Selenium and the Risk of Heart Disease

The association between the risk of heart disease and dietary intakes of selenium remains unclear. Here we report the results of some of the recent observational studies on this topic.

Risk of Cardiovascular Disease

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Plasma selenium levels are generally low in much of Europe, usually well below 80–90 mcg/L whereas in North America, the levels are generally above 120 mcg/L [Alehagen 2022]. Low selenium status is associated with increased heart disease risk.
In 2025, Liang et al investigated the relationship between the risk of cardiovascular disease and dietary selenium intake in American adults. The researchers used data from 39,372 participants in the 2003-2018 NHANES cross-sectional study. They found an overall prevalence of cardiovascular disease of 8.57% in the participants. The prevalence of cardiovascular disease declined with increasing dietary selenium intake across tertiles. For example, Tertile 2 of dietary selenium intake showed a 16% reduced risk of cardiovascular disease [Liang 2025]. read more