Randomized controlled trial2019

Impact of Acute Dietary Nitrate Supplementation during Exercise in Hypertensive Women

Caldwell JT, Sutterfield SL, Post HK, Craig JC, Baumfalk DR, Copp SW, Ade CJ

Medicine and science in sports and exercise · 11 citations

Review labels

Funding not disclosed

Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

How it was studied

Design
Randomized controlled trial (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function
Intake measured by
Not stated

Who paid for it

Funding
Funding not disclosed

Publication

Published
2018-12-07 · Med Sci Sports Exerc · vol. 51 · issue 5 · pp. 1014–1021
Publisher
Lippincott Williams & Wilkins
Cited
25 citations · more than 81% of similar papers · 1.2× the field average
References
56 works
Access
Paywalled
Research areas
Cardiovascular and exercise physiology · Cardiovascular Health and Disease Prevention · Nitric Oxide and Endothelin Effects
Keywords
Medicine, Blood pressure, Forearm, Placebo, Brachial artery, Heart rate, Cardiology, Internal medicine, Blood flow, Diastole, Sphygmomanometer, Dietary Nitrate, Hemodynamics, Anesthesia, Surgery, Nitrate, Chemistry, Pathology, Nitrite
MeSH
forearm, brachial artery, humans, beta vulgaris, hypertension, nitrates, nitrites, hand strength, exercise, cross-over studies, double-blind method, postmenopause, blood pressure, exercise tolerance, dietary supplements, middle aged, female, hemodynamics, fruit and vegetable juices

7 authors

From US

  • Jacob T. CaldwellKansas State University
  • Shelbi L. SutterfieldKansas State University
  • Hunter K. PostKansas State University
  • Jesse C. CraigKansas State University
  • Dryden Ray BaumfalkKansas State University
  • Steven W. CoppKansas State University

Abstract

Introduction

the aim of the current investigation was to examine if dietary nitrate supplementation would improve vascular control in hypertensive postmenopausal women (PMW). We tested the hypotheses that acute dietary nitrate supplementation would 1) significantly decrease arterial blood pressure (BP) at rest and during exercise, 2) increase limb blood flow during steady-state (SS) exercise, and 3) improve functional sympatholysis during SS exercise.

Methods

Ten hypertensive PMW underwent a randomized, double-blind, placebo-controlled trial with a nitrate-rich (NR) or nitrate-poor (NP) supplement. Beat-by-beat BP and heart rate were recorded throughout the trial on the nonexercising limb. Forearm blood flow was measured via ultrasonography on the brachial artery of the exercising limb. All patients performed a resting cold pressor test (CPT) (2 min) and then 7 min of submaximal handgrip exercise with a CPT applied during minutes 5-7.

Results

SS systolic (NR, 170 ± 7; NP, 171 ± 37 mm Hg), diastolic (NR, 89 ± 2; NP, 92 ± 2 mm Hg), and mean arterial (NR, 121 ± 4; NP, 123 ± 2 mm Hg) pressures were not different between NP and NR treatment conditions (P > 0.05). During SS exercise, forearm blood flow (NR, 189 ± 8; NP, 218 ± 8 mL·min; P = 0.03) in the NR treatment was significantly lower compared with NP. When the CPT was applied during minutes 6-7 of exercise, forearm vascular conductance was reduced by 15% in the NR condition, but only 7% in the NR condition.

Conclusions

In summary, an acute NR supplement improved functional sympatholysis by ~50% versus an NP placebo condition. Improvements in functional sympatholysis may have important implications regarding exercise tolerance in hypertensive PMW.

Abstract via Europe PMC. Copyright remains with the authors or publisher.

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