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Accepted manuscript

Effect of dietary selenium intake on cardiovascular disease: A retrospective cohort study based on China Health and Nutrition Survey (CHNS) data

Published online by Cambridge University Press:  27 March 2024

Yaqi Wen ,
Laixi Zhang ,
Shengping Li ,
Tiankun Wang ,
Ke Jiang ,
Lingxi Zhao ,
Yuzhao Zhu ,
Wen Zhao ,
Xun Lei Open the ORCID record for Xun Lei [Opens in a new window]  and
Manoj Sharma
...Show all authors
Yaqi Wen
Affiliation:
School of Public Health, Chongqing Medical University, Chongqing 400016, China; WenYaqi@stu.cqmu.edu.cn (Y.W.); 2021120819@stu.cqmu.edu.cn (L.Z.); 2019110981@stu.cqmu.edu.cn (S.L.); 2020111452@stu.cqmu.edu.cn(T.W.); 2021110631@stu.cqmu.edu.cn(K.J.); zlx@stu.cqmu.edu.cn(L.Z.); 2020121528@stu.cqmu.edu.cn(Y.Z); 2020111475@stu.cqmu.edu.cn (W.Z); leixun521@cqmu.edu.cn(X.L.); zhaoyong@cqmu.edu.cn (Y.Z.); yuanjun@cqmu.edu.cn (J.Y.). Research Center for Medicine and Social Development, Chongqing Medical University, Chongqing 400016, China. The Innovation Center for Social Risk Governance in Health, Chongqing Medical University, Chongqing 400016, China; 4 Chongqing Key Laboratory of Child Nutrition and Health, Children’s Hospital of Chongqing Medical University, Chongqing 400014, China.
Laixi Zhang
Affiliation:
School of Public Health, Chongqing Medical University, Chongqing 400016, China; WenYaqi@stu.cqmu.edu.cn (Y.W.); 2021120819@stu.cqmu.edu.cn (L.Z.); 2019110981@stu.cqmu.edu.cn (S.L.); 2020111452@stu.cqmu.edu.cn(T.W.); 2021110631@stu.cqmu.edu.cn(K.J.); zlx@stu.cqmu.edu.cn(L.Z.); 2020121528@stu.cqmu.edu.cn(Y.Z); 2020111475@stu.cqmu.edu.cn (W.Z); leixun521@cqmu.edu.cn(X.L.); zhaoyong@cqmu.edu.cn (Y.Z.); yuanjun@cqmu.edu.cn (J.Y.). Research Center for Medicine and Social Development, Chongqing Medical University, Chongqing 400016, China. The Innovation Center for Social Risk Governance in Health, Chongqing Medical University, Chongqing 400016, China; 4 Chongqing Key Laboratory of Child Nutrition and Health, Children’s Hospital of Chongqing Medical University, Chongqing 400014, China.
Shengping Li
Affiliation:
School of Public Health, Chongqing Medical University, Chongqing 400016, China; WenYaqi@stu.cqmu.edu.cn (Y.W.); 2021120819@stu.cqmu.edu.cn (L.Z.); 2019110981@stu.cqmu.edu.cn (S.L.); 2020111452@stu.cqmu.edu.cn(T.W.); 2021110631@stu.cqmu.edu.cn(K.J.); zlx@stu.cqmu.edu.cn(L.Z.); 2020121528@stu.cqmu.edu.cn(Y.Z); 2020111475@stu.cqmu.edu.cn (W.Z); leixun521@cqmu.edu.cn(X.L.); zhaoyong@cqmu.edu.cn (Y.Z.); yuanjun@cqmu.edu.cn (J.Y.). Research Center for Medicine and Social Development, Chongqing Medical University, Chongqing 400016, China. The Innovation Center for Social Risk Governance in Health, Chongqing Medical University, Chongqing 400016, China; 4 Chongqing Key Laboratory of Child Nutrition and Health, Children’s Hospital of Chongqing Medical University, Chongqing 400014, China.
Tiankun Wang
Affiliation:
School of Public Health, Chongqing Medical University, Chongqing 400016, China; WenYaqi@stu.cqmu.edu.cn (Y.W.); 2021120819@stu.cqmu.edu.cn (L.Z.); 2019110981@stu.cqmu.edu.cn (S.L.); 2020111452@stu.cqmu.edu.cn(T.W.); 2021110631@stu.cqmu.edu.cn(K.J.); zlx@stu.cqmu.edu.cn(L.Z.); 2020121528@stu.cqmu.edu.cn(Y.Z); 2020111475@stu.cqmu.edu.cn (W.Z); leixun521@cqmu.edu.cn(X.L.); zhaoyong@cqmu.edu.cn (Y.Z.); yuanjun@cqmu.edu.cn (J.Y.). Research Center for Medicine and Social Development, Chongqing Medical University, Chongqing 400016, China. The Innovation Center for Social Risk Governance in Health, Chongqing Medical University, Chongqing 400016, China; 4 Chongqing Key Laboratory of Child Nutrition and Health, Children’s Hospital of Chongqing Medical University, Chongqing 400014, China.
Ke Jiang
Affiliation:
School of Public Health, Chongqing Medical University, Chongqing 400016, China; WenYaqi@stu.cqmu.edu.cn (Y.W.); 2021120819@stu.cqmu.edu.cn (L.Z.); 2019110981@stu.cqmu.edu.cn (S.L.); 2020111452@stu.cqmu.edu.cn(T.W.); 2021110631@stu.cqmu.edu.cn(K.J.); zlx@stu.cqmu.edu.cn(L.Z.); 2020121528@stu.cqmu.edu.cn(Y.Z); 2020111475@stu.cqmu.edu.cn (W.Z); leixun521@cqmu.edu.cn(X.L.); zhaoyong@cqmu.edu.cn (Y.Z.); yuanjun@cqmu.edu.cn (J.Y.). Research Center for Medicine and Social Development, Chongqing Medical University, Chongqing 400016, China. The Innovation Center for Social Risk Governance in Health, Chongqing Medical University, Chongqing 400016, China; 4 Chongqing Key Laboratory of Child Nutrition and Health, Children’s Hospital of Chongqing Medical University, Chongqing 400014, China.
Lingxi Zhao
Affiliation:
School of Public Health, Chongqing Medical University, Chongqing 400016, China; WenYaqi@stu.cqmu.edu.cn (Y.W.); 2021120819@stu.cqmu.edu.cn (L.Z.); 2019110981@stu.cqmu.edu.cn (S.L.); 2020111452@stu.cqmu.edu.cn(T.W.); 2021110631@stu.cqmu.edu.cn(K.J.); zlx@stu.cqmu.edu.cn(L.Z.); 2020121528@stu.cqmu.edu.cn(Y.Z); 2020111475@stu.cqmu.edu.cn (W.Z); leixun521@cqmu.edu.cn(X.L.); zhaoyong@cqmu.edu.cn (Y.Z.); yuanjun@cqmu.edu.cn (J.Y.). Research Center for Medicine and Social Development, Chongqing Medical University, Chongqing 400016, China. The Innovation Center for Social Risk Governance in Health, Chongqing Medical University, Chongqing 400016, China; 4 Chongqing Key Laboratory of Child Nutrition and Health, Children’s Hospital of Chongqing Medical University, Chongqing 400014, China.
Yuzhao Zhu
Affiliation:
School of Public Health, Chongqing Medical University, Chongqing 400016, China; WenYaqi@stu.cqmu.edu.cn (Y.W.); 2021120819@stu.cqmu.edu.cn (L.Z.); 2019110981@stu.cqmu.edu.cn (S.L.); 2020111452@stu.cqmu.edu.cn(T.W.); 2021110631@stu.cqmu.edu.cn(K.J.); zlx@stu.cqmu.edu.cn(L.Z.); 2020121528@stu.cqmu.edu.cn(Y.Z); 2020111475@stu.cqmu.edu.cn (W.Z); leixun521@cqmu.edu.cn(X.L.); zhaoyong@cqmu.edu.cn (Y.Z.); yuanjun@cqmu.edu.cn (J.Y.). Research Center for Medicine and Social Development, Chongqing Medical University, Chongqing 400016, China. The Innovation Center for Social Risk Governance in Health, Chongqing Medical University, Chongqing 400016, China; 4 Chongqing Key Laboratory of Child Nutrition and Health, Children’s Hospital of Chongqing Medical University, Chongqing 400014, China.
Wen Zhao
Affiliation:
School of Public Health, Chongqing Medical University, Chongqing 400016, China; WenYaqi@stu.cqmu.edu.cn (Y.W.); 2021120819@stu.cqmu.edu.cn (L.Z.); 2019110981@stu.cqmu.edu.cn (S.L.); 2020111452@stu.cqmu.edu.cn(T.W.); 2021110631@stu.cqmu.edu.cn(K.J.); zlx@stu.cqmu.edu.cn(L.Z.); 2020121528@stu.cqmu.edu.cn(Y.Z); 2020111475@stu.cqmu.edu.cn (W.Z); leixun521@cqmu.edu.cn(X.L.); zhaoyong@cqmu.edu.cn (Y.Z.); yuanjun@cqmu.edu.cn (J.Y.). Research Center for Medicine and Social Development, Chongqing Medical University, Chongqing 400016, China. The Innovation Center for Social Risk Governance in Health, Chongqing Medical University, Chongqing 400016, China; 4 Chongqing Key Laboratory of Child Nutrition and Health, Children’s Hospital of Chongqing Medical University, Chongqing 400014, China.
Xun Lei
Affiliation:
School of Public Health, Chongqing Medical University, Chongqing 400016, China; WenYaqi@stu.cqmu.edu.cn (Y.W.); 2021120819@stu.cqmu.edu.cn (L.Z.); 2019110981@stu.cqmu.edu.cn (S.L.); 2020111452@stu.cqmu.edu.cn(T.W.); 2021110631@stu.cqmu.edu.cn(K.J.); zlx@stu.cqmu.edu.cn(L.Z.); 2020121528@stu.cqmu.edu.cn(Y.Z); 2020111475@stu.cqmu.edu.cn (W.Z); leixun521@cqmu.edu.cn(X.L.); zhaoyong@cqmu.edu.cn (Y.Z.); yuanjun@cqmu.edu.cn (J.Y.). Research Center for Medicine and Social Development, Chongqing Medical University, Chongqing 400016, China. The Innovation Center for Social Risk Governance in Health, Chongqing Medical University, Chongqing 400016, China; 4 Chongqing Key Laboratory of Child Nutrition and Health, Children’s Hospital of Chongqing Medical University, Chongqing 400014, China.
Manoj Sharma
Affiliation:
Social & Behavioral Health, School of Public Health, University of Nevada, Las Vegas, NV 891119, USA; manoj.sharma@unlv.edu (S.M.).
Yong Zhao
Affiliation:
School of Public Health, Chongqing Medical University, Chongqing 400016, China; WenYaqi@stu.cqmu.edu.cn (Y.W.); 2021120819@stu.cqmu.edu.cn (L.Z.); 2019110981@stu.cqmu.edu.cn (S.L.); 2020111452@stu.cqmu.edu.cn(T.W.); 2021110631@stu.cqmu.edu.cn(K.J.); zlx@stu.cqmu.edu.cn(L.Z.); 2020121528@stu.cqmu.edu.cn(Y.Z); 2020111475@stu.cqmu.edu.cn (W.Z); leixun521@cqmu.edu.cn(X.L.); zhaoyong@cqmu.edu.cn (Y.Z.); yuanjun@cqmu.edu.cn (J.Y.). Research Center for Medicine and Social Development, Chongqing Medical University, Chongqing 400016, China. The Innovation Center for Social Risk Governance in Health, Chongqing Medical University, Chongqing 400016, China; 4 Chongqing Key Laboratory of Child Nutrition and Health, Children’s Hospital of Chongqing Medical University, Chongqing 400014, China.
Zumin Shi
Affiliation:
Human Nutrition Department, College of Health Sciences, QU Health, Qatar University, Doha, Qatar; zumin@qu.edu.qa(S.Z.).
Jun Yuan*
Affiliation:
School of Public Health, Chongqing Medical University, Chongqing 400016, China; WenYaqi@stu.cqmu.edu.cn (Y.W.); 2021120819@stu.cqmu.edu.cn (L.Z.); 2019110981@stu.cqmu.edu.cn (S.L.); 2020111452@stu.cqmu.edu.cn(T.W.); 2021110631@stu.cqmu.edu.cn(K.J.); zlx@stu.cqmu.edu.cn(L.Z.); 2020121528@stu.cqmu.edu.cn(Y.Z); 2020111475@stu.cqmu.edu.cn (W.Z); leixun521@cqmu.edu.cn(X.L.); zhaoyong@cqmu.edu.cn (Y.Z.); yuanjun@cqmu.edu.cn (J.Y.). Research Center for Medicine and Social Development, Chongqing Medical University, Chongqing 400016, China.
*
Corresponding author: Yuan Jun, School of Public Health, Chongqing Medical University, Chongqing, China, yuanjun@cqmu.edu.cn (J.Y.), Tel: +86-130-0233-7303 (J.Y.).
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Abstract

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Objective:

We aimed to examine the association between dietary selenium (Se) intake and cardiovascular disease (CVD) risk in Chinese adults.

Design:

This prospective cohort study included adults above 20 years old in the China Health and Nutrition Survey (CHNS), and they were followed up from 1997 to 2015 (N = 16,030). Dietary data were retrieved from CHNS, and a 3-day, 24-hour recall of food intake was used to assess the cumulative average intake of dietary Se, which was divided into quartiles. The Cox proportional hazards model was adopted to analyse the association between dietary Se intake and incident CVD risk.

Setting:

CHNS (1991, 1993, 1997, 2000, 2004, 2006, 2009, 2011 and 2015)

Results:

A total of 663 respondents developed CVD after being followed up for a mean of 9.9 years (median 9 years). The incidence of CVD was 4.3, 3.7, 4.6 and 4.0 per 1000 person-years across the quartiles of cumulative Se intake. After adjusting all potential factors, no significant associations were found between cumulative Se intake and CVD risk. No interactions were found between Se intake and income, urbanisation, sex, region, weight, hypertension and CVD risk.

Conclusion:

We found no association between dietary Se and CVD.

Keywords

Dietary selenium intakecardiovascular diseaseimpactChina
Type
Research Paper
Information
Public Health Nutrition , Accepted manuscript , pp. 1 - 23
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.
Copyright
© The Authors 2024

Footnotes

1

These authors contributed equally to this work.

2

Mailing address: Chongqing Medical University, Chongqing 400016, China. Tel.: +86-130-0233-7303 (J.Y.). Email: yuanjun@cqmu.edu.cn (J.Y.).