Review Article

Oxidative Stress Indexes for Diagnosis of Health or Disease in Humans

Table 7

Characteristics and findings of studies that used Oxidative INDEX (ROM/OXY ratio).

Author, year [ref]Study design/countryPopulation (age, sex)/sample sizeMain outcomeResultsConclusion

Vassalle C et al., 2008 [98]Cross-sectional/ItalyAdults (, both sexes)/100 CAD patients 70 controlsRelationship between Oxidative INDEX and cardiovascular risk factors in coronary artery disease (CAD).The Oxidative INDEX was higher in CAD patients, correlated with aging and increased with the number of cardiovascular risk factors.Oxidative INDEX could represent a valuable tool in clinical setting.
Vassalle C et al., 2009 [103]Cross-sectional/ItalyAdults (16-79 y, both sexes)/179 subjectsObesity and smoking may accelerate the increase of the OS related to advancing age.Obesity and smoking are risk factors for elevated Oxidative INDEX. The index steadily rises at a mean rate of 5.3% (0.017 AU) per year in the overall population.The authors did not conclude directly about the index, but they infer that OS increases due the risk factors analyzed.
Vassalle C et al., 2011 [104]Cross-sectional/ItalyAdults (, both sexes)/116 males
216 females
Gender-related difference of OSAge, high blood pressure, and smoking habit as factors associated with the index in men. Cigarette smoking and age are risk factors for an elevated OS in women.The authors did not conclude directly about the index, but they infer that there is a difference in OS due to sex.
Tamaki N. et al., 2011 [105]Observational longitudinal/JapanAdults (, both sexes)/22 with CP
22 controls
To monitor OS in subjects with chronic periodontitis (CP) following nonsurgical periodontal treatmentPatients with CP have higher OS than healthy subjects. Periodontal treatment was associated with a reduction in the index.Nonsurgical periodontal treatment was effective in decreasing the index.
Vassalle C et al., 2012 [106]Observational
Longitudinal
Retrospective/Italy
Adults (, both sexes/97 CAD patientsPrognostic of OS on the rate of major adverse cardiovascular events (MACE) in CAD patientsHigh level of the index is an independent predictor of MACE.OS (calculated by the index) may be a useful tool to predict MACE in CAD patients.
Vassalle C et al., 2012 [107]Case-control/ItalyAdults (, both sexes)/55 post-women
108 men
72 CAD patients
To assess oxidative stress status in coronary artery disease (CAD) patients according to genderThere is a difference in the index between men and women without CAD. Women with CAD had the index higher than men.The index can be a predictor of CAD in women.
Capaccio P et al., 2012 [108]Cross-sectional/ItalyAdults (, both sexes)/39 ISSNHL patients
70 healthy subjects
To evaluate role of OS in idiopathic sudden sensorineural hearing loss (ISSNHL)The index was higher in patients than in controls.In ISSNH, there is an imbalanced oxidative status.
Terao M et al., 2014 [109]Cross-sectional/JapanAdults (46-61 y, both sexes)/29 with potential POPH
32 with potential non-POPH
Association between the OS and portopulmonary hypertension (POPH) in cirrhotic patientsPotential POPH patients have higher oxidative index values.The oxidative/antioxidative balance was exacerbated in patients with potential POPH.
Uchida D et al., 2016 [110]Translational/JapanAdults (27-90 y, both sexes)/84 CC patients
80 PC patients
OS balance in pancreatic cancer (PC) and cholangiocarcinoma (CC) patientsThe index was higher in CC patients with poor outcomes and not different in PC patients.OS balance was dysregulated in CC patients with poor outcome.
Mizuno H et al., 2017 [111]Randomized clinical trial/JapanAdults (, both sexes)/T2DM and CP patients.
20 periodontal treatment
17 control group
Effect of nonsurgical periodontal treatment on OS balance patients with type 2 diabetes mellitus (T2DM) compared to no periodontal treatmentSystemic OS balance improved in the periodontal treatment group compared to the control group at 3 months.In T2DM patients, nonsurgical periodontal treatment improved systemic OS.
Shimomura Y et al., 2017 [112]Observational
Longitudinal/Japan
Adults (>40 y, both sexes)/14 patients with NAFL
44 patients with NASH
11 patients with NASH-related HCC
15 healthy
Correlation between OS-related markers and the clinical characteristic in nonalcoholic fatty liver disease (NAFL) and to characterize the OS balance in NAFL, nonalcoholic steatohepatitis (NASH), and NASH-related hepatocellular carcinoma (NASH-HCC)The index positively correlated with BMI and HbA1c.
The index was not significantly different among the patient groups.
The authors did not conclude directly about the index, only of these components.