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Coenzyme Q10 and vascular function: grade C

Limited evidence. Direction: Benefit.

C Limited

Why this grade

Rubric condition met: The rubric cap: pooled estimates from clinical or undescribed populations with no healthy-only estimate (C)

A 2024 meta-analysis of 12 studies (489 subjects) found flow-mediated dilation rose with CoQ10 (WMD 1.45) in a dose-related way, and a 2012 meta-analysis of 5 RCTs (194 patients with and without cardiovascular disease) found improved flow-mediated dilation but no change in nitrate-mediated dilation. Neither abstract gives a healthy-adult estimate, so the grade is capped at C.

How we grade evidence

Studies this grade rests on

EffectMixedNo effectSize shows participants (n)2010201520202025Meta-analysisDaei 2024, 2024: meta-analysis, n = 489, result not recordedGao 2012, 2012: meta-analysis, n = 194, result not recorded
each study this grade rests on, by publication year and design. Solid: effect versus the comparator; half-filled: mixed; hollow: no effect; dashed: result not recorded yet. Larger marks had more participants.
Show the numbers
StudyYearDesignParticipantsResult
Gao 20122012meta-analysis194result not recorded
Daei 20242024meta-analysis489result not recorded

Effects of coenzyme Q10 on vascular endothelial function in humans: a meta-analysis of randomized controlled trials.

Gao L, Mao Q, Cao J. Effects of coenzyme Q10 on vascular endothelial function in humans: a meta-analysis of randomized controlled trials Atherosclerosis, 2012. PMID 22088605

Result not recorded
Design
Meta-analysis of 5 RCTs
Sample
n = 194
Population
Patients with and without established cardiovascular disease
Funding
Funding: not stated in the PubMed or Crossref record; full text not read.

Effect of Coenzyme Q10 Supplementation on Vascular Endothelial Function: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Daei S, Ildarabadi A, Goodarzi S. Effect of Coenzyme Q10 Supplementation on Vascular Endothelial Function: A Systematic Review and Meta-Analysis of Randomized Controlled Trials High Blood Press Cardiovasc Prev, 2024. PMID 38630421

Result not recorded
Design
Systematic review and meta-analysis of 12 studies
Sample
n = 489
Population
Not described in the abstract
Funding
Funding: not stated in the PubMed or Crossref record; full text not read.

Search and history

Search (): (coenzyme Q10[ti] OR CoQ10[ti] OR ubiquinol[ti]) AND (endothelial function[tiab] OR flow-mediated[tiab]) AND (meta-analysis[pt] OR systematic review[pt])

  • Graded C (proposed): Proposed in the monograph draft
  • C to C (approved): Editor sign-off November 13, 2026: grade matches the editor-approved final page