Grape seed extract and blood pressure

What 4 graded rows on grape seed extract agree on for blood pressure, and where they differ. Counted side by side, never averaged.

What the rows agree on

Each block and row is one graded row from the Grape seed extract page, with its PubMed record.

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Grape seed extract and blood pressure

4 rows · 2,358 people

Split. 2 rows found an improvement, 1 found no difference and 1 had mixed results.

No difference or mixed
Improved
Each block is one evidence row, sized by how many people it enrolled, with its grade inside. Outlined: mixed results.
  • Grade C× 3
  • Grade D× 1
Rows
4
Trials
45
People
2,358
Pooled reviews may count some twice

Where they differ

From the rows
Trial sizeStudy designGrade

The best-graded row, grade C, is a meta-analysis of 1,080 people (2022) and found an improvement.

The 2 rows that found an improvement were larger: a median of 945 people, against 78 people for the row that found no difference.

The 2 rows that found an improvement are pooled reviews of several trials; the row that found no difference is a single study.

The best grade is C among the rows that found an improvement, and D among the row that found no difference.

1 row with mixed results is left out of this comparison.

The rows

2 improved · 1 no difference · 1 mixed
  1. Grade CBlood pressure and heart rate (pooled controlled trials) · Improved

    Meta-analysis, 19 studies · n 1,080 · 2022 · Adults in controlled trials

    Varied; dose and duration shaped the effect · Varied

    Diastolic pressure fell 2.20 mm Hg and heart rate 1.25 bpm; systolic pressure (−3.55 mm Hg) and flow-mediated dilation did not change significantly. Heterogeneity was high.

    Row on the Grape seed extract page · PubMed 34798267 (opens PubMed)

  2. Grade CSystolic and diastolic blood pressure (pooled RCTs) · Improved

    Meta-analysis, 16 studies · n 810 · 2016 · Adults in randomized trials; larger effects in younger, obese or metabolic-syndrome groups

    Varied across trials · Varied

    Systolic pressure fell 6.08 mm Hg and diastolic 2.80 mm Hg; no sign of publication bias.

    Row on the Grape seed extract page · PubMed 27537554 (opens PubMed)

  3. Grade DBlood pressure in mildly raised blood pressure · No difference

    RCT · n 78 · 2021 · Healthy adults aged 40-70 with mildly raised systolic pressure (125-140 mm Hg), no blood-pressure medicines (Germany); 80 randomised, 78 analysed (n from full text)

    300 mg/day · 16 weeks

    Systolic pressure fell 3.90 mm Hg on extract and 3.21 mm Hg on placebo, with no significant difference between groups (p = 0.72); subgroup analyses by sex showed only a trend toward benefit in men (p = 0.07). In a secondary outcome, perceived-stress worry scores fell more than on placebo (p = 0.025).

    Row on the Grape seed extract page · PubMed 33671310 (opens PubMed)

  4. Grade CBlood pressure, heart rate, lipids and CRP (early pooled RCTs) · Mixed

    Meta-analysis, 9 studies · n 390 · 2011 · Adults in randomized trials

    Varied across trials · Varied

    Systolic pressure fell 1.54 mm Hg and heart rate 1.42 bpm; no effect on diastolic pressure, lipids or CRP.

    Row on the Grape seed extract page · PubMed 21802563 (opens PubMed)

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