Pycnogenol (French maritime pine bark extract) and heart

What 3 graded rows on pycnogenol (french maritime pine bark extract) agree on for heart, 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 Pycnogenol (French maritime pine bark extract) page, with its PubMed record.

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Pycnogenol (French maritime pine bark extract) and heart

3 rows · 3,049 people

Mostly an improvement: 2 of 3 rows, and most of the people. 1 found no difference.

No difference
Improved
Each block is one evidence row, sized by how many people it enrolled, with its grade inside.
  • Grade C× 3
Rows
3
Trials
3
At least: a review without a trial count
People
3,049
Pooled reviews may count some twice

Where they differ

From the rows
Trial sizeWhen published

The best-graded row, grade C, is a meta-analysis of 1,685 people (2025) and found an improvement.

The 2 rows that found an improvement were larger: a median of 1,304 people, against 442 people for the row that found no difference.

The 2 rows that found an improvement are newer (2020 to 2025) than the row that found no difference (2014).

The rows

2 improved · 1 no difference
  1. Grade CBlood pressure and cardiometabolic markers · Improved

    Meta-analysis · n 1,685 · 2025 · Adults in 27 randomized trials

    Varied across trials · Varied

    Systolic −2.26 mmHg, diastolic −2.62 mmHg, fasting glucose −6.3 mg/dL, HbA1c −0.32%, weight −1.4 kg and LDL −5.1 mg/dL versus control; no effect on HDL, triglycerides or total cholesterol.

    Row on the Pycnogenol (French maritime pine bark extract) page · PubMed 39987124 (opens PubMed)

  2. Grade CBlood pressure · Improved

    Meta-analysis · n 922 · 2020 · Adults in 12 clinical trials

    Varied across trials · Varied

    Systolic −3.2 mmHg and diastolic −1.9 mmHg; the systolic effect was larger when pycnogenol was given with other treatments.

    Row on the Pycnogenol (French maritime pine bark extract) page · PubMed 31637782 (opens PubMed)

  3. Grade CBlood lipids · No difference

    Meta-analysis · n 442 · 2014 · Patients in 7 controlled trials

    Varied across trials · Varied

    No significant change in total, LDL or HDL cholesterol or triglycerides.

    Row on the Pycnogenol (French maritime pine bark extract) page · PubMed 24346156 (opens PubMed)

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