Effects of selenium supplementation on pregnancy outcomes and disease progression in HIV-infected pregnant women in Lagos: A randomized controlled trial.

Journal: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics

Volume: 153

Issue: 3

Year of Publication: 2021

Affiliated Institutions:  Department of Obstetrics and Gynecology, College of Medicine, University of Lagos, Lagos, Nigeria. Department of Hematology and Blood Transfusion, College of Medicine, University of Lagos, Lagos, Nigeria. AIDS Prevention Initiative in Nigeria (APIN) Clinic, Lagos University Teaching Hospital, Lagos, Nigeria. Department of Community Health and Primary Health Care, College of Medicine, University of Lagos, Lagos, Nigeria. Department of Obstetrics and Gynecology, Lagos University Teaching Hospital, Lagos, Nigeria. Department of Obstetrics and Gynecology, Lagos State University Teaching Hospital, Ikeja, Nigeria. Department of Immunology and Infectious Diseases, Harvard School of Public Health, Boston, MA, USA.

Abstract summary 

To examine the effects of selenium supplementation on pregnancy outcomes and disease progression among HIV-infected pregnant women in Lagos.A randomized, placebo-controlled trial conducted among HIV-positive pregnant women between September 2018 and August 2019. At enrollment, 90 women were randomly assigned into each treatment arm to receive either a daily tablet of 200 μg elemental selenium or a placebo. Relevant participants' sociodemographic and clinical data were collected at enrollment and delivery.Women in the selenium arm had a significantly lower risk of preterm delivery (relative risk [RR] 0.32, 95% confidence interval [CI] 0.11-0.96) and a non-significant reduction in the risk of delivering term neonates with a low delivery weight (RR 0.24, 95% CI 0.05-1.19). Supplemental selenium does not increase the risk of perinatal death and adverse drug events.The study reported a beneficial effect of prenatal selenium supplements on the risk of preterm delivery with no further reduction in risk among HIV-infected women who used the supplements for more than 14 weeks.Pan African Clinical Trial Registry (PACTR201809756724274).

Authors & Co-authors:  Okunade Kehinde S KS Olowoselu Olusola F OF John-Olabode Sarah S Hassan Basirat O BO Akinsola Oluwatosin J OJ Nwogu Chidinma M CM Ugwu Aloy O AO Moses Olusanjo E OE Rabiu Kabiru A KA Ajepe Adegbenga A Adenekan Muisi A MA Adejimi Adebola A AA Akanmu Sulaimon A SA Kanki Phyllis J PJ

Study Outcome 

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Citations :  Bailey RL, West KP Jr, Black RE. The epidemiology of global micronutrient deficiencies. Ann Nutr Metab. 2015;66(suppl 2):22–33.
Authors :  14
Identifiers
Doi : 10.1002/ijgo.13514
SSN : 1879-3479
Study Population
Women
Mesh Terms
Adolescent
Other Terms
CD4+ cell count;Lagos;Lagos University Teaching Hospital;low birth weight;preterm delivery;selenium;viral load
Study Design
Randomized Control Trial,Cross Sectional Study
Study Approach
Country of Study
Publication Country
United States