Dear Reader,

In people with normal blood pressure, it appears that caffeine may cause a temporary increase. Some folks develop a tolerance to caffeine, and it no longer has this effect. There is no evidence that caffeine causes high blood pressure, also known as hypertension.

For individuals with high-normal blood pressure or diagnosed hypertension, however, caffeine seems to raise their levels to a much greater degree than those with normal readings. It's recommended that people with hypertension limit or eliminate caffeine from their eating plan.

For reference, classification of blood pressure is as follows:

Category	Systolic in mm Hg (top #)		Diastolic in mm Hg (bottom#)
Normal	<120	and	<80
Prehypertension	120-139	or	80-89
Stage 1 HBP	140-159	or	90-99
Stage 2 HBP	>160	or	>100

Because of the temporary rise in blood pressure triggered by caffeine in some people, it's probably a good idea to refrain from a cup of joe just before a blood pressure test. It's also important to realize that chocolate, soda, and energy drinks all have various amounts of caffeine. 

For people who cannot give up good ol' java, decaffeinated coffee may serve as a suitable substitute, with a typical caffeine content of about 5 mg per 8 oz. cup (versus around 135 mg of caffeine for the regular brew). For those seeking an alternative beverage altogether, hot cocoa is a choice that also contains approximately 5 mg of caffeine per 8 oz. mug, plus it contributes calcium and the oh-so-sought-after (for some) taste of chocolate! There are also herbal teas, which contain no caffeine and are available in a variety of flavors. More options can be found at your local health foods store, including non-caffeinated herbal or grain beverages.

Alice

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