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Some studies suggest that certain fruits, such as polyphenol-rich berries and pomegranate juice, can lower blood pressure, while other studies indicate that increased potassium intake from fruits and vegetables does not have a significant effect on blood pressure.
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Hypertension, or high blood pressure (BP), is a significant risk factor for cardiovascular diseases, stroke, and kidney disease. Dietary modifications, including increased fruit and vegetable intake, have been suggested as a natural approach to manage BP. This article synthesizes research findings on the impact of fruit consumption on BP.
A study investigated the effects of increased potassium intake from fruits and vegetables on BP in individuals with early hypertension. The results showed no significant reduction in BP or improvement in vascular function with increased potassium intake from fruits and vegetables or supplements. This suggests that simply increasing potassium intake may not be sufficient to lower BP in early hypertensive individuals.
An analysis of the EUROACTION trial examined the relationship between fruit and vegetable consumption and the amount of BP-lowering medication required. The study found that patients who met fruit and vegetable consumption targets required fewer BP-lowering drugs to achieve BP targets compared to those who did not meet these dietary targets. This indicates a potential medication-sparing effect of high fruit and vegetable intake.
The INTERMAP study explored the association between raw fruit and fruit juice consumption and BP. The study found no consistent associations between raw fruit or fruit juice intake and BP across different populations. However, specific fruits like bananas showed an inverse relationship with diastolic BP in East Asian participants . This suggests that while general fruit consumption may not significantly impact BP, certain fruits might have beneficial effects.
A randomized controlled trial assessed the effects of polyphenol-rich juices on BP. The study found that consumption of polyphenol-rich juices, such as those made from red grapes, cherries, chokeberries, and bilberries, significantly reduced systolic BP in hypertensive individuals. This highlights the potential of polyphenol-rich fruits in managing BP.
Pomegranate, a polyphenol-rich fruit, has been shown to reduce BP through various mechanisms, including antioxidant and anti-atherosclerotic actions. Both pomegranate juice and seed oil have demonstrated significant BP-lowering effects in clinical studies. This underscores the potential of pomegranate as a natural remedy for hypertension.
A systematic review and meta-analysis of randomized controlled trials evaluated the impact of various dietary patterns on BP. Diets rich in fruits, vegetables, whole grains, legumes, seeds, nuts, fish, and dairy, such as the DASH, Nordic, and Mediterranean diets, significantly lowered both systolic and diastolic BP. These findings support the adoption of comprehensive dietary patterns that include a variety of fruits for effective BP management.
While individual fruits and specific nutrients like potassium may not consistently lower BP, comprehensive dietary patterns rich in fruits and vegetables show significant promise. Polyphenol-rich fruits and juices, such as pomegranate and certain berries, have demonstrated notable BP-lowering effects. Incorporating a variety of fruits as part of a balanced diet can contribute to better BP control and overall cardiovascular health.
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