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The Study

Low level of selenium predicts high incidence of colorectal cancer

In simple terms

This study looked at lots of other studies and found that people who eat more selenium-rich foods tend to get less colorectal cancer. But it doesn’t prove that selenium stops cancer—it just shows they often go together, like how people who wear helmets might also ride bikes slower.

47%

Analysis score

47/ 85

Maximum 85 for a systematic review with meta-analysis.

Where the score came from

Reporting40
Methodology0
Publication100
Statistical77
Study type (basis of the score)
Systematic Review with Meta-Analysis
Level 2a - Systematic review of cohort studies
What’s the bottom line?

This study looked at many older studies to see if people who eat more selenium (a mineral in food) are less likely to get colon cancer.

Where does this study sit?

Reviews of RCTs (Meta-analyses)

Max 100

Randomized Trials

Max 90

Reviews of Cohort Studies

Max 85

Cohort Studies

Max 72

Reviews of Case-Control Studies

Max 63

Case-Control Studies

Max 58

Cross-Sectional & Case Series

Max 50

Expert Opinion

Max 5
StrongerWeaker
Reviews of Cohort Studies
Level 2a
47

47 / 100

Quality score

Systematic reviews and meta-analyses of cohort studies. They sit above a single cohort study but below a single randomized trial, because the underlying evidence is still observational.

Cannot establish causation

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Key takeaways

Summary

Based on the study abstract and findings.

  1. 1The drop in risk is real in observational studies, but taking selenium pills hasn't been shown to help in clinical trials—so eating selenium-rich foods might help, but supplements probably won't.
  2. 2People who ate more selenium through food had a 26% lower risk of colorectal cancer.
  3. 3This link was strongest in Europe and Oceania, and only for colon cancer—not rectal cancer.
  4. 4Blood and toenail selenium levels didn't show a clear link.

Score breakdown, methodology, conflicts of interest, evidence analysis & raw study data

Publication

Journal

BMC Public Health

Year

2026

Authors

Jiacheng Ying, Hongsheng Fang, Cheng Zhang, Tianlong Ling, Jiaying Tang

Open Access
Analysis v5
Fit Body Science verdict — we translate health studies into clear verdicts backed by peer-reviewed research.

Not medical advice. For informational purposes only. Always consult a qualified healthcare professional before making health decisions.