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May 22, 2026Journal of Translational MedicineOpen Access

Each 5-point oxidative balance score increase is associated with ~15% lower mortality and less cardiometabolic multimorbidity.

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Why the study?

The oxidative balance score had not been systematically evaluated in relation to cardiometabolic multimorbidity and mortality.

Is a higher oxidative balance score associated with reduced cardiometabolic multimorbidity and mortality in NHANES participants?

Population

11,365 NHANES participants

Comparison

Associations across different levels of oxidative balance score

Design

Observational analysis using logistic regression, Cox models, and machine learning

Key result

Each 5-point increase in the oxidative balance score was associated with lower odds of cardiometabolic multimorbidity (OR 0.96) and reduced risks of all-cause mortality (HR 0.85).

Authors

STSiyuan TanGZGaoming ZengTHTing Huang

Discussion

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Overview

Higher OBS may support CMM risk reduction efforts; leaves open causality and interventional benefits in cardiometabolic populations.

Key Points

  • To evaluate the association between oxidative balance score and cardiometabolic multimorbidity, along with its impact on mortality.
  • Analyzed 11,365 NHANES participants for associations between oxidative balance score and cardiometabolic multimorbidity.
  • Utilized logistic regression and Cox proportional hazards models for outcome assessment.
  • Applied machine learning techniques to identify key predictors associated with health outcomes.
  • Participants with higher oxidative balance scores had lower odds of cardiometabolic multimorbidity (OR = 0.96).
  • Each 5-point increase in oxidative balance score corresponded to reduced all-cause mortality risk (HR = 0.85).
  • Machine learning found body mass index, physical activity, and vitamin intake as important predictors for cardiometabolic outcomes.

Study Design

Type

Cohort (n=11,365)

Structured PICO

Is a higher oxidative balance score associated with reduced cardiometabolic multimorbidity and mortality in NHANES participants?

P
Population
11,365 NHANES participants, median age 45 years, 52.55% male
I
Intervention
Higher oxidative balance score (OBS)
C
Comparator
Lower oxidative balance score (OBS)
O
Outcome
Cardiometabolic multimorbidity (CMM) and all-cause mortalityhard clinical

Main Result

Effect estimate: HR 0.85

Higher oxidative balance score is associated with lower cardiometabolic multimorbidity prevalence and reduced mortality risk, partially mediated by inflammatory and insulin resistance pathways.

Cite This Study

Tan et al. (2026) conducted a cohort in Cardiometabolic multimorbidity (n=11,365). Oxidative balance score (OBS) vs. Lower OBS was evaluated on All-cause mortality (HR 0.85). Each 5-point increase in the oxidative balance score was associated with lower odds of cardiometabolic multimorbidity (OR 0.96) and reduced risks of all-cause mortality (HR 0.85).

synapsesocial.com/papers/6a0ff327d674f7c03778ba03https://doi.org/10.1186/s12967-026-08291-y
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