Health Risks of Green Tea for Hypertension and Heart Disease - Nutrition

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Every* Healthy Green Tea


Hello, nutritionist.
Recently, many health green teas on the market have noted that they are not suitable for individuals with hypertension and heart disease.
Could you please explain the basis for this? Does it refer to primary (essential) hypertension or secondary hypertension? Thank you for your response.

Qi, 20~29 year old female. Ask Date: 2007/05/23

Dr. Cai Xiuwen reply Nutrition


Hello! Regarding the product, no ingredients have been found to affect patients with hypertension and heart disease.
The only thing to be cautious about is that some patients with hypertension and heart disease may need to limit their fluid intake if they experience fluid retention or edema, so a warning label is necessary.
There should be no difference between primary and secondary conditions; what matters is the control of blood pressure and the function of the heart.
Additionally, it's important to remind that dietary supplements are not medications.
Any health issues should primarily be diagnosed and treated by a physician, and the benefits promoted by health supplements are limited to wellness, not treatment.
Wishing you good health.
This response is from Dietitian Tsai Hsiu-Wen at Nantou Hospital, Department of Health.

Reply Date: 2007/05/23

More Info


Green tea has been widely recognized for its potential health benefits, including antioxidant properties and cardiovascular health support. However, the caution regarding its consumption by individuals with hypertension and heart disease is noteworthy. The warning labels on certain health green tea products that advise against consumption by these populations may stem from several factors.

Firstly, green tea contains caffeine, which can lead to temporary increases in blood pressure. While moderate caffeine consumption is generally considered safe for most people, individuals with hypertension may be more sensitive to its effects. The American Heart Association suggests that caffeine can cause a short-term spike in blood pressure, which might be concerning for those already managing high blood pressure. Therefore, the warning may be a precautionary measure to prevent any potential exacerbation of hypertension.

Additionally, the interaction between green tea and certain medications used to manage heart conditions or hypertension could also be a reason for the advisory. For instance, some studies suggest that green tea may affect the metabolism of certain drugs, potentially altering their effectiveness. This is particularly relevant for patients on anticoagulants or other cardiovascular medications, as the compounds in green tea could interfere with these treatments.

Regarding the types of hypertension mentioned—primary (essential) hypertension and secondary hypertension—the warning is generally applicable to both. Primary hypertension is often influenced by genetic factors and lifestyle choices, while secondary hypertension is caused by underlying conditions such as kidney disease or hormonal disorders. Regardless of the type, the key concern is the individual's overall blood pressure control and heart function. Therefore, it is crucial for patients to consult their healthcare providers to assess their specific health conditions and determine whether green tea is appropriate for them.

Moreover, it is essential to highlight that while green tea is often marketed as a health supplement, it should not be viewed as a substitute for medical treatment. Individuals with hypertension or heart disease should prioritize medical advice and treatment from healthcare professionals. The role of dietary supplements and health foods is primarily supportive and should complement, not replace, prescribed medical therapies.

In summary, the advisories against green tea consumption for individuals with hypertension and heart disease are likely based on the potential effects of caffeine on blood pressure, possible interactions with medications, and the need for careful monitoring of these patients' health conditions. It is always advisable for individuals with such health concerns to discuss their dietary choices with their healthcare providers to ensure they are making informed decisions that align with their treatment plans.

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