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. 2022 Aug 5;14(15):3205. doi: 10.3390/nu14153205

Table 2.

Summary of systematically selected papers (Se plus other nutrients supplementation).

Reference Country Pathology Groups Study Type Characteristics of the Participants Se Levels
(μg/L)
Cognitive Test
(Score)
Van Rhijn et al. [32] United Kingdom MCI Olive Oil (control): six capsules of olive oil and one placebo tablet for 20 weeks.

EPO/Zn/Se: six primrose oil capsule (500 mg) and one tablet (200 mg zinc sulphate and 1 mg sodium selenite) for 20 weeks.
Randomized, double-blind, placebo-controlled trial Sex
Olive Oil
Female = 11
Male = 4

EPO/Zn/Se
Female = 12
Male = 3

Age
Olive Oil
83.4 ± 5.4

EPO/Zn/Se
78.7 ± 8.2
- ASTR
Olive Oil
Pre: 100.4 ± 17.1
Post: 106.9 ± 19.0

EPO/Zn/Se
Pre: 72.6 ± 28.8
Post: 87.5 ± 36.7

CPM
Olive Oil
Pre: 17.2 ± 6.2
Post: 18.4 ± 9.0

EPO/Zn/Se
Pre: 12.2 ± 6.7
Post: 15.8 ± 8.6

GNT
Olive Oil
Pre: 9.4 ± 7.8
Post: 10.6 ± 8.5

EPO/Zn/Se
Pre: 7.2 ± 5.2
Post: 9.8 ± 5.4

DCT
Olive Oil
Pre: 63.8 ± 14.9
Post: 69.8 ± 18.8

EPO/Zn/Se
Pre: 61.2 ± 20.0
Post: 69.7 ± 22.2

CAMCOG
Olive Oil
Pre: 65.1 ± 17.3
Post: 67.8 ± 17.7

EPO/Zn/Se
Pre: 62.50 ± 16.60
Post: 68.30 ± 17.70
Cornelli [33] United States AD Placebo: 500 mg of fructose and flavoring one ampoule/day for 24 weeks.

Formula F: Formula F * containing 27.5 µg of Se one ampoule/day for 24 weeks.
Randomized double-blind clinical trial Sex
Placebo
Female = 15
Male = 10

Formula F
Female = 14
Male = 9

Age
Placebo
74 ± 4.9

Formula F
75 ± 4.2
- MMSE
Placebo
Pre: 23.9 ± 1.0
Post: 24.2 ± 1.3

Formula F
Pre: 23.2 ± 1.1
Post: 24.3 ± 1.4
Scheltens et al. [34] The Netherlands, Germany, Belgium, United Kingdom and United States AD Control: 125 mL tetrapackages without actives once a day for 24 weeks.

Active: 125 mL tetrapackages with Souvenaid ** containing 60 µg of Se once a day for 24 weeks.
Randomized, double-blind, controlled, multicenter trial Sex
Control
Female = 54
Male = 52

Active
Female = 52
Male = 54

Age
Control
73.3 ± 7.8

Active
74.1 ± 7.2
- MMSE
Control
Pre: 24.0 ± 2.5
Post: 24.0 ± 3.4

Active
Pre: 23.8 ± 2.7
Post: 24.1 ± 3.5

ADAS-Cog
Control
Pre: 25.5 ± 8.8
Post: 25.8 ± 7.8

Active
Pre: 25.9 ± 7.6
Post: 25.9 ± 7.7
Scheltens et al. [35] The Netherlands, Germany, Belgium, Spain, Italy, and France AD Control: 125 mL tetrapackages without actives once a day for 24 weeks.

Active: 125 mL tetrapackages with Souvenaid ** containing 60 µg of Se once a day for 24 weeks.
Randomized, controlled, double-blind, parallel-group trial Sex
Control
Female = 65
Male = 64

Active
Female = 62
Male = 68

Age
Control
73.2 ± 8.4
Active
74.4 ± 6.9
- NTB
Control
Pre: 0.1 ± 0.1
Post: 0.1 ± 0.5
Active
Pre: 0.1 ± 0.8
Post: 0.2 ± 0.4

ADAS-Cog
Control
Pre: 1.2 ± 1.5
Post: 1.4 ± 1.4
Active
Pre: 1.6 ± 1.7
Post: 1.7 ± 1.6
Shah et al. [36] United States AD Control: 125 mL tetrapackages without actives once a day for 24 weeks.

Active: 125 mL tetrapackages with Souvenaid ** containing 60 µg of Se once a day for 24 weeks.
Randomized, double-blind clinical trial Sex
Control
Female = 135
Male = 127

Active
Female = 139
Male = 126

Age
Control
76.9 ± 8.2
Active
76.6 ± 8.2
- ADAS-Cog
Control
Pre: 23.4 ± 9.3
Post: 24.4 ± 10.9

Active
Pre: 23.9 ± 9.6
Post: 25.4 ± 11.6
Rijpma et al. [37] The Netherlands, Germany, Belgium, United Kingdom and United States AD Control: 125 mL tetrapackages without actives once a day for 24 weeks.

Active: 125 mL tetrapackages with Souvenaid ** containing 60 µg of Se once a day for 24 weeks.
Randomized double-blind, multicenter, controlled trial Sex
Control
Female = 54
Male = 52

Active
Female = 52
Male = 54

Age
Control
73.3 ± 7.8
Active
74.1 ± 7.2
Plasma
Control
Pre: 86.8
Post: 78.9

Active
Pre: 86.8
Post: 102.6
-
Rijpma et al. [37] The Netherlands, Germany, Belgium, Spain, Italy, and France AD Control: 125 mL tetrapackages without actives once a day for 24 weeks.

Active: 125 mL tetrapackages with Souvenaid ** containing 60 µg of Se once a day for 24 weeks.
Randomized double-blind, multicenter, controlled trial Sex
Control
Female = 65
Male = 64

Active
Female = 62
Male = 68

Age
Control
73.2 ± 8.4
Active
74.4 ± 6.9
Plasma
Control
Pre: 86.8
Post: 86.8

Active
Pre: 86.8
Post: 110.5
-
Tamtaji et al. [12] Iran AD Placebo: placebo (starch) for 12 weeks.

Selenium: 200 mg of Se plus probiotic *** every day for 12 weeks.
Randomized, double-blind, controlled clinical trial Sex
Uninformed

Age
Placebo
78.5 ± 8.0
Probiotic plus selenium
76.2 ± 8.1
- MMSE
Placebo
Pre: 9.3 ± 4.1
Post: 9.1 ± 4.4

Selenium plus probiotic
Pre: 9.4 ± 3.5
Post:10.9 ± 3.8

EPO/Zn/Se: primrose oil, zinc sulphate and sodium selenite; ASTR: Anomalous Sentences Repetition Test; CPM: Colored Progressive Matrices; DCT: Digit Copying Test; GNT: Graded Naming Test; CAMCOG: Cambridge Cognitive Examination; MMSE: Mini-Mental State Examination; ADAS-Cog: Alzheimer’s Disease Assessment Scale-cognitive subscale; and NTB: Neuropsychological Test Battery. * Formula F contain: 100 mg Carnosine, 1.4 mg Thiamine (B1), 1.6 mg Riboflavin (B2), 18 mg Nicotinamide (B3), 2 mg Pyridoxine (B6), 200 μg Folic acid (B9), 1 μg Cyanocobalamin (B12), 30 mg Vitamin C, 20 mg Vitamin E, 10 mg Coenzyme Q10, 800 RE β -Carotene, 27.5 μg Selenium, 10 mg L-cysteine, and 25 mg Ginkgo biloba. ** Souvenaid contains: 300 mg Eicosapentaenoic acid, 1200 mg Docosahexaenoic acid, 106 mg Phospholipids, 400 mg Choline, 625 mg Uridine monophosphate, 40 mg Vitamin E, 80 mg Vitamin C, 60 μg Selenium, 3 mg Vitamin B12, 1 mg Vitamin B6, and 400 μg Folic acid. *** Probiotic contains: 2 × 109 CFU of L. acidophilus, B. bifidum, and B. longum.