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Record W2912199631 · doi:10.1161/circ.135.suppl_1.16

Abstract 16: Effect of Long-Term Selenium Supplementation on Mortality: Results From a Multiple-Dose Randomised Controlled Trial

2017· article· en· W2912199631 on OpenAlexaff
Margaret P. Rayman, Kristian Hillert Winther, Roberto Pastor‐Barriuso, Frederick Cold, Marianne Thvilum, Saverio Stranges, Eliseo Güallar, Søren Cold

Bibliographic record

VenueCirculation · 2017
Typearticle
Languageen
FieldNursing
TopicSelenium in Biological Systems
Canadian institutionsWestern University
Fundersnot available
KeywordsMedicineHazard ratioPlaceboConfidence intervalInternal medicineSeleniumPopulationRandomized controlled trialGastroenterology

Abstract

fetched live from OpenAlex

Background: Selenium (Se) is an essential trace element that is incorporated into selenoproteins with a wide range of health effects. The concentration of selenoproteins plateaus at plasma Se concentrations ~125 μg/L, however, and it is unclear whether Se supplementation is beneficial above this plateau. Methods: In a double-blind, randomized, controlled trial of Se supplementation and mortality in Denmark, a population of moderately-low Se status, 491 men and women, 60-74 years of age, were treated with 100, 200, or 300 μg Se/d as Se-enriched yeast or placebo-yeast. From 2008-2009, active treatment was provided for 5 years and post-treatment follow-up for 10 additional years. During 6,871 person-years of follow-up, there were 158 deaths (31 during active treatment and 127 after treatment cessation). Results: The hazard ratio (95% confidence interval [CI]) for all-cause mortality comparing 300 μg Se/d to placebo was 1.62 (0.66 to 3.96) after 5 years of treatment and 1.59 (1.02 to 2.46) over the entire follow-up. Se doses of 100 and 200 μg/d non-significantly decreased mortality during the intervention period but their effects vanished after treatment cessation. The effects on cancer and cardiovascular mortality were similar but less precise than on all-cause mortality. Conclusions: A dose of 300 μg/d of Se (as high-Se yeast) taken for five years in a country with moderately-low Se status increased all-cause mortality 10 years later. Lower doses showed a non-significant reduction in mortality which dissipated after treatment discontinuation. Total Se intake (diet plus supplements) over 300 μg/d should be avoided.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.004
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Randomized trial · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.255
Threshold uncertainty score0.773

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.004
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.049
GPT teacher head0.340
Teacher spread0.291 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designRandomized trial
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations2
Published2017
Admission routes1
Has abstractyes

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