Kvícala J
Endokrinologický ústav, Praha.
Vnitr Lek. 1996 Nov;42(11):738-42.
In a group of 360 people aged 6-65 years of both sexes from the Znojmo area the author investigated the selenium status and intake by serum analyses (246 cases), urine analyses (356 cases) and hair analyses (28 analyses in middle-aged men). By correlation analysis the author investigated the relationship of selenium and metabolic and peripheral thyroid parameters. From the low selenium concentration in all investigated materials (42 micrograms Se/l serum, 8.2 micrograms Se/urine, 7.2 micrograms Se/g creatinine in urine and 0.23 microgram Se/g hair) the author concludes that there is selenium deficiency in the investigated population, the primary cause being a low dietary selenium intake (average adult intake 17 to 25 micrograms Se/day). From significant, though loose correlations between selenium concentrations and thyroid parameters (size, texture, number of nodes), serum concentrations of thyroid hormones (and their ratios resp.), as well peripheral parameters of hormone actions (Achilles tendon reflex, pulse rate or anthropometric variables) the conclusion is drawn that the selenium deficiency is so marked that it interferes in the investigated population with the regulation of the organism by thyroid hormones. This effect may be caused by changes of hormone formation in the thyroid gland due to the concentration of Se-dependent peroxidase, but in particular changes of their metabolism in the circulation and periphery, as selenium participates in the active centre of deiodase I in the formation of metabolically active triiodothyronine, and selenium deficiency has an impact also on deiodase II activity in some specialized tissues.
作者对来自兹诺伊莫地区的360名6至65岁的男女进行了研究,通过血清分析(246例)、尿液分析(356例)和毛发分析(中年男性28例)来调查他们的硒状态和摄入量。通过相关性分析,作者研究了硒与甲状腺代谢及外周参数之间的关系。从所有被调查材料中低硒浓度(血清中42微克硒/升、尿液中8.2微克硒、尿液中每克肌酐含7.2微克硒、毛发中0.23微克硒/克)来看,作者得出结论,被调查人群存在硒缺乏,主要原因是膳食中硒摄入量低(成年人平均摄入量为每天17至25微克硒)。从硒浓度与甲状腺参数(大小、质地、结节数量)、甲状腺激素血清浓度(及其相应比值)以及激素作用的外周参数(跟腱反射、脉搏率或人体测量变量)之间存在显著但不紧密的相关性可以得出结论,硒缺乏非常明显,以至于在被调查人群中干扰了甲状腺激素对机体的调节。这种影响可能是由于硒依赖性过氧化物酶浓度导致甲状腺激素形成发生变化,但特别是它们在循环和外周的代谢发生变化,因为硒参与了代谢活性三碘甲状腺原氨酸形成过程中脱碘酶I的活性中心,而且硒缺乏对某些特殊组织中的脱碘酶II活性也有影响。