About this trial
The goal of this clinical trial is to learn about the acute effects of beetroot extract in older women with high blood pressure. The main questions it aims to answer are:
Does beetroot extract affect blood pressure during exercise? Does it change oxygen levels in the muscles? Participants will take a beetroot supplement and perform an aerobic exercise session to check how their bodies respond.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Female sex: Older women aged between 60 and 70 years.
Physical capability: Absence of health conditions that could compromise performance in the required physical exercise tests.
Disqualifiers
Smoking: Current smokers.
Alcohol use: History of alcohol abuse or excessive alcohol consumption.
Cardiovascular Disease: Diagnosis of cardiovascular diseases (other than the primary condition of hypertension).
Trial design
Single group
Treatments tested in this trial
Beetroot Extract (Nitrate-rich)
Dietary supplementParticipants will ingest 2 capsules of a standardized beetroot extract (Berkeley Life Nitric Oxide Foundation). Each dose provides approximately 314 mg of dietary nitrate.
Placebo
Dietary supplementCapsules identical in appearance, color, and size to the experimental supplement, but containing an inert substance (starch). This intervention is used to maintain the double-blind design of the study.
Exercise
BehavioralParticipants will perform a single aerobic exercise session on a treadmill. The protocol consists of a 7-minute warm-up followed by 30 minutes of continuous exercise at an intensity corresponding to 60-80% of maximum heart rate (HRmax), estimated using Tanaka's formula (208 - 0.7 \* age). Rate of Perceived Exertion (RPE) will be monitored periodically using the Borg scale (6-20).
Rest (Control Condition)
Other interventionParticipants will remain seated for 30 minutes (matching the exercise session duration). During this time, a researcher will administer a Food Frequency Questionnaire (FFQ) in an interview format. This activity serves to assess dietary habits and simulates a routine, low-exertion daily activity (similar to a conversation), acting as a time-matched control for the exercise session.
Treatment groups
Trial outcomes
Primary outcomes
Systolic and Diastolic Blood Pressure
Assessed using a validated automatic or semi-automatic device. Results measured in millimeters of mercury (mmHg).
Secondary outcomes
Muscle Oxygen Saturation
Assessed via Near-Infrared Spectroscopy (NIRS) placed on the vastus lateralis muscle. Measured in percentage (%).
Oxidative Stress Markers (SOD, CAT, GPx, MDA)
Analysis of Superoxide Dismutase (SOD), Catalase (CAT), Glutathione Peroxidase (GPx), and Malondialdehyde (MDA) levels in blood plasma. Results measured in nanomoles per minute per gram of protein (nmol/min/g).
Sponsors and contacts
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São Paulo State University
Lead sponsor
Universidade Estadual Paulista Júlio de Mesquita Filho
Sponsor institution