Nitrate Ageing BP paper V9 April 2022.pdf (426.72 kB)
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Ageing modifies acute resting blood pressure responses to incremental consumption of dietary nitrate: a randomised, cross-over clinical trial

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journal contribution
posted on 11.05.2022, 11:04 by Tess Capper, Tom CliffordTom Clifford, Guy Taylor, Wasim Iqbal, Daniel West, Emma Stevenson, Mario Siervo

Beetroot is a rich source of nitrate (NO3-) that has been shown to reduce blood pressure (BP). Yet, no studies have examined the vascular benefits of beetroot in whole-food form and whether the effects are modified by age. This study was a four-arm, randomised, open-label, crossover design in 24 healthy adults (young n=12, age 27±4 years, old n=12, age 64±5 years). Participants consumed whole cooked beetroot at portions of (NO3- content in brackets) 100 (272mg), 200 (544mg) and 300g (816mg), and a 200ml solution containing 1000mg of potassium nitrate (KNO3) on 4 separate occasions over a 4-week period (≥7-day washout period). BP, plasma NO3- and nitrite (NO2-) concentrations, and post-occlusion reactive hyperaemia (PORH) via laser Doppler, were measured pre and up to 5 hours post-intervention. Data were analysed by repeated measures analysis of variance. Plasma NO2- concentrations were higher in the young vs. old at baseline and post-intervention (P<0.05). All NO3- interventions decreased systolic and diastolic BP in young participants (P<0.05) whereas only KNO3 (at 240-300 min post-intake) significantly decreased systolic (-4.8 mmHg, -3.5%, P=0.024) and diastolic (-5.4 mmHg, -6.5%, P=0.007) BP in older participants. In conclusion, incremental doses of dietary NO3- reduced systolic and diastolic BP in healthy young adults whereas in the older group a significant decrease was only observed with the highest dose. The lower plasma NO2- concentrations in older participants suggests there may be mechanistic differences in the production of NO from dietary NO3- in young and older populations.


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Published in

British Journal of Nutrition


Cambridge University Press (CUP)


AM (Accepted Manuscript)

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© The Authors

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This article has been published in a revised form in British Journal of Nutrition [ This version is published under a Creative Commons CC-BY-NC-ND. No commercial re-distribution or re-use allowed. Derivative works cannot be distributed. © The Authors.

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Dr Tom Clifford. Deposit date: 10 May 2022