Supplementary Material for: Blood-Based Oxidative Stress Markers and Cognitive Performance in Early Old Age: The HAPIEE Study

<p><b><i>Background/Aims:</i></b> Oxidative stress is involved in Alzheimer disease pathology, but its impact on cognitive function in community-dwelling older adults remains unknown. We estimated associations between serum oxidative stress markers and cognitive function in early old age. <b><i>Methods:</i></b> Subjects aged 45-69 years recruited in urban centers in Central and Eastern Europe had memory, verbal fluency, and processing speed assessed at baseline (2002-2005) and 3 years later. Derivatives of reactive oxygen metabolites (d-ROMs), biological antioxidant potential (BAP), and total thiol levels (TTLs) were measured at baseline in a subsample. Linear regression was used to estimate associations of biomarkers with cognitive test scores cross-sectionally (<i>n</i> = 4,304) and prospectively (<i>n</i> = 2,882). <b><i>Results:</i></b> Increased d-ROM levels were inversely associated with global cognition and verbal fluency cross-sectionally and in prospective analysis; observed effects corresponded to 3-4 years' higher age. TTL was inconsistently associated with memory. BAP was not related to cognitive function. <b><i>Conclusion:</i></b> This study found modest evidence for a relationship between serum d-ROMs and cognitive function in a population sample of older adults.</p>