Selenium and Coenzyme Q10 Supplementation for Senior Citizens

In senior citizens, and delayed aging and longevity are associated with the antioxidant and anti-inflammatory protection derived  from daily supplementation with selenium and Coenzyme Q10 [Alehagen 2023].

Elderly couple dancing
Daily supplementation with selenium and Coenzyme Q10 seems to have a positive influence on longevity and delayed aging.

The KiSel-10 Study was a randomized, double-blind, placebo-controlled clinical trial of the effect of combined selenium and CoQ10 supplementation of senior citizens on cardiovascular mortality.

Researchers administered 200 micrograms of selenium in a selenium-rich yeast preparation and 200 milligrams of Coenzyme Q10 in the ubiquinone form or matching placebos to community living senior citizens daily for 48 months [Alehagen 2013].

Summary of Statistically Significant KiSel-10 Study Outcomes
  • reduction of cardiovascular mortality in the active treatment group vs. the placebo group (5.9% vs. 12.6%) and better cardiac function observed on echocardiograms in the active supplementation group compared to the placebo group [Alehagen 2013]
  • reduction of plasma levels of the N-terminal natriuretic peptide (NT-proBNP), a bio-marker for increased risk of heart failure [Johansson 2013]
  • improvement of health-related quality of life and fewer days in hospital [Johansson 2015]
  • reduction of cardiovascular mortality in senior citizens with low serum selenium status [Alehagen 2016a; Alehagen 2016b]
  • reduction of cardiovascular mortality that persisted after 10 and 12 years in the supplemented group and in subgroups with diabetes, hypertension, ischemic heart disease, and reduced functional capacity due to impaired cardiac function [Alehagen 2015a; Alehagen 2018]
  • reduction of plasma levels of two bio-markers for oxidative damage [Alehagen 2015c]
  • reduction of plasma levels of six bio-markers for systemic inflammation [Alehagen 2015b; Alehagen 2019b]
  • reduction of serum levels of seven bio-markers for fibrosis [Alehagen 2017b]
  • reduction of plasma levels of bio-markers for endothelial dysfunction [Alehagen 2020c]
  • increase in plasma levels of insulin-like growth factor-1, attenuating an age-related decline in IGF-1 concentrations [Alehagen 2017a]
  • reduction of fructosamine concentration compared with the concentration in the placebo group, which tended to increase, important because fructosamine concentration is positively associated with incidence of diabetes and increased blood glucose level [Alehagen 2020b]
  • improvement of renal function in elderly citizens deficient in selenium [Alehagen 2020a]
  • prevention of an increase in D-dimer levels, which are associated with increased risk of thrombotic disorders [Alehagen 2021]
  • association with significant changes in metabolic profiles and with significant changes in the pentose phosphate, the mevalonate, the beta-oxidation, and the xanthine oxidase pathways [Alehagen 2019a]
  • association with significant changes in circulating microRNA [Alehagen 2017c]
  • structural equation modelling that shows that antioxidant and anti-inflammatory effects are the primary underlying biological mechanisms to explain the success of the KiSel-10 study [Alehagen 2022b]
  • decrease in concentrations of fibroblast growth factor 23 (FGF-23) [Alehagen 2022a]
  • less shortening of leukocyte telomere length [Opstad 2022]
  • increase in serum SIRT1 concentrations [Opstad 2023]
  • improvement in serum free thiol levels, supporting a reduction in systemic oxidative stress [Dunning 2023]
  • positive effects on five age-related blood biomarkers – ICAM-1, adiponectin, leptin, stem cell factor, and osteoprotegerin – indicating an anti-aging direction compared to placebo [Alehagen 2023].
Conclusion: Delayed aging and longevity associated with Selenium and Coenzyme Q10 for senior citizens

Professor Urban Alehagen and Professor Jan Aaseth have explained an important biological interrelationship between selenium and Coenzyme Q10 and pointed to a theoretical advantage in using both substances in an intervention if there are deficiencies within the population [Alehagen 2015d]. read more

Selenium and Systemic Oxidative Stress

Oxidative stress. A new study shows that selenium supplementation together with Coenzyme Q10 supplementation reduces the levels of systemic oxidative stress in the body.  In the study, the reduction of systemic oxidative stress is significantly associated with a reduction in the risk of death from cardiovascular diseases [Dunning & Alehagen 2023].

Prof Urban Alehagen
Prof. Urban Alehagen, lead researcher on the KiSel-10 Study, the study that has shown that combined selenium and Coenzyme Q10 supplementation reduces oxidative stress and inflammation levels, improves heart function, and reduces the risk of cardiovascular disease mortality.

Oxidative stress: An imbalance of harmful free radicals vis-à-vis protective antioxidants leads to oxidative damage to DNA, lipids, and proteins in the body and to a disruption of redox signaling processes in the cells [Dunning & Alehagen 2023].

In a 2023 KiSel-10 sub-analysis, Prof. Urban Alehagen and his research colleagues investigated the level of free thiols in the serum of elderly study participants taking 200 mcg of selenium and 200 mg of Coenzyme Q10 daily for 48 months [Dunning & Alehagen 2023]. read more

Selenium Supplementation Increases Serum Sirtuin1 Concentrations

Daily supplementation with 200 mcg of selenium and 200 mg of Coenzyme Q10 for four years has resulted in significant increases in serum SIRT1 concentrations. In the parallel placebo group, the serum SIRT1 concentrations decreased significantly [Opstad, Alehagen 2023].

Selenium Researcher Professor Jan Aaseth
Professor Jan Olav Aaseth, Inland Norway University of Applied Sciences, is the guest author on this review article. Dr. Aaseth has written extensively about selenium in health and disease. He is one of the co-authors on the Sirtuin1 study summarized here.

This is the latest evidence from the KiSel-10 Study in which researchers randomly assigned elderly community-living Swedish men and women, average age: 76 years, 49% female, to a combined selenium and Coenzyme Q10 treatment group or to a placebo group [Alehagen 2013].

In earlier papers, the KiSel-10 Study researchers have reported beneficial effects of the combined supplementation of the elderly Swedish citizens with low baseline selenium levels [Alehagen 2022; Opstad 2022]: read more

Antioxidant Action of Selenium and Selenoproteins

Antioxidants. Several selenoproteins play important roles as antioxidant enzymes in the protection of the cells and the mitochondria against the oxidative damage caused by harmful free radicals. Prominent among the antioxidant seleno-enzymes are the glutathione peroxidases and the thioredoxin reductases [Alehagen 2022].

Professor Urban Alehagen
Professor Urban Alehagen, the lead researcher on the KiSel-10 Study, estimates that a daily selenium intake of 110-150 mcg per day is necessary to achieve optimal expression of selenoprotein P, one of the most important selenoproteins in the plasma and the main transporter of selenium in the blood [Alehagen 2022].
Note: Oxidative stress is the bio-medical term for an imbalance in the relationship of 1) harmful free radicals, mostly of the reactive oxygen species, and 2) protective antioxidants, which should neutralize the harmful free radicals.

In many regions of the world, notably in much of Europe and the Middle East, there is selenium-poor soil and selenium-poor foodstuffs. In Sweden, for example, the average daily intake of selenium among senior citizens
is approximately 35 mcg/day, well below the amounts (110–150 mcg/day) needed for an optimal expression of the selenoprotein antioxidants [Alehagen 2022].
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