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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 PLoS+One
2015 ; 10
(12
): e0141641
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Reduced Cardiovascular Mortality 10 Years after Supplementation with Selenium and
Coenzyme Q10 for Four Years: Follow-Up Results of a Prospective Randomized
Double-Blind Placebo-Controlled Trial in Elderly Citizens
#MMPMID26624886
Alehagen U
; Aaseth J
; Johansson P
PLoS One
2015[]; 10
(12
): e0141641
PMID26624886
show ga
BACKGROUND: Selenium and coenzyme Q10 are important antioxidants in the body. As
the intake of selenium is low in Europe, and the endogenous production of
coenzyme Q10 decreases as age increases, an intervention trial using selenium and
coenzyme Q10 for four years was performed. As previously reported, the
intervention was accompanied by reduced cardiovascular mortality. The objective
of the present study was to analyze cardiovascular mortality for up to 10 years
after intervention, to evaluate if mortality differed in subgroups differentiated
by gender, diabetes, ischemic heart disease (IHD), and functional class. METHODS:
Four-hundred forty-three healthy elderly individuals were included from a rural
municipality in Sweden. All cardiovascular mortality was registered, and no
participant was lost to the follow-up. Based on death certificates and autopsy
results mortality was registered. FINDINGS: Significantly reduced cardiovascular
mortality could be seen in those on selenium and coenzyme Q10 intervention. A
multivariate Cox regression analysis demonstrated a reduced cardiovascular
mortality risk in the active treatment group (HR: 0.51; 95%CI 0.36-0.74; P =
0.0003). The reduced mortality could be seen to persist during the 10-year
period. Subgroup analysis showed positive effects in both genders. An equally
positive risk reduction could be seen in those with ischemic heart disease (HR:
0.51; 95%CI 0.27-0.97; P = 0.04), but also in the different functional classes.
CONCLUSIONS: In a 10-year follow-up of a group of healthy elderly participants
given four years of intervention with selenium and coenzyme Q10, significantly
reduced cardiovascular mortality was observed. The protective action was not
confined to the intervention period, but persisted during the follow-up period.
The mechanism explaining the persistency remains to be elucidated. Since this was
a small study, the observations should be regarded as hypothesis-generating.