Key result
Two weeks of liquorice ingestion significantly elevated radial systolic (p < 0.001) and diastolic (p = 0.018) blood pressure and systemic vascular resistance compared to a control diet.
Why the study?
Does two-week liquorice ingestion increase blood pressure and alter hemodynamics during orthostatic challenge in healthy volunteers?
Does two-week liquorice ingestion increase blood pressure and alter hemodynamics during orthostatic challenge in healthy volunteers?
p-value: p=<0.001
Two weeks of liquorice ingestion significantly increases blood pressure through volume expansion, increased peripheral resistance, and reduced large arterial compliance, with effects being more pronounced during orthostatic challenge.
Liquorice may elevate blood pressure during orthostasis in healthy adults; hypothesis-generating and should not yet change practice.
We investigated the haemodynamic effects of two-week liquorice exposure (glycyrrhizin dose 290-370 mg/day) in 22 healthy volunteers during orthostatic challenge. Haemodynamics were recorded during passive 10-minute head-up tilt using radial pulse wave analysis, whole-body impedance cardiography, and spectral analysis of heart rate variability. Thirty age-matched healthy subjects served as controls. Liquorice ingestion elevated radial systolic (p < 0.001) and diastolic (p = 0.018) blood pressure and systemic vascular resistance (p = 0.037). During orthostatic challenge, heart rate increased less after the liquorice versus control diet (p = 0.003) and low frequency power of heart rate variability decreased within the liquorice group (p = 0.034). Liquorice intake increased central pulse pressure (p < 0.001) and augmentation index (p = 0.002) supine and upright, but in the upright position the elevation of augmentation index was accentuated (p = 0.007). Liquorice diet also increased extracellular fluid volume (p = 0.024) and aortic to popliteal pulse wave velocity (p = 0.027), and aortic characteristic impedance in the upright position (p = 0.002). To conclude, in addition to increased extracellular fluid volume and large arterial stiffness, two weeks of liquorice ingestion elevated systemic vascular resistance and augmentation index. Measurements performed at rest may underestimate the haemodynamic effects of liquorice ingestion, as enhanced central wave reflection and reduced chronotropic response were especially observed in the upright position.
No takes yet. Share an insight, caveat, or question.
Hautaniemi et al. (2017) studied Healthy volunteers (n=52). Liquorice ingestion vs. Habitual diet was evaluated on Radial systolic blood pressure (p=<0.001). Two weeks of liquorice ingestion significantly elevated radial systolic (p < 0.001) and diastolic (p = 0.018) blood pressure and systemic vascular resistance compared to a control diet.
Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context: