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Some studies suggest pomegranate juice reduces blood pressure and improves cardiovascular health, while other studies indicate the benefits may be short-term or have weak evidence.
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Pomegranate (Punica granatum L.) is a polyphenol-rich fruit known for its high antioxidant capacity and various health benefits, including potential cardiovascular protection. This article synthesizes the findings from multiple studies to evaluate the effects of pomegranate juice (PJ) on blood pressure (BP).
Several studies have consistently shown that pomegranate juice consumption can significantly reduce systolic blood pressure. A meta-analysis of 14 clinical trials involving 573 individuals demonstrated a mean reduction in SBP by 5.02 mmHg (95% CI: -7.55 to -2.48, p < 0.001). Another systematic review and meta-analysis of randomized controlled trials (RCTs) confirmed these findings, showing a weighted mean difference (WMD) of -4.96 mmHg (95% CI: -7.67 to -2.25, p < 0.001). These reductions were observed regardless of the duration of PJ consumption, whether less than or more than 12 weeks.
The effects of pomegranate juice on diastolic blood pressure are also noteworthy. The same meta-analyses reported significant reductions in DBP. One study found a mean decrease of 2.94 mmHg (95% CI: -5.25 to -0.63, p = 0.01), while another reported a WMD of -2.01 mmHg (95% CI: -3.71 to -0.31, p = 0.021). These findings suggest that PJ can effectively lower both SBP and DBP.
The impact of pomegranate juice on blood pressure appears to be dose-dependent. Consumption of up to 300 mL per day was associated with significant reductions in SBP (MD: -6.11 mmHg, 95% CI: -9.22 to -3.00, p < 0.001). However, doses exceeding 300 mL per day did not show additional benefits for SBP but did result in a significant reduction in DBP (MD: -3.10 mmHg, 95% CI: -5.74 to -0.47, p = 0.02).
Pomegranate juice has been shown to reduce blood pressure in both short-term and long-term studies. Short-term consumption (less than 12 weeks) resulted in significant reductions in SBP and DBP. Long-term studies also confirmed these benefits, indicating that the antihypertensive effects of PJ are sustained over time.
The antihypertensive effects of pomegranate juice are attributed to its high polyphenol content, which has antioxidant, anti-atherosclerotic, and anti-inflammatory properties. These compounds help improve endothelial function and reduce oxidative stress, contributing to lower blood pressure . Additionally, PJ has been shown to inhibit serum angiotensin-converting enzyme (ACE) activity, which plays a role in blood pressure regulation.
While most studies focus on pomegranate juice, other parts of the fruit, such as pomegranate peel extract (PoPEx) and pomegranate seed oil (PSO), have also demonstrated antihypertensive effects. A study on PoPEx showed significant reductions in both SBP and DBP in patients with type 2 diabetes. Similarly, PSO has been reported to lower blood pressure through its antioxidant properties.
The evidence suggests that pomegranate juice is effective in reducing both systolic and diastolic blood pressure, with benefits observed in both short-term and long-term consumption. The antihypertensive effects are dose-dependent and are primarily attributed to the fruit's high polyphenol content. Including pomegranate juice in a heart-healthy diet may offer significant cardiovascular benefits, particularly for individuals with hypertension. Further research is needed to explore the long-term effects and mechanisms in more detail.
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