Evidence map›Paper›PMID 41024092›Full record

ArticleBMC women's health2025

Diet, oxidative stress, and the mediating role of obesity in postmenopausal women.

Hao Sun, Chen Liang, Bingli Zuo, Mengmeng Wang

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Article in BMC women's health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Hao SunQingdao Hospital, University of Health and Rehabilitation Sciences (Qingdao Municipal Hospital), Qingdao, 266071, China.
Chen LiangQingdao Hospital, University of Health and Rehabilitation Sciences (Qingdao Municipal Hospital), Qingdao, 266071, China.
Bingli ZuoShandong Cancer Hospital and Institute, Shandong First Medical University, Shandong Academy of Medical Sciences, Jinan, 250117, China.
Mengmeng WangXiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, 100091, China. wmm19982021@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOxidative stress plays a critical role in age-related pathophysiology, and postmenopausal women are particularly vulnerable due to hormonal and metabolic changes. Although dietary quality has been implicated in modulating oxidative balance, few studies have explored whether obesity mediates this relationship in this population, representing a novel perspective in dietary-oxidative research.

objectivesThis study aimed to examine the associations between dietary quality and oxidative stress among postmenopausal women using data from the National Health and Nutrition Examination Survey (NHANES), and to assess whether obesity mediates this relationship.

methodsA total of 2,391 postmenopausal women from NHANES 2005–2020 were included. Dietary quality was assessed using the Healthy Eating Index (HEI-2015), Dietary Inflammatory Index (DII), and Composite Dietary Antioxidant Index (CDAI). Oxidative stress was measured using the Oxidative Balance Score (OBS), and obesity was evaluated by body mass index and waist circumference. Multivariable regression and mediation analysis were conducted to explore the relationships.

resultsHealthier diets (higher HEI and CDAI, lower DII) were significantly associated with better oxidative profiles and lower obesity indicators. Obesity was inversely associated with oxidative stress. Mediation analysis showed that obesity partially explained the association between diet and oxidative stress, indicating an indirect pathway linking dietary quality to oxidative status via adiposity.

conclusionsOur findings reveal a significant mediating role of obesity in the relationship between diet and oxidative stress in postmenopausal women. These results underscore the importance of integrated dietary and weight management strategies—such as promoting antioxidant-rich diets and obesity prevention—in mitigating oxidative stress-related health risks in this population.

Indexed as

DietObesityOxidative StressPostmenopauseAgedAntioxidantsBody Mass IndexFemaleHumansMiddle AgedNutrition SurveysUnited StatesWaist CircumferenceAntioxidantsAntioxidant indexDietary qualityMediation analysisObesityOxidative stressPostmenopausal women

Identifiers

PMID41024092
PMCPMC12482083

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.