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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2019
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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) |
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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 |
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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 |
work_keys_str_mv |
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