Determinants of selenium in the toenail biomonitor

The evaluation of human nails as a measure of selenium intake and to assess selenium status in critical tissues is now being used routinely to investigate hypotheses relating selenium status to chronic disease, especially cancer. In this study we report on our observations of the major determinants of toenail selenium concentrations. Toenail specimens (3575) were, under a protocol we provided, self-collected by adult females (1940, 54.3%) and males (1635, 45.7%) living in 111 of Missouri's 114 counties. The health-conscious participants ranged in age from 18 to 94 years with means of 53.7 +/- 14.1 and 56.4 +/- 14.2 years for females and males, respectively. Selenium supplement use was over represented, 39.1% and 42.7%, and smoking was under represented, 7.5% and 7.8%, for females and males, respectively. The major determinants of toenail selenium concentration were supplement use, sex and cigarette smoking. We found no overall correlations with age, body mass index or diet selection.