Oxidative Stress

Oxidative stress, a term often echoed in medical and health-conscious circles, is of fundamental importance for our well-being. The balance between oxidative and antioxidative processes in the body significantly determines the integrity of our cells and tissues. In this article, we explore the basics of this complex phenomenon and its multifaceted impact on our health.

What exactly is oxidative stress?

Definition of Oxidative Stress

Oxidative stress refers to molecules that are highly reactive, contain oxygen, and can cause damage to our cells. They arise when there is an imbalance between the production of free radicals and the body's ability to neutralize or defuse them. When these excessively produced free radicals react with oxygen, ROS (reactive oxygen species) are formed. ROS are molecules that contain oxygen and are highly reactive. This includes superoxide radicals, hydrogen peroxide, and hydroxyl radicals.

Normally, ROS are by-products of normal cellular metabolism and are produced in small amounts by the body itself. They play a role in various physiological processes, including defending against pathogens by the immune system. However, various factors can increase ROS production to an unnatural level.

Oxidative stress occurs when the amount of ROS exceeds the body's ability to neutralize them. This condition fundamentally differs from the normal metabolic process by subjecting the cells to unusual stress. This can lead to damage to cells, proteins, lipids (fats), DNA, and even cell death. Such damages are associated with a variety of diseases, including inflammation, neurodegenerative diseases, cancer, cardiovascular diseases, and age-related diseases.


The sources of oxidative stress are diverse. It's important to note that oxidative stress arises when there is an imbalance between the production of free radicals and the body's ability to keep them in check and break them down. Excessive production of free radicals can be caused by exogenous and endogenous factors. Exogenous factors are external stressors. These include environmental pollution, radiation, tobacco smoke, toxins as well as stress and poor diet.

Endogenous factors include inflammation, immunodeficiency, existing underlying diseases, or overloading of combustion processes in the mitochondria.

Often, it is a combination of exogenous and endogenous factors that lead to oxidative stress. When a poor, unbalanced diet consisting of ready-made meals and fast food meets stress at work or in private life, oxidative stress is a possible consequence. Furthermore, a high workload can mean that we need more energy to cope with it. This prompts our mitochondria to produce more ATP, which can lead to more inaccuracies and thus to increased formation of free radicals (=overload of the combustion processes of the mitochondria).

This can lead to chronic diseases such as diabetes, neurodegenerative diseases, burnout, CFS, and many more in case of chronic stress. These diseases in turn cause oxidative stress in our body. Thus, oxidative stress is not only a possible trigger of many diseases but also a concomitant of all these.

Effects on the Body.

Short vs. Long-Term

Short-term effects of oxidative stress refer to a temporary increase in reactive oxygen species (ROS) in the body, which can be triggered by various factors such as intense physical activity, infections, or environmental exposures. Here, ROS can play an important role in various cellular processes, including defending against pathogens. In moderate amounts, ROS are even necessary to maintain normal cellular functions.

However, even a short-term increase in ROS can also have adverse effects. For example, they can damage cell membranes, proteins, and DNA. As a result, short-term effects of oxidative stress can include inflammation, tissue damage, and temporary dysfunction of organs. However, the body has various mechanisms to cope with oxidative stress and repair the damages.

When the body is exposed to elevated levels of ROS over a longer period without adequate protective mechanisms, it leads to long-term stress from oxidative stress. This can be due to chronic overload, environmental stresses, unhealthy dietary habits, or certain diseases.

The long-term effects of sustained oxidative stress can be more serious. For example, oxidative stress is associated with various chronic diseases, including cardiovascular diseases, neurodegenerative diseases, and cancer. ROS can continuously damage cells and tissues, leading to accelerated aging and increased susceptibility to diseases. The immune system can be damaged and no longer perform its normal function. In addition, long-term oxidative stress is believed to play a role in the development of inflammation, which in turn can contribute to a variety of health problems.

Role in Diseases

As mentioned, oxidative stress can be a trigger and/or accompaniment in many diseases. These include:

Burnout: Classified by the WHO since 2022 as a disease that occurs as a result of chronic stress at work that has not been successfully managed. CFS: Chronic Fatigue Syndrome is a complex disease that leads to chronic fatigue in those affected. In this condition, oxidative stress is particularly pronounced. Cardiovascular Diseases: Oxidative stress plays a role in the development of atherosclerosis, heart failure, and other cardiovascular diseases. Neurodegenerative Diseases: Alzheimer's, Parkinson's, and other neurodegenerative diseases are associated with oxidative stress. Cancer: Oxidative stress can promote the development of cancer by causing genetic mutations and cell damage. Furthermore, increased oxidative stress can lead to metabolic syndrome, which can lead to cancer formation (Warburg Hypothesis). Inflammatory Diseases: Chronic oxidative stress is associated with various inflammatory diseases such as rheumatoid arthritis and inflammatory bowel diseases. Diabetes: Oxidative stress plays a role in insulin resistance and the complications of diabetes. Aging Processes: Oxidative stress is considered one of the factors that can accelerate the aging process. Furthermore, it is very interesting that viral infections can lead to increased production of oxidative stress. It is important to mention that our immune system uses ROS to fight off pathogens (oxidative burst). However, this reaction can be too intense and overshoot. As a result, cells and various tissues can be damaged, leading to loss of function. Some viruses ensure that infected host cells produce more oxidative stress and thus damage healthy cells and our immune system. COVID-19: This can be the case with the COVID-19 virus, influenza, Epstein-Barr, and some others. These mechanisms can favor the development of post-viral exhaustion states (e.g., Post-COVID). Some scientific publications already say that it is just as important to protect the mitochondrion as it is to fight the virus during an infection. Diet and Oxidative Stress Diet plays a central role in regulating oxidative stress. Foods rich in antioxidants - such as berries, dark leafy greens, and certain nuts - can help maintain balance in the body for longer. Conversely, a diet rich in trans fats, sugar, and additives such as sweeteners and preservatives can contribute to increased production of oxidative stress.

A balanced diet should be the basis for the prevention and combat of oxidative stress. Of course, not everyone sees a balanced diet the same way.

In general, however, it can be said that a balanced diet refers to the intake of an adequate amount of nutrients to maintain health and promote well-being. It means consuming a variety of foods from all food groups in appropriate amounts. A balanced diet should normally consider the following principles:

Diversity: Eat a wide range of foods from all food groups, including fruits, vegetables, lean protein, dairy products, and healthy fats. This ensures that you receive a variety of nutrients.

Moderation: Pay attention to portion sizes and avoid excessive eating. Even healthy foods should be consumed in appropriate amounts. Balanced Macronutrients: Ensure that you consume adequate amounts of carbohydrates, proteins, and fats. Each of these macronutrients plays an important role in the body.

Fresh, Whole Foods: Prefer fresh, unprocessed foods over heavily processed products. Fresh foods often contain more nutrients and fewer additives.

Hydration: Drink enough water to meet the body's fluid needs. Water is crucial for many body functions. Pay attention to the quality of the water.

Moderate Consumption of Sugar and Salt: Limit the consumption of added sugar and salt. Too much sugar and salt can lead to various health problems.

Consideration of individual needs: The diet should be adapted to individual needs, including age, gender, activity level, and health condition. It is important to note that exact nutritional needs can vary from person to person. For special health conditions or individual requirements, it is advisable to consult a nutrition expert or doctor to receive tailor-made nutritional advice.

Ernährung und Oxidativer Stress

Die Ernährung spielt eine zentrale Rolle bei der Regulierung von oxidativem Stress. Nahrungsmittel, die reich an Antioxidantien sind – wie Beeren, dunkles Blattgemüse und bestimmte Nüsse –, können helfen, die Balance im Körper länger aufrecht zu erhalten. Umgekehrt kann eine Ernährung reich an Transfetten, Zucker und Zusatzstoffen wie Süßungs- und Konservierungsmitteln zur vermehrten Produktion von oxidativem Stress beitragen.

Eine ausgewogene Ernährung sollte die Basis zur Prävention und zur Bekämpfung von oxidativem Stress sein. Natürlich betrachtet nicht jeder eine ausgewogene Ernährung gleich wie der andere.

Allgemein kann aber gesagt werden das sich eine ausgewogene Ernährung auf die Aufnahme einer angemessenen Menge an Nährstoffen bezieht, um die Gesundheit zu erhalten und das Wohlbefinden zu fördern. Es bedeutet, eine Vielzahl von Lebensmitteln aus allen Nahrungsmittelgruppen in geeigneten Mengen zu konsumieren. Eine ausgewogene Ernährung sollte normalerweise die folgenden Prinzipien berücksichtigen:

  • Vielfalt: Essen Sie eine breite Palette von Lebensmitteln aus allen Lebensmittelgruppen, einschließlich Obst, Gemüse, , magerem Eiweiß, Milchprodukten und gesunden Fetten. Dies stellt sicher, dass Sie eine Vielzahl von Nährstoffen erhalten.
  • Moderation: Achten Sie auf Portionsgrößen und vermeiden Sie übermäßiges Essen. Selbst gesunde Lebensmittel sollten in angemessenen Mengen konsumiert werden. Ausgewogene Makronährstoffe: Stellen Sie sicher, dass Sie angemessene Mengen an Kohlenhydraten, Proteinen und Fetten zu sich nehmen. Jeder dieser Makronährstoffe spielt eine wichtige Rolle im Körper.
  • Frische, ganze Lebensmittel: Bevorzugen Sie frische, unverarbeitete Lebensmittel gegenüber stark verarbeiteten Produkten. Frische Lebensmittel enthalten oft mehr Nährstoffe und weniger Zusatzstoffe.
  • Hydration: Trinken Sie ausreichend Wasser, um den Flüssigkeitsbedarf des Körpers zu decken. Wasser ist entscheidend für viele Körperfunktionen. Achten Sie dabei auf die Qualität des Wassers.
  • Mäßiger Konsum von Zucker und Salz: Begrenzen Sie den Konsum von zugesetztem Zucker und Salz. Zu viel Zucker und Salz können zu verschiedenen Gesundheitsproblemen führen.
  • Berücksichtigung individueller Bedürfnisse: Die Ernährung sollte den individuellen Bedürfnissen, einschließlich Alter, Geschlecht, Aktivitätsniveau und gesundheitlichem Zustand, angepasst werden. Es ist wichtig zu beachten, dass die genauen Ernährungsbedürfnisse von Person zu Person variieren können. Bei speziellen Gesundheitszuständen oder individuellen Anforderungen ist es ratsam, einen Ernährungsexperten oder Arzt zu konsultieren, um eine maßgeschneiderte Ernährungsberatung zu erhalten.

Lifestyle and Prevention

A balance in oxidative stress is important for maintaining cell health and plays a role in the prevention of various diseases.

An active lifestyle that includes regular exercise, balanced nutrition, and effective stress management can reduce oxidative stress. It is also important to minimize exposure to harmful environmental factors.

It should be noted that excessive and improperly exercised sport can also lead to oxidative stress. During intense physical activity, more oxygen and ATP are consumed. This can lead to increased production of ROS. Intense training can trigger inflammatory reactions in the body, which are part of the healing process, but can also lead to increased ROS formation.

In certain types of training, particularly intermittent activity, there can be an ischemia-reperfusion effect. This means that during training, the blood supply to certain tissues is temporarily interrupted and then restored, which can lead to additional oxidative stress.

While moderate physical activity is usually beneficial for health, excessive training, especially without adequate recovery phases, can lead to an imbalance between oxidative stresses and the body's protective mechanisms. It is important for athletes to maintain adequate recovery times and carefully plan their diet to minimize the effects of oxidative stress.

Furthermore, stress management in both professional and personal life is very important. Medical diagnoses are given according to the International Classification of Diseases (ICD) of the World Health Organization (WHO). There is already a newer version, the ICD-11, which has been valid since early 2022. For example, burnout is classified as a disease that occurs as a result of chronic workplace stress that has not been successfully managed. It is essential not to burden oneself more in both professional and personal life than one can actually handle in the long term. While short, intense phases of stress are normal and occur in many people, it is important to ensure that these phases of increased stress do not become excessive and lead to chronic stress.

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Diagnosis and Measurement Methods

The body has various mechanisms to combat oxidative stress. These include enzymes such as superoxide dismutase, catalase, and glutathione peroxidase, which serve to neutralize ROS. Antioxidants from the diet, such as vitamin C, vitamin E, and certain minerals, also help to reduce oxidative stress.

All these parameters can be specifically captured through special blood tests. These can detail how efficiently our body's defense systems are functioning. A diagnosed micronutrient deficiency can also lead to a restricted body's defense.

Furthermore, there are specific parameters that can directly show how much damage has been caused by oxidative stress in our body. These parameters include oxidized LDL (oxLDL), isoprostanes (IP), carbonyl proteins (CP), malondialdehyde (MDA), and several more. All these biomarkers can help diagnose oxidative stress. For many doctors, a complete and detailed medical history is also an important factor. Someone who is heavily burdened in everyday life by professional and/or private challenges is likely to be affected by oxidative stress.

Current Research and Future Perspectives

Research on oxidative stress is constantly evolving, with the goal of developing more effective therapies. New approaches in medicine and biotechnology promise a deeper understanding and innovative treatment methods for diseases caused by oxidative stress. We will try to keep you up to date on our knowledge portal and provide you with updates on current research.