Evidence mapPaperPMID 41232127Full record

ArticleJournal of global health2025

Oxidative balance score and all-cause mortality among hypertensive individuals.

Lian-Zhen Huang, Hong-Bin Zhang, Mei Qin, Ze-Bin Ni, Wei-Feng Huang, Ji Li, Li-Ping Sheng, Li-Yun Guo, Jin-Yan Zhang

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Article in Journal of global health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

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9 authors.

Lian-Zhen Huang *Department of Gastroenterology and Hepatology, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, China.
Hong-Bin Zhang *Department of Physical Examination, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, China.
Mei Qin *Department of Gastroenterology and Hepatology, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, China.
Ze-Bin NiDepartment of Gastroenterology and Hepatology, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, China.
Wei-Feng HuangDepartment of Gastroenterology and Hepatology, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, China.
Ji LiDepartment of Gastroenterology and Hepatology, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, China.
Li-Ping ShengDepartment of Gastroenterology and Hepatology, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, China.
Li-Yun GuoDepartment of Gastroenterology and Hepatology, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, China.
Jin-Yan ZhangDepartment of Gastroenterology and Hepatology, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Oxidative stress contributes to hypertension and its complications. The oxidative balance score (OBS) could therefore provide insight into the relationship with mortality in hypertensive individuals. We aimed to investigate the association between OBS and all-cause mortality using data from National Health and Nutrition Examination Survey 2007-18. Methods: Our sample comprised 11 196 hypertensive participants. We calculated OBS based on dietary and lifestyle factors and categorised participants accordingly into quartiles. We used Cox proportional hazards model to assess associations between OBS and mortality, and restricted cubic spline (RCS) analyses to determine dose-response relationships. Lastly, we conducted Kaplan-Meier survival curves and stratified/sensitivity analyses. Results: 1764 deaths occurred during a median follow-up time of 73.4 months. Higher OBS was significantly associated with lower mortality risk, whereby participants in the highest OBS quartile had a 34% reduced mortality risk compared to those in the lowest quartile (hazard ratio (HR) = 0.66; 95% confidence interval (CI) = 0.51-0.84, P = 0.001). Each unit increase in OBS reduced mortality risk by 2% (HR = 0.98; 95% CI = 0.96-0.99, P < 0.001). We observed similar results for dietary and lifestyle OBS. RCS analyses indicated a nearly linear dose-response relationship between OBS and the risk of all-cause mortality (P-value for nonlinearity >0.05). Kaplan-Meier curves confirmed better survival in those with higher OBS (log-rank P-value <0.001). Stratified analyses showed stronger protective effects in individuals with middle incomes and those without a history of cancer (P-value for interaction <0.05). Sensitivity analyses confirmed the robustness of these findings. Conclusions: Higher OBS levels, along with its dietary and lifestyle subscale scores, are significantly associated with a reduced risk of all-cause mortality among hypertensive individuals. These findings highlight the importance of oxidative balance and the potential benefits of antioxidant-rich diets and healthy lifestyles in reducing mortality risk for this population.

Indexed as

HypertensionOxidative StressAdultAgedCause of DeathFemaleHumansLife StyleMaleMiddle AgedNutrition SurveysProportional Hazards ModelsRisk Factors

Identifiers

PMID41232127
PMCPMC12615001

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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.