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Published on: July 24, 2018
Hypertension risk status and effect of caffeine on blood pressure
T R Hartley1, B H Sung, G A Pincomb
1Veterans Affairs Medical Center and Departments of Psychiatry and Behavioral Sciences and Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, USA.
Insights
Caffeine significantly increases blood pressure (BP) in all men, but the effect is most pronounced in those with diagnosed hypertension. Hypertension risk status is crucial for understanding caffeine
Area of Science:
- Cardiovascular Physiology
- Nutritional Science
- Hypertension Research
Background:
- Dietary factors, including caffeine, can influence blood pressure regulation.
- Understanding the pressor effects of caffeine in different hypertension risk groups is essential for public health.
- Previous research has yielded mixed results on caffeine's impact on blood pressure.
Purpose of the Study:
- To compare the acute effects of caffeine on arterial blood pressure (BP) across five distinct hypertension risk groups.
- To determine if individuals with varying BP levels exhibit different responses to caffeine.
- To assess the clinical relevance of caffeine-induced BP changes in relation to hypertensive ranges.
Main Methods:
- Recruitment of 182 men categorized into optimal BP, normal BP, high-normal BP, stage 1 hypertension, and diagnosed hypertension groups.
- Oral administration of caffeine (3.3 mg/kg or 250 mg fixed dose) to participants.
- Measurement of systolic and diastolic blood pressure (SBP and DBP) at rest and 45-60 minutes post-caffeine ingestion.
- Statistical analysis using ANCOVA to compare BP responses across groups.
Main Results:
- Caffeine significantly increased both SBP and DBP in all participants (P<0.0001).
- The most substantial BP elevation occurred in diagnosed hypertensive men, followed by stage 1 and high-normal BP groups.
- Post-caffeine, 89% of diagnosed hypertensive men, 15% of stage 1, and 19% of high-normal BP groups entered the hypertensive range.
Conclusions:
- Hypertension risk status significantly modulates the acute pressor response to caffeine.
- Individuals with pre-existing hypertension or elevated BP are more susceptible to caffeine-induced blood pressure increases.
- Future research on caffeine's cardiovascular effects should prioritize individuals' hypertension risk profiles.
Abstract:
We compared the acute effects of caffeine on arterial blood pressure (BP) in 5 hypertension risk groups composed of a total of 182 men. We identified 73 men with optimal BP, 28 with normal BP, 36 with high-normal BP, and 27 with stage 1 hypertension on the basis of resting BP; in addition, we included 18 men with diagnosed hypertension from a hypertension clinic. During caffeine testing, BP was measured after 20 minutes of rest and again at 45 to 60 minutes after the oral administration of caffeine (3.3 mg/kg or a fixed dose of 250 mg for an average dose of 260 mg). Caffeine raised both systolic and diastolic BP (SBP and DBP, respectively; P<0.0001 for both) in all groups. However, an ANCOVA revealed that the strongest response to caffeine was observed among diagnosed men, followed by the stage 1 and high-normal groups and then by the normal and optimal groups (SBP F(4),(175)=5.06, P<0.0001; DBP F(4,175)=3.02, P<0.02). Indeed, diagnosed hypertensive men had a pre-to-postdrug change in BP that was >1.5 times greater than the optimal group. The potential clinical relevance of caffeine-induced BP changes is seen in the BPs that reached the hypertensive range (SBP >/=140 mm Hg or DBP >/=90 mm Hg) after caffeine. During the predrug baseline, 78% of diagnosed hypertensive men and 4% of stage 1 men were hypertensive, whereas no others were hypertensive. After caffeine ingestion, 19% of the high-normal, 15% of the stage 1, and 89% of the diagnosed hypertensive groups fell into the hypertensive range. All subjects from the optimal and normal groups remained normotensive. We conclude that hypertension risk status should take priority in future research regarding pressor effects of dietary intake of caffeine.
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