The effect of green tea on blood pressure and lipid profile: A systematic review and meta-analysis of randomized clinical trials

Introduction: Many different dietary supplements are currently marketed for the management of hypertension, but the evidence for effectiveness is mixed. The aim of this systematic review was to evaluate the evidence for or against the effectiveness of green tea (Camellia sinensis) on blood pressure...

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Main Authors: Onakpoya, I, Spencer, E, Heneghan, C, Thompson, M
Format: Journal article
Published: 2014
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author Onakpoya, I
Spencer, E
Heneghan, C
Thompson, M
Thompson, M
author_facet Onakpoya, I
Spencer, E
Heneghan, C
Thompson, M
Thompson, M
author_sort Onakpoya, I
collection OXFORD
description Introduction: Many different dietary supplements are currently marketed for the management of hypertension, but the evidence for effectiveness is mixed. The aim of this systematic review was to evaluate the evidence for or against the effectiveness of green tea (Camellia sinensis) on blood pressure and lipid parameters. Methods and results: Electronic searches were conducted in Medline, Embase, Amed, Cinahl and the Cochrane Library to identify relevant human randomized clinical trials (RCTs). Hand searches of bibliographies were also conducted. The reporting quality of included studies was assessed using a checklist adapted from the CONSORT Statement. Two reviewers independently determined eligibility, assessed the reporting quality of the included studies, and extracted the data. As many as 474 citations were identified and 20 RCTs comprising 1536 participants were included. There were variations in the designs of the RCTs. A meta-analysis revealed a significant reduction in systolic blood pressure favouring green tea (MD: -1.94 mmHg; 95% CI: -2.95 to -0.93; I2 = 8%; p = 0.0002). Similar results were also observed for total cholesterol (MD: -0.13 mmol/l; 95% CI: -0.2 to -0.07; I2 = 8%; p < 0.0001) and LDL cholesterol (MD: -0.19 mmol/l; 95% CI: -0.3 to -0.09; I2 = 70%; p = 0.0004). Adverse events included rash, elevated blood pressure, and abdominal discomfort. Conclusion: Green tea intake results in significant reductions in systolic blood pressure, total cholesterol, and LDL cholesterol. The effect size on systolic blood pressure is small, but the effects on total and LDL cholesterol appear moderate. Longer-term independent clinical trials evaluating the effects of green tea are warranted. © 2014 Elsevier B.V.
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spelling oxford-uuid:f32d9bb4-e771-4213-b2d1-d1fde5cbbe482022-03-27T12:09:57ZThe effect of green tea on blood pressure and lipid profile: A systematic review and meta-analysis of randomized clinical trialsJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:f32d9bb4-e771-4213-b2d1-d1fde5cbbe48Symplectic Elements at Oxford2014Onakpoya, ISpencer, EHeneghan, CThompson, MThompson, MIntroduction: Many different dietary supplements are currently marketed for the management of hypertension, but the evidence for effectiveness is mixed. The aim of this systematic review was to evaluate the evidence for or against the effectiveness of green tea (Camellia sinensis) on blood pressure and lipid parameters. Methods and results: Electronic searches were conducted in Medline, Embase, Amed, Cinahl and the Cochrane Library to identify relevant human randomized clinical trials (RCTs). Hand searches of bibliographies were also conducted. The reporting quality of included studies was assessed using a checklist adapted from the CONSORT Statement. Two reviewers independently determined eligibility, assessed the reporting quality of the included studies, and extracted the data. As many as 474 citations were identified and 20 RCTs comprising 1536 participants were included. There were variations in the designs of the RCTs. A meta-analysis revealed a significant reduction in systolic blood pressure favouring green tea (MD: -1.94 mmHg; 95% CI: -2.95 to -0.93; I2 = 8%; p = 0.0002). Similar results were also observed for total cholesterol (MD: -0.13 mmol/l; 95% CI: -0.2 to -0.07; I2 = 8%; p < 0.0001) and LDL cholesterol (MD: -0.19 mmol/l; 95% CI: -0.3 to -0.09; I2 = 70%; p = 0.0004). Adverse events included rash, elevated blood pressure, and abdominal discomfort. Conclusion: Green tea intake results in significant reductions in systolic blood pressure, total cholesterol, and LDL cholesterol. The effect size on systolic blood pressure is small, but the effects on total and LDL cholesterol appear moderate. Longer-term independent clinical trials evaluating the effects of green tea are warranted. © 2014 Elsevier B.V.
spellingShingle Onakpoya, I
Spencer, E
Heneghan, C
Thompson, M
Thompson, M
The effect of green tea on blood pressure and lipid profile: A systematic review and meta-analysis of randomized clinical trials
title The effect of green tea on blood pressure and lipid profile: A systematic review and meta-analysis of randomized clinical trials
title_full The effect of green tea on blood pressure and lipid profile: A systematic review and meta-analysis of randomized clinical trials
title_fullStr The effect of green tea on blood pressure and lipid profile: A systematic review and meta-analysis of randomized clinical trials
title_full_unstemmed The effect of green tea on blood pressure and lipid profile: A systematic review and meta-analysis of randomized clinical trials
title_short The effect of green tea on blood pressure and lipid profile: A systematic review and meta-analysis of randomized clinical trials
title_sort effect of green tea on blood pressure and lipid profile a systematic review and meta analysis of randomized clinical trials
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