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Article Abstract

Background And Objective: No study examined the association of the oxidative balance score (OBS) with mortality in patients with arthritis. This study examined the association between OBS and all-cause and cardiovascular mortality in patients with arthritis.

Methods: From NHANES, 11,754 patients with arthritis were included. The patients were from the 1999-2018 period. The OBS was calculated using 16 nutrients and four lifestyle factors. The outcomes were all-cause mortality and cardiovascular diseases (CVD) mortality. CVD mortality was defined as death from ICD-10 codes I00-I09, I11, I13, and I20-I51. The Kaplan-Meier analysis and log-rank test were used to depict the survival rate disparities among different groups of patients. The associations of various variables with all-cause mortality and CVD mortality were evaluated using three multivariable Cox regression models.

Results: The cohort study included 11,754 patients with arthritis, with a mean (SE) age 59.41 (0.22) years and 4,871 men (weighted, 41.44%). Kaplan-Meier analysis showed lower OBS scores are associated with higher overall mortality and CVD mortality (p < 0.001). Multivariable Cox proportional hazard regression model analysis showed that, after adjusting for multiple confounders, the highest OBS quartile had 30% lower all-cause mortality risk (HR = 0.70, 95%CI: 0.58-0.85) and CVD mortality (HR = 0.70, 95%CI: 0.58-0.85, P < 0.001), compared with the lowest quartile. Restricted cubic spline (RCS) curves showed a negative linear association between OBS and both mortality types (p < 0.001). Similar trends were observed for the lifestyle OBS, while dietary OBS showed no independent inverse association on both mortality types in fully adjusted models.

Conclusion: Higher OBS might be associated with lower all-cause and cardiovascular mortality in patients with arthritis, highlighting the importance of adhering to an antioxidant lifestyle in patients with arthritis.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12330014PMC
http://dx.doi.org/10.1186/s12889-025-24041-zDOI Listing

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