Watercress (Nasturtium officinale)

Nasturtium officinale
Evidence Level
Limited
4 Clinical Trials
6 Documented Benefits
2/5 Evidence Score

Watercress (Nasturtium officinale) is a peppery leafy green in the cabbage family. Its main glucosinolate is gluconasturtiin, which releases phenethyl isothiocyanate, or PEITC, when the raw leaf is chewed or crushed. This sets it apart from broccoli, whose glucoraphanin yields sulforaphane. Watercress is also a concentrated source of the carotenoids lutein and beta-carotene and of vitamin K. Human studies are small and mostly measure laboratory markers rather than symptoms. In a crossover study, eating raw watercress daily for eight weeks lowered a marker of DNA damage in blood cells and raised blood carotenoids, with larger changes in smokers. A small trial found less oxidative stress after hard exercise, and a short pilot reported lower blood pressure. Watercress is a vegetable, not a treatment, and people on blood thinners or with thyroid conditions should read the cautions below.

Studied Dose In trials, 85 g of raw watercress a day for 8 weeks (DNA-damage crossover) and about 57 g at each meal for 3 days (carcinogen-metabolite study); a blood-pressure pilot used 16 dried watercress capsules a day for 4 weeks. No standard extract dose is established.
Active Compound Gluconasturtiin, a glucosinolate that releases phenethyl isothiocyanate (PEITC) when the raw leaf is chewed or crushed; watercress also supplies the carotenoids lutein and beta-carotene and vitamin K.

Benefits

Supports blood antioxidant status and carotenoid levels

In a crossover study, eating raw watercress daily for eight weeks roughly doubled plasma lutein and increased beta-carotene, which the study linked to a modulation of blood antioxidant status. A separate exercise trial found higher lipid-soluble antioxidants such as alpha-tocopherol after watercress. These are blood measurements in small groups, not clinical outcomes.

Lower oxidative damage to DNA in blood cells

In the eight-week crossover in sixty healthy adults, watercress was linked to less basal DNA damage in lymphocytes and about a quarter less oxidative purine DNA damage, measured with the comet assay. The changes were larger and clearer in smokers. This is a laboratory marker of DNA damage, not a measure of disease.

Less exercise-induced oxidative stress and lipid peroxidation

In a small controlled trial in ten healthy men, watercress taken once before exercise or daily for eight weeks blunted the rise in DNA damage, lipid peroxidation and hydrogen peroxide that followed exhausting exercise, alongside higher blood antioxidants. The trial was small and measured blood markers rather than performance.

Raises blood lutein and beta-carotene

Watercress is a concentrated dietary source of the carotenoids lutein and beta-carotene. In the eight-week crossover, daily watercress roughly doubled plasma lutein and raised beta-carotene by about a third compared with the control phase, reflecting the carotenoid content of the leaf.

Supports healthy blood pressure

In a four-week pilot in twenty-five middle-aged adults, a daily dried-watercress capsule dose lowered both systolic and diastolic blood pressure compared with placebo. The study was small and preliminary, and larger and longer trials are needed before watercress can be relied on for blood pressure.

Blood antioxidant capacity and oxidized-LDL markers

In the same blood-pressure pilot, watercress was followed by lower oxidized LDL and higher antioxidant capacity within the watercress group, and a lower estimated ten-year cardiovascular risk score. These within-group changes were not statistically significant when compared directly with the placebo group.

Mechanism of action

1

Gluconasturtiin releases PEITC when the leaf is crushed

Watercress stores the glucosinolate gluconasturtiin apart from the plant enzyme myrosinase. Chewing or crushing the raw leaf brings them together, and myrosinase converts gluconasturtiin into phenethyl isothiocyanate (PEITC). Cooking or long storage inactivates myrosinase and lowers how much PEITC is formed.

2

PEITC modulates detoxification enzymes in laboratory studies

In cell and animal studies, PEITC shifts the balance of phase I and phase II enzymes that process foreign compounds, lowering activation of some chemicals and speeding their excretion. In one study in smokers, watercress changed how a tobacco carcinogen was processed in urine. These are biochemical markers, not proof of disease prevention.

3

Supplies carotenoids and lipid-soluble antioxidants

Watercress is rich in the carotenoids lutein and beta-carotene and contributes tocopherols. Eating it raises these compounds in the blood, which may add to the body's antioxidant defenses; the human trials measured these blood levels and related oxidation markers rather than long-term health outcomes.

Clinical trials

1
Raw Watercress for 8 Weeks and DNA Damage in Healthy Adults
PubMed

Single-blind randomized crossover study of 85 g raw watercress daily for 8 weeks added to the habitual diet, measuring lymphocyte DNA damage, red-cell antioxidant enzymes, plasma antioxidants and lipids (Gill et al. 2007, Am J Clin Nutr).

60 healthy adults (30 men, 30 women; 30 smokers and 30 nonsmokers), mean age 33 years.

Basal DNA damage in lymphocytes fell about 17% and basal plus oxidative purine DNA damage about 23.9% during the watercress phase versus control, while the response to a hydrogen peroxide challenge was borderline. Plasma lutein rose about 100% and beta-carotene about 33%. Changes were greater in smokers. Biomarker outcomes, not disease endpoints.

2
Acute and 8-Week Watercress and Exercise-Induced Oxidative Stress
PubMed

Randomized controlled crossover study of watercress taken 2 hours before exercise (acute) and daily for 8 weeks (chronic), each with a no-ingestion control, measuring DNA damage and lipid peroxidation after an exhaustive exercise test (Fogarty et al. 2013, Br J Nutr).

10 apparently healthy men, mean age 23 years.

Exhaustive exercise raised DNA damage and lipid peroxidation during the control phases, while both acute and chronic watercress lowered these markers and reduced hydrogen peroxide accumulation after exercise. Lipid-soluble antioxidants rose with watercress. Very small; it measured blood markers, not performance.

3
Dried Watercress Capsules and Blood Pressure: 4-Week Pilot RCT
PubMed

Randomized placebo-controlled pilot study of 16 dried watercress capsules daily for 4 weeks, measuring blood pressure, arterial stiffness, lipids, oxidative stress markers and estimated 10-year cardiovascular risk (Kijkuokool et al. 2026, Antioxidants (Basel)).

25 Thai middle-aged adults with low-to-moderate cardiovascular risk (12 watercress, 13 placebo).

Systolic and diastolic blood pressure fell significantly with watercress versus placebo. Oxidized LDL, antioxidant capacity and the estimated 10-year risk score improved within the watercress group but did not reach significance compared with placebo. A small pilot; larger and longer trials are needed.

4
Watercress and Metabolism of a Tobacco Carcinogen in Smokers
PubMed

Controlled dietary study in which smokers avoided cruciferous vegetables, then ate about 57 g watercress at each meal for 3 days, with 24-hour urine collected to measure metabolites of a tobacco-specific carcinogen and of PEITC (Hecht et al. 1995, Cancer Epidemiol Biomarkers Prev).

11 smokers who kept their smoking habits constant.

During watercress eating, urinary output of the detoxified carcinogen metabolites (NNAL plus NNAL-glucuronide) rose about 33.5% and returned toward baseline afterward; estimated PEITC intake was 19 to 38 mg a day. A short biomarker study of how a carcinogen is processed, not a cancer-prevention trial.

Side effects and drug interactions

Common Potential side effects

As a food, watercress has a long history of safe use, and the cited trials reported no serious adverse effects.
Watercress is high in vitamin K (about 250 micrograms per 100 grams of raw leaves). This matters mainly for people taking warfarin or similar blood thinners (see interactions), not for most people.
Very high intakes of cruciferous vegetables can affect how the thyroid takes up iodine, mainly a concern for people who are iodine-deficient. An analysis of brassica vegetables found the goitrin-type compounds come mostly from vegetables such as collards and Brussels sprouts, and judged the isothiocyanate-forming greens to pose minimal thyroid risk at normal intakes.
PEITC forms only when the raw leaf is chewed or crushed; cooking and long storage reduce it, so cooked watercress delivers less.
If you are pregnant or breastfeeding, keep to normal food amounts and ask a doctor before taking concentrated watercress supplements, which have not been studied in these groups.

Important Drug interactions

Warfarin (Coumadin) and similar vitamin K antagonist blood thinners: watercress is rich in vitamin K, which opposes these drugs. National Institutes of Health guidance says people on these anticoagulants should keep their vitamin K intake consistent rather than suddenly adding or dropping large amounts of leafy greens; tell your doctor if you plan to eat watercress regularly.
Drugs processed by phase I and phase II liver enzymes: PEITC from watercress changes the activity of some of these enzymes in laboratory and animal studies, so an effect on drug handling is possible in theory, but no formal interaction studies in people are cited here.
Thyroid medication: if you take thyroid hormone or have a thyroid condition, mention regular high watercress intake to your doctor.

Frequently asked questions about Watercress (Nasturtium officinale)

What is in watercress that might matter?

Watercress is a cruciferous leafy green. Its main glucosinolate, gluconasturtiin, turns into phenethyl isothiocyanate (PEITC) when you chew or crush the raw leaf. It is also rich in the carotenoids lutein and beta-carotene and in vitamin K. These are the compounds researchers have looked at.

What does the research actually show?

Mostly small studies measuring blood markers. Eating raw watercress daily for eight weeks lowered a marker of DNA damage and raised blood carotenoids, a small trial showed less oxidative stress after hard exercise, and a short pilot reported lower blood pressure. None of this makes watercress a treatment for any disease.

How much watercress did trials use?

The DNA-damage study used 85 g of raw watercress a day for eight weeks, the carcinogen-metabolite study used about 57 g at each meal for three days, and the blood-pressure pilot used 16 dried watercress capsules a day for four weeks. There is no established supplement or extract dose.

Who should be careful with watercress?

If you take warfarin or another vitamin K antagonist blood thinner, watercress is high in vitamin K, so keep your intake steady and tell your doctor. People who are iodine-deficient or have thyroid conditions should be cautious with very large amounts of cruciferous vegetables. In pregnancy or breastfeeding, stick to normal food amounts.

What is Watercress?

Watercress (Nasturtium officinale) is a peppery leafy green in the cabbage family. Its main glucosinolate is gluconasturtiin, which releases phenethyl isothiocyanate, or PEITC, when the raw leaf is chewed or crushed. This sets it apart from broccoli, whose glucoraphanin yields sulforaphane.

What is Watercress used for?

Watercress is researched primarily for Antioxidant and Cardiovascular. In a crossover study, eating raw watercress daily for eight weeks roughly doubled plasma lutein and increased beta-carotene, which the study linked to a modulation of blood antioxidant status.

What is the recommended dosage of Watercress?

The clinically studied dose is In trials, 85 g of raw watercress a day for 8 weeks (DNA-damage crossover) and about 57 g at each meal for 3 days (carcinogen-metabolite study); a blood-pressure pilot used 16 dried watercress capsules a day for 4 weeks. Always follow the product label and check with a healthcare provider for personal advice.

Is Watercress safe, and does it have side effects?

For most healthy adults, Watercress is well tolerated at studied doses. Reported effects can include: As a food, watercress has a long history of safe use, and the cited trials reported no serious adverse effects. Watercress is high in vitamin K (about 250 micrograms per 100 grams of raw leaves). It may also interact with some medications. Watercress is not right for everyone, so check with a healthcare provider first if you are pregnant or breastfeeding, have a medical condition, or take prescription medication.

Does Watercress interact with any medications?

Possible interactions include: Warfarin (Coumadin) and similar vitamin K antagonist blood thinners: watercress is rich in vitamin K, which opposes these drugs. National Institutes of Health guidance says people on these anticoagulants should keep their vitamin K intake consistent rather than suddenly adding or… If you take prescription medication, check with a pharmacist or doctor before using it.

How strong is the scientific evidence for Watercress?

NutraSmarts rates the evidence for Watercress as Limited (2 out of 5). It is backed by 4 clinical trials and 9 cited references summarized on this page. A higher rating reflects more, larger, and better-designed human studies.

References(9 citations)

Evidence ratings on NutraSmarts are based on the totality of human clinical research, with emphasis on randomized controlled trials, meta-analyses, and systematic reviews. The references below directly support claims made throughout this page.

  1. Gill CI, Haldar S, Boyd LA, Bennett R, Whiteford J, Butler M, Pearson JR, Bradbury I, Rowland IR. Watercress supplementation in diet reduces lymphocyte DNA damage and alters blood antioxidant status in healthy adults. Am J Clin Nutr. 2007;85(2):504-10. doi: 10.1093/ajcn/85.2.504.PubMedUsed to support: Single-blind randomized crossover study in 60 healthy adults (half smokers): 85 g raw watercress daily for 8 weeks lowered basal lymphocyte DNA damage by about 17% and oxidative purine DNA damage by about 23.9% versus control, and raised plasma lutein by about 100% and beta-carotene by about 33%, with larger effects in smokers. Biomarker outcomes.
  2. Fogarty MC, Hughes CM, Burke G, Brown JC, Davison GW. Acute and chronic watercress supplementation attenuates exercise-induced peripheral mononuclear cell DNA damage and lipid peroxidation. Br J Nutr. 2013;109(2):293-301. doi: 10.1017/S0007114512000992.PubMedUsed to support: Randomized controlled crossover trial in 10 healthy men: watercress taken acutely before exercise and daily for 8 weeks attenuated the exercise-induced rise in DNA damage and lipid peroxidation and lowered hydrogen peroxide accumulation, with higher lipid-soluble antioxidants. Very small; blood markers only.
  3. Kijkuokool P, Rerkasem K, Fakfum P, Parklak W, Chuljerm H, Khiaolaongam W, Maluwa C, Kulprachakarn K. Efficacy of Watercress (Nasturtium officinale R.Br.) Consumption on Blood Pressure, Oxidative Stress Biomarkers, and Estimated Cardiovascular Risk in Thai Middle-Aged Adults: A Randomized Placebo-Controlled Pilot Study. Antioxidants (Basel). 2026;15(6):766. doi: 10.3390/antiox15060766.PubMedUsed to support: Randomized placebo-controlled pilot study in 25 Thai middle-aged adults: 16 dried watercress capsules daily for 4 weeks significantly lowered systolic and diastolic blood pressure versus placebo. Oxidized LDL, antioxidant capacity (ABTS) and the estimated 10-year cardiovascular risk score improved within the watercress group but did not reach significance versus placebo.
  4. Hecht SS, Chung FL, Richie JP Jr, Akerkar SA, Borukhova A, Skowronski L, Carmella SG. Effects of watercress consumption on metabolism of a tobacco-specific lung carcinogen in smokers. Cancer Epidemiol Biomarkers Prev. 1995;4(8):877-84..PubMedUsed to support: Controlled dietary biomarker study in 11 smokers who ate about 57 g watercress at each meal for 3 days: urinary excretion of the detoxified carcinogen metabolites NNAL plus NNAL-glucuronide rose about 33.5% during watercress eating and returned toward baseline afterward; estimated PEITC intake was 19 to 38 mg a day. A urinary biomarker of carcinogen metabolism, not a cancer-prevention endpoint.
  5. Hecht SS. Chemoprevention of lung cancer by isothiocyanates. Adv Exp Med Biol. 1996;401:1-11. doi: 10.1007/978-1-4613-0399-2_1.PubMedUsed to support: Review describing phenethyl isothiocyanate (PEITC), released from watercress, as a naturally occurring isothiocyanate that modifies phase I and phase II carcinogen metabolism in laboratory and animal models. Cited for the PEITC mechanism, not as human efficacy.
  6. Maluwa C, Zinan'dala B, Chuljerm H, Parklak W, Kulprachakarn K. Watercress (Nasturtium officinale) as a Functional Food for Non-Communicable Diseases Prevention and Management: A Narrative Review. Life (Basel). 2025;15(7):1104. doi: 10.3390/life15071104.PubMedUsed to support: Narrative review: watercress is abundant in glucosinolates and isothiocyanates, especially phenethyl isothiocyanate, plus flavonoids, vitamins and minerals, and preclinical and clinical studies describe antioxidant, anti-inflammatory and metabolic effects. Cited for composition and context; it summarizes mostly small or preclinical studies.
  7. Felker P, Bunch R, Leung AM. Concentrations of thiocyanate and goitrin in human plasma, their precursor concentrations in brassica vegetables, and associated potential risk for hypothyroidism. Nutr Rev. 2016;74(4):248-58. doi: 10.1093/nutrit/nuv110.PubMedUsed to support: Review of goitrin and thiocyanate in brassica vegetables: the goitrin that can reduce thyroid iodine uptake comes mainly from progoitrin-rich vegetables such as collards and Brussels sprouts, while thiocyanate from indole glucosinolates adds little above background, so most brassicas are judged of minimal thyroid risk at normal intakes. Basis for the measured thyroid note.
  8. U.S. Department of Agriculture, Agricultural Research Service. FoodData Central: Watercress, raw (SR Legacy, FDC ID 170068). USDA FoodData Central. 2019;SR Legacy Food 170068..SourceUsed to support: Not PubMed-indexed; U.S. government food-composition database. Lists raw watercress per 100 g as 250 micrograms vitamin K (phylloquinone) and 5,770 micrograms lutein plus zeaxanthin, confirming watercress as a vitamin-K-rich green and a concentrated carotenoid source.
  9. National Institutes of Health, Office of Dietary Supplements. Vitamin K: Fact Sheet for Health Professionals. NIH Office of Dietary Supplements. 2021;Updated March 29, 2021..SourceUsed to support: Not PubMed-indexed; U.S. government fact sheet. States that warfarin (Coumadin) and some other anticoagulants antagonize the activity of vitamin K and that people taking these anticoagulants need to maintain consistent vitamin K intakes. Basis for the watercress warfarin caution.