Benefits
A rich food source of vitamin C
Per USDA data, raw sweet red pepper supplies about 128 mg of vitamin C per 100 g, so a medium red pepper (119 g) carries roughly 150 mg. Raw green pepper has about 80 mg per 100 g, and boiled green pepper about 74 mg. These are food composition figures; no trial has tested bell pepper as a way to raise vitamin C status.
Carotenoids that differ by pepper color
Raw red pepper is listed at about 1,620 mcg beta-carotene and 490 mcg beta-cryptoxanthin per 100 g, both provitamin A carotenoids. Green pepper has far less beta-carotene but more lutein plus zeaxanthin (341 vs 51 mcg). In a lab survey of 33 fruits and vegetables, orange pepper had the highest zeaxanthin share of any vegetable tested.
Pepper pigments are absorbed and show up in blood and urine
In a small study, capsanthin and related pigments plus lutein and zeaxanthin were found in blood plasma after drinking paprika (red sweet pepper) juice. In a feeding study of 14 volunteers, eating fresh red bell pepper produced urinary metabolites most likely derived from capsanthin and capsianosides. These studies show absorption only, not a health effect.
Post-meal blood glucose in a short juice add-on trial
In 50 adults with type 2 diabetes in a yoga program, adding 100 ml of bell pepper juice twice daily for 4 days was compared with yoga alone. The authors reported no between-group difference in overall fasting and post-meal glucose, yet also a significant drop in post-meal glucose and systolic blood pressure. It was unblinded, very short and had no placebo.
Immune cell activity with an enriched bell pepper fiber extract
In a 28-day placebo-controlled study of 60 healthy adults, a pectic polysaccharide extract from bell pepper (RG-I, 0.3 or 1.5 g/day) raised the activity of blood granulocytes in an ex vivo test by about 15% and 20% versus placebo; NK cell activity did not change detectably. The maker of the extract funded the study. This is a concentrated extract, not whole bell pepper.
Learning tasks in aging mice fed red bell pepper (animal study)
Senescence-accelerated mice fed a diet with 20% freeze-dried red bell pepper powder learned a passive avoidance task better than mice on a standard diet. This is a single mouse study at a very high dietary share and has not been tested in people.
Mechanism of action
Why bell peppers have no heat
Capsaicin production needs a working Pun1 gene, which encodes an acyltransferase. Non-pungent peppers carry a recessive pun1 version with a large deletion, so the pathway stalls. In one HPLC comparison of eight C. annuum varieties, capsaicinoids were not detectable in bell pepper, although that study also found capsaicinoid levels in several varieties, bell pepper included, rose under high growing temperatures.
Water-soluble vitamin C and fat-soluble carotenoids
Vitamin C sits in the watery flesh of the fruit, while the carotenoids are fat-soluble pigments that build up as the fruit ripens from green to red. Beta-carotene and beta-cryptoxanthin can be converted to vitamin A, which is why USDA lists red pepper at 157 mcg vitamin A (RAE) per 100 g against 18 mcg for green.
Pectic fiber fermented by gut microbes (lab finding)
Bell pepper cell walls contain rhamnogalacturonan-I (RG-I), a pectic polysaccharide. In laboratory cultures with human fecal bacteria, an RG-I extract from bell pepper was fermented to short-chain fatty acids and stimulated immune cell responses in vitro. These are lab results with a concentrated extract.
Clinical trials
Randomized, open (unblinded) trial comparing 100 ml of bell pepper (Capsicum annuum var. grossum) juice twice daily plus an integrated yoga program with the yoga program alone, for 4 days. Funding is not stated in the abstract; a corrigendum was later published. (Nagasukeerthi et al. 2017, Complement Ther Med)
50 adults aged 34 to 69 with type 2 diabetes; the authors are based at a yoga university in Bengaluru, India.
The authors report no significant difference between groups in overall (fasting and post-meal) blood glucose, but in the same abstract report a significant reduction in post-meal glucose, systolic blood pressure, pulse pressure and two heart workload indices in the juice group versus control. Fasting glucose did not differ. Four days, no blinding and no placebo drink, so the result is weak.
Randomized, double-blind, placebo-controlled proof-of-concept study of an enriched bell pepper pectic polysaccharide extract (bpRG-I) at 0.3 or 1.5 g/day versus maltodextrin, stirred into an instant cappuccino drink, within a paper that also reports lab work. Funded by Nutrileads, which holds patents on the extract. (McKay et al. 2021, Nutrients)
60 healthy adults aged 20 to 65 in Germany; 57 included in the analysis.
On day 28, granulocyte phagocytic activity (an ex vivo test) rose about 15% (low dose) and 20% (high dose) versus placebo; there was no change by day 5. NK cell activity varied too much to show any significant change. Tolerability was rated very good, with one case of mild flatulence judged possibly related. No infection or symptom outcomes were measured.
Two-phase dietary intervention comparing a control phase without any bell pepper or paprika products to a phase eating a defined amount of fresh red bell pepper, with urine metabolomics. (Schulz et al. 2021, J Agric Food Chem)
14 volunteers.
Urine metabolite profiles differed significantly between phases because of the bell pepper intake. Seven new glucuronidated metabolites, most likely derived from capsanthin and capsianosides, were identified as possible intake biomarkers. No health outcome was measured.
Human study identifying carotenoids in blood plasma after drinking paprika juice. (Etoh et al. 2000, Biosci Biotechnol Biochem)
Male subject(s); the abstract does not state the number.
Capsanthin, its metabolite capsanthone, cucurbitaxanthin A, 11-cis-capsanthin, lutein and zeaxanthin were identified in plasma. This shows pepper carotenoids are absorbed; there was no control group and no health outcome.
Diet study in senescence-accelerated SAMP8 mice fed 20% (w/w) freeze-dried red bell pepper powder versus a standard diet; the first author is affiliated with the research institute of Kagome Co., Ltd. (Suganuma et al. 1999, J Nutr Sci Vitaminol (Tokyo))
SAMP8 mice; no people.
Mice on the red bell pepper diet showed much better acquisition in a passive avoidance task than controls. An animal result at a very high dietary share; it says nothing directly about memory in people.