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Published in: BMC Psychiatry 1/2012

Open Access 01-12-2012 | Research article

Selenium level and depressive symptoms in a rural elderly Chinese cohort

Authors: Sujuan Gao, Yinlong Jin, Frederick W Unverzagt, Chaoke Liang, Kathleen S Hall, Jingxiang Cao, Feng Ma, Jill R Murrell, Yibin Cheng, Ping Li, Jianchao Bian, Hugh C Hendrie

Published in: BMC Psychiatry | Issue 1/2012

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Abstract

Background

Selenium is considered a protective agent against free radicals through the maintenance of better enzyme activity. The few studies examining the relationship between selenium and depression have yielded inconsistent results and none of these studies considered the role of cognitive function in this context.

Methods

A cross-sectional evaluation of 1737 rural Chinese age 65 and over from two provinces in China was conducted. Depressive symptoms were assessed using the Geriatric Depression Scale (GDS). Cognitive function was assessed using various cognitive instruments. Selenium measures were obtained from nail samples. Other information collected included demographic characteristics and medical history. Analysis of covariance models were used to identify factors associated with GDS score.

Results

Higher selenium levels were associated with lower GDS scores adjusting for demographic and medical conditions (p = 0.0321). However, the association between selenium and depressive symptoms was no longer significant when cognitive function score was adjusted in the model (p = 0.2143).

Conclusions

Higher selenium level was associated with lower depressive symptoms without adjusting for cognition in this cohort. However, after cognition was adjusted in the model the association between selenium and depressive symptoms was no longer significant, suggesting that selenium’s association with depressive symptoms may be primarily through its association with cognitive function.
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Literature
1.
go back to reference Benton D, Cook R: The impact of selenium supplementation on mood. Biol Psychiatry. 1991, 29 (11): 1092-8. 10.1016/0006-3223(91)90251-G.CrossRefPubMed Benton D, Cook R: The impact of selenium supplementation on mood. Biol Psychiatry. 1991, 29 (11): 1092-8. 10.1016/0006-3223(91)90251-G.CrossRefPubMed
2.
go back to reference Hawkes WC, Hornbostel L: Effects of dietary selenium on mood in healthy men living in a metabolic research unit. Biol Psychiatry. 1996, 39 (2): 121-8. 10.1016/0006-3223(95)00085-2.CrossRefPubMed Hawkes WC, Hornbostel L: Effects of dietary selenium on mood in healthy men living in a metabolic research unit. Biol Psychiatry. 1996, 39 (2): 121-8. 10.1016/0006-3223(95)00085-2.CrossRefPubMed
3.
go back to reference Finley JW, Penland JG: Adequacy or deprivation of dietary selenium in healthy men clinical and psychological findings. J Trace Elem Exp Med. 1998, 11: 1-27. 10.1002/(SICI)1520-670X(1998)11:1<1::AID-JTRA1>3.0.CO;2-G.CrossRef Finley JW, Penland JG: Adequacy or deprivation of dietary selenium in healthy men clinical and psychological findings. J Trace Elem Exp Med. 1998, 11: 1-27. 10.1002/(SICI)1520-670X(1998)11:1<1::AID-JTRA1>3.0.CO;2-G.CrossRef
4.
go back to reference Gosney MA, Hammond MF, Shenkin A, Allsup S: Effect of micronutrient supplementation on mood in nursing home residents. Gerontology. 2008, 54 (5): 292-9. 10.1159/000131886.CrossRefPubMed Gosney MA, Hammond MF, Shenkin A, Allsup S: Effect of micronutrient supplementation on mood in nursing home residents. Gerontology. 2008, 54 (5): 292-9. 10.1159/000131886.CrossRefPubMed
5.
go back to reference Rayman M, Thompson A, Warren-Perry M, Galassini R, Catterick J, Hall E, et al: Impact of selenium on mood and quality of life: a randomized, controlled trial. Biol Psychiatry. 2006, 59 (2): 147-54. 10.1016/j.biopsych.2005.06.019.CrossRefPubMed Rayman M, Thompson A, Warren-Perry M, Galassini R, Catterick J, Hall E, et al: Impact of selenium on mood and quality of life: a randomized, controlled trial. Biol Psychiatry. 2006, 59 (2): 147-54. 10.1016/j.biopsych.2005.06.019.CrossRefPubMed
6.
go back to reference Buckman TD, Sutphin MS, Eckhert CD: A comparison of the effects of dietary selenium on selenoprotein expression in rat brain and liver. Biochim Biophys Acta. 1993, 1163 (2): 176-84. 10.1016/0167-4838(93)90179-U.CrossRefPubMed Buckman TD, Sutphin MS, Eckhert CD: A comparison of the effects of dietary selenium on selenoprotein expression in rat brain and liver. Biochim Biophys Acta. 1993, 1163 (2): 176-84. 10.1016/0167-4838(93)90179-U.CrossRefPubMed
7.
go back to reference Behne D, Kyriakopoulos A: Mammalian selenium-containing proteins. Annu Rev Nutr. 2001, 21: 453-73. 10.1146/annurev.nutr.21.1.453.CrossRefPubMed Behne D, Kyriakopoulos A: Mammalian selenium-containing proteins. Annu Rev Nutr. 2001, 21: 453-73. 10.1146/annurev.nutr.21.1.453.CrossRefPubMed
8.
go back to reference Gao S, Jin Y, Hall KS, Liang C, Unverzagt FW, Ji R, et al: Selenium level and cognitive function in rural elderly Chinese. Am J Epidemiol. 2007, 165 (8): 955-65. 10.1093/aje/kwk073.CrossRefPubMedPubMedCentral Gao S, Jin Y, Hall KS, Liang C, Unverzagt FW, Ji R, et al: Selenium level and cognitive function in rural elderly Chinese. Am J Epidemiol. 2007, 165 (8): 955-65. 10.1093/aje/kwk073.CrossRefPubMedPubMedCentral
9.
go back to reference World Health Organization: Selenium. Environmental Health Criteria 58: A report of the international Programme on Chemical Safety. 1987, World Health Organization, Geneva World Health Organization: Selenium. Environmental Health Criteria 58: A report of the international Programme on Chemical Safety. 1987, World Health Organization, Geneva
10.
go back to reference Yesavage JA, Brink TL, Rose TL, Lum O, Huang V, Adey M, et al: Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res. 1982, 17 (1): 37-49. 10.1016/0022-3956(82)90033-4.CrossRefPubMed Yesavage JA, Brink TL, Rose TL, Lum O, Huang V, Adey M, et al: Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res. 1982, 17 (1): 37-49. 10.1016/0022-3956(82)90033-4.CrossRefPubMed
11.
go back to reference Baiyewu O, Smith-Gamble V, Lane KA, Gureje O, Gao S, Ogunniyi A, et al: Prevalence estimates of depression in elderly community-dwelling African Americans in Indianapolis and Yoruba in Ibadan, Nigeria. International psychogeriatrics/IPA. 2007, 19 (4): 679-89. 10.1017/S1041610207005480.CrossRefPubMedPubMedCentral Baiyewu O, Smith-Gamble V, Lane KA, Gureje O, Gao S, Ogunniyi A, et al: Prevalence estimates of depression in elderly community-dwelling African Americans in Indianapolis and Yoruba in Ibadan, Nigeria. International psychogeriatrics/IPA. 2007, 19 (4): 679-89. 10.1017/S1041610207005480.CrossRefPubMedPubMedCentral
12.
go back to reference Chan AC: Clinical validation of the Geriatric Depression Scale (GDS): Chinese version. J Aging Health. 1996, 8 (2): 238-53. 10.1177/089826439600800205.CrossRefPubMed Chan AC: Clinical validation of the Geriatric Depression Scale (GDS): Chinese version. J Aging Health. 1996, 8 (2): 238-53. 10.1177/089826439600800205.CrossRefPubMed
13.
go back to reference Radloff L: The CES-D Scale: a self-report depression scale for research in the general population. Appl Pshchol Meas. 1977, 1: 385-401. 10.1177/014662167700100306.CrossRef Radloff L: The CES-D Scale: a self-report depression scale for research in the general population. Appl Pshchol Meas. 1977, 1: 385-401. 10.1177/014662167700100306.CrossRef
14.
go back to reference Li M, Cao J, Sun S: Micro-fluoremetric determination of trace amount of selenium in blood, hair and milk powder. Chinese Journal of Public Health. 1991, 10: 306-8. Li M, Cao J, Sun S: Micro-fluoremetric determination of trace amount of selenium in blood, hair and milk powder. Chinese Journal of Public Health. 1991, 10: 306-8.
15.
go back to reference Morris JC, Heyman A, Mohs RC, Hughes JP, van Belle G, Fillenbaum G, et al: The Consortium to Establish a Registry for Alzheimer's Disease (CERAD). Part I. Clinical and neuropsychological assessment of Alzheimer's disease. Neurology. 1989, 39 (9): 1159-65.PubMed Morris JC, Heyman A, Mohs RC, Hughes JP, van Belle G, Fillenbaum G, et al: The Consortium to Establish a Registry for Alzheimer's Disease (CERAD). Part I. Clinical and neuropsychological assessment of Alzheimer's disease. Neurology. 1989, 39 (9): 1159-65.PubMed
16.
go back to reference Isaacs B, Akhtar AJ: The set test: a rapid test of mental function in old people. Age Ageing. 1972, 1 (4): 222-6. 10.1093/ageing/1.4.222.CrossRefPubMed Isaacs B, Akhtar AJ: The set test: a rapid test of mental function in old people. Age Ageing. 1972, 1 (4): 222-6. 10.1093/ageing/1.4.222.CrossRefPubMed
17.
go back to reference Hall KS, Ogunniyi AO, Hendrie HC, Osuntokun BO, Hui SL, Musick BS, et al: A cross-cultural community based study of dementias: methods and performance of the survey instrument: Indianapolis, U.S.A. and Ibadan, Nigeria. Int J Methods Psychiatr Res. 1996, 6: 129-42. 10.1002/(SICI)1234-988X(199610)6:3<129::AID-MPR164>3.3.CO;2-A.CrossRef Hall KS, Ogunniyi AO, Hendrie HC, Osuntokun BO, Hui SL, Musick BS, et al: A cross-cultural community based study of dementias: methods and performance of the survey instrument: Indianapolis, U.S.A. and Ibadan, Nigeria. Int J Methods Psychiatr Res. 1996, 6: 129-42. 10.1002/(SICI)1234-988X(199610)6:3<129::AID-MPR164>3.3.CO;2-A.CrossRef
18.
go back to reference Hall KS, Gao S, Emsley CL, Ogunniyi AO, Morgan O, Hendrie HC: Community screening interview for dementia (CSI 'D'); performance in five disparate study sites. Int J Geriatr Psychiatry. 2000, 15 (6): 521-31. 10.1002/1099-1166(200006)15:6<521::AID-GPS182>3.0.CO;2-F.CrossRefPubMed Hall KS, Gao S, Emsley CL, Ogunniyi AO, Morgan O, Hendrie HC: Community screening interview for dementia (CSI 'D'); performance in five disparate study sites. Int J Geriatr Psychiatry. 2000, 15 (6): 521-31. 10.1002/1099-1166(200006)15:6<521::AID-GPS182>3.0.CO;2-F.CrossRefPubMed
19.
go back to reference Yamamoto K, Evans JD, Johnson KE, Unverzagt FW: Clinical utility of IU Token Test in the diagnosis of dementia. J Int Neuropsychol Soc. 2003, 9: 316- Yamamoto K, Evans JD, Johnson KE, Unverzagt FW: Clinical utility of IU Token Test in the diagnosis of dementia. J Int Neuropsychol Soc. 2003, 9: 316-
20.
go back to reference Prince M, Acosta D, Chiu H, Scazufca M, Varghese M: Dementia diagnosis in developing countries: a cross-cultural validation study. Lancet. 2003, 361 (9361): 909-17. 10.1016/S0140-6736(03)12772-9.CrossRefPubMed Prince M, Acosta D, Chiu H, Scazufca M, Varghese M: Dementia diagnosis in developing countries: a cross-cultural validation study. Lancet. 2003, 361 (9361): 909-17. 10.1016/S0140-6736(03)12772-9.CrossRefPubMed
21.
go back to reference Yang M, Hendrie HC, Hall KS, Oluwole OS, Hodes ME, Sahota A: Improved procedure for eluting DNA from dried blood spots. Clin Chem. 1996, 42 (7): 1115-6.PubMed Yang M, Hendrie HC, Hall KS, Oluwole OS, Hodes ME, Sahota A: Improved procedure for eluting DNA from dried blood spots. Clin Chem. 1996, 42 (7): 1115-6.PubMed
22.
go back to reference Hixson JE, Vernier DT: Restriction isotyping of human apolipoprotein E by gene amplification and cleavage with HhaI. J Lipid Res. 1990, 31 (3): 545-8.PubMed Hixson JE, Vernier DT: Restriction isotyping of human apolipoprotein E by gene amplification and cleavage with HhaI. J Lipid Res. 1990, 31 (3): 545-8.PubMed
23.
go back to reference Blom G: Statistical Estimates and Transformed Beta Variables. 1958, Wiley, New York Blom G: Statistical Estimates and Transformed Beta Variables. 1958, Wiley, New York
24.
go back to reference Stampfer MJ, Kang JH, Chen J, Cherry R, Grodstein F: Effects of moderate alcohol consumption on cognitive function in women. N Engl J Med. 2005, 352 (3): 245-53. 10.1056/NEJMoa041152.CrossRefPubMed Stampfer MJ, Kang JH, Chen J, Cherry R, Grodstein F: Effects of moderate alcohol consumption on cognitive function in women. N Engl J Med. 2005, 352 (3): 245-53. 10.1056/NEJMoa041152.CrossRefPubMed
25.
go back to reference Wilson RS, Mendes De Leon CF, Bennett DA, Bienias JL, Evans DA: Depressive symptoms and cognitive decline in a community population of older persons. J Neurol Neurosurg Psychiatry. 2004, 75 (1): 126-129.PubMedPubMedCentral Wilson RS, Mendes De Leon CF, Bennett DA, Bienias JL, Evans DA: Depressive symptoms and cognitive decline in a community population of older persons. J Neurol Neurosurg Psychiatry. 2004, 75 (1): 126-129.PubMedPubMedCentral
26.
go back to reference Mokhber N, Namjoo M, Tara F, Boskabadi H, Rayman MP, Ghayour-Mobarhan M, et al: Effect of supplementation with selenium on postpartum depression: a randomized double-blind placebo-controlled trial. J Matern Fetal Neonatal Med. 2011, 24 (1): 104-8. 10.3109/14767058.2010.482598.CrossRefPubMed Mokhber N, Namjoo M, Tara F, Boskabadi H, Rayman MP, Ghayour-Mobarhan M, et al: Effect of supplementation with selenium on postpartum depression: a randomized double-blind placebo-controlled trial. J Matern Fetal Neonatal Med. 2011, 24 (1): 104-8. 10.3109/14767058.2010.482598.CrossRefPubMed
27.
go back to reference Behne D, Hilmert H, Scheid S, Gessner H, Elger W: Evidence for specific selenium target tissues and new biologically important selenoproteins. Biochem Biophys Acta. 1988, 966: 12-21. 10.1016/0304-4165(88)90123-7.CrossRefPubMed Behne D, Hilmert H, Scheid S, Gessner H, Elger W: Evidence for specific selenium target tissues and new biologically important selenoproteins. Biochem Biophys Acta. 1988, 966: 12-21. 10.1016/0304-4165(88)90123-7.CrossRefPubMed
28.
go back to reference Yang GQ, Xia YM: Studies on human dietary requirements and safe range of dietary intakes of selenium in China and their application in the prevention of related endemic diseases. Biomed Environ Sci. 1995, 8 (3): 187-201.PubMed Yang GQ, Xia YM: Studies on human dietary requirements and safe range of dietary intakes of selenium in China and their application in the prevention of related endemic diseases. Biomed Environ Sci. 1995, 8 (3): 187-201.PubMed
29.
go back to reference Castano A, Ayala A, Rodriguez-Gomez JA, Herrera AJ, Cano J, Machado A: Low selenium diet increases the dopamine turnover in prefrontal cortex of the rat. Neurochem Int. 1997, 30 (6): 549-55. 10.1016/S0197-0186(96)00123-4.CrossRefPubMed Castano A, Ayala A, Rodriguez-Gomez JA, Herrera AJ, Cano J, Machado A: Low selenium diet increases the dopamine turnover in prefrontal cortex of the rat. Neurochem Int. 1997, 30 (6): 549-55. 10.1016/S0197-0186(96)00123-4.CrossRefPubMed
30.
go back to reference Zafar KS, Siddiqui A, Sayeed I, Ahmad M, Salim S, Islam F: Dose-dependent protective effect of selenium in rat model of Parkinson's disease: neurobehavioral and neurochemical evidences. J Neurochem. 2003, 84 (3): 438-46. 10.1046/j.1471-4159.2003.01531.x.CrossRefPubMed Zafar KS, Siddiqui A, Sayeed I, Ahmad M, Salim S, Islam F: Dose-dependent protective effect of selenium in rat model of Parkinson's disease: neurobehavioral and neurochemical evidences. J Neurochem. 2003, 84 (3): 438-46. 10.1046/j.1471-4159.2003.01531.x.CrossRefPubMed
31.
go back to reference Crack PJ, Taylor JM, Flentjar NJ, de Haan J, Hertzog P, Iannello RC, et al: Increased infarct size and exacerbated apoptosis in the glutathione peroxidase-1 (Gpx-1) knockout mouse brain in response to ischemia/reperfusion injury. J Neurochem. 2001, 78 (6): 1389-99. 10.1046/j.1471-4159.2001.00535.x.CrossRefPubMed Crack PJ, Taylor JM, Flentjar NJ, de Haan J, Hertzog P, Iannello RC, et al: Increased infarct size and exacerbated apoptosis in the glutathione peroxidase-1 (Gpx-1) knockout mouse brain in response to ischemia/reperfusion injury. J Neurochem. 2001, 78 (6): 1389-99. 10.1046/j.1471-4159.2001.00535.x.CrossRefPubMed
32.
go back to reference Dalla Puppa L, Savaskan NE, Brauer AU, Behne D, Kyriakopoulos A: The role of selenite on microglial migration. Ann N Y Acad Sci. 2007, 1096: 179-183. 10.1196/annals.1397.084.CrossRefPubMed Dalla Puppa L, Savaskan NE, Brauer AU, Behne D, Kyriakopoulos A: The role of selenite on microglial migration. Ann N Y Acad Sci. 2007, 1096: 179-183. 10.1196/annals.1397.084.CrossRefPubMed
33.
go back to reference Xiong S, Markesbery WR, Shao C, Lovell MA: Seleno-L-methionine protects against beta-amyloid and iron/hydrogen peroxide-mediated neuron death. Antioxid Redox Signal. 2007, 9 (4): 457-67. 10.1089/ars.2006.1363.CrossRefPubMed Xiong S, Markesbery WR, Shao C, Lovell MA: Seleno-L-methionine protects against beta-amyloid and iron/hydrogen peroxide-mediated neuron death. Antioxid Redox Signal. 2007, 9 (4): 457-67. 10.1089/ars.2006.1363.CrossRefPubMed
34.
go back to reference Weber GF, Maertens P, Meng XZ, Pippenger CE: Glutathione peroxidase deficiency and childhood seizures. Lancet. 1991, 337 (8755): 1443-4. 10.1016/0140-6736(91)93130-2.CrossRefPubMed Weber GF, Maertens P, Meng XZ, Pippenger CE: Glutathione peroxidase deficiency and childhood seizures. Lancet. 1991, 337 (8755): 1443-4. 10.1016/0140-6736(91)93130-2.CrossRefPubMed
35.
go back to reference Ramaekers VT, Calomme M, Vanden Berghe D, Makropoulos W: Selenium deficiency triggering intractable seizures. Neuropediatrics. 1994, 25 (4): 217-23. 10.1055/s-2008-1073025.CrossRefPubMed Ramaekers VT, Calomme M, Vanden Berghe D, Makropoulos W: Selenium deficiency triggering intractable seizures. Neuropediatrics. 1994, 25 (4): 217-23. 10.1055/s-2008-1073025.CrossRefPubMed
36.
go back to reference Maes M, Mihaylova I, Kubera M, Uytterhoeven M, Vrydags N, Bosmans E: Lower whole blood glutathione peroxidase (GPX) activity in depression, but not in myalgic encephalomyelitis/chronic fatigue syndrome: another pathway that may be associated with coronary artery disease and neuroprogression in depression. Neuro Endocrinol Lett. 2011, 32 (2): 133-40.PubMed Maes M, Mihaylova I, Kubera M, Uytterhoeven M, Vrydags N, Bosmans E: Lower whole blood glutathione peroxidase (GPX) activity in depression, but not in myalgic encephalomyelitis/chronic fatigue syndrome: another pathway that may be associated with coronary artery disease and neuroprogression in depression. Neuro Endocrinol Lett. 2011, 32 (2): 133-40.PubMed
37.
go back to reference Steffens DC, Otey E, Alexopoulos GS, Butters MA, Cuthbert B, Ganguli M, et al: Perspectives on depression, mild cognitive impairment, and cognitive decline. Arch Gen Psychiatry. 2006, 63 (2): 130-8. 10.1001/archpsyc.63.2.130.CrossRefPubMed Steffens DC, Otey E, Alexopoulos GS, Butters MA, Cuthbert B, Ganguli M, et al: Perspectives on depression, mild cognitive impairment, and cognitive decline. Arch Gen Psychiatry. 2006, 63 (2): 130-8. 10.1001/archpsyc.63.2.130.CrossRefPubMed
38.
go back to reference Ganguli M, Du Y, Dodge HH, Ratcliff GG, Chang CC: Depressive symptoms and cognitive decline in late life: a prospective epidemiological study. Arch Gen Psychiatry. 2006, 63 (2): 153-60. 10.1001/archpsyc.63.2.153.CrossRefPubMed Ganguli M, Du Y, Dodge HH, Ratcliff GG, Chang CC: Depressive symptoms and cognitive decline in late life: a prospective epidemiological study. Arch Gen Psychiatry. 2006, 63 (2): 153-60. 10.1001/archpsyc.63.2.153.CrossRefPubMed
Metadata
Title
Selenium level and depressive symptoms in a rural elderly Chinese cohort
Authors
Sujuan Gao
Yinlong Jin
Frederick W Unverzagt
Chaoke Liang
Kathleen S Hall
Jingxiang Cao
Feng Ma
Jill R Murrell
Yibin Cheng
Ping Li
Jianchao Bian
Hugh C Hendrie
Publication date
01-12-2012
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2012
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/1471-244X-12-72

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