Evidence map›Paper›PMID 34927694›Full record

SynthesisNutrition reviews2022

A systematic review and meta-analysis of the effects of Hibiscus sabdariffa on blood pressure and cardiometabolic markers.

Lucy R Ellis, Sadia Zulfiqar, Mel Holmes, Lisa Marshall, Louise Dye, Christine Boesch

Registry-linked trialAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Nutrition reviews, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07159152 (Effects of Coffee Versus Hibiscus Tea Consumption During Prolonged Sitting on Blood Pressure and Heart Rate), which is not on this map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07159152 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Effects of Coffee Versus Hibiscus Tea Consumption During Prolonged Sitting on Blood Pressure and Heart Rate

TypeinterventionalSponsorKing Saud UniversityRan2025 to 2026Enrolled30ConditionsHypertensionArmsCoffee, Hibiscus drink
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Frontiers in pharmacology · 2022
    Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Biochemistry and biophysics reports · 2026
    Article
  10. Article
  11. Review
  12. Life (Basel, Switzerland) · 2025
    Article
  13. Review
  14. Review
  15. Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Lucy R EllisSchool of Psychology, Faculty of Medicine and Health, University of Leeds, Leeds, United Kingdom.ORCID 0000-0002-0750-7248
Sadia ZulfiqarSchool of Food Science and Nutrition, Faculty of Environment, University of Leeds, United Kingdom.ORCID 0000-0001-9684-5646
Mel HolmesSchool of Food Science and Nutrition, Faculty of Environment, University of Leeds, United Kingdom.ORCID 0000-0002-6819-1048
Lisa MarshallSchool of Food Science and Nutrition, Faculty of Environment, University of Leeds, United Kingdom.ORCID 0000-0001-8162-703X
Louise DyeSchool of Psychology, Faculty of Medicine and Health, University of Leeds, Leeds, United Kingdom.ORCID 0000-0002-2331-4227
Christine BoeschSchool of Food Science and Nutrition, Faculty of Environment, University of Leeds, United Kingdom.ORCID 0000-0001-6705-5709

Funding

Biotechnology and Biological Sciences Research Council
6 · The paper itself

Abstract

contextHibiscus sabdariffa (hibiscus) has been proposed to affect cardiovascular risk factors.

objectiveTo review the evidence for the effectiveness of hibiscus in modulating cardiovascular disease risk markers, compared with pharmacologic, nutritional, or placebo treatments. DATA SOURCES: A systematic search of the Web of Science, Cochrane, Ovid (MEDLINE, Embase, AMED), and Scopus databases identified reports published up to June 2021 on randomized controlled trials using hibiscus as an intervention for lipid profiles, blood pressure (BP), and fasting plasma glucose levels in adult populations. DATA EXTRACTION: Seventeen chronic trials were included. Quantitative data were examined using a random effects meta-analysis and meta-regression with trial sequential analysis to account for type I and type II errors. DATA ANALYSIS: Hibiscus exerted stronger effects on systolic BP (-7.10 mmHg [95%CI, -13.00, -1.20]; I2 = 95%; P = 0.02) than placebo, with the magnitude of reduction greatest in those with elevated BP at baseline. Hibiscus induced reductions to BP similar to that resulting from medication (systolic BP reduction, 2.13 mmHg [95%CI, -2.81, 7.06], I2 = 91%, P = 0.40; diastolic BP reduction, 1.10 mmHg [95%CI, -1.55, 3.74], I2 = 91%, P = 0.42). Hibiscus also significantly lowered levels of low-density lipoprotein compared with other teas and placebo (-6.76 mg/dL [95%CI, -13.45, -0.07]; I2 = 64%; P = 0.05).

conclusionsRegular consumption of hibiscus could confer reduced cardiovascular disease risk. More studies are warranted to establish an effective dose response and treatment duration. SYSTEMATIC REVIEW REGISTRATION: PROSPERO registration no. CRD42020167295.

Indexed as

Cardiovascular DiseasesHibiscusHypertensionAdultBiomarkersBlood PressureHumansBiomarkersblood pressurecardiovascular diseaseHibiscus sabdariffalipidemiameta-analysisroselle

Identifiers

PMID34927694
PMCPMC9086798

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.