Evidence map›Paper›PMID 41426996›Full record

ReviewFrontiers in neurology2025

Relationship between selenium intake, circulating selenium levels, and stroke: a systematic review and meta-analysis.

Yanyan Li, Rui Ding, Xiaorui Pei, Peng Gao, Ziqi Liu, Lifeng Piao

Abstract readReview
In one paragraph

Review in Frontiers in neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Yanyan Li *Department of Neurology Ward, Chaoyang Central Hospital of China Medical University, Chaoyang, Liaoning, China.
Rui Ding *Department of Molecular Biology Laboratory, Chaoyang Central Hospital of China Medical University, Chaoyang, Liaoning, China.
Xiaorui PeiDepartment of Neurology Ward, Chaoyang Central Hospital of China Medical University, Chaoyang, Liaoning, China.
Peng GaoDepartment of Reproductive Medicine, Chaoyang Central Hospital of China Medical University, Chaoyang, Liaoning, China.
Ziqi LiuXinhua Clinical College, Dalian University, Dalian, Liaoning, China.
Lifeng PiaoDepartment of Respiratory Ward, Chaoyang Central Hospital of China Medical University, Chaoyang, Liaoning, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Ischemic stroke represents the most prevalent form of cerebrovascular disease, which has a significant impact on people's quality of life. Selenium is a crucial trace mineral with potential relevance for the prevention of cerebrovascular disease due to its antioxidant properties. Recent research has increasingly linked circulating selenium levels to the incidence of ischemic stroke, however, the findings remained inconsistent. The primary objective of our meta-analysis is to explore the potential relationship between circulating selenium levels and stroke as well as stroke mortality. In the meantime, the current study was done to evaluate the influence of dietary selenium intake on the risk of stroke. Methods: A comprehensive systematic search of electronic databases was conducted from inception through April 11, 2025, to identify relevant studies investigating the associations between circulating selenium levels, dietary selenium intake and ischemic stroke risk. Ultimately, 26 eligible studies were included in the meta-analysis. Results: (1) The aggregated weighted mean difference (WMD) demonstrated that circulating selenium concentrations were markedly reduced in the ischemic stroke cohort relative to the control cohort (WMD = -0.13 [-0.20, -0.07]). (2) The multivariable-adjusted relative risk (RR) indicated that increased circulating selenium levels linked to a notable decrease in the risk of ischemic stroke (RR = 0.88 [0.83,0.92]), as well as a decreased risk of stroke mortality (RR = 0.86 [0.80, 0.93]). (3) Furthermore, our meta-analysis found that increased dietary selenium intake was adversely correlated with the risk of stroke, with RR of 0.87(0.76, 0.99). (4) A meta-analysis of dose-response curves revealed that circulating selenium levels were adversely linked with stroke. Conclusion: The level of circulation selenium is lower in ischemic stroke patients. There was an inverse association between the level of circulation selenium and the incidence of ischemic stroke as well as stroke mortality. Meanwhile, higher dietary selenium intake were shown to be negatively associated with ischemic stroke.

Indexed as

antioxidantsmicroelementsnutritionseleniumstroke

Identifiers

PMID41426996
PMCPMC12715277

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.