PMID- 33883916 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220422 IS - 1178-7007 (Print) IS - 1178-7007 (Electronic) IS - 1178-7007 (Linking) VI - 14 DP - 2021 TI - The Involvement of Selenium in Type 2 Diabetes Development Related to Obesity and Low Grade Inflammation. PG - 1669-1680 LID - 10.2147/DMSO.S303146 [doi] AB - BACKGROUND: Effects of the micronutrient selenium have been proposed in obesity and type 2 diabetes mellitus (T2DM) that involve impairments in glucose metabolic pathways and the insulin signaling cascade, mediated through oxidative stress and inflammation. However, the evidence collected to date through animal and epidemiologic studies has been inconclusive. Therefore, in the present study, we aimed to evaluate the relationships of selenium status and inflammation with T2DM and obesity. METHODS: Participants in the re-survey of the Electricity Generating Authority of Thailand (EGAT)2 study conducted in 2013 (N=655, age 45-60 years) were allocated to three groups based on their body mass index (World Health Organization Asia-Pacific Classification), and their serum selenium and high-sensitivity C-reactive protein (hs-CRP) concentrations and other clinical parameters were compared. RESULTS: Significant differences in serum selenium and hs-CRP among the groups were associated with differences in fasting blood glucose and glycated hemoglobin, as well as differences in the prevalence of prediabetes or T2DM. The adjusted odds ratios (ORs) (95% confidence intervals) for prediabetes or diabetes were 1.991 (1.318-3.009) and 3.786 (2.087-6.896) for the lowest and highest tertiles of serum selenium concentration in the entire sample and obese participants, respectively. Furthermore, the rising extent of hs-CRP increased the significantly associated with prediabetes or diabetes (adjusted ORs; 2.268 for the entire sample, 4.043 for the overweight and 1.910 for the obesity). CONCLUSION: Selenium status may be linked to both obesity and T2DM through its effects on signaling pathways. Further nutrigenomic studies are required to clarify the relationship between selenium and metabolic diseases. CI - (c) 2021 Wongdokmai et al. FAU - Wongdokmai, Rossukon AU - Wongdokmai R AD - Doctoral Program in Nutrition, Faculty of Medicine Ramathibodi Hospital and Institute of Nutrition, Mahidol University, Bangkok, Thailand. FAU - Shantavasinkul, Prapimporn Chattranukulchai AU - Shantavasinkul PC AD - Department of Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand. FAU - Chanprasertyothin, Suwannee AU - Chanprasertyothin S AD - Research & Innovation, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand. FAU - Panpunuan, Pachara AU - Panpunuan P AD - Department of Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand. FAU - Matchariyakul, Dujrudee AU - Matchariyakul D AD - Health Office, Electricity Generating Authority of Thailand, Bangkok, Thailand. FAU - Sritara, Piyamitr AU - Sritara P AD - Department of Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand. FAU - Sirivarasai, Jintana AU - Sirivarasai J AD - Graduate Program in Nutrition, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand. LA - eng PT - Journal Article DEP - 20210414 PL - New Zealand TA - Diabetes Metab Syndr Obes JT - Diabetes, metabolic syndrome and obesity : targets and therapy JID - 101515585 PMC - PMC8055366 OTO - NOTNLM OT - chronic inflammation OT - high sensitivity C-reactive protein OT - obesity OT - serum selenium OT - type 2 diabetes mellitus COIS- The authors report no conflicts of interest associated with this work. EDAT- 2021/04/23 06:00 MHDA- 2021/04/23 06:01 PMCR- 2021/04/14 CRDT- 2021/04/22 06:42 PHST- 2021/01/21 00:00 [received] PHST- 2021/03/24 00:00 [accepted] PHST- 2021/04/22 06:42 [entrez] PHST- 2021/04/23 06:00 [pubmed] PHST- 2021/04/23 06:01 [medline] PHST- 2021/04/14 00:00 [pmc-release] AID - 303146 [pii] AID - 10.2147/DMSO.S303146 [doi] PST - epublish SO - Diabetes Metab Syndr Obes. 2021 Apr 14;14:1669-1680. doi: 10.2147/DMSO.S303146. eCollection 2021.