Key summary points
To evaluate the relationship between frailty, and thiol/disulfide homeostasis parameters, and ischemia-modified albumin levels.
AbstractSection FindingsNative thiol, total thiol levels, and disulfide–thiol ratios were associated with physical frailty.
AbstractSection MessageThiol/disulfide homeostasis parameters can be used to identify physical frailty. Newly developed oxidative stress parameters are required to determine frailty, as indicated by both phenotype and cumulative models.
Abstract
Aim
To evaluate relationship between frailty and oxidative stress through thiol/disulfide homeostasis parameters [Native thiol (NT), total thiol (TT), and disulfide levels (D), disulfide–native thiol (D/NT), disulfide–total thiol (D/TT), native thiol–total thiol (NT/TT) ratios, and ischemia-modified albumin levels (IMA)].
Materials and methods
In total, 139 community-dwelling older adults were included. The frailty status, defined by the FRIED frailty index (FFI) and Clinical Frailty Scale (CFS), and comprehensive geriatric assessment results compared with thiol/disulfide homeostasis parameters and ischemia-modified albumin levels.
Results
NT and TT levels were significantly lower in the frail group (respectively; p = 0.014, p = 0.020). The FFI scores were correlated with the levels of NT, TT, D/NT, D/TT, and NT/TT (respectively; r = − 0.25, r = − 0.24, r = 0.17, r = 0.17, r = − 0.17). The significant correlation could not be retained with the CFS scores. In ROC analysis, the AUC for NT was calculated as 0.639 in diagnosing frailty according to the FFI (95% CI 0.542–0.737), AUC was 0.638 for TT (95% CI 0.540–0.735), and AUC was 0.610 for NT/TT (95% CI 0.511–0.780). The AUC was calculated as 0.610 for both D/NT and D/TT in diagnosing physical frailty (95% CI 0.511–0.708).
Conclusion
Thiol/disulfide homeostasis parameters can be a potential biomarker in diagnosing physical frailty. However, further studies are needed for diagnosing frailty defined with cumulative deficit models.
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Data availability
The data that support the findings of this study are available on request from the corresponding author.
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Hafızoğlu, M., Eren, F., Neşelioğlu, S. et al. Physical frailty is related to oxidative stress through thiol/disulfide homeostasis parameters. Eur Geriatr Med 15, 423–434 (2024). https://doi.org/10.1007/s41999-023-00911-w
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DOI: https://doi.org/10.1007/s41999-023-00911-w