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Some studies suggest ginger can lower blood pressure through various mechanisms and in specific populations, while other studies indicate it may not be effective in all cases, such as in people with type 2 diabetes.
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Ginger (Zingiber officinale) is a widely used spice and traditional medicine known for its potential health benefits, including its effects on blood pressure (BP). This article synthesizes findings from multiple studies to determine whether ginger supplementation can effectively lower blood pressure.
A systematic review and meta-analysis of six randomized clinical trials involving 345 participants found that ginger supplementation significantly reduced both systolic blood pressure (SBP) and diastolic blood pressure (DBP). The mean reduction in SBP was 6.36 mmHg, and in DBP, it was 2.12 mmHg. These effects were more pronounced in studies with participants aged 50 years or younger, a follow-up duration of 8 weeks or less, and ginger doses of 3 grams per day or more.
Another systematic review of randomized controlled trials (RCTs) highlighted mixed results. One double-blind RCT with diabetic patients showed no significant effect of ginger on BP. However, a separate trial with healthy subjects demonstrated that a 100 mg/kg dose of ginger significantly lowered SBP and DBP within two hours. This suggests that the effectiveness of ginger may vary based on the population and dosage.
In a study focusing on individuals with type 2 diabetes, ginger supplementation did not significantly reduce BP compared to a placebo. Conversely, research on postpartum hypertensive mothers found that red ginger nanoparticle extracts significantly reduced both SBP and DBP over a two-week period when combined with the antihypertensive drug nifedipine.
Experimental studies have shown that ginger lowers BP through the blockade of voltage-dependent calcium channels. This mechanism was observed in animal models where ginger extract induced a dose-dependent reduction in arterial BP and relaxed vascular contractions. The calcium channel-blocking activity of ginger was confirmed by its ability to shift calcium dose-response curves, similar to the effect of the drug verapamil.
Ginger's hypotensive effects are also attributed to its vasodilatory properties. Studies have demonstrated that ginger can induce endothelium-independent vasodilation, which is not blocked by common inhibitors like L-NAME or atropine. Additionally, ginger's phenolic constituents, such as 6-gingerol and 6-shogaol, contribute to its vasodilatory and cardioprotective effects.
Research has explored the combined effects of ginger with other substances. For instance, a study on the combined oral intake of ginger extract and rice vinegar in hypertensive rats showed a synergistic effect in lowering BP, suggesting that ginger's efficacy might be enhanced when used with other natural agents.
The evidence suggests that ginger can effectively lower blood pressure, particularly in specific populations and under certain conditions. Its mechanisms of action include calcium channel blockade and vasodilation. However, the variability in results across different studies indicates the need for further research to establish standardized dosages and to understand the long-term effects of ginger supplementation on blood pressure.
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