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Coffee consumption and blood pressure: a randomized, crossover clinical trial
P C Rosmarin1, W B Applegate, G W Somes
1Department of Medicine, University of Tennessee, Memphis 38163.
Objective:
To examine the effect of moderate coffee consumption on blood pressure over a prolonged period of time. Previous work in this area has used primarily purified caffeine.
Design:
A prospective, randomized, crossover clinical trial.
Setting:
A hypertension specialty outpatient clinic at the University of Tennessee, Memphis.
Patients:
Healthy, young, white men who were moderate coffee drinkers (less than 6 cups/day) were recruited. Twenty-four subjects were randomized and 21 (average age 35.5 years) completed the trial.
Interventions:
Subjects were randomized to one of two groups: Group A drank three or more cups of coffee/day for two months, then crossed over to abstaining from coffee for two months; group B abstained from coffee first, then crossed over to drinking coffee. Only filter-brewed coffee was used. Subjects were seen at monthly intervals for blood pressure measurements.
Measurements And Main Results:
The average coffee consumption was 3.6 cups/day during the coffee-drinking phases. There was no difference between the coffee-drinking phase and the abstention phase in either systolic blood pressure (110.1 mmHg vs. 108.0 mmHg, respectively; 95% CI of difference -7.3, 2.5) or diastolic blood pressure (67.2 mmHg vs. 69.6 mmHg, respectively; 95% CI of difference -2.2, 6.4).
Conclusions:
Moderate daily consumption of coffee does not elevate blood pressure.