, and selenium balance was measured during the last 12 days. Net selenium retentions of the women in early and late pregnancy were 10 and 23 micrograms/day, respectively, but probably are inflated estimates of the increased selenium requirement during pregnancy. Apparent absorption of selenium was 80% for all three groups. Pregnant women tended to conserve selenium by decreasing urinary selenium excretion. Those observations were corroborated by monitoring the urinary and fecal excretion of 40 micrograms of a stable isotope of selenium (76Se) from intrinsically labeled egg. The isotope data also indicated that recent selenium intake was incorporated into a long-term selenium pool. Mean glutathione peroxidase activity was lower in plasma and higher in platelets in the pregnant women as compared to controls, but the physiological significance of those observations is unknown.