PMID- 32676938 OWN - NLM STAT- MEDLINE DCOM- 20210618 LR - 20210618 IS - 1559-0720 (Electronic) IS - 0163-4984 (Linking) VI - 199 IP - 5 DP - 2021 May TI - Factors Influencing Selenium Concentration in Community-Dwelling Patients with Type 2 Diabetes Mellitus. PG - 1657-1663 LID - 10.1007/s12011-020-02283-9 [doi] AB - Selenium (Se) plays an important role in the pathogenesis of diabetes, and which factors affecting Se concentration in patients with type 2 diabetes mellitus (T2DM) are unknown. This study aimed to explore the factors influencing Se concentration in community-dwelling individuals with T2DM. A total of 176 patients with T2DM were involved, and their general information was collected through a self-designed questionnaire. Venous blood samples and hair samples were collected to detect Se concentration and biochemical parameters. Multiple linear regression and binary logistic regression analysis were used to analyze the factors influencing Se concentration in patients with T2DM. The factors influencing selenoprotein P concentration in patients with T2DM included alkaline phosphatase (beta = - 1.373; 95% CI: 0.087-0.736; P = 0.012), systolic blood pressure (SBP; beta = - 0.047; 95% CI: 0.930-0.978; P < 0.001), the duration of T2DM (beta = - 0.074; 95% CI: 0.877-0.983; P = 0.011), and clinical complications (beta = 1.237; 95% CI: 1.465-8.109; P = 0.005). The factors influencing glutathione peroxidase activity in patients with T2DM were creatinine (CREA; beta = - 0.378; P < 0.001), uric acid (beta = - 0.069; P = 0.009), body mass index (beta = - 2.177; P = 0.002), SBP (beta = - 0.275; P = 0.031), and medical payment (beta = 29.160; P < 0.001). The factors influencing serum Se concentration in patients with T2DM were albumin (beta = - 1.391; 95% CI: 0.065-0.959; P = 0.043) and CREA (beta = - 1.482; 95% CI: 0.072-0.718; P = 0.012). The factors influencing hair Se concentration in patients with T2DM were smoking (beta = - 1.151; 95% CI: 0.133-0.755; P = 0.010), drinking (beta = 1.366; 95% CI: 1.191-12.909; P = 0.025), and hair dyeing (beta = - 1.113; 95% CI: 0.124-0.867; P = 0.025). In conclusion, the Se concentration in patients with T2DM was mainly affected by liver and renal function. When liver and/or renal function was impaired, the Se concentration in patients with T2DM was decreased. FAU - Xi, Jing AU - Xi J AD - School of Nursing, Medical College, Soochow University, No.1 Shizi Street, Suzhou, 215006, China. FAU - Zhang, Qianqian AU - Zhang Q AD - School of Nursing, Medical College, Soochow University, No.1 Shizi Street, Suzhou, 215006, China. AD - The First Affiliated Hospital of Anhui Medical University, Hefei, 230022, China. FAU - Wang, Jian AU - Wang J AD - Research Center, Soochow Setek Biotechnology Co., Ltd, Suzhou, China. FAU - Guo, Renmei AU - Guo R AD - Research Center, Soochow Setek Biotechnology Co., Ltd, Suzhou, China. FAU - Wang, Li AU - Wang L AD - School of Nursing, Medical College, Soochow University, No.1 Shizi Street, Suzhou, 215006, China. li-wang-1@suda.edu.cn. LA - eng GR - BY2018179/Industry University Cooperation Research Project in Jiangsu Province/ PT - Journal Article DEP - 20200716 PL - United States TA - Biol Trace Elem Res JT - Biological trace element research JID - 7911509 RN - 0 (Selenoprotein P) RN - H6241UJ22B (Selenium) SB - IM MH - Body Mass Index MH - *Diabetes Mellitus, Type 2 MH - Humans MH - Independent Living MH - *Selenium MH - Selenoprotein P OTO - NOTNLM OT - Influencing factors OT - Selenium OT - Type 2 diabetes mellitus EDAT- 2020/07/18 06:00 MHDA- 2021/06/22 06:00 CRDT- 2020/07/18 06:00 PHST- 2020/04/25 00:00 [received] PHST- 2020/07/06 00:00 [accepted] PHST- 2020/07/18 06:00 [pubmed] PHST- 2021/06/22 06:00 [medline] PHST- 2020/07/18 06:00 [entrez] AID - 10.1007/s12011-020-02283-9 [pii] AID - 10.1007/s12011-020-02283-9 [doi] PST - ppublish SO - Biol Trace Elem Res. 2021 May;199(5):1657-1663. doi: 10.1007/s12011-020-02283-9. Epub 2020 Jul 16.