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Association between Serum Vitamin C and the Blood Pressure: A Systematic Review and Meta-Analysis of Observational
Li Ran1, Wenli Zhao2, Xiaodong Tan1
1Department of Occupational and Environmental Health, School of Health Sciences, Wuhan University, Wuhan 430071, China.
Insights
Individuals with hypertension exhibit lower serum vitamin C levels. This study confirms vitamin C
Area of Science:
- Cardiovascular Health
- Nutritional Science
- Medical Research
Background:
- Hypertension is a primary risk factor for cardiovascular diseases.
- Previous research suggests an inverse correlation between vitamin C intake and blood pressure.
Purpose of the Study:
- To investigate the relationship between serum vitamin C levels and blood pressure.
- To determine concentration differences and correlation strength between serum vitamin C and blood pressure.
Main Methods:
- Systematic literature search across multiple databases (PubMed, Cochrane, Web of Science, CNKI, VIP, WANFANG).
- Inclusion of 18 eligible studies (14 English, 4 Chinese).
- Data analysis performed using Reviewer Manager 5.3.
Main Results:
- Hypertensive subjects showed significantly lower serum vitamin C concentrations (mean difference = -15.13 μmol/L, P = 0.001).
- Serum vitamin C demonstrated a significant inverse association with systolic blood pressure (Fisher's Z = -0.17, P < 0.00001).
- Serum vitamin C also showed a significant inverse association with diastolic blood pressure (Fisher's Z = -0.15, P < 0.00001).
Conclusions:
- Individuals diagnosed with hypertension tend to have lower serum vitamin C levels.
- Vitamin C is inversely associated with both systolic and diastolic blood pressure.
Background:
Hypertension is regarded as a major and independent risk factor of cardiovascular diseases, and numerous studies observed an inverse correlation between vitamin C intake and blood pressure.
Aim:
Our aim is to investigate the relationship between serum vitamin C and blood pressure, including the concentration differences and the correlation strength.
Method:
Two independent researchers searched and screened articles from the National Library of Medicine, Cochrane Library, Web of Science, China National Knowledge Infrastructure, VIP databases, and WANFANG databases. A total of 18 eligible studies were analyzed in the Reviewer Manager 5.3 software, including 14 English articles and 4 Chinese articles.
Results:
In the evaluation of serum vitamin C levels, the concentration in hypertensive subjects is 15.13 μmol/L lower than the normotensive ones (mean difference = -15.13, 95% CI [-24.19, -6.06], and P = 0.001). Serum vitamin C has a significant inverse relation with both systolic blood pressure (Fisher's Z = -0.17, 95% CI [-0.20, -0.15], P < 0.00001) and diastolic blood pressure (Fisher's Z = -0.15, 95% CI [-0.20, -0.10], P < 0.00001).
Conclusions:
People with hypertension have a relatively low serum vitamin C, and vitamin C is inversely associated with both systolic blood pressure and diastolic blood pressure.
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