The aim of this study is to determine the effect of selenium supplementation as an antioxidant on serum adiponectin, HSCRP , ferritin , transferrin, albumin and homocysteine level.
After screening all of 280 patients under regular HD in Faghihi Hospital Hemodialysis Center, 80 stable patients in the age range of 18-80 years old were found to be eligible for enrollment and give their informed consent to participate in this trial.The Ethics Committee of Shiraz University of Medical Sciences reviewed and approved the protocol of this study.These patients are randomly assigned in a 1:1 ratio into 2 groups of selenium(200µg) or placebo and followed for 12 weeks.Before the onset of the treatment and after the end of the treatment phase of the study, 10cc blood samples were taken from each patient. The blood was taken from the patient's arm used for hemodialysis cannulae just before the beginning of the HD session. The serum was separated by centrifugation at 3000 g/min for 5 min and stored at -70°C. Serum levels of adiponectin,high sensitive C-reactive protein (HSCRP), ferritin, transferrin, homocysteine, calcium, phosphate, albumin, blood urea nitrogen (BUN), and creatinine as well as hemoglobin (Hb) levels (g/dL) were measured in all patients at the baseline and at the end of treatment phase of study.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
80
The patients in this arm took 200 microgram selenium yeast daily for 12 weeks.
The patients in this arm took one placebo capsule daily for 12 weeks.
Shiraz University of Medical Sciences , nutrition department
Shiraz, Fars, Iran
Shiraz University of Medical Sciences
Shiraz, Fars, Iran
Subjective global Assessment(SGA)score
change in nutritional status according to SGA from baseline to the end of intervention
Time frame: 12 Weeks
Serum HSCRP
Time frame: 12Weeks
serum ferritin
Time frame: 12Weeks
transferrin
Time frame: 12 weeks
Serum adiponectin
Time frame: 12Weeks
Homocystein
Time frame: 12 Weeks
Serum albumin
Time frame: 12Weeks
Malnutrition inflammation score(MIS)
Time frame: 12 Weeks
Quality of life
Time frame: 12 Weeks
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