About this trial
This study is examining whether acute inorganic nitrate supplementation in the form of beetroot juice, paired with an acute bout of exercise, affects blood pressure and what is the magnitude of the difference compared to exercise alone.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Willingness and ability to comply with scheduled visits and study procedures.
Males and females, ages 18-40 years old
Sedentary (<150 minutes of moderate intensity aerobic exercise per week, or not engaged in a regular exercise program at all
Resting systolic BP ≥ 120 mmHg.
Disqualifiers
Body mass index ≤ 29.9 Kg/m2
Smoker within last 5 years
Has experienced significant weight loss ~3 kg in the last three months or taking any weight loss drugs
Current medical condition that prohibits exercising at high intensities
Trial design
Crossover
Treatments tested in this trial
Beetroot Juice - Active + Exercise
Dietary supplementSupplement with 140 mL nitrate-rich beverage (800mg NO3-) (\~12.9 mmol/L) 1 hour 30 minutes before lab visit after a 3-day washout + ACUTE EXERCISE and post-exercise blood pressure, and central hemodynamics measured via impedance cardiography.
Beetroot juice placebo + Exercise
Dietary supplementSupplement with 140 mL nitrate-depleted beverage (\<0.1 mmol/L) after a 3-day washout + ACUTE EXERCISE, and post-exercise blood pressure, and central hemodynamics measured via impedance cardiography
Beetroot Juice - Active + No exercise
Dietary supplementSupplement with 140mL nitrate rich beverage (800mg NO3-) (\~12.9 mmol/L) 1 hour 30 minutes before lab visit after a 3 day washout + NO EXERCISE, and blood pressure, and central hemodynamics measured via impedance cardiography.
Beetroot juice placebo+ No exercise
Dietary supplementSupplement with 140 mL nitrate-depleted beverage (\<0.1 mmol/L) after a 3-day washout + NO EXERCISE, and blood pressure and central hemodynamics measured via impedance cardiography.
Treatment groups
Trial outcomes
Primary outcomes
Blood pressure (Central and Peripheral)
The central and peripheral blood pressures will be measured using a validated automated system (Oscar 2 (SunTech)/ SphygmoCor system (Atcor Medical). This system processes brachial waveforms using dedicated software with a validated generalized transfer function to derive a corresponding aortic pressure waveform. Aortic waveforms are then further processed to identify systolic (SBP in mmHg), mean (MAP in mmHg), diastolic (DBP in mmHg), and pulse pressure (PP in mmHg). This allows calculation of augmentation pressure (AugP in mmHg) (due to wave reflection) and the augmentation index (AIx = (AugP/PP) × 100) in percentage units. Participants will sit for at least 15 minutes before each measurement.
Impedance Cardiography
Measure of central hemodynamics (cardiac output (L/min), stroke volume (mL), and systemic vascular resistance (dyn.s.cm5) etc.) will be non-invasively captured using the PhysioFlow Q-Link System. This system uses electrodes placed on the participant's body and applies the principles of signal-morphology impedance cardiography to estimate central cardiac measures at rest and after exercise.
Plasma/Saliva Nitrate and Nitrate
Plasma/Saliva samples will be collected to assess changes in plasma/saliva nitrate (measured in micromolar- uM) and nitrite (measured in nanomolar- nM) following either BRJ or placebo and in different exercise and control conditions.
Sponsors and contacts
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