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Healthy Diets for Vascular Disease Prevention

A special issue of Nutrients (ISSN 2072-6643). This special issue belongs to the section "Nutrition and Public Health".

Deadline for manuscript submissions: closed (25 October 2025) | Viewed by 3133

Special Issue Editor


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Guest Editor
1. Department of Anesthesiology, School of Medicine, Loma Linda University, Loma Linda, CA 92350, USA
2. Department of Basic Sciences, School of Medicine, Loma Linda University, Loma Linda, CA 92350, USA
Interests: cerebral vascular diseases; ischemic and hemorrhagic stroke; neuroprotective strategies; cerebral vascular biology; signaling pathways
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Special Issue Information

Dear Colleagues,

Based on the invitation to guest edit this Special Issue, ‘Healthy Diets for Vascular Disease Prevention’, for Nutrients, I would like to offer some comments regarding the potential integration of diverse methodologies and data sources in this context, especially in terms of omics, single-cell analysis, nutrition, and public health.

1. Multidimensional Approaches to Vascular Disease Prevention

The topic of vascular disease prevention is incredibly timely, and the use of multidisciplinary approaches will be key to advancing our understanding. Multi-omics techniques, including genomics, proteomics, metabolomics, and lipidomics, offer rich insights into the molecular mechanisms underpinning vascular diseases and how nutrition can modulate these pathways. An emphasis on integrating these omics data can help identify novel biomarkers and therapeutic targets for vascular health. Additionally, combining Mendelian randomization (MR) with multi-omics data can provide causal inference about diet-related factors and vascular disease outcomes.

2. Single-Cell Technologies

The advent of single-cell technologies allows us to examine cellular heterogeneity within vascular tissues, which could revolutionize our understanding of how diet impacts vascular health at the cellular level. Single-cell RNA sequencing, for example, could provide insights into how dietary interventions influence endothelial cells, smooth muscle cells, or immune cells in the vascular system. Integrating these findings with population-based nutrition studies could offer a clearer picture of the mechanisms by which diet influences vascular disease.

3. Nutritional Epidemiology and Global Data

Public data sources like the Global Burden of Disease (GBD) database can be invaluable in providing a global perspective on vascular diseases and their links to nutrition. Leveraging large-scale publicly available epidemiological data can help identify at-risk populations and the dietary factors most strongly associated with vascular diseases. This data-driven approach is essential for formulating evidence-based public health strategies. The GBD database can also help guide the development of interventions targeted to regions with high rates of cardiovascular diseases.

4. Nutrition Components and Public Health Implications

Exploring nutritional components such as bioactive compounds, functional foods, and their potential roles in vascular disease prevention would be highly relevant. Public health initiatives that focus on the promotion of these components through diet can provide scalable interventions. There is an urgent need to translate basic and clinical nutrition research into practical community-wide solutions that are not only effective, but that are also culturally acceptable and affordable.

5. Innovative Public Health Solutions

Lastly, as part of advancing public health in the context of vascular disease prevention, it is crucial to consider big data analytics. By tapping into public health datasets, we can identify broader socio-economic, lifestyle, and environmental factors that influence diet and vascular health. Collaboration with public health experts to refine nutrition recommendations, based on robust evidence from epidemiological studies, can help shape global health policies and prevention strategies.

In summary, the convergence of multi-omics technologies, single-cell analysis, and public health data, combined with the use of Mendelian randomization to uncover causal relationships between diet and vascular disease, forms the backbone of a comprehensive research agenda. A deeper understanding of these mechanisms will not only pave the way for novel therapies, but also support global nutrition strategies for vascular disease prevention, especially in high-risk populations.

Prof. Dr. John H. Zhang
Guest Editor

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Keywords

  • dietary intervention
  • vascular disease
  • bioactive compounds
  • functional foods
  • stroke

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Published Papers (2 papers)

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Research

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22 pages, 332 KB  
Article
Assessment of CoQ10 Dietary Intake in a Mediterranean Cohort of Familial Hypercholesterolemia Patients: A Pilot Study
by Teresa Sanclemente, Alicia Carazo, Tania Silvestre-Muñoz, Julio Montoya, Eduardo Ruiz-Pesini, José Puzo and David Pacheu-Grau
Nutrients 2025, 17(22), 3512; https://doi.org/10.3390/nu17223512 - 10 Nov 2025
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Abstract
Background/Objectives: Coenzyme Q 10 is a lipid molecule that works as a mobile electron transporter in the mitochondrial respiratory chain and, in addition, plays the role of an antioxidant. Interestingly, CoQ10 synthesis in human cells derives from the mevalonate pathway, the same metabolic [...] Read more.
Background/Objectives: Coenzyme Q 10 is a lipid molecule that works as a mobile electron transporter in the mitochondrial respiratory chain and, in addition, plays the role of an antioxidant. Interestingly, CoQ10 synthesis in human cells derives from the mevalonate pathway, the same metabolic route that delivers endogenous cholesterol. Mutations leading to Familial Hypercholesterolemia (FH) alter the levels of CoQ10 production and remarkably, statin therapy associated muscular symptoms (SAMSs) might also be modulated by CoQ10 supplementation. CoQ10 is also provided by diet and only a few studies have calculated the dietary intake of this metabolite among populations. Methods: Here, we present our Spanish FH cohort (n = 261) and characterized relevant clinical, metabolic, and anthropometric parameters. Results: A cohort of 75.1% followed lipid-lowering treatment at inclusion, being the most prescribed drugs statin alone (32.7%) and statins combined with ezetimibe (56.6%). The average time on statin treatment was 3.7 years. Interestingly, 22% of cohort patients presented with SAMS. In addition, we performed an exhaustive literature review to define for the first time the CoQ10 content present in food typically found in Spain or other southern-European countries and classified them from very rich (over 50 mg/kg) to very poor (<1 mg/kg). With this information, we calculated the daily intake of CoQ10 from a small group (12) of selected FH patients using a validated food-frequency questionnaire (FFQ) and determined a daily intake 9.72 ± 2.64 mg/day, different to other described populations. Conclusions: we discussed the relevance of exogenous CoQ10 for FH development and potential SAMS. Interestingly, this information can be extrapolated to define the regular CoQ10 intake of the Spanish population, especially when following the MedDiet. Full article
(This article belongs to the Special Issue Healthy Diets for Vascular Disease Prevention)

Review

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24 pages, 1418 KB  
Review
The Mediterranean Diet and Cerebrovascular Risk Factors: A Lifeline for Vascular Health—Narrative Review
by Gaetano Pacinella, Andrea Salvo, Carlo Domenico Maida, Mario Daidone, Stefania Scaglione, Anna Maria Ciaccio and Antonino Tuttolomondo
Nutrients 2026, 18(8), 1273; https://doi.org/10.3390/nu18081273 - 17 Apr 2026
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Abstract
Ischemic stroke and its chronic cerebrovascular complications represent significant public health challenges with considerable societal impact. Consequently, healthcare initiatives worldwide are placing greater emphasis on preventing and lowering cerebrovascular risk. Alongside medical therapies, it is now widely recognized that modifying risk factors—many of [...] Read more.
Ischemic stroke and its chronic cerebrovascular complications represent significant public health challenges with considerable societal impact. Consequently, healthcare initiatives worldwide are placing greater emphasis on preventing and lowering cerebrovascular risk. Alongside medical therapies, it is now widely recognized that modifying risk factors—many of which are controllable—can substantially reduce the probability of acute cerebrovascular events, up to 33% according to data from trials such as PREDIMED. This modification is often achievable through dietary interventions such as the Mediterranean diet (MedDiet), which positively influences vascular health. The MedDiet, long established as the traditional eating pattern in Mediterranean regions, is an effective means of counteracting factors that jeopardize vascular health and elevate the risk of acute events. To date, there are no narrative reviews that have addressed the impact of the Mediterranean diet on cerebrovascular risk and the consequences of acute cerebrovascular events in terms of disability and neurological functional recovery, focusing on how individual components of the MedDiet, at the molecular level, contribute to the prevention of acute vascular episodes, paving the way for new approaches in the treatment of cerebrovascular patients. Full article
(This article belongs to the Special Issue Healthy Diets for Vascular Disease Prevention)
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