Cranberry
Background
Cranberry is a native evergreen shrub that grows throughout
North America.
Historically,
cranberry fruits or leaves were used for bladder, stomach, and liver
disorders, as well as diabetes, wounds, and other conditions.
Today, cranberry is used as a dietary supplement primarily for urinary
tract infections (UTIs).
The
berries are used in beverages and food. They are also made into dietary
supplements in the form of extracts, powder, capsules,
and tablets.
How Much Do We Know?
There
have been a lot of studies in people of cranberry for UTIs, but there’s
very little high quality recent research on cranberry for
other conditions.
What Have We Learned?
There’s mixed evidence that cranberry can help to prevent UTIs.
In
a 2016 year-long study of 147 women living in nursing homes, taking two
daily cranberry capsules decreased bacteria levels in their urine in
the first 6 months of the study, but didn’t decrease their frequency of
UTIs over the year of the study, compared to taking a placebo. The two
capsules together contained as much proanthocyanidin, a compound that
is believed to protect against bacteria, as 20 ounces of
cranberry juice.
A 2012 research review of 13 clinical trials
suggested that cranberry may help reduce the risk of UTIs in certain
groups, including women with recurrent UTIs, children, and people who
use cranberry-containing products more than twice daily.
A 2012
research review of 24 clinical trials concluded that cranberry juice
and supplements don’t prevent UTIs but many of the studies were
poor quality.
Cranberry hasn’t been shown to be effective as a treatment for an
existing UTI.
NCCIH-supported research is looking at the possible effects of
cranberry on cancer-related anemia and tumor cells.
What Do We Know About Safety?
Drinking
cranberry juice appears to be safe, although large amounts can cause
stomach upset and may over time increase the risk of
kidney stones.
Large doses of cranberry may alter levels of warfarin, an
anticoagulant (blood-thinner).
People
who think they have a UTI should see a health care provider for a
diagnosis and treatment. Don’t use cranberry products in place of
proven treatments for infections.
Keep in Mind
Tell
all your health care providers about any complementary or integrative
health approaches you use. Give them a full picture of what you do to
manage your health. This will help ensure coordinated and
safe care.
Key References
- Cranberry.
Natural Medicines Web site. Accessed at
naturalmedicines.therapeuticresearch.com on April 4, 2015.
- Jepson
RG, Williams G, Craig JC. Cranberries for preventing urinary tract
infections. Cochrane Database of Systematic
Reviews. 2012;(10):CD001321
[edited 2013]. Accessed at http://www.thecochranelibrary.com(link
is external) on
April 3, 2015.
- Juthani-Mehta
M, Van Ness PH, Bianco L, et al. Effect
of cranberry capsules on bacteriuria plus pyuria among older women in
nursing homes: a randomized clinical trial. JAMA. October
27, 2016. Epub ahead of print.
- Klein
MA. Cranberry. In: Coates PM, Betz JM, Blackman MR, et al., eds. Encyclopedia of Dietary
Supplements. 2nd
ed. New York, NY: Informa Healthcare; 2010:193-201.
- Wang
CH, Fang CC, Chen NC, et al. Cranberry-containing
products for prevention of urinary tract infections in susceptible
populations: a systematic review and meta-analysis of randomized
controlled trials. Archives of Internal Medicine. 2012;172(13):988-996.
-NIH