Skip to content

Does Zevia Raise Blood Pressure? Unpacking the Effects on Cardiovascular Health

5 min read

According to a 2022 BMJ study, frequent consumption of certain artificially sweetened beverages has been linked to an increased risk of cardiovascular issues. Given that Zevia contains zero-calorie sweeteners like stevia and sometimes erythritol, a natural question arises: does Zevia raise blood pressure?

Quick Summary

An examination of Zevia's ingredients, such as stevia and erythritol, reveals complex and sometimes conflicting evidence regarding their impact on blood pressure. Potential health implications vary depending on individual health status, overall dietary habits, and the presence of other components like caffeine and sugar alcohols. Consulting a healthcare provider is recommended for personalized advice.

Key Points

  • Stevia Can Lower High Blood Pressure: Pure stevia leaf extract, a primary ingredient in Zevia, has been shown to act as a vasodilator in individuals with hypertension, helping to lower blood pressure.

  • Erythritol Is Linked to Cardiovascular Events: Some Zevia products contain erythritol, a sugar alcohol that a 2023 study associated with increased platelet activity and a higher risk of heart attack and stroke, especially in high doses and in at-risk individuals.

  • Caffeine Raises Blood Pressure Temporarily: Zevia energy drinks contain 120mg of caffeine, a stimulant known to cause a temporary rise in blood pressure, which should be monitored by those with hypertension or caffeine sensitivity.

  • Long-Term Effects are Under Investigation: While Zevia's ingredients are generally considered safe for moderate consumption by healthy individuals, research on the long-term cardiometabolic effects of sweeteners like erythritol is ongoing.

  • Check the Ingredients: Not all Zevia products are the same; consumers concerned about cardiovascular risk should check product labels to avoid varieties containing erythritol or caffeine.

  • Individual Health Matters: An individual's unique health status, especially pre-existing conditions like hypertension or diabetes, plays a critical role in how they respond to sweeteners and caffeine.

  • Moderation is Prudent: For optimal health, consuming any zero-calorie sweetened beverage in moderation is recommended as part of a balanced diet and healthy lifestyle.

In This Article

Zevia's Core Ingredients and Blood Pressure

Zevia is a popular zero-calorie soda that uses natural sweeteners instead of sugar or artificial alternatives like aspartame. Its primary sweetener is highly purified stevia leaf extract, which is often combined with other sweeteners or sugar alcohols, depending on the product line. Understanding the effects of these key ingredients is crucial for determining how Zevia might affect blood pressure.

Stevia's Effect on Blood Pressure

Stevia's effect on blood pressure is a topic of some research, with different findings based on the population studied. For individuals with hypertension, certain compounds in stevia have been shown to act as a vasodilator, helping to widen blood vessels and lower blood pressure. For those with normal or mildly elevated blood pressure, stevia appears to have no significant effect.

Potential for Interaction: While stevia can potentially lower high blood pressure, it's worth noting that it can interact with blood pressure-lowering medications, causing blood pressure to drop too low if not monitored carefully. This is a critical consideration for individuals with chronic low blood pressure or those undergoing medical treatment for hypertension.

Erythritol's Cardiovascular Concerns

Some Zevia products, particularly certain flavors and energy drinks, use erythritol in combination with stevia. Erythritol is a sugar alcohol that has been the subject of recent cardiovascular research. A 2023 study published in Nature Medicine found that higher blood levels of erythritol were associated with an increased risk of heart attack, stroke, and early death, especially in individuals with existing cardiovascular risk factors.

Key takeaway from erythritol studies: The study found that erythritol enhanced platelet reactivity, leading to heightened blood clot formation, a mechanism that increases cardiovascular risk rather than directly affecting blood pressure. This is a significant distinction, as it points to an overall cardiovascular risk, not just a direct impact on blood pressure levels. The risk was particularly notable with high-dose consumption.

The Impact of Caffeine in Zevia Energy Drinks

In addition to its soda line, Zevia offers energy drinks. These products contain 120mg of organic caffeine per can, extracted from coffee beans. Caffeine is a known stimulant that can temporarily elevate blood pressure. For most healthy adults, moderate caffeine consumption is not a concern, but for those with hypertension or a sensitivity to stimulants, it can cause a more pronounced increase in blood pressure.

Comparison of Zevia's Ingredients and Their Cardiovascular Effects

To better understand the overall risk profile, here is a comparison of Zevia's key components and their potential cardiovascular impact:

Feature Stevia Erythritol Caffeine (Zevia Energy)
Effect on Blood Pressure Can lower high BP in hypertensive individuals; typically no effect on normal BP. Does not directly raise blood pressure, but linked to increased cardiovascular event risk. Can temporarily raise blood pressure, especially in sensitive individuals.
Cardiovascular Mechanism Acts as a vasodilator to relax blood vessels. Linked to increased platelet aggregation and heightened blood clot formation. Acts as a stimulant, increasing heart rate and systemic blood pressure.
Long-Term Safety Considered generally safe by the FDA in purified extract form. Long-term use linked to increased cardiovascular event risk, especially in at-risk populations. Long-term effects depend on dosage and individual sensitivity; moderation is key.
Population Risk Primarily a concern for those with low BP or on blood pressure medication. Higher risk for individuals with pre-existing cardiovascular risk factors. Those with hypertension or caffeine sensitivity should monitor intake.

Analyzing the Overall Picture for Zevia Consumers

Combining the effects of its sweeteners and potential caffeine content, Zevia's overall impact on blood pressure is nuanced. While the stevia itself may help lower elevated blood pressure, the addition of erythritol in some products raises more significant cardiovascular concerns, specifically regarding clotting risk, not direct blood pressure elevation. The caffeine content in Zevia's energy drinks adds another potential factor for those with hypertension or caffeine sensitivity.

Other Factors to Consider

  • Moderation is key: For most healthy individuals, moderate consumption of Zevia is unlikely to pose a significant risk. However, heavy consumption of any sweetened beverage, diet or not, can be associated with adverse health outcomes.
  • Holistic Health: The Mayo Clinic notes that while the association between diet sodas and cardiovascular issues exists, it's important to consider other lifestyle factors like diet, exercise, and sodium intake. A healthy diet and regular physical activity can mitigate many risks associated with sweetened beverages.
  • Individual Differences: A person's unique health status, genetics, and metabolic conditions can all influence how they react to sweeteners and caffeine. People with diabetes, hypertension, or a history of cardiovascular issues may respond differently than healthy individuals.
  • Product Ingredients: It is crucial to check the specific ingredients of the Zevia product. Not all Zevia products contain erythritol or caffeine. Reading the label will help consumers make an informed choice based on their health profile.

Conclusion

In summary, Zevia itself does not directly raise blood pressure, and its primary sweetener, stevia, may even have a blood pressure-lowering effect in hypertensive individuals. However, a complete picture requires looking at the specific ingredients and product type. The potential cardiovascular risks associated with erythritol, found in some Zevia variants, and the temporary blood pressure increase from caffeine in Zevia's energy drinks, are key factors to consider. As with any dietary choice, moderation and awareness of one's own health needs are paramount. Those with pre-existing cardiovascular conditions should consult a healthcare provider for personalized advice on consuming products like Zevia.

Expert Consultations

When in doubt, especially for those with existing health concerns, it is always recommended to consult with a qualified medical professional. A doctor can provide guidance on how ingredients like stevia, erythritol, and caffeine may interact with specific health conditions and medications, ensuring that dietary choices support overall well-being.

Mayo Clinic's Advice on Diet Soda and High Blood Pressure

Additional Considerations

  • Gut Microbiome: Some studies suggest that sweeteners can influence the gut microbiome, which in turn plays a role in metabolism and cardiovascular health.
  • Sugar vs. Sweeteners: Choosing Zevia over traditional sugar-sweetened beverages can help reduce overall sugar intake, which is a known contributor to high blood pressure and other metabolic issues.

Navigating the Sweetener Landscape

For consumers, the most important step is informed choice. If you are concerned about blood pressure, a Zevia soda with only stevia might be a better option than one containing erythritol. If you have caffeine sensitivity or hypertension, avoiding the energy drink line is advisable. Ultimately, focusing on hydration with water and maintaining a balanced, healthy diet remains the best strategy for long-term cardiovascular health.

Zevia and Your Blood Pressure: A Quick Look

  • Stevia: May lower high blood pressure but interacts with medication.
  • Erythritol: Doesn't directly affect BP but linked to increased clotting risk.
  • Caffeine: Temporarily raises BP, especially in sensitive individuals.

Frequently Asked Questions

While Zevia itself is not a direct cause, some products containing the sugar alcohol erythritol have been linked to an increased risk of heart attack and stroke in studies, particularly for individuals with pre-existing cardiovascular risk factors. This is due to erythritol's effect on blood clotting, not a direct impact on blood pressure.

Zevia's primary sweetener, stevia, may actually help lower high blood pressure in some individuals with hypertension. However, those taking blood pressure medication should consult a doctor, as stevia can interact and cause blood pressure to drop too low.

No. The effect depends on the specific ingredients. Standard Zevia sodas sweetened only with stevia have a different profile than Zevia Energy drinks, which contain caffeine, or certain products that may include erythritol.

Each can of Zevia Energy contains 120mg of caffeine. Caffeine is a stimulant that can temporarily increase blood pressure, so those with hypertension or caffeine sensitivity should be mindful of their intake.

Erythritol is a sugar alcohol sometimes used to add bulk and texture to stevia products. It has been the subject of research linking it to increased cardiovascular risk due to its effect on blood clotting, rather than blood pressure.

Observational studies have shown a potential link between frequent diet soda consumption and an increased risk of high blood pressure. However, these are associations, and factors like pre-existing health conditions and lifestyle habits may play a larger role.

The best approach is to consult with a healthcare provider, especially if you have pre-existing cardiovascular issues. They can assess your individual health profile and provide guidance on the potential effects of Zevia's ingredients on your blood pressure and overall health.

References

  1. 1
  2. 2
  3. 3
  4. 4
  5. 5

Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.