Exploring the link between coffee consumption and hypertension risk
DOI:
https://doi.org/10.53088/jht.v3i2.2370Keywords:
Caffeine, Cardiovascular Risk, Coffee, HypertensionAbstract
The relationship between coffee consumption and hypertension remains controversial, with studies reporting neutral, harmful, or protective effects. Understanding this association is particularly relevant in Indonesia, where coffee consumption is culturally prevalent, and hypertension is a leading public health concern. A 58-year-old male presented for a routine health examination and was found to have Stage 1–2 hypertension (168/83 mmHg), despite being asymptomatic with no risk factors. His daily intake included two cups of coffee. Despite initial lifestyle modifications, including sodium restriction, his blood pressure remained elevated, necessitating pharmacological therapy. A structured literature search was conducted using PubMed, ScienceDirect, and Cochrane Library databases. Two systematic reviews and meta-analyses were performed using the defined PICO criteria and the PRISMA methodology. One review reported no significant association between caffeine intake and hypertension (RR: 0.97, 95% CI: 0.90–1.05), while another found a modest inverse relationship at higher coffee consumption levels (RR: 0.97, 95% CI: 0.94–0.99). Moderate habitual coffee consumption does not appear to increase hypertension risk and may have protective cardiovascular effects.
References
Arreia, L., Pugliese, G., Frias-Toral, E., El Ghoch, M., Castellucci, B., Chapela, S. P., Carignano, M. L. A., Laudisio, D., Savastano, S., Colao, A., & Muscogiuri, G. (2023). Coffee consumption, health benefits and side effects: A narrative review and update for dietitians and nutritionists. Critical Reviews in Food Science and Nutrition, 63(9), 1238–1261. https://doi.org/10.1080/10408398.2021.1963207
Jones, D. W., Ferdinand, K. C., Taler, S. J., Johnson, H. M., Shimbo, D., ... & Williamson, J. D. (2025). 2025 AHA/ACC/AANP/AAPA/ABC/ACCP/ACPM/AGS/AMA/ASPC/NMA/PCNA/SGIM guideline for the prevention, detection, evaluation and management of high blood pressure in adults: a report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation, 152(11), e11. https://doi.org/10.1161/CIR.0000000000001356
Borghi, C. (2022). Coffee and blood pressure: Exciting news! Blood Pressure, 31(1), 284–287. https://doi.org/10.1080/08037051.2022.2136621
Centre for Evidence-Based Medicine, University of Oxford. (2010). Systematic review appraisal sheet.https://www.cebm.ox.ac.uk
D’Elia, L., La Fata, E., Galletti, F., Scalfi, L., & Strazzullo, P. (2019). Coffee consumption and risk of hypertension: A dose–response meta-analysis of prospective studies. European Journal of Nutrition, 58, 271–280. https://doi.org/10.1007/s00394-017-1591-z
De Giuseppe, R., Di Napoli, I., Granata, F., Mottolese, A., & Cena, H. (2019). Caffeine and blood pressure: A critical review perspective. Nutrition Research Reviews, 32(2), 169–175. https://doi.org/10.1017/S0954422419000015
McEvoy, J. W., McCarthy, C. P., Bruno, R. M., Brouwers, S., Canavan, M. D., Ceconi, C., ... & Touyz, R. M. (2024). 2024 ESC Guidelines for the management of elevated blood pressure and hypertension: Developed by the task force on the management of elevated blood pressure and hypertension of the European Society of Cardiology (ESC) and endorsed by the European Society of Endocrinology (ESE) and the European Stroke Organisation (ESO). European heart journal, 45(38), 3912-4018. https://doi.org/10.1093/eurheartj/ehae178
Haghighatdoost, F., Hajihashemi, P., de Sousa Romeiro, A. M., Mohammadifard, N., Sarrafzadegan, N., de Oliveira, C., & Silveira, E. A. (2023). Coffee consumption and risk of hypertension in adults: Systematic review and meta-analysis.Nutrients, 15(13), 3060. https://doi.org/10.3390/nu15133060
Han, M., Oh, Y., & Myung, S. K. (2022). Coffee intake and risk of hypertension: A meta-analysis of cohort studies.Journal of Korean Medical Science, 37(45), e332. https://doi.org/10.3346/jkms.2022.37.e332
Islam, R., Ahmed, M., Ullah, W., Tahir, Y. B., Gul, S., Hussain, N., Islam, H., & Anjum, M. U. (2023). Effect of caffeine in hypertension. Current Problems in Cardiology, 48(11), 101892. https://doi.org/10.1016/j.cpcardiol.2023.101892
Mendoza, M. F., Sulague, R. M., Posas-Mendoza, T., & Lavie, C. J. (2023). Impact of coffee consumption on cardiovascular health. Ochsner Journal, 23(2), 152–158. https://doi.org/10.31486/toj.22.0073
Mesas, A. E., Leon-Muñoz, L. M., Rodriguez-Artalejo, F., & Lopez-Garcia, E. (2011). The effect of coffee on blood pressure and cardiovascular disease in hypertensive individuals: A systematic review and meta-analysis. The American Journal of Clinical Nutrition, 94(4), 1113–1126. https://doi.org/10.3945/ajcn.111.016667
Miranda, A. M., Goulart, A. C., Benseñor, I. M., Lotufo, P. A., & Marchioni, D. M. (2021). Coffee consumption and risk of hypertension: A prospective analysis in the cohort study. Clinical Nutrition, 40(2), 542–549. https://doi.org/10.1016/j.clnu.2020.05.052
Surma, S., & Oparil, S. (2021). Coffee and arterial hypertension. Current Hypertension Reports, 23(7), 38. https://doi.org/10.1007/s11906-021-01156-3
Turana, Y., Tengkawan, J., & Soenarta, A. A. (2020). Asian management of hypertension: Current status, home blood pressure, and specific concerns in Indonesia. Journal of Clinical Hypertension (Greenwich), 22(3), 483–485. https://doi.org/10.1111/jch.13681
World Health Organization. (2021). Guideline for the pharmacological treatment of hypertension in adults. World Health Organization.
World Health Organization. (2023). Indonesian hypertension profile. Geneva, Switzerland.
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