Combined measure of pro- and anti-oxidant exposures in relation to prostate cancer and colorectal adenoma risk: An update

Michael Goodman, Roberd M. Bostick, Myron Gross, Bharat Thyagarajan, Chiranjeev Dash, W. Dana Flanders

Research output: Contribution to journalArticlepeer-review

16 Scopus citations


Purpose: We previously proposed an oxidative balance score (OBS) and illustrated its practical application by using data from previously completed case-control studies of two neoplasms - sporadic colorectal adenoma and prostate cancer. In the present study we extend our analysis by substituting questionnaire-based measures with systemic biomarkers of pro- and anti-oxidant exposures. Methods: Low, medium and high pro-oxidant exposures, and high, medium and low antioxidant exposures were assigned 0, 1 and 2 points, respectively and individual points for all exposures were then summed to calculate the overall score. Case and controls were compared using logistic regression analysis after adjusting for covariates. Results: When OBS was treated as a continuous variable the adjusted odds ratios and 95% confidence intervals (CI) for each additional score point were the same: 0.90 (95% CI: 0.83-0.97) for each study. When the OBS was divided into three approximately equal intervals, a comparison of the lowest to highest category showed similar adjusted ORs (95% CIs) of 0.34 (0.13-0.88) and 0.34 (0.14-0.86) for colorectal adenoma and prostate cancer, respectively. Conclusions: Our analyses provide support for the stated hypothesis that combined measures of pro- and anti-oxidant exposures may be associated with oxidative stress-related conditions.

Original languageEnglish (US)
Pages (from-to)955-957
Number of pages3
JournalAnnals of epidemiology
Issue number12
StatePublished - Dec 2010

Bibliographical note

Funding Information:
The funding for this publication was provided by the National Cancer Institute (grant R01 CA116795-01 ) and by the Woodruff Health Sciences Fund .


  • Colorectal Adenoma
  • Oxidative Balance Score
  • Prostate Cancer

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