Work

Ageing modifies acute resting blood pressure responses to incremental consumption of dietary nitrate: a randomised, cross-over clinical trial

Year: 2022
Type: article
Abstract: Beetroot (BR) is a rich source of nitrate (NO 3 -) that has been shown to reduce blood pressure (BP). Yet, no studies have examined the vascular benefits of BR in whole-food form and whether the effects are modified by age. This study was a four-arm, randomised, open-label, cross-over design in twenty-four healthy adults (young n 12, age 27 ± 4 years, old n 12, age 64 ± 5 years). Participants consumed whole-cooked BR at portions of (NO 3 - content in brackets) 100 g (272 mg), 200 g (544 mg) and 300 g (816 mg) and a 200-ml solution containing 1000 mg of potassium nitrate (KNO 3 ) on four separate occasions over a 4-week period (≥7-d washout period). BP, plasma NO 3 - and nitrite (NO 2 -) concentrations, and post-occlusion reactive hyperaemia via laser Doppler, were measured pre- and up to 5-h post-intervention. Data were analysed by repeated-measures ANOVA. Plasma NO 2 - concentrations were higher in the young v . old at baseline and post-intervention ( P < 0·05). All NO 3 - interventions decreased systolic and diastolic BP in young participants ( P < 0·05), whereas only KNO 3 (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 NO 3 - 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 NO 2 - concentrations in older participants suggest that there may be mechanistic differences in the production of NO from dietary NO 3 - in young and older populations.
Authors: Tess Capper, Tom Clifford, Guy Taylor, Wasim Iqbal, Daniel West, Emma Stevenson, Mario Siervo
Language: English
Field: Medicine
Open Access status: green
OpenAlex ID: W4229000544
FWCI: 1.371
Cites: 45
Cited by: 10
Related to: 10