The risk of selenium deficiency in Malawi is large and varies over multiple spatial scales

Abstract Selenium (Se) is an essential human micronutrient. Deficiency of Se decreases the activity of selenoproteins and can compromise immune and thyroid function and cognitive development, and increase risks from non-communicable diseases. The prevalence of Se deficiency is unknown in many countr...

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Autores principales: Felix P. Phiri, E. Louise Ander, Elizabeth H. Bailey, Benson Chilima, Allan D. C. Chilimba, Jellita Gondwe, Edward J. M. Joy, Alexander A. Kalimbira, Diriba B. Kumssa, R. Murray Lark, John C. Phuka, Andrew Salter, Parminder S. Suchdev, Michael J. Watts, Scott D. Young, Martin R. Broadley
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Publicado: Nature Portfolio 2019
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spelling oai:doaj.org-article:ccfebc51ff624e77b58b4c0b9028c7e42021-12-02T15:09:40ZThe risk of selenium deficiency in Malawi is large and varies over multiple spatial scales10.1038/s41598-019-43013-z2045-2322https://doaj.org/article/ccfebc51ff624e77b58b4c0b9028c7e42019-04-01T00:00:00Zhttps://doi.org/10.1038/s41598-019-43013-zhttps://doaj.org/toc/2045-2322Abstract Selenium (Se) is an essential human micronutrient. Deficiency of Se decreases the activity of selenoproteins and can compromise immune and thyroid function and cognitive development, and increase risks from non-communicable diseases. The prevalence of Se deficiency is unknown in many countries, especially in sub-Saharan Africa (SSA). Here we report that the risk of Se deficiency in Malawi is large among a nationally representative population of 2,761 people. For example, 62.5% and 29.6% of women of reproductive age (WRA, n = 802) had plasma Se concentrations below the thresholds for the optimal activity of the selenoproteins glutathione peroxidase 3 (GPx3; <86.9 ng mL−1) and iodothyronine deiodinase (IDI; <64.8 ng mL−1), respectively. This is the first nationally representative evidence of widespread Se deficiency in SSA. Geostatistical modelling shows that Se deficiency risks are influenced by soil type, and also by proximity to Lake Malawi where more fish is likely to be consumed. Selenium deficiency should be quantified more widely in existing national micronutrient surveillance programmes in SSA given the marginal additional cost this would incur.Felix P. PhiriE. Louise AnderElizabeth H. BaileyBenson ChilimaAllan D. C. ChilimbaJellita GondweEdward J. M. JoyAlexander A. KalimbiraDiriba B. KumssaR. Murray LarkJohn C. PhukaAndrew SalterParminder S. SuchdevMichael J. WattsScott D. YoungMartin R. BroadleyNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 9, Iss 1, Pp 1-8 (2019)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Felix P. Phiri
E. Louise Ander
Elizabeth H. Bailey
Benson Chilima
Allan D. C. Chilimba
Jellita Gondwe
Edward J. M. Joy
Alexander A. Kalimbira
Diriba B. Kumssa
R. Murray Lark
John C. Phuka
Andrew Salter
Parminder S. Suchdev
Michael J. Watts
Scott D. Young
Martin R. Broadley
The risk of selenium deficiency in Malawi is large and varies over multiple spatial scales
description Abstract Selenium (Se) is an essential human micronutrient. Deficiency of Se decreases the activity of selenoproteins and can compromise immune and thyroid function and cognitive development, and increase risks from non-communicable diseases. The prevalence of Se deficiency is unknown in many countries, especially in sub-Saharan Africa (SSA). Here we report that the risk of Se deficiency in Malawi is large among a nationally representative population of 2,761 people. For example, 62.5% and 29.6% of women of reproductive age (WRA, n = 802) had plasma Se concentrations below the thresholds for the optimal activity of the selenoproteins glutathione peroxidase 3 (GPx3; <86.9 ng mL−1) and iodothyronine deiodinase (IDI; <64.8 ng mL−1), respectively. This is the first nationally representative evidence of widespread Se deficiency in SSA. Geostatistical modelling shows that Se deficiency risks are influenced by soil type, and also by proximity to Lake Malawi where more fish is likely to be consumed. Selenium deficiency should be quantified more widely in existing national micronutrient surveillance programmes in SSA given the marginal additional cost this would incur.
format article
author Felix P. Phiri
E. Louise Ander
Elizabeth H. Bailey
Benson Chilima
Allan D. C. Chilimba
Jellita Gondwe
Edward J. M. Joy
Alexander A. Kalimbira
Diriba B. Kumssa
R. Murray Lark
John C. Phuka
Andrew Salter
Parminder S. Suchdev
Michael J. Watts
Scott D. Young
Martin R. Broadley
author_facet Felix P. Phiri
E. Louise Ander
Elizabeth H. Bailey
Benson Chilima
Allan D. C. Chilimba
Jellita Gondwe
Edward J. M. Joy
Alexander A. Kalimbira
Diriba B. Kumssa
R. Murray Lark
John C. Phuka
Andrew Salter
Parminder S. Suchdev
Michael J. Watts
Scott D. Young
Martin R. Broadley
author_sort Felix P. Phiri
title The risk of selenium deficiency in Malawi is large and varies over multiple spatial scales
title_short The risk of selenium deficiency in Malawi is large and varies over multiple spatial scales
title_full The risk of selenium deficiency in Malawi is large and varies over multiple spatial scales
title_fullStr The risk of selenium deficiency in Malawi is large and varies over multiple spatial scales
title_full_unstemmed The risk of selenium deficiency in Malawi is large and varies over multiple spatial scales
title_sort risk of selenium deficiency in malawi is large and varies over multiple spatial scales
publisher Nature Portfolio
publishDate 2019
url https://doaj.org/article/ccfebc51ff624e77b58b4c0b9028c7e4
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