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Black tea lowers blood pressure and wave reflections in fasted and postprandial conditions in hypertensive patients: a randomised study.
Nutrients 2015; 7(2):1037-51N

Abstract

Hypertension and arterial stiffening are independent predictors of cardiovascular mortality. Flavonoids may exert some vascular protection. We investigated the effects of black tea on blood pressure (BP) and wave reflections before and after fat load in hypertensives. According to a randomized, double-blind, controlled, cross-over design, 19 patients were assigned to consume black tea (129 mg flavonoids) or placebo twice a day for eight days (13 day wash-out period). Digital volume pulse and BP were measured before and 1, 2, 3 and 4 h after tea consumption. Measurements were performed in a fasted state and after a fat load. Compared to placebo, reflection index and stiffness index decreased after tea consumption (p<0.0001). Fat challenge increased wave reflection, which was counteracted by tea consumption (p<0.0001). Black tea decreased systolic and diastolic BP (-3.2 mmHg, p<0.005 and -2.6 mmHg, p<0.0001; respectively) and prevented BP increase after a fat load (p<0.0001). Black tea consumption lowers wave reflections and BP in the fasting state, and during the challenging haemodynamic conditions after a fat load in hypertensives. Considering lipemia-induced impairment of arterial function may occur frequently during the day, our findings suggest regular consumption of black tea may be relevant for cardiovascular protection.

Authors+Show Affiliations

Department of Life, Health and Environmental Sciences, University of L'Aquila, Viale San Salvatore, L'Aquila 67100, Italy. davide.grassi@cc.univaq.it.Unilever R & D, Olivier van Noortlaan 120, AT, Vlaardingen 3133, The Netherlands. Richard.Draijer@unilever.com.Department of Life, Health and Environmental Sciences, University of L'Aquila, Viale San Salvatore, L'Aquila 67100, Italy. giovambattista.desideri@cc.univaq.it.Unilever R & D, Olivier van Noortlaan 120, AT, Vlaardingen 3133, The Netherlands. Theo.Mulder@unilever.com.Department of Life, Health and Environmental Sciences, University of L'Aquila, Viale San Salvatore, L'Aquila 67100, Italy. claudio.ferri@cc.univaq.it.

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

25658240

Citation

Grassi, Davide, et al. "Black Tea Lowers Blood Pressure and Wave Reflections in Fasted and Postprandial Conditions in Hypertensive Patients: a Randomised Study." Nutrients, vol. 7, no. 2, 2015, pp. 1037-51.
Grassi D, Draijer R, Desideri G, et al. Black tea lowers blood pressure and wave reflections in fasted and postprandial conditions in hypertensive patients: a randomised study. Nutrients. 2015;7(2):1037-51.
Grassi, D., Draijer, R., Desideri, G., Mulder, T., & Ferri, C. (2015). Black tea lowers blood pressure and wave reflections in fasted and postprandial conditions in hypertensive patients: a randomised study. Nutrients, 7(2), pp. 1037-51. doi:10.3390/nu7021037.
Grassi D, et al. Black Tea Lowers Blood Pressure and Wave Reflections in Fasted and Postprandial Conditions in Hypertensive Patients: a Randomised Study. Nutrients. 2015 Feb 4;7(2):1037-51. PubMed PMID: 25658240.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Black tea lowers blood pressure and wave reflections in fasted and postprandial conditions in hypertensive patients: a randomised study. AU - Grassi,Davide, AU - Draijer,Richard, AU - Desideri,Giovambattista, AU - Mulder,Theo, AU - Ferri,Claudio, Y1 - 2015/02/04/ PY - 2014/12/10/received PY - 2015/01/19/revised PY - 2015/01/21/accepted PY - 2015/2/7/entrez PY - 2015/2/7/pubmed PY - 2015/10/8/medline SP - 1037 EP - 51 JF - Nutrients JO - Nutrients VL - 7 IS - 2 N2 - Hypertension and arterial stiffening are independent predictors of cardiovascular mortality. Flavonoids may exert some vascular protection. We investigated the effects of black tea on blood pressure (BP) and wave reflections before and after fat load in hypertensives. According to a randomized, double-blind, controlled, cross-over design, 19 patients were assigned to consume black tea (129 mg flavonoids) or placebo twice a day for eight days (13 day wash-out period). Digital volume pulse and BP were measured before and 1, 2, 3 and 4 h after tea consumption. Measurements were performed in a fasted state and after a fat load. Compared to placebo, reflection index and stiffness index decreased after tea consumption (p<0.0001). Fat challenge increased wave reflection, which was counteracted by tea consumption (p<0.0001). Black tea decreased systolic and diastolic BP (-3.2 mmHg, p<0.005 and -2.6 mmHg, p<0.0001; respectively) and prevented BP increase after a fat load (p<0.0001). Black tea consumption lowers wave reflections and BP in the fasting state, and during the challenging haemodynamic conditions after a fat load in hypertensives. Considering lipemia-induced impairment of arterial function may occur frequently during the day, our findings suggest regular consumption of black tea may be relevant for cardiovascular protection. SN - 2072-6643 UR - https://www.unboundmedicine.com/medline/citation/25658240/Black_tea_lowers_blood_pressure_and_wave_reflections_in_fasted_and_postprandial_conditions_in_hypertensive_patients:_a_randomised_study_ L2 - http://www.mdpi.com/resolver?pii=nu7021037 DB - PRIME DP - Unbound Medicine ER -