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REVIEW article

Front. Nutr.

Sec. Nutrition and Microbes

Volume 12 - 2025 | doi: 10.3389/fnut.2025.1676619

This article is part of the Research TopicMicrobial Derived Metabolites as Emerging Functional Ingredients in FoodView all 3 articles

Advances in Nutritional Interventions for Coronary Heart Disease Patients from the Perspective of the Gut-Heart Axis

Provisionally accepted
Jing  GaoJing Gao1,2Mingjing  ZhangMingjing Zhang3Gaoning  ZhangGaoning Zhang1Dingzheng  ZhangDingzheng Zhang1Mo  ZhouMo Zhou3Lijing  ZhaoLijing Zhao1*Yanwei  DuYanwei Du1*
  • 1Jilin University, Changchun, China
  • 2The First Affiliated Hospital of Xinjiang Medical University, Urumqi, China
  • 3Royal National Orthopaedic Hospital, London, United Kingdom

The final, formatted version of the article will be published soon.

Coronary Heart Disease (CHD) is the most common type of cardiovascular disease (CVD) and poses a heavy economic burden worldwide due to its persistently high incidence and mortality rates. In recent years, the pathogenesis of CHD is well understood, and the "gut-heart axis" theory reveals that the gut microbiota mediated dietary components enter the cardiovascular system via mechanisms including immune metabolism, epigenetics (regulation), and microbial metabolism, which can promote the formation and development of atherosclerosis. This theory identifies the gut microbiota as a promising therapeutic target for CHD intervention. The gut microbiota is highly plastic and closely related to dietary habits. Appropriate nutritional management can achieve the purpose of preventing and treating CHD. From the perspective of the "gut-heart axis", this review integrates previous research results and current research progress on the gut microbiota in CHD, summarizes the gut microbiota and related pathogenesis in CHD patients, discusses the interrelationship between CHD, nutritional management, and gut microbiota, and explores the existing problems and recent advances in nutritional management of CHD patients, which provides reference ideas for possible therapeutic strategies and precision nutrition support in CHD.

Keywords: gut-heart axis, coronary heart disease, Nursing, nutrition, Gut Microbiota

Received: 31 Jul 2025; Accepted: 23 Oct 2025.

Copyright: © 2025 Gao, Zhang, Zhang, Zhang, Zhou, Zhao and Du. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence:
Lijing Zhao, zhao_lj@jlu.edu.cn
Yanwei Du, duyw@jlu.edu.cn

Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.