The Misconception About Tart Cherries and Hypertension
The notion that a natural food could raise blood pressure is understandable, as many factors influence cardiovascular health. However, the available scientific evidence generally points away from this conclusion. In fact, many people turn to tart cherry juice specifically for its purported blood pressure-lowering benefits. The conflicting reports and the nuance of health research are key to understanding the full picture. This article will delve into the active compounds within tart cherries, review the studies exploring their effect on blood pressure, and outline important precautions.
The Science Behind Tart Cherries and Cardiovascular Function
The health properties of tart cherries are largely attributed to their rich concentration of bioactive compounds. These powerful ingredients have a variety of effects on the body, some of which are directly relevant to blood pressure regulation.
- Polyphenols and Anthocyanins: Tart cherries are particularly rich in anthocyanins, which are potent antioxidants. These compounds help combat oxidative stress and inflammation, two key contributors to cardiovascular disease. By reducing inflammation, tart cherries may help maintain healthy blood vessels.
- Potassium Content: Tart cherries are a good source of potassium, an essential mineral for maintaining proper fluid balance and healthy blood pressure levels. Potassium helps to counteract the effects of sodium in the body, promoting vasodilation (the widening of blood vessels).
- ACE Inhibition: Some studies have suggested that tart cherry compounds may inhibit angiotensin-converting enzyme (ACE), similar to prescription blood pressure medications. This mechanism contributes to lower blood pressure by preventing the constriction of blood vessels.
Conflicting Research and Study Results
The scientific literature on tart cherries and blood pressure presents a mixed bag of results, which is a significant reason for public confusion. Some studies report favorable outcomes, while others find no significant impact.
Evidence for Lowering Blood Pressure
- A 2016 study published in the American Journal of Clinical Nutrition found that consuming Montmorency tart cherry concentrate significantly lowered systolic blood pressure in men with early hypertension, with effects comparable to some anti-hypertensive medication.
- A 2018 randomized controlled trial on older adults (ages 65–80) found that those who drank tart cherry juice daily for 12 weeks had significantly lower systolic BP compared to a placebo group.
Evidence for No Significant Effect
- A 2022 meta-analysis reviewed multiple randomized controlled trials and concluded that cherry supplementation, including tart cherries, showed no significant changes in either systolic or diastolic blood pressure.
- Another systematic review and meta-analysis published in 2023 echoed similar findings, stating that tart cherry consumption did not significantly affect blood pressure or heart rate in the included trials.
- Some experts note that the promising results from smaller, shorter-term studies might not hold up in larger, longer-duration trials.
Potential Risks and Who Should Be Cautious
While the main concern of a blood pressure increase is not supported by evidence, there are other potential side effects and interactions to be aware of, especially with concentrated products.
Potential Risks of High Consumption
- Gastrointestinal Distress: Large quantities of tart cherry juice can cause diarrhea and abdominal discomfort due to its sorbitol content, a natural sugar alcohol.
- Weight Gain: Many commercial tart cherry juice products contain significant amounts of natural or added sugars, and excessive intake can contribute to weight gain.
- Excessive Potassium: For individuals with kidney disease or potassium restrictions, the high potassium content of tart cherry juice can be problematic and lead to hyperkalemia, causing muscle weakness and heart issues.
Drug Interactions
- Blood Pressure Medication: Since tart cherries may have a blood pressure-lowering effect, those taking medications like ACE inhibitors (e.g., lisinopril) or beta-blockers should consult a doctor before adding it to their diet to avoid an overcorrection that could cause blood pressure to drop too low.
- Blood Thinners: Tart cherries may have an effect on blood clotting, so individuals on blood thinners like warfarin should also speak with a healthcare professional.
Comparison of Studies on Tart Cherries and Blood Pressure
| Study | Population | Duration | Key Finding on BP | Reliability Note | 
|---|---|---|---|---|
| Benton et al. (2016) | Men with early hypertension | Single Dose | Significantly reduced systolic BP for 3 hours. | Acute, short-term effect. | 
| Chai et al. (2018) | Older adults (65-80 years) | 12 weeks | Significantly reduced systolic BP. | Found significant effect in a specific population. | 
| Khalili et al. (2022) | Meta-analysis (multiple RCTs) | Varied | No significant effect on systolic or diastolic BP. | Broader conclusion based on aggregated data. | 
| Jamali et al. (2023) | Meta-analysis (21 trials) | Varied | No significant effect on blood pressure overall. | Found an increase in DBP in a specific subgroup. | 
Conclusion
In summary, the concern that tart cherries can raise blood pressure is not supported by the bulk of scientific evidence. For the average healthy person, tart cherries are unlikely to cause an increase in blood pressure and may offer some cardiovascular benefits due to their anti-inflammatory, antioxidant, and potassium content. However, the overall research on their blood pressure-lowering effect is mixed and not conclusive. Individuals with pre-existing health conditions like kidney disease or those taking blood pressure or blood-thinning medications should proceed with caution and consult a healthcare provider. Eating whole tart cherries or drinking moderate amounts of unsweetened juice can be part of a healthy, balanced diet, but it should not be considered a replacement for prescribed medical treatment for hypertension.
For more information on general nutrition, you can consult reliable sources like the National Institutes of Health (NIH)(https://pmc.ncbi.nlm.nih.gov/articles/PMC10559679/).