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Effects of vitamin C supplementation on essential hypertension: A systematic review and meta-analysis
Yuanyuan Guan1, Pengju Dai2, Hongwu Wang3
1Graduate School, Tianjin University of Traditional Chinese Medicine, Tianjin.
Insights
Vitamin C (VitC) supplementation significantly reduced blood pressure in patients with essential hypertension. This meta-analysis of randomized controlled trials found notable decreases in both systolic and diastolic blood pressure.
Area of Science:
- Cardiovascular Health
- Nutritional Science
- Clinical Research
Background:
- The potential of Vitamin C (VitC) supplementation for managing hypertension is debated.
- Evidence on VitC's efficacy in primary hypertension patients requires systematic evaluation.
Purpose of the Study:
- To systematically analyze the impact of Vitamin C (VitC) supplementation on systolic blood pressure (SBP) and diastolic blood pressure (DBP).
- To assess VitC's effect on blood pressure in individuals diagnosed with essential hypertension.
Main Methods:
- A comprehensive literature search was conducted across multiple databases including PubMed, EMBASE, Cochrane Library, and Chinese databases until June 2019.
- Eight randomized controlled trials (RCTs) with 614 participants were included in the meta-analysis.
- Risk of bias was assessed using the Cochrane Collaboration tool, and data were analyzed using Review Manager 5.3.
Main Results:
- VitC supplementation demonstrated a significant reduction in both SBP (WMD = -4.09 mmHg) and DBP (WMD = -2.30 mmHg).
- Subgroup analyses revealed significant SBP reductions in participants aged ≥60 years and in studies with ≥35 participants.
- Significant SBP reductions were also observed in studies with a duration of ≥6 weeks and VitC doses of ≥500 mg daily.
Conclusions:
- Vitamin C supplementation is effective in significantly lowering blood pressure among patients with essential hypertension.
- The findings support the use of VitC as a potential adjunctive therapy for hypertension management.
Background:
Vitamin C as a supplement to treat hypertension has been proposed. However, it remains controversial whether vitamin C can improve blood pressure in patients with primary hypertension.
Objectives:
To analyze the effect of vitamin C (VitC) supplementation on systolic (SBP) and diastolic (DBP) blood pressure in patients with essential hypertension.
Methods:
We searched the Chinese Knowledge Infrastructure, VIP Database for Chinese Technical Periodicals, WANFANG Data, Cochrane Library, National Library of Medicine's PubMed, EMBASE, and other databases until June 2019. Eight RCTs involving 614 participants were analyzed. SBP and DBP before and after VitC supplementation were compared between the intervention and control groups. The risk of bias of individual studies was assessed using the Cochrane Collaboration risk of bias tool. Two reviewers selected studies independently of each other. The Cochrane Collaboration Review Manager 5.3 was used to perform the meta-analysis.
Results:
There was a significant difference in the change of SBP (weighted mean difference [WMD] = -4.09; 95% confidence interval [CI] -5.56, -2.62; P < .001) and DBP (WMD = -2.30; 95% CI -4.27, -.331; P = .02) between the groups. Further, there was a significant difference in the SBP (WMD = -3.75, 95% CI -6.24, -1.26, P = .003) and DBP (WMD = -3.29, 95% CI -5.98, -.60, P = .02) for the subgroup with an age ≥60 years and that with ≥35 participants. In the subgroup analysis, result for SBP with a study duration ≥6 weeks was statistically significant different (WMD = -4.77; 95% CI -6.46, -3.08; P < .001). For an intervention dose of VitC ≥500 mg daily, SBP was statistically significant (WMD = -5.01; 95% CI -8.55, -1.48; P = .005).
Conclusion:
VitC supplementation resulted in a significant reduction of blood pressure in patients with essential hypertension.
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