American Journal of Epidemiology Vol. 122, No. 2: 276-282
Copyright © 1985 by The Johns Hopkins University School of Hygiene and Public Health
research-article |
SERUM SELENIUM AND THE RISK OF CORONARY HEART DISEASE AND STROKE
1National Public Health Institute, Mannerheimintie 166, SF-00280 Helsinki, Finland
2Research Department, Finnish Heart Association Helsinki, Finland
Reprint requests to Dr. Jarmo Virtamo
The association between serum selenium concentration and five-year risk of cardiovascular disease was studied in 1,110 men aged 55 to 74 years in two rural areas of Finland. In the total cohort, all-cause and cardiovascular deaths were associated significantly with serum selenium of less than 45 µg/liter, an adjusted relative risk of 1.4 (95% confidence interval (Cl), 1.02.0, p<0.05) and 1.6 (957percnt; Cl, 1.12.3, p<0.05), respectively. Among men free of coronary heart disease at the outset, these associations were of similar magnitude but did not attain statistical significance. Among men free of stroke at the outset, low serum selenium was associated significantly with stroke mortality, an adjusted relative risk of 3.7 (95% Cl, 1.013.1). The associations of coronary deaths and myocardial infarctions with low serum selenium were nonsignificant.
cerebrovascular disorders; coronary disease; selenium
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