To evaluate relationship between frailty and oxidative stress through thiol/disul de homeostasis parameters (Native thiol (NT), total thiol (TT), and disul de levels (D), disul de-native thiol (D/NT), disul de-total thiol (D/TT), native thiol-total thiol (NT/TT) ratios and ischemia-modi ed albumin levels (IMA)).
Materials and MethodIn total, 139 community-dwelling older adults were included. The frailty status, de ned by the FRIED frailty index (FFI) and Clinical Frailty Scale (CFS), and comprehensive geriatric assessment results compared with thiol/disul de homeostasis parameters and ischemia-modi ed albumin levels.
ResultsNT and TT levels were signi cantly 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 signi cant 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), 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).
ConclusionThiol/disul de homeostasis parameters can be a potential biomarker in diagnosing physical frailty.However, further studies are needed for diagnosing frailty de ned with cumulative de cit models.
Key pointsAim: To evaluate the relationship between frailty, and thiol/disul de homeostasis parameters, and ischemia-modi ed albumin levels.Findings: Native thiol, total thiol levels, and disul de-thiol ratios were associated with physical frailty. Message: Thiol/disul de 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.