This occupational study compared oxidative stress biomarkers across four groups: control, noise-only, ELF-EMF-only, and combined noise plus ELF-EMF exposure in power plant workers. The combined exposure group showed higher lipid peroxidation (MDA) and lower antioxidant-related measures (GSH and TAC) versus controls, while SOD activity was reduced in the noise-only and combined groups. The authors interpret these findings as evidence linking concurrent noise and ELF-EMF exposure with increased oxidative stress and call for further research and occupational safety guidance.