Evidence map›Paper›PMID 39849409›Full record

ArticleBMC cancer2025

The impact of oxidative balance on all-cause and cause-specific mortality in US adults and cancer survivors: evidence from NHANES 2001-2018.

Juan Wu, Yingdong Han, Menghui Yao, He Zhao, Zhikai Li, Tiange Xie, Yun Zhang, Xuejun Zeng

Abstract read
In one paragraph

Article in BMC cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Juan Wu *Department of family medicine & Division of General Internal Medicine, Department of internal medicine, Peking Union Medical College Hospital, State Key Laboratory of Complex Severe and Rare Diseases (Peking Union Medical College Hospital), Chinese Academy of Medical Sciences, Beijing, China.
Yingdong Han *Department of family medicine & Division of General Internal Medicine, Department of internal medicine, Peking Union Medical College Hospital, State Key Laboratory of Complex Severe and Rare Diseases (Peking Union Medical College Hospital), Chinese Academy of Medical Sciences, Beijing, China.
Menghui YaoDepartment of family medicine & Division of General Internal Medicine, Department of internal medicine, Peking Union Medical College Hospital, State Key Laboratory of Complex Severe and Rare Diseases (Peking Union Medical College Hospital), Chinese Academy of Medical Sciences, Beijing, China.
He ZhaoDepartment of family medicine & Division of General Internal Medicine, Department of internal medicine, Peking Union Medical College Hospital, State Key Laboratory of Complex Severe and Rare Diseases (Peking Union Medical College Hospital), Chinese Academy of Medical Sciences, Beijing, China.
Zhikai LiDepartment of family medicine & Division of General Internal Medicine, Department of internal medicine, Peking Union Medical College Hospital, State Key Laboratory of Complex Severe and Rare Diseases (Peking Union Medical College Hospital), Chinese Academy of Medical Sciences, Beijing, China.
Tiange XieDepartment of family medicine & Division of General Internal Medicine, Department of internal medicine, Peking Union Medical College Hospital, State Key Laboratory of Complex Severe and Rare Diseases (Peking Union Medical College Hospital), Chinese Academy of Medical Sciences, Beijing, China.
Yun ZhangDepartment of family medicine & Division of General Internal Medicine, Department of internal medicine, Peking Union Medical College Hospital, State Key Laboratory of Complex Severe and Rare Diseases (Peking Union Medical College Hospital), Chinese Academy of Medical Sciences, Beijing, China. zhangyun10806@pumch.cn.
Xuejun ZengDepartment of family medicine & Division of General Internal Medicine, Department of internal medicine, Peking Union Medical College Hospital, State Key Laboratory of Complex Severe and Rare Diseases (Peking Union Medical College Hospital), Chinese Academy of Medical Sciences, Beijing, China. zxjpumch@126.com.

Funding

2019 Discipline Development Project of Peking Union Medical College 201920200106National High Level Hospital Clinical Research Funding 2022-PUMCH-B-044National Natural Science Foundation of China 82071841
6 · The paper itself

Abstract

backgroundOxidative stress is a crucial pathophysiological mechanism in chronic diseases and mortality. While individual oxidative markers have been studied, the comprehensive impact of oxidative balance on mortality risks remains unclear, particularly among cancer survivors. We aimed to investigate the associations of Oxidative Balance Score (OBS) with mortality in both the general population and cancer survivors.

methodsThis study included 37,317 adults (52% female) from the National Health and Nutrition Examination Survey (2001-2018). OBS was calculated based on antioxidant and pro-oxidant exposures and categorized into quartiles. Survey-weighted Cox proportional hazards models were used to estimate hazard ratios for mortality risks. Restricted cubic spline analyses were performed to examine potential non-linear relationships. Stratified analyses were conducted to further refine the findings.

resultsDuring a mean follow-up of 9.1 years, 5,092 deaths occurred. Compared with the lowest quartile, the highest quartile of total OBS was associated with lower risks of all-cause mortality (HR 0.68) and cancer mortality (HR 0.55). Among cancer survivors, similar associations were observed with all-cause mortality (HR 0.66). Component analysis revealed consistent protective effects of antioxidant OBS (HR 0.60 for all-cause mortality), while higher pro-oxidant OBS showed varying associations across mortality causes.

conclusionsHigher OBS was associated with lower mortality risks, particularly cancer-related mortality, in both the general population and cancer survivors. While antioxidant exposures showed consistent protective effects, the impact of pro-oxidant exposures varied by mortality causes.

Indexed as

Cancer SurvivorsNeoplasmsOxidative StressAdultAgedAntioxidantsCause of DeathFemaleFollow-Up StudiesHumansMaleMiddle AgedNutrition SurveysProportional Hazards ModelsUnited StatesAntioxidantsAdultsAll-cause mortalityCancerNHANESOxidative balance score

Identifiers

PMID39849409
PMCPMC11756090

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.