Table 1.
Basic characteristics of the included studies in the systematic review and meta-analysis.
| Studies | Country | Study Design | Participant | Gender (M/F) | Sample size (Int./Cont.) | Trial Duration | Age (Int.) | Age (Cont.) | BMI (Int.) | BMI (Cont.) | Q10 (mg/day) | Control |
| Kamikawa et al. (1985) [1] | Japan | RCT, DB | CVD | M: 10 | 24 (12/12) | 4 weeks | 54.7 ± 9.39 | 55.5 ± 6.36 | NR | NR | 150 | Placebo |
| F: 2 | ||||||||||||
| Andersen et al. (1997) [2] | Denmark | RCT, DB | D1DM | M: 19 | 34 (17/17) | 12 weeks | 35 ± 8.24 | 35.3 ± 9.89 | 23.5 ± 2.88 | 24 ± 2.47 | 100 | Placebo |
| F: 15 | ||||||||||||
| Eriksson et al. (1999) [3] | Finland | RCT, DB | T2DM | NR | 23 (12/11) | 24 weeks | 65 ± 17.32 | 64 ± 23.21 | 29 ± 14.54 | 29.8 ± 11.27 | 200 | Placebo |
| Henriksen et al. (1999) [4] | Denmark | RCT, DB | D1DM | M: 19 | 34 (17/17) | 12 weeks | 35.5 ± 8.2 | 35.3 ± 10 | 23.5 ± 2.7 | 24.0 ± 2.6 | 100 | Placebo |
| F: 15 | ||||||||||||
| Burke et al. (2001) [5] | America | RCT, DB | Isolated Systolic Hypertension | M: 39 | 71 (39/32) | 12 weeks | 69.7 ± 25.6 | 67.3 ± 19.23 | 24 ± 11.86 | 23 ± 12.44 | 120 | Placebo |
| F: 32 | ||||||||||||
| Hodgson et al. (2002) [6] | Australia | RCT, DB | T2DM/Dyslipidemia | M: 30 | 37 (19/18) | 12 weeks | 52.3 ± 6.1 | 55.2 ± 9.75 | NR | NR | 200 | Placebo |
| F: 7 | ||||||||||||
| Hodgson et al. (2002) [6] | Australia | RCT, DB | T2DM/Dyslipidemia | M: 31 | 37 (19/18) | 12 weeks | 51.7 ± 6.97 | 53.6 ± 10.18 | NR | NR | 200 | Fenofibrate |
| F: 6 | ||||||||||||
| Playford et al. (2003) [7] | Australia | RCT, DB | T2DM/Dyslipidemia | M: 33 | 40 (20/20) | 12 weeks | 52.7 ± 6.25 | 54.7 ± 9.38 | 29.9 ± 3.13 | 30.9 ± 4.47 | 200 | Placebo |
| F: 7 | ||||||||||||
| Playford et al. (2003) [7] | Australia | RCT, DB | T2DM/Dyslipidemia | M: 32 | 40 (20/20) | 12 weeks | 52.7 ± 8.04 | 53.5 ± 9.83 | 30.3 ± 4.02 | 30 ± 3.57 | 200 | Fenofibrate |
| F: 8 | ||||||||||||
| Ikematsu et al. (2006) [8] | Japan | RCT, DB | Healthy | M: 20 | 41 (21/20) | 4 weeks | NR | NR | NR | NR | 300 | Placebo |
| F: 21 | ||||||||||||
| Ikematsu et al. (2006) [8] | Japan | RCT, DB | Healthy | M: 20 | 42 (22/20) | 4 weeks | NR | NR | NR | NR | 600 | Placebo |
| F: 22 | ||||||||||||
| Ikematsu et al. (2006) [8] | Japan | RCT, DB | Healthy | M: 31 | 42 (22/20) | 4 weeks | NR | NR | NR | NR | 900 | Placebo |
| F: 11 | ||||||||||||
| Chew et al. (2008) [9] | Australia | RCT, DB | T2DM | M: 27 | 36 (16/20) | 24 weeks | 61.3 ± 4.1 | 62.4 ± 8.8 | 30.1 ± 4.6 | 30.7 ± 5.0 | 200 | Placebo |
| F: 9 | ||||||||||||
| Chew et al. (2008) [9] | Australia | RCT, DB | T2DM | M: 26 | 38 (19/19) | 24 weeks | 63 ± 9.4 | 64.8 ± 7.3 | 30.1 ± 4.6 | 29.9 ± 5.6 | 200 | Fenofibrate |
| F: 12 | ||||||||||||
| Lim et al. (2008) [10] | Singapore | RCT, DB | T2DM | M: 39 | 80 (40/40) | 12 weeks | 54 ± 9 | 53 ± 9 | 24.8 ± 5.5 | 25.2 ± 3.4 | 200 | Placebo |
| F: 41 | ||||||||||||
| Mizuno et al. (2008) [11] | Japan | RCT, Crossover, DB | Healthy | M: 8 | 17 | 8 days | 37.5 ± 9.9 | 37.5 ± 9.9 | 21.9 ± 4 | 21.9 ± 4 | 100 & 300 | Placebo |
| F: 9 | ||||||||||||
| Hamilton et al. (2009) [12] | Australia | Crossover-DB | T2DM | M: NR | 23 (NR) | 12 weeks | 68 ± 6 | 68 ± 6 | 29 ± 4 | 29 ± 4 | 200 | Placebo |
| F: NR | ||||||||||||
| Mori et al. (2009) [13] | Australia | RCT, DB | CKD | M: 25 | 36 (21/15) | 8 weeks | 55.4 ± 12.37 | 58.6 ± 10.06 | 26.6 ± 4.12 | 27.6 ± 6.58 | 200 | Placebo |
| F: 11 | ||||||||||||
| Mori et al. (2009) [13] | Australia | RCT, DB | CKD | M: 29 | 38 (18/20) | 8 weeks | 56.9 ± 16.54 | 53.3 ± 14.31 | 27.9 ± 3.39 | 26.7 ± 5.36 | 200 | Omega 3FA |
| F: 9 | ||||||||||||
| Lee et al. (2011) [14] | Korea | RCT, DB | Obese | M: 21 | 51 (26/25) | 12 weeks | 42.7 ± 11.3 | 42.5 ± 11.2 | 27.9 ± 2.3 | 27.6 ± 3.8 | 200 | Placebo |
| F: 30 | ||||||||||||
| Dai et al. (2011) [15] | China | RCT, DB | CVD | M: 52 | 56 (28/28) | 8 weeks | 67.7 ± 9.4 | 70.1 ± 9.8 | 25.3 ± 3.2 | 24.7 ± 3.2 | 300 | Placebo |
| F: 4 | ||||||||||||
| Young et al. (2012) [16] | New Zealand | RCT, Crossover, DB | Hypertensive/MetS | M: 15 | 30 (15/15) | 12 weeks | 64 ± 5.47 | 64 ± 5.47 | 32.1 ± 4.92 | 32.1 ± 4.92 | 200 | Placebo |
| F: 15 | ||||||||||||
| Mortensen et al. (2014) [17] | Denmark | RCT, DB | Heart failure | M: 305 | 420 (202/218) | 96 weeks | 62.3 ± 12 | 62.3 ± 11 | 28 ± 5 | 28 ± 6 | 300 | Placebo |
| F: 115 | ||||||||||||
| Mohseni et al. (2014) [18] | Iran | RCT, DB | Hyperlipidemia/MI | M: 39 | 52 (26/26) | 12 weeks | 60 ± 8 | 61 ± 7 | 25.91 ± 2.53 | 26 ± 3.34 | 200 | Placebo |
| F: 13 | ||||||||||||
| Holloway et al. (2014) [19] | UK | RCT, Cross-over | Healthy | M: 10 | 23 (12/11) | 3 weeks | 48.5 ± 14.9 | 43.1 ± 15.5 | 24.3 ± 3.6 | 24.7 ± 4.6 | 300 | Control + Trek |
| F: 13 | ||||||||||||
| Abdollahzad et al. (2015) [20] | Iran | RCT, DB | Rheumatoid arthritis | M: 6 | 45 (22/23) | 8 weeks | 48.77 ± 11.58 | 50.41 ± 11.28 | NR | NR | 100 | Placebo |
| F: 39 | ||||||||||||
| Zhang et al. (2017) [21] | China | RCT, DB | Dyslipidemia | M: 32 | 101 (51/50) | 24 weeks | 51.78 ± 8.92 | 50.02 ± 10.91 | 25.23 ± 3.96 | 24.91 ± 3.32 | 120 | Placebo |
| F: 69 | ||||||||||||
| Singh et al. (2018) [22] | India | RCT, DB | CVD | M: 45 | 55 (27/28) | 24 weeks | 48.5 ± 9.5 | 48.7 ± 9.3 | NR | NR | 120 | Vitamin B |
| F: 10 | ||||||||||||
| Zarei et al. (2018) [23] | Iran | RCT, DB | T2DM | M: 0 | 68 (34/34) | 12 weeks | 53.1 ± 36.32 | 53.35 ± 38.24 | 36.44 ± 3.32 | 32.56 ± 3.55 | 100 | Placebo |
| F: 68 | ||||||||||||
| Sedeh et al. (2018) [24] | Iran | RCT, DB | T2DM | M: 39 | 68 (34/34) | 72 weeks | 60.2 ± 11.4 | 54.3 ± 9.6 | NR | NR | 100 | Placebo |
| F: 29 | ||||||||||||
| Suzuki et al. (2019) [25] | Japan | RCT, DB | Healthy | M: 17 | 41 (21/20) | 12 weeks | 67 ± 4.2 | 66.2 ± 3.2 | 24.2 ± 3.9 | 24.2 ± 3.2 | 150 | Placebo |
| F: 24 | ||||||||||||
| Kuhlman et al. (2019) [26] | Denmark | RCT, DB | Simvastatin user | M: 22 | 35 (18/17) | 8 weeks | 62 ± 4.24 | 61 ± 8.24 | 27.7 ± 2.54 | 28.8 ± 2.88 | 400 | Placebo |
| F: 13 | ||||||||||||
| Gholami et al. (2019) [27] | Iran | RCT, DB | T2DM | M: 0 | 68 (34/34) | 12 weeks | 52.97 ± 6.14 | 53.68 ± 6.74 | 29.3 ± 3.54 | 28.51 ± 3.07 | 100 | Placebo |
| F: 70 | ||||||||||||
| Izadi et al. (2019) [28] | Iran | RCT, DB | PCOS | M: 0 | 43 (22/21) | 8 weeks | 27.64 ± 5.2 | 26 ± 4.53 | 28.97 ± 2.95 | 28.73 ± 3.39 | 200 | Placebo |
| F: 43 | ||||||||||||
| Izadi et al. (2019) [28] | Iran | RCT, DB | PCOS | M: 0 | 43 (21/22) | 8 weeks | 28.33 ± 5.52 | 27.18 ± 5.77 | 29.28 ± 3.23 | 29.28 ± 4.24 | 200 | Vit E |
| F: 43 | ||||||||||||
| Mortensen et al. (2019) [29] | Australia | RCT, DB | Heart failure | M: 177 | 231 (108/123) | 96 weeks | 65.7 ± 10 | 64 ± 12 | 29 ± 5 | 29 ± 7 | 300 | Placebo |
| F: 54 | ||||||||||||
| Kawashima et al. (2020) [30] | Japan | RCT, Crossover, DB | Heart failure | M: 12 | 14 (5/9) | 12 weeks | 70 ± 9 | 70 ± 9 | NR | NR | 400 | Placebo |
| F: 2 | ||||||||||||
| Yesser et al. (2021) [31] | Iraq | RCT | Dyslipidemia | NR | 39 (20/19) | 12 weeks | 59.24 ± 5.57 | 58.11 ± 7.1 | 32.59 ± 4.59 | 30.52 ± 4.99 | 200 | Atorvastatin |
| Farsi et al. (2021) [32] | Iraq | RCT, DB | Ulcerative colitis | M: 44 | 86 (43/43) | 8 weeks | 38.39 ± 8.79 | 40.18 ± 11.46 | 24.92 ± 3.43 | 25.41 ± 2.89 | 200 | Placebo |
| F: 42 | ||||||||||||
| Dawood et al. (2021) [33] | Iraq | RCT | Prehypertensive | M: 30 | 50 (25/25) | 12 weeks | NR | NR | NR | NR | 200 | Placebo |
| F: 20 | ||||||||||||
| Kunching et al. (2021) [34] | Thailand | RCT, DB | Overweight, obesity | NR | 28 (14/14) | 6 weeks | 26.1 ± 2.7 | 24.5 ± 2.6 | 26.1 ± 2.3 | 25.7 ± 2 | 200 | Placebo |
| Kunching et al. (2022) [35] | Thailand | RCT, DB | Trained men | M: 29 | 29 (15/14) | 6 weeks | 23.5 ± 8.13 | 22.8 ± 8.6 | 23.1 ± 1.54 | 22.8 ± 0.74 | 200 | Maltodextrin |
| F: 0 | ||||||||||||
| Masoumi-Ardakani et al. (2022) [36] | Iran | RCT, DB | HTN | M: 26 | 26 (13/13) | 6 weeks | 49 ± 2.52 | 49 ± 2.52 | 27 ± 1.8 | 26 ± 1.8 | 20 | Placebo |
| F: 0 | ||||||||||||
| Masoumi-Ardakani et al. (2022) [36] | Iran | RCT, DB | HTN | M: 26 | 26 (13/13) | 6 weeks | 47 ± 3.96 | 48 ± 3.24 | 27 ± 1.44 | 26 ± 1.44 | 20 | ET |
| F: 0 | ||||||||||||
| Kuhlman et al. (2022) [37] | Denmark | RCT, DB | Simvastatin user | M: 19 | 19 (9/10) | 8 weeks | 56 ± 8 | 56 ± 9 | 28.6 ± 2.4 | 27.5 ± 2.2 | 400 | Placebo + Simvastatin |
| F: 0 | ||||||||||||
| Sangouni et al. (2023) [38] | Iran | RCT, DB | MetS | M: 28 | 44 (22/22) | 12 weeks | 39 ± 4.5 | 39.5 ± 5 | 30.7 ± 4.9 | 30 ± 4.7 | 60 | Placebo |
| F: 16 | ||||||||||||
| Elsharkawy et al. (2023) [39] | Egypt | RCT, SB | Acute aluminum phosphide poisoning | M: 17 | 56 (28/28) | 12 h | NR | NR | NR | NR | 1200 | Coconut oil |
| F: 39 | ||||||||||||
| Kirkman et al. (2023) [40] | USA | RCT, DB | CKD | M: 15 | 18 (10/8) | 4 weeks | 61 | 64 | NR | NR | 20 | Placebo |
| F: 3 | ||||||||||||
| Vrentzos et al. (2024) [41] | Greece | RCT, DB | MASLD | M: 33 | 60 (30/30) | 24 weeks | 51 ± 10 | 53 ± 11 | 32 ± 5.8 | 31.4 ± 4.4 | 240 | Placebo |
| F: 27 | ||||||||||||
| Fogacci et al. (2024) [42] | Italy | RCT, DB | Statin-Associated Asthenia | M: 33 | 60 (30/30) | 8 3weeks | 74 ± 2 | 73 ± 3 | 24 ± 1 | 25 ± 1 | 300 | Placebo |
| F: 27 | ||||||||||||
| Casagrande et al. (2024) [43] | Brazil | RCT, DB | NAFLD, MetS | M: 0 | 22 (11/11) | 12 weeks | 41.5 ± 5.94 | 38.8 ± 6.91 | 32.88 ± 5.5 | 36.93 ± 7.2 | 200 | Placebo |
| F: 22 | ||||||||||||
| Kiani et al. (2024) [44] | Iran | RCT, DB | Burn patients | M: 42 | 60 (30/30) | 10 days | 34.9 ± 10.77 | 36.77 ± 11 | 26.23 ± 5.57 | 24.43 ± 3.51 | 300 | Placebo |
| F: 18 | ||||||||||||
| Al-Thanoon et al. (2024) [45] | Iraq | RCT, DB | Pollution-exposed Workers | M: 131 | 132 (72/60) | 8 weeks | 42 ± 8 | 35 ± 5 | 29.11 ± 4.68 | 27.38 ± 4.69 | 200 | Placebo |
| F: 0 |
(RCT: randomized controlled trial; PC: placebo-control; S: single-blind; DB: double-blind; M: male; F: female; Int. Intervention; Cont.: control; NAFLD: non-alcoholic fatty liver disease; CVD: cardiovascular disease; T1DM: type 1 diabetes Mellitus; T2DM: diabetes Mellitus; CKD: chronic kidney disease; HF: heart failure; MetS: metabolic syndrome; PCOS: polycystic ovary syndrome).