Association between oxidative balance score and heart failure in the older adults: Results from the NHANES 2005–2018.

• Higher Oxidative Balance Score (OBS) reduces heart failure (HF) risk in older adults. • Lifestyle OBS is more closely linked to HF in older adults than dietary OBS. • OBS exhibits a threshold effect on the impact of HF in older adults. Heart failure (HF) imposes a substantial burden on older adults, and healthy diets and lifestyles may bring with benefits. However, quantifiable studies on the dietary and lifestyle risk factors for HF are scant. The Oxidative Balance Score (OBS) reflects the oxidative stress status of dietary components and lifestyle factors, but its relationship with HF risk is unclear. We aims to explore the association between OBS and the prevalence of HF. Using data from the National Health and Nutrition Examination Survey (NHANES) 2005–2018, the association between OBS and the HF prevalence was analyzed by weighted logistic regression and restricted cubic splines (RCS). Subgroup and sensitivity analyses assessed the stability of the results. The prevalence of HF in the cohort of 6238 older adults was 5.55 %. Compared to the lowest quintile, the adjusted ORs for HF in the highest quintile of OBS and lifestyle OBS were 0.57 (95 % CI: 0.33,0.97) and 0.21 (95 %CI: 0.09,0.50), respectively. The association between OBS and HF prevalence remained stable across different models and subgroups. RCS revealed a potential inflection point. Sensitivity analysis validated the negative association between OBS and HF prevalence, and the correlation analysis between OBS and serum γ-glutamyltransferase (γ-GGT) confirmed the reliability of the study design. The OBS is negatively associated with HF prevalence in older adults, and may help prevent HF in this population. [ABSTRACT FROM AUTHOR]