# Association between oxidative balance score and skeletal muscle mass and strength: NHANES from 2011 to 2018

## TL;DR

Higher oxidative balance scores are linked to better skeletal muscle mass and strength, suggesting that antioxidant-rich diets and healthy lifestyles help maintain muscle health.

## Contribution

This study demonstrates a novel negative association between oxidative balance scores and low skeletal muscle mass and strength using a large population dataset.

## Key findings

- Higher OBS is associated with lower risk of low skeletal muscle mass and handgrip strength.
- Dietary and lifestyle factors in OBS show significant negative correlations with muscle-related outcomes.
- The association is stronger in men and those with higher education levels.

## Abstract

Oxidative stress is a risk factor for sarcopenia. The Oxidative Balance Score (OBS) is a widely employed tool for evaluating the oxidative stress-related exposures from dietary and lifestyle factors. In this study, we aimed to conducted to explore the relationship between OBS and skeletal muscle mass and strength.

6,438 subjects from 2011 to 2018 and 5,414 from 2011 to 2014 from the National Health and Nutrition Examination Survey (NHANES) were selected for analysis. The correlations between OBS and skeletal muscle mass and handgrip strength were investigated using multivariate logistic regression and linear regression analysis.

Compared with lowest OBS, participants with OBS in the highest quartile had lower risk of low skeletal muscle mass (OR = 0.173 (0.120 ~ 0.248), p < 0.0001) and low handgrip strength (β = 0.173 (0.120 ~ 0.248), p = 0.011). The negative association also were found between dietary/lifestyle OBS and skeletal muscle mass (OR = 0.268 (0.178 ~ 0.404), p < 0.0001; OR = 0.231 (0.130 ~ 0.410), p < 0.0001) and handgrip strength (β = 1.812 (0.555 ~ 3.071), p = 0.008; β = −2.255 (−3.430 ~ −1.079), p < 0.001) independently. The positive association remains significant, especially among men and those with higher education levels by subgroup analysis.

All of these results indicated a negative association between OBS and low skeletal muscle mass and handgrip strength. An antioxidant-rich diet and healthy lifestyle are crucial for enhancing skeletal muscle mass and strength.