The effects of coenzyme Q10 administration on glucose homeostasis parameters, lipid profiles, biomarkers of inflammation and oxidative stress in patients with metabolic syndrome.

Abstract

Limited data are available indicating the effects of coenzyme Q10 (CoQ10) supplementation on metabolic status of patients with metabolic syndrome (MetS). The present study was conducted to determine the effects of CoQ10 administration on glucose homeostasis parameters, lipid profiles, biomarkers of inflammation and oxidative stress among patients with MetS. This randomized, double-blind, placebo-controlled trial was performed among 60 overweight or obese and type 2 diabetes mellitus patients with coronary heart disease aged 40-85years old. Participants were randomly allocated into two groups. Group A (n=30) received 100mg CoQ10 supplements and group B (n=30) received placebo for 8weeks. Fasting blood samples were taken at the beginning of the study and after 8-week intervention to quantify glucose homeostasis parameters, lipid profiles and biomarkers of inflammation and oxidative stress. Compared with the placebo, CoQ10 supplementation resulted in a significant reduction in serum insulin levels (-2.1±7.1 vs. +4.1±7.8µIU/mL, P=0.002) and homeostasis model of assessment-insulin resistance (-0.7±2.1 vs. +1.0±2.0, P=0.002) and homeostatic model assessment-beta cell function (-5.9±22.2 vs. +15.9±34.0, P=0.005). In addition, patients who received CoQ10 supplements had a significant increase in plasma total antioxidant capacity (TAC) concentrations (+26.0±105.0 vs. -162.2±361.8mmol/L, P=0.008) compared with the placebo group. However, after adjustment for the baseline levels, age and baseline BMI, the effect on TAC levels (P=0.08) disappeared. Additionally, compared with the placebo group, a significant positive trends in plasma glutathione (P=0.06) and a significant reduction in malondialdehyde (P=0.08) were seen among patients who received CoQ10 supplement. We did not observe any significant changes in fasting plasma glucose, lipid concentrations and inflammatory markers. Overall, daily intake of 100mg CoQ10 supplements among patients with MetS for 8weeks had beneficial effects on serum insulin levels, HOMA-IR, HOMA-B and plasma TAC concentrations. www.irct.ir : IRCT201502245623N35.