Association between dietary selenium intake and endometriosis risk: a cross-sectional analysis
BackgroundEndometriosis (EMs) is a common chronic inflammatory disorder with estrogen dependency, and its causes and progression are not fully understood. With limited treatment options available, the dietary impact on EMs incidence has gained research interest. This study explores the link between...
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2025-06-01
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| author | Jia-Jie Guo Jia-Jie Guo Jia-Jie Guo Jia-Jie Guo Jia-Jie Guo Rui-Xuan Li Rui-Xuan Li Rui-Xuan Li Rui-Xuan Li Rui-Xuan Li Wen-Li Shang Wen-Li Shang Wen-Li Shang Wen-Li Shang Wen-Li Shang Ya-Fang Zheng Ya-Fang Zheng Ya-Fang Zheng Ya-Fang Zheng Ya-Fang Zheng Guo-Yi Zhu Guo-Yi Zhu Guo-Yi Zhu Guo-Yi Zhu Guo-Yi Zhu Zhou-Chang Shu Zhou-Chang Shu Zhou-Chang Shu Zhou-Chang Shu Zhou-Chang Shu Gui-Chao Liu Gui-Chao Liu Gui-Chao Liu Gui-Chao Liu Gui-Chao Liu Hong-Biao Ou Hong-Biao Ou Hong-Biao Ou Hong-Biao Ou Hong-Biao Ou Jia-Ying Li Jia-Ying Li Jia-Ying Li Jia-Ying Li Jia-Ying Li Xu-Guang Guo Xu-Guang Guo Xu-Guang Guo Xu-Guang Guo Li-Hong Lin Li-Hong Lin Li-Hong Lin Li-Hong Lin Li-Hong Lin |
| author_facet | Jia-Jie Guo Jia-Jie Guo Jia-Jie Guo Jia-Jie Guo Jia-Jie Guo Rui-Xuan Li Rui-Xuan Li Rui-Xuan Li Rui-Xuan Li Rui-Xuan Li Wen-Li Shang Wen-Li Shang Wen-Li Shang Wen-Li Shang Wen-Li Shang Ya-Fang Zheng Ya-Fang Zheng Ya-Fang Zheng Ya-Fang Zheng Ya-Fang Zheng Guo-Yi Zhu Guo-Yi Zhu Guo-Yi Zhu Guo-Yi Zhu Guo-Yi Zhu Zhou-Chang Shu Zhou-Chang Shu Zhou-Chang Shu Zhou-Chang Shu Zhou-Chang Shu Gui-Chao Liu Gui-Chao Liu Gui-Chao Liu Gui-Chao Liu Gui-Chao Liu Hong-Biao Ou Hong-Biao Ou Hong-Biao Ou Hong-Biao Ou Hong-Biao Ou Jia-Ying Li Jia-Ying Li Jia-Ying Li Jia-Ying Li Jia-Ying Li Xu-Guang Guo Xu-Guang Guo Xu-Guang Guo Xu-Guang Guo Li-Hong Lin Li-Hong Lin Li-Hong Lin Li-Hong Lin Li-Hong Lin |
| author_sort | Jia-Jie Guo |
| collection | DOAJ |
| description | BackgroundEndometriosis (EMs) is a common chronic inflammatory disorder with estrogen dependency, and its causes and progression are not fully understood. With limited treatment options available, the dietary impact on EMs incidence has gained research interest. This study explores the link between dietary selenium intake and EMs risk, noting selenium’s key antioxidant role in reducing oxidative stress and inflammation, and its potential to modulate immune responses, offering protective effects.MethodsThe study included 39,352 participants from National Health and Nutrition Examination Survey (NHANES) data (1999-2006). We excluded individuals with missing data on dietary selenium intake or EMs status, pregnant women, and individuals with missing basic covariate data or suspected erroneous dietary selenium intake values. After these exclusions, a final cohort of 3,876 participants was included for detailed analysis. This cohort was stratified into two groups: 3566 individuals without a diagnosis of endometriosis and 310 individuals diagnosed with EMs. The relationship between EMs and dietary selenium intake was examined using a suite of statistical methodologies, including multivariate logistic regression to control for confounding variables, smooth curve fitting, threshold effect analysis and subgroup analysis.ResultsAfter adjusting for multiple covariates, the multivariate logistic regression model indicated a negative correlation between dietary selenium intake and the risk of developing EMs. In the highest dietary selenium intake group, the adjusted model II revealed a reduction in the risk of EMs by approximately 34.1% (OR = 0.659, 95% CI: 0.449, 0.967). The subgroup analysis revealed a negative relationship between quartiles of selenium intake and the risk of endometriosis in participants aged fifty years and older, in non-Hispanic white participants, in participants with PIR >=1.3 and <3.5, in participants with a high school education level or under, in participants who get married or live with a partner, in participants who have never drunk, and in participants who smoke currently.ConclusionsOur findings suggest a negative correlation between dietary selenium intake and endometriosis risk. However, potential confounding factors may influence this association. Given the limitations of this cross-sectional study, such as reliance on self-reported data, further prospective research is required to confirm causality and explore underlying mechanisms. |
| format | Article |
| id | doaj-art-b996ae54e41b49f798a7d4f569dbf4e6 |
| institution | Kabale University |
| issn | 1664-2392 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Endocrinology |
| spelling | doaj-art-b996ae54e41b49f798a7d4f569dbf4e62025-08-20T03:27:33ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922025-06-011610.3389/fendo.2025.14867901486790Association between dietary selenium intake and endometriosis risk: a cross-sectional analysisJia-Jie Guo0Jia-Jie Guo1Jia-Jie Guo2Jia-Jie Guo3Jia-Jie Guo4Rui-Xuan Li5Rui-Xuan Li6Rui-Xuan Li7Rui-Xuan Li8Rui-Xuan Li9Wen-Li Shang10Wen-Li Shang11Wen-Li Shang12Wen-Li Shang13Wen-Li Shang14Ya-Fang Zheng15Ya-Fang Zheng16Ya-Fang Zheng17Ya-Fang Zheng18Ya-Fang Zheng19Guo-Yi Zhu20Guo-Yi Zhu21Guo-Yi Zhu22Guo-Yi Zhu23Guo-Yi Zhu24Zhou-Chang Shu25Zhou-Chang Shu26Zhou-Chang Shu27Zhou-Chang Shu28Zhou-Chang Shu29Gui-Chao Liu30Gui-Chao Liu31Gui-Chao Liu32Gui-Chao Liu33Gui-Chao Liu34Hong-Biao Ou35Hong-Biao Ou36Hong-Biao Ou37Hong-Biao Ou38Hong-Biao Ou39Jia-Ying Li40Jia-Ying Li41Jia-Ying Li42Jia-Ying Li43Jia-Ying Li44Xu-Guang Guo45Xu-Guang Guo46Xu-Guang Guo47Xu-Guang Guo48Li-Hong Lin49Li-Hong Lin50Li-Hong Lin51Li-Hong Lin52Li-Hong Lin53Department of Obstetrics and Gynecology, Center for Reproductive Medicine; The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, ChinaGuangdong Provincial Key Laboratory of Major Obstetric Diseases; The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, ChinaGuangdong Provincial Clinical Research Center for Obstetrics and Gynecology; The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, ChinaGuangdong-Hong Kong-Macao Greater Bay Area Higher Education Joint Laboratory of Maternal-Fetal Medicine, The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, ChinaThe Second School of Clinical Medicine, Guangzhou Medical University, Guangzhou, ChinaDepartment of Obstetrics and Gynecology, Center for Reproductive Medicine; The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, ChinaGuangdong Provincial Key Laboratory of Major Obstetric Diseases; The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, ChinaGuangdong Provincial Clinical Research Center for Obstetrics and Gynecology; The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, ChinaGuangdong-Hong Kong-Macao Greater Bay Area Higher Education Joint Laboratory of Maternal-Fetal Medicine, The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, ChinaSchool of Health Management, Guangzhou Medical University, Guangzhou, ChinaDepartment of Obstetrics and Gynecology, Center for Reproductive Medicine; The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, ChinaGuangdong Provincial Key Laboratory of Major Obstetric Diseases; The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, ChinaGuangdong Provincial Clinical Research Center for Obstetrics and Gynecology; The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, ChinaGuangdong-Hong Kong-Macao Greater Bay Area Higher Education Joint Laboratory of Maternal-Fetal Medicine, The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, ChinaSchool of Health Management, Guangzhou Medical University, Guangzhou, ChinaDepartment of Obstetrics and Gynecology, Center for Reproductive Medicine; The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, ChinaGuangdong Provincial Key Laboratory of Major Obstetric Diseases; The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, ChinaGuangdong Provincial Clinical Research Center for Obstetrics and Gynecology; The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, ChinaGuangdong-Hong Kong-Macao Greater Bay Area Higher Education Joint Laboratory of Maternal-Fetal Medicine, The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, ChinaDepartment of Clinical Medicine, The Third School of Clinical Medicine, Guangzhou Medical University, Guangzhou, ChinaDepartment of Obstetrics and Gynecology, Center for Reproductive Medicine; The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, ChinaGuangdong Provincial Key Laboratory of Major Obstetric Diseases; The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, ChinaGuangdong Provincial Clinical Research Center for Obstetrics and Gynecology; The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, ChinaGuangdong-Hong Kong-Macao Greater Bay Area Higher Education Joint Laboratory of Maternal-Fetal Medicine, The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, ChinaDepartment of Clinical Medicine, The Third School of Clinical Medicine, Guangzhou Medical University, Guangzhou, ChinaDepartment of Obstetrics and Gynecology, Center for Reproductive Medicine; The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, ChinaGuangdong Provincial Key Laboratory of Major Obstetric Diseases; The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, ChinaGuangdong Provincial Clinical Research Center for Obstetrics and Gynecology; The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, ChinaGuangdong-Hong Kong-Macao Greater Bay Area Higher Education Joint Laboratory of Maternal-Fetal Medicine, The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, ChinaSchool of Basic Medical Sciences, Guangzhou Medical University, Guangzhou, ChinaDepartment of Obstetrics and Gynecology, Center for Reproductive Medicine; The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, ChinaGuangdong Provincial Key Laboratory of Major Obstetric Diseases; The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, ChinaGuangdong Provincial Clinical Research Center for Obstetrics and Gynecology; The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, ChinaGuangdong-Hong Kong-Macao Greater Bay Area Higher Education Joint Laboratory of Maternal-Fetal Medicine, The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, ChinaSchool of Health Management, Guangzhou Medical University, Guangzhou, ChinaDepartment of Obstetrics and Gynecology, Center for Reproductive Medicine; The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, ChinaGuangdong Provincial Key Laboratory of Major Obstetric Diseases; The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, ChinaGuangdong Provincial Clinical Research Center for Obstetrics and Gynecology; The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, ChinaGuangdong-Hong Kong-Macao Greater Bay Area Higher Education Joint Laboratory of Maternal-Fetal Medicine, The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, ChinaThe Second School of Clinical Medicine, Guangzhou Medical University, Guangzhou, ChinaDepartment of Obstetrics and Gynecology, Center for Reproductive Medicine; The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, ChinaGuangdong Provincial Key Laboratory of Major Obstetric Diseases; The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, ChinaGuangdong Provincial Clinical Research Center for Obstetrics and Gynecology; The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, ChinaGuangdong-Hong Kong-Macao Greater Bay Area Higher Education Joint Laboratory of Maternal-Fetal Medicine, The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, ChinaSchool of Health Management, Guangzhou Medical University, Guangzhou, ChinaInstitute of Gerontology, Guangzhou Geriatric Hospital, Guangzhou Medical University, Guangzhou, China0State Key Laboratory of Respiratory Disease, Guangzhou Geriatric Hospital, Guangzhou Medical University, Guangzhou, China1Collaborative Innovation Center for Civil Affairs of Guangzhou, Guangzhou, China2Department of Clinical Laboratory Medicine, Guangzhou Geriatric Hospital, Guangzhou Medical University, Guangzhou, ChinaDepartment of Obstetrics and Gynecology, Center for Reproductive Medicine; The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, ChinaGuangdong Provincial Key Laboratory of Major Obstetric Diseases; The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, ChinaGuangdong Provincial Clinical Research Center for Obstetrics and Gynecology; The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, ChinaGuangdong-Hong Kong-Macao Greater Bay Area Higher Education Joint Laboratory of Maternal-Fetal Medicine, The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, ChinaDepartment of Clinical Medicine, The Third School of Clinical Medicine, Guangzhou Medical University, Guangzhou, ChinaBackgroundEndometriosis (EMs) is a common chronic inflammatory disorder with estrogen dependency, and its causes and progression are not fully understood. With limited treatment options available, the dietary impact on EMs incidence has gained research interest. This study explores the link between dietary selenium intake and EMs risk, noting selenium’s key antioxidant role in reducing oxidative stress and inflammation, and its potential to modulate immune responses, offering protective effects.MethodsThe study included 39,352 participants from National Health and Nutrition Examination Survey (NHANES) data (1999-2006). We excluded individuals with missing data on dietary selenium intake or EMs status, pregnant women, and individuals with missing basic covariate data or suspected erroneous dietary selenium intake values. After these exclusions, a final cohort of 3,876 participants was included for detailed analysis. This cohort was stratified into two groups: 3566 individuals without a diagnosis of endometriosis and 310 individuals diagnosed with EMs. The relationship between EMs and dietary selenium intake was examined using a suite of statistical methodologies, including multivariate logistic regression to control for confounding variables, smooth curve fitting, threshold effect analysis and subgroup analysis.ResultsAfter adjusting for multiple covariates, the multivariate logistic regression model indicated a negative correlation between dietary selenium intake and the risk of developing EMs. In the highest dietary selenium intake group, the adjusted model II revealed a reduction in the risk of EMs by approximately 34.1% (OR = 0.659, 95% CI: 0.449, 0.967). The subgroup analysis revealed a negative relationship between quartiles of selenium intake and the risk of endometriosis in participants aged fifty years and older, in non-Hispanic white participants, in participants with PIR >=1.3 and <3.5, in participants with a high school education level or under, in participants who get married or live with a partner, in participants who have never drunk, and in participants who smoke currently.ConclusionsOur findings suggest a negative correlation between dietary selenium intake and endometriosis risk. However, potential confounding factors may influence this association. Given the limitations of this cross-sectional study, such as reliance on self-reported data, further prospective research is required to confirm causality and explore underlying mechanisms.https://www.frontiersin.org/articles/10.3389/fendo.2025.1486790/fullseleniumdietary selenium intakeendometriosisdietcross-sectional studyNHANES |
| spellingShingle | Jia-Jie Guo Jia-Jie Guo Jia-Jie Guo Jia-Jie Guo Jia-Jie Guo Rui-Xuan Li Rui-Xuan Li Rui-Xuan Li Rui-Xuan Li Rui-Xuan Li Wen-Li Shang Wen-Li Shang Wen-Li Shang Wen-Li Shang Wen-Li Shang Ya-Fang Zheng Ya-Fang Zheng Ya-Fang Zheng Ya-Fang Zheng Ya-Fang Zheng Guo-Yi Zhu Guo-Yi Zhu Guo-Yi Zhu Guo-Yi Zhu Guo-Yi Zhu Zhou-Chang Shu Zhou-Chang Shu Zhou-Chang Shu Zhou-Chang Shu Zhou-Chang Shu Gui-Chao Liu Gui-Chao Liu Gui-Chao Liu Gui-Chao Liu Gui-Chao Liu Hong-Biao Ou Hong-Biao Ou Hong-Biao Ou Hong-Biao Ou Hong-Biao Ou Jia-Ying Li Jia-Ying Li Jia-Ying Li Jia-Ying Li Jia-Ying Li Xu-Guang Guo Xu-Guang Guo Xu-Guang Guo Xu-Guang Guo Li-Hong Lin Li-Hong Lin Li-Hong Lin Li-Hong Lin Li-Hong Lin Association between dietary selenium intake and endometriosis risk: a cross-sectional analysis Frontiers in Endocrinology selenium dietary selenium intake endometriosis diet cross-sectional study NHANES |
| title | Association between dietary selenium intake and endometriosis risk: a cross-sectional analysis |
| title_full | Association between dietary selenium intake and endometriosis risk: a cross-sectional analysis |
| title_fullStr | Association between dietary selenium intake and endometriosis risk: a cross-sectional analysis |
| title_full_unstemmed | Association between dietary selenium intake and endometriosis risk: a cross-sectional analysis |
| title_short | Association between dietary selenium intake and endometriosis risk: a cross-sectional analysis |
| title_sort | association between dietary selenium intake and endometriosis risk a cross sectional analysis |
| topic | selenium dietary selenium intake endometriosis diet cross-sectional study NHANES |
| url | https://www.frontiersin.org/articles/10.3389/fendo.2025.1486790/full |
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