Many of us think of orange juice as just a simple breakfast habit—something we drink without giving it much thought. However, new research shows that this daily drink may have far greater benefits in the body than simply quenching thirst.
According to Dr. David C. Gaze from the University of Westminster, a recent study found that drinking orange juice regularly can influence the activity of thousands of genes inside immune cells. These genes help regulate blood pressure, reduce inflammation, and manage how the body processes sugar—factors that play major roles in long-term heart health.
The study followed adults who drank 500 ml of pure, pasteurized orange juice daily for two months. After 60 days, many genes linked to inflammation and high blood pressure—such as NAMPT, IL6, IL1B, and NLRP3—became less active. Another gene, SGK1, which affects how the kidneys retain sodium, also showed reduced activity.
These changes support previous findings showing that daily orange juice consumption may help lower blood pressure in young adults, offering a potential explanation for its association with better heart health in many studies.
The new research shows that the drink doesn’t just raise blood sugar levels—it also appears to trigger small adjustments in the body’s regulatory systems that reduce inflammation and help blood vessels relax. Natural compounds in oranges, especially hesperidin, a flavonoid known for its antioxidant and anti-inflammatory effects, seem to play an important role in these processes.
Individual responses also vary depending on body size. People with overweight tend to show greater changes in genes related to fat metabolism, while leaner individuals show stronger effects on inflammation pathways.
A review including 639 participants across 15 studies found that regular orange juice intake reduced insulin resistance and lowered blood cholesterol levels. Insulin resistance is a hallmark of prediabetes, and high cholesterol is a well-established risk factor for heart disease.
Another analysis focusing on overweight and obese adults found small decreases in systolic blood pressure and increases in HDL (“good”) cholesterol after several weeks of daily orange juice consumption. While these improvements are modest, even small changes can make a meaningful difference when maintained over many years.
Further evidence comes from metabolite studies—research that examines the small molecules produced as the body processes food. A recent review found that orange juice affects pathways related to energy use, cell communication, and inflammation, and may also influence the gut microbiome, which plays a growingly recognized role in heart health.
One study showed that drinking blood orange juice for a month increased the number of gut bacteria that produce short-chain fatty acids, compounds that help maintain healthy blood pressure and reduce inflammation. Participants also showed improved blood sugar control and lower inflammatory markers.
People with metabolic syndrome—a cluster of risk factors including high blood pressure, elevated blood sugar, and increased body fat—may see particular benefits. In one study, daily orange juice consumption improved endothelial function (the ability of blood vessels to relax and widen) in 68 obese participants, which is linked to a reduced risk of heart attacks.
Overall, the evidence challenges the idea that citrus juice is simply “sugar in a glass.” While whole fruit remains the healthier option due to its fiber content, a small daily glass of pure orange juice appears to provide benefits that accumulate over time—such as reducing inflammation, supporting healthy blood flow, and improving key blood markers related to heart health.