Does vitamin C lower blood pressure?
Short answer
Short trials found a small fall. A 2012 review of 29 trials found that systolic pressure fell by 3.84 mmHg, with a median of 500 mg a day for 8 weeks.[1] A 2023 review of 20 trials found a fall of 3.0 mmHg, larger in people with high blood pressure or diabetes.[2] Two large trials of 500 mg a day for 8 and 9.4 years found no fewer heart attacks or strokes.[3][4]
What the reviews found
In observational studies, people who had more vitamin C in their diet or blood had lower blood pressure, but single trials gave mixed results.[1] Three meta-analyses of randomized trials found a small fall in blood pressure. Systolic pressure is the upper number, and diastolic pressure the lower one.[1][2][5]
- 2012, 29 trials. The trials gave oral vitamin C for at least 2 weeks, with 10 to 120 people each. The median dose was 500 mg a day for 8 weeks. Systolic pressure fell by 3.84 mmHg and diastolic pressure by 1.48 mmHg. With 9 more trials whose results had to be estimated, the fall was smaller but still significant.[1]
- People with high blood pressure, same review. Systolic pressure fell by 4.85 mmHg. The fall in diastolic pressure, 1.67 mmHg, could have been chance.[1]
- 2020, 8 trials in 614 people with high blood pressure. Systolic pressure fell by 4.09 mmHg and diastolic pressure by 2.30 mmHg. With 500 mg a day or more, systolic pressure fell by 5.01 mmHg.[5]
- 2023, 20 trials in 890 adults. The median dose was 757.5 mg a day for 6 weeks. Systolic pressure fell by 3.0 mmHg, by 3.2 mmHg in people with high blood pressure and by 4.6 mmHg in people with diabetes.[2]
Blood vessel function
The endothelium is the inner lining of blood vessels. Through it, the vessels widen.[6] A 2014 meta-analysis of 44 trials found that vitamin C improved endothelial function.[7] The trials gave vitamin C in more than one way, and the effect did not depend on the route.[7] It improved in people with atherosclerosis, diabetes or heart failure, and the effect was stronger in people at higher risk of heart disease and with higher doses.[7]
Heart attacks and strokes
Large trials have not found fewer heart events:[3][4]
- In 14,641 US male doctors aged 50 or older, 500 mg a day for a mean of 8 years did not lower heart attacks, strokes or deaths from heart disease.[3]
- In 8,171 women at high risk of heart disease, 500 mg a day for a mean of 9.4 years had no effect on heart events.[4]
- A 2022 review of 884 trials of 27 micronutrients found that vitamin C did not change the risk of heart disease or type 2 diabetes.[8]
Why it may work
Studies have found that vitamin C helps the lining of blood vessels make nitric oxide and widen the vessels.[6]
What is still unknown
Most trials lasted only weeks. The authors of the 2012 review called for long trials that also count heart attacks and strokes.[1] The authors of the 2023 review called for long trials in people with poor heart and metabolic health.[2] People who take a statin for cholesterol should talk to a doctor or pharmacist before adding vitamin C, because their blood fats should be checked.[6]
Sources (8)
- Effects of vitamin C supplementation on blood pressure: a meta-analysis of randomized controlled trials. Juraschek SP, Guallar E, Appel LJ, Miller ER 3rd Am J Clin Nutr, 2012. PMID 22492364
- Vitamin C supplementation showed greater effects on systolic blood pressure in hypertensive and diabetic patients: an updated systematic review and meta-analysis of randomised clinical trials. Lbban E, Kwon K, Ashor A, Stephan B, Idris I, Tsintzas K, et al. Int J Food Sci Nutr, 2023. PMID 37791386
- Vitamins E and C in the prevention of cardiovascular disease in men: the Physicians' Health Study II randomized controlled trial. Sesso HD, Buring JE, Christen WG, Kurth T, Belanger C, MacFadyen J, et al. JAMA, 2008. PMID 18997197
- A randomized factorial trial of vitamins C and E and beta carotene in the secondary prevention of cardiovascular events in women: results from the Women's Antioxidant Cardiovascular Study. Cook NR, Albert CM, Gaziano JM, Zaharris E, MacFadyen J, Danielson E, et al. Arch Intern Med, 2007. PMID 17698683
- Effects of vitamin C supplementation on essential hypertension: A systematic review and meta-analysis. Guan Y, Dai P, Wang H Medicine (Baltimore), 2020. PMID 32080138
- Vitamin C: Fact Sheet for Health Professionals. NIH Office of Dietary Supplements. ods.od.nih.gov
- Effect of vitamin C on endothelial function in health and disease: a systematic review and meta-analysis of randomised controlled trials. Ashor AW, Lara J, Mathers JC, Siervo M Atherosclerosis, 2014. PMID 24792921
- Micronutrient Supplementation to Reduce Cardiovascular Risk. An P, Wan S, Luo Y, Luo J, Zhang X, Zhou S, et al. J Am Coll Cardiol, 2022. PMID 36480969
More about vitamin c
What is vitamin C?How much vitamin C do you need a day?What is vitamin C used for?What are the signs of vitamin C deficiency?Is vitamin C safe?Does vitamin C prevent or shorten colds?For education; not medical advice. Talk to a doctor before you start, stop or change a supplement.