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The effects of caffeine on blood pressure and heart rate: A review
1Department of Psychology, Spence Laboratories, University of Iowa, 52242, Iowa City, IA.
Insights
Caffeine may cause temporary blood pressure increases, but long-term cardiovascular risks appear minimal for most. Individuals with hypertension or at risk may be more sensitive to caffeine's effects.
Area of Science:
- Cardiovascular Physiology
- Pharmacology
Background:
- Caffeine consumption is widespread, prompting concerns about its impact on cardiovascular health.
- Existing research presents mixed findings regarding caffeine's association with hypertension and cardiovascular disease risk.
Purpose of the Study:
- To review existing research on the effects of caffeine on blood pressure (BP) and heart rate (HR).
- To examine potential moderating factors such as tolerance, family history of hypertension, and pre-existing hypertension.
Main Methods:
- Systematic review of epidemiological and experimental laboratory studies.
- Analysis of caffeine's acute and chronic effects on BP and HR.
- Investigation of individual differences in response to caffeine.
Main Results:
- Epidemiological studies show inconsistent results.
- Experimental studies generally indicate acute, additive increases in BP with caffeine, rarely synergistic.
- Heart rate responses are less consistent; tolerance develops but may diminish with overnight abstinence.
- Long-term effects on BP appear minimal for typical users, but at-risk individuals may be more vulnerable.
Conclusions:
- Caffeine can cause acute BP elevations, but long-term risks seem low for the general population.
- Individuals with or at risk for hypertension may experience greater BP responses to caffeine.
- Further research is needed to clarify HR variability and long-term implications for at-risk groups.
Abstract:
Concerns have been raised frequently about caffeine's potential for increasing blood pressure (BP) and posing a risk for cardiovascular disease. This review surveys research concerning the effects of caffeine on BP and heart rate (HR). Tolerance to caffeine, family history of hypertension, borderline hypertension, and hypertension are also examined as potential moderators. Results from epidemiological studies are inconsistent. Experimental laboratory studies have generally found that caffeine produces acute rises in systolic and diastolic BP that are additive to any stress-induced increases. Synergistic effects which might pose a more serious risk are rarely found. Heart rate data are less consistent, possibly due to the different ways HR is measured. Tolerance to the cardiovascular effects of caffeine has reliably been reported; however, overnight abstinence may be sufficient to negate tolerance effects to most levels of caffeine ingestion in typical caffeine users. Though caffeine drinkers may exhibit acute increases in BP, the long-term effects appear to be minimal. However, persons at risk for hypertension may be more vulnerable to the BP effects of caffeine.
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