Associations between superoxide dismutase, malondialdehyde and all-cause mortality in older adults: a community-based cohort study.

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Mao, Chen

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Yuan, Jin-Qiu

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Lv, Yue-Bin

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Gao, Xiang

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Yin, Zhao-Xue

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Kraus, Virginia Byers

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Luo, Jie-Si

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Chei, Choy-Lye

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Matchar, David Bruce

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Zeng, Yi

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Shi, Xiao-Ming

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2021-05-05T06:36:39Z

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2021-05-05T06:36:39Z

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2019-04-15

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2021-05-05T06:36:38Z

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Background

Oxidative stress is an important theory of aging but population-based evidence has been lacking. This study aimed to evaluate the associations between biomarkers of oxidative stress, including plasma superoxide dismutase (SOD) activity and malondialdehyde (MDA), with all-cause mortality in older adults.

Methods

This is a community-based cohort study of 2224 participants (women:1227, median age: 86 years). We included individuals aged 65 or above and with plasma SOD activity and/or MDA tests at baseline. We evaluated the hazard ratios (HRs) and 95% confidence intervals (CIs) by multivariable Cox models.

Results

We documented 858 deaths during six years of follow-up. There was a significant interaction effect of sex with the association between SOD activity and mortality (P < 0.001). Compared with the lowest quintile, the risk of all-cause mortality was inversely associated with increasing quintiles of plasma SOD activity in women(P-trend< 0.001), with adjusted HRs for the second through fifth quintiles of 0.73 (95% CI 0.53-1.02), 0.52(95% CI 0.38-0.72), 0.53(95% CI 0.39-0.73), and 0.48(95% CI 0.35-0.66). There were no significant associations between SOD activity and mortality in men (P-trend = 0.64), and between MDA and mortality in all participants (P-trend = 0.79).

Conclusions

Increased activity of SOD was independently associated with lower all-cause mortality in older women but not in men. This epidemiological study lent support for the free radical/oxidative stress theory of aging.
dc.identifier

10.1186/s12877-019-1109-z

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1471-2318

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1471-2318

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https://hdl.handle.net/10161/22786

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eng

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Springer Science and Business Media LLC

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BMC geriatrics

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10.1186/s12877-019-1109-z

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Humans

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Malondialdehyde

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Superoxide Dismutase

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Mortality

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Cohort Studies

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Follow-Up Studies

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Prospective Studies

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Age Factors

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Sex Factors

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Oxidative Stress

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Aged

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Aged, 80 and over

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Female

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Male

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Independent Living

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Biomarkers

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Associations between superoxide dismutase, malondialdehyde and all-cause mortality in older adults: a community-based cohort study.

dc.type

Journal article

duke.contributor.orcid

Kraus, Virginia Byers|0000-0001-8173-8258

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Matchar, David Bruce|0000-0003-3020-2108

pubs.begin-page

104

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1

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School of Medicine

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Duke Molecular Physiology Institute

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Orthopaedics

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Pathology

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Medicine, Rheumatology and Immunology

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Duke

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Institutes and Centers

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Clinical Science Departments

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Medicine

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Duke Clinical Research Institute

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Duke Global Health Institute

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Medicine, General Internal Medicine

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University Institutes and Centers

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Institutes and Provost's Academic Units

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Duke Population Research Institute

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Center for Population Health & Aging

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Duke Population Research Center

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Center for the Study of Aging and Human Development

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Medicine, Geriatrics

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Sanford School of Public Policy

pubs.publication-status

Published

pubs.volume

19

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