Frontiers in Nutrition (Jan 2025)

Association between oxidative balance score and glaucoma in the National Health and Nutrition Examination Survey

  • Jun Huang,
  • Yulan Zhang,
  • Chao Wu,
  • Yifan Wu,
  • Feiran Wang,
  • Yunxuan Ning,
  • Lu Shi

DOI
https://doi.org/10.3389/fnut.2025.1528114
Journal volume & issue
Vol. 12

Abstract

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ObjectiveTo investigate the association between Oxidative Balance Score (OBS) and glaucoma risk.MethodsUsing data from the National Health and Nutrition Examination Survey (2005–2008), we analyzed 2,615 participants aged ≥40 years. OBS was calculated from 15 antioxidant and 5 pro-oxidant components, including dietary nutrients and lifestyle factors. Glaucoma was identified through self-reported diagnosis and retinal imaging. Survey-weighted logistic regression and restricted cubic splines (RCS) were used to assess associations.ResultsHigher OBS was associated with lower glaucoma risk (adjusted OR = 0.97, 95% CI: 0.94–1.00). Participants in the highest OBS quartile showed 51% lower odds of glaucoma compared to the lowest quartile (adjusted OR = 0.49, 95% CI: 0.27–0.90). The protective effect was more pronounced among middle-aged adults (40–60 years; OR = 0.90, 95% CI: 0.86–0.95) and males (OR = 0.93, 95% CI: 0.90–0.97).ConclusionHigher OBS were associated with lower glaucoma prevalence, particularly among middle-aged adults and males, suggesting potential benefits of maintaining oxidative balance in glaucoma prevention.

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