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The effect of garlic on the lowering of blood pressure in the patients with hypertension: an updated meta-analysis and trial sequential analysis Cover

The effect of garlic on the lowering of blood pressure in the patients with hypertension: an updated meta-analysis and trial sequential analysis

By: Xiao Ma,  Hongying Zhang and  Jinhai Jia  
Open Access
|Jun 2025

Figures & Tables

Figure 1.

Flow diagram of the studies included in this meta-analysis.
Flow diagram of the studies included in this meta-analysis.

Figure 2.

Effect of garlic on diminishing SBP in hypertensive patients. Publication bias in the included reports was explored using funnel plots (A). The forest plot revealed a significant decrease in SBP with the treatment of hypertensive patients with garlic compared with those treated with placebo (B). The sensitivity analysis supported the robustness of the meta-analysis (C). All meta-analysis statistics were performed using CMA v4. CI, confidence interval; CMA, Comprehensive Meta-Analysis; SBP, systolic blood pressure.
Effect of garlic on diminishing SBP in hypertensive patients. Publication bias in the included reports was explored using funnel plots (A). The forest plot revealed a significant decrease in SBP with the treatment of hypertensive patients with garlic compared with those treated with placebo (B). The sensitivity analysis supported the robustness of the meta-analysis (C). All meta-analysis statistics were performed using CMA v4. CI, confidence interval; CMA, Comprehensive Meta-Analysis; SBP, systolic blood pressure.

Figure 3.

Effect of garlic on diminishing DBP in hypertensive patients. Publication bias in the included reports was explored using funnel plots (A). The forest plot revealed a significant decrease in DBP with the treatment of hypertensive patients with garlic compared with those treated with placebo (B). The sensitivity analysis supported the robustness of the meta-analysis (C). All meta-analysis statistics were performed using CMA v4. CI, confidence interval; CMA, Comprehensive Meta-Analysis; DBP, diastolic blood pressure.
Effect of garlic on diminishing DBP in hypertensive patients. Publication bias in the included reports was explored using funnel plots (A). The forest plot revealed a significant decrease in DBP with the treatment of hypertensive patients with garlic compared with those treated with placebo (B). The sensitivity analysis supported the robustness of the meta-analysis (C). All meta-analysis statistics were performed using CMA v4. CI, confidence interval; CMA, Comprehensive Meta-Analysis; DBP, diastolic blood pressure.

Figure 4.

TSA of the reports was performed to investigate the role of garlic extracts in the treatment of hypertension. Reports are considered to investigate the role of garlic in lowering (A) SBP and (B) DBP; however, further studies are not required. In both TSA plots, the z-curve crosses the alpha spending boundary and reaches the required information size line. DBP, diastolic blood pressure; SBP, systolic blood pressure; TSA, trial sequential analysis.
TSA of the reports was performed to investigate the role of garlic extracts in the treatment of hypertension. Reports are considered to investigate the role of garlic in lowering (A) SBP and (B) DBP; however, further studies are not required. In both TSA plots, the z-curve crosses the alpha spending boundary and reaches the required information size line. DBP, diastolic blood pressure; SBP, systolic blood pressure; TSA, trial sequential analysis.

Changes in the DBP of patients with hypertension in garlic-treated cases and controls or placebo

Author name and yearMean ± SD DBP pretreated garlic group (mmHg)Mean ± SD DBP post-treated garlic group (mmHg)Mean ± SD DBP pretreated placebo group (mmHg)Mean ± SD DBP post-treated placebo group (mmHg)
Kandziora [32]100 ± 485 ± 4100 ± 391 ± 6
Auer et al. [22]101 ± 14.789 ± 4.697 ± 9.694 ± 9.6
Vorberg and Schneider [28]91 ± 487 ± 487.5 ± 690 ± 4
De Santos and Gruenwald [29]89 ± 1180 ± 4.689 ± 1190 ± 8.3
Sobenin et al. [26]88.8 ± 4.383.8 ± 3.487.9 ± 4.885.9 ± 4.4
Sobenin et al. [27]95.7 ± 3.892.9 ± 4.494.4 ± 6.193 ± 6.1
Ried et al. [25]87.3 ± 7.891.9 ± 8.388.6 ± 884 ± 8.3
Ried et al. [24]75.7 ± 12.468.6 ± 11.676 ± 12.270.2 ± 12
Nakasone et al. [23]90.9 ± 6.987 ± 7.191.6 ± 5.890.7 ± 6.5
Ried et al. [9]89.9 ± 11.786.1 ± 11.387.8 ± 9.186 ± 9
Ried et al. [30]93 ± 10.983.1 ± 10.490 ± 12.385.5 ± 13
Serrano et al. [31]85 ± 1083 ± 985 ± 783 ± 10

Characteristics and changes in the SBP of patients with hypertension in garlic-treated cases and controls or placebo

Author name and year (reference)PopulationNumber of subjects in garlic-treated group/control or placebo groupMean BMI kg/m2 (treated/control group)Medication at baselineManufacturer, dose (mg/d)/duration of treatment (weeks)Mean ± SD SBP pretreated garlic group (mmHg)Mean ± SD SBP post-treated garlic group (mmHg)Mean ± SD SBP pretreated placebo group (mmHg)Mean ± SD SBP post-treated placebo group (mmHg)
Kandziora [32]Poland20/20NATriamterene/hydrochlorothiazideKwai, 600/12178 ± 8162 ± 9178 ± 8173 ± 6
Auer et al. [22]Germany24/23NANAKwai, 600/12171 ± 24.5152 ± 24.5161 ± 14.4152 ± 19.2
Vorberg and Schneider [28]Germany20/20NANAKwai, 900/16144 ± 10.6138 ± 4143.5 ± 10146 ± 6.5
De Santos and ruenwald [29]Germany25/27NANAKwai, 900/24143 ± 21120 ± 13.1144 ± 17145 ± 11.7
Sobenin et al. [26]Russia23/1926.6/27.0NAAllicor, 600/12143.4 ± 7.2136.8 ± 5.8140.3 ± 78139.4 ± 6.5
Sobenin et al. [27]Russia64/2025.4/26.0NAAllicor, 2,400/8154 ± 12.3147 ± 12.8149.8 ± 12.6149.9 ± 11.7
Ried et al. [25]Australia8/1231.0/29.1ACE inhibitors, A2 receptor antagonists, β-receptor blockers, Ca-antagonists, and diureticsKyolic High Potency, 960/12151.2 ± 7.7136 ± 8152.8 ± 9.3145.4 ± 3.5
Ried et al. [24]Australia39/1929.1/29.9ACE inhibitors, A2 receptor ant-agonists, β-receptor blockers, Ca-antagonists, diureticsKyolic High Potency, 480/12149.3 ± 13130 ± 12.8148.6 ± 13.1135.9 ± 12.8
Nakasone et al. [23]Japan23/2425.0/23.0NoneDentou ninniku ranwo, 188/12141.8 ± 5.6137 ± 7.8141.8 ± 5.6140.4 ± 7.6
Ried et al. [9]Australia50/3827.3/28.3ACE inhibitors, A2 receptor antagonists, β-receptor blockers, Ca-antagonists, and diureticsKyolic Reserve, 1,200/12148.7 ± 15.3141.7 ± 15.3142 ± 9.4140.3 ± 18.2
Ried et al. [30]Australia23/2628.6/29.7ACE inhibitors, A2 receptor antagonists, β-receptor blockers, Ca-antagonists, and diureticsKyolic Reserve, 1,200/12153.3 ± 16.4139 ± 15.1144.3 ± 14.2140 ± 16.3
Serrano et al. [31]Spain39/38NAThiazide, beta blockers, angiotensin II receptor blocker, and calcium channel blockersPharmactive Biotech Spain, 300/12146 ± 21143 ± 18144 ± 13138 ± 14
DOI: https://doi.org/10.2478/abm-2025-0016 | Journal eISSN: 1875-855X | Journal ISSN: 1905-7415
Language: English
Page range: 131 - 140
Published on: Jun 30, 2025
In partnership with: Paradigm Publishing Services
Publication frequency: 6 issues per year

© 2025 Xiao Ma, Hongying Zhang, Jinhai Jia, published by Chulalongkorn University
This work is licensed under the Creative Commons Attribution 4.0 License.