Abstract-The effect of fruit and vegetable consumption and blood pressure is unclear. A population-based cross-sectional study was conducted in 20 926 men and women aged 40 to 79 years participating in the European Prospective Investigation Into Cancer-Norfolk who completed a health questionnaire and attended a clinic from 1993 to 1997. The relationship between plasma vitamin C concentrations, as an indicator of fruit and vegetable intake, and systolic BP was examined. Key Words: blood pressure Ⅲ hypertension Ⅲ ascorbic acid Ⅲ diet Ⅲ antioxidant H ypertension is one of the major risk factors for cardiovascular disease (CVD), 1 which is responsible for a third of global deaths with increasing disease burden attributed to increasing aging of populations across the world. 2 Hypertension has been well recognized as a major risk factor for CVD. The World Health Organization defines hypertension as blood pressure Ն140/90 mm Hg regardless of age or sex. 3 There also appears to be a linear and direct relationship between blood pressure and CVD incidence, as well as mortality. 4 -6 Fresh fruits and vegetables are a richer source of ascorbic acid compared with cooked/boiled fruit and vegetables. Ascorbic acid in the food is also easily destroyed (eg, cooking in water, roasting, or grilling). 7 and has a short half-life (Ϸ30 minutes) in the blood. 8,9 Furthermore, the main source of vitamin C (ascorbic acid) in humans is from food consumption, predominantly fruits and vegetables, because they cannot synthesize ascorbic acid in the body. 7 Therefore, plasma concentration of vitamin C is highly related to the individual's habitual dietary pattern and method of food preparation. Although randomized trials indicate that supplementation with antioxidant vitamins including -carotene, vitamin E, or vitamin C does not reduce cardiovascular risk, 10,11 prospective studies indicate that high fruit and vegetable intake, of which plasma vitamin C is a good biomarker, is inversely related to mortality and incident CVD, especially stroke. [12][13][14] The association between fruit and vegetable intake and blood pressure is less well known. Because hypertension is the major risk factor for stroke, we hypothesize that plasma vitamin C concentrations, which are derived from fruit and vegetable intake, may reduce stroke incidence through blood pressure-lowering effect. Therefore, in this study, we explored the cross-sectional association between plasma vitamin C concentrations and blood pressure using a large United