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Effects on blood pressure of drinking green and black tea

Hodgson, Jonathan M.1,2; Puddey, Ian B.1; Burke, Valerie1; Beilin, Lawrence J.1; Jordan, Nerissa1

Original article

Background The flavonoid components of tea have been associated in epidemiological studies with a decreased risk of cardiovascular disease. Flavonoids have been shown to have antioxidant and vasodilator effects in vitro; we therefore postulated that drinking green or black tea attenuates the well-characterized acute pressor response to caffeine and lowers blood pressure during regular consumption.

Objective To determine whether green and black tea can attenuate the transient pressor effect of caffeine, or lower blood pressure during regular consumption.

Methods In the first study, the acute effects of four hot drinks – green tea and black tea (at a dose equivalent to four standard cups), water matched to the teas for caffeine content (‘caffeine’) and water – were assessed in 20 normotensive men using a Latin-Square designed study. Clinic blood pressure was measured before and 30 and 60 min after each drink had been ingested. In the second study, the effects on blood pressure of regular green and black tea ingestion were examined in 13 subjects with high-normal systolic blood pressure and mild systolic hypertension (systolic blood pressure in the range 130–150 mmHg) using a three-period crossover study. Five cups per day of green tea, black tea and caffeine (in hot water and matched to the teas) were consumed for 7 days each, in random order. Twenty-four hour ambulatory blood pressure was measured at the end of each seven-day intervention. Results are presented as means and 95% confidence intervals (CI).

Results An acute pressor response to caffeine was observed. Relative to caffeine, there were further acute increases in systolic and diastolic blood pressure at 30 min among those drinking green tea [5.5 mmHg (95%CI −21.4 to 12.4) and 3.1 mmHg (95%CI −0.1 to 6.3), respectively] and black tea [10.7 mmHg (95%CI 4.0 to 17.4) and 5.1 mmHg (95%CI 1.8 to 8.4), respectively]. The changes in blood pressure at 60 min were not significant. The effect on 24-h ambulatory systolic and diastolic blood pressure of regular drinking of green tea [increases of 1.7 mmHg (95%CI −1.6 to 5.0) and 0.9 mmHg (95%CI −1.3 to 3.1), respectively] or black tea [increase of 0.7 mmHg (95%CI −2.6 to 4.0) and decrease of 0.7 mmHg (95%CI −2.9 to 1.5), respectively] was not significant relative to caffeine.

Conclusions Contrary to our initial hypothesis, tea ingestion caused larger acute increases in blood pressure than caffeine alone. However, any acute effects of tea on blood pressure did not translate into significant alterations in ambulatory blood pressure during regular tea consumption.

1University of Western Australia Department of Medicine and the Western Australian Heart Research Institute, Royal Perth Hospital, Perth, Western Australia, Australia

2Correspondence and requests for reprints to Dr Jonathan Hodgson, University Department of Medicine, Royal Perth Hospital, GPO Box X2213, Perth, WA 6001, Australia. Tel: +61 8 9224 0267; fax: +61 8 9224 0246; e-mail:

Sponsorship: This study was supported by a National Heart Foundation of Australia Project Grant, and by a National Health and Medical Research Council Program Grant.

Received 17 September 1998 Revised 9 December 1998 Accepted 9 December 1998

© 1999 Lippincott Williams & Wilkins, Inc.