Randomized controlled trial2021

Body mass-normalized moderate dose of dietary nitrate intake improves endothelial function and walking capacity in patients with peripheral artery disease

Pekas EJ, Wooden TK, Yadav SK, Park SY

American journal of physiology. Regulatory, integrative and comparative physiology · 24 citations

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
Independent funding
Government
Nebraska Space Grant Consortium
Government
National Institute of General Medical Sciences
University or hospital
University of Nebraska at Omaha
Government
NASA Nebraska Space Grant
Government
NIGMS NIH HHS
Government
Center for Research in Human Movement Variability National Institutes of Health
Government
HHS | NIH | National Institute of General Medical Sciences
Government
NASA Nebraska Space Grant Fellowship
Grants
National Institute of General Medical Sciences (P20GM109090); Nebraska Space Grant Consortium (NNX15AI09H)

Based on 8 listed funder(s).

Publication

Published
2021-06-23 · Am J Physiol Regul Integr Comp Physiol · vol. 321 · issue 2 · pp. R162–R173
Publisher
American Physiological Society
Cited
33 citations · more than 95% of similar papers · 4.1× the field average
Impact
Top 10% most cited in its field
References
82 works
Access
Open access (repository copy)
Research areas
Peripheral Artery Disease Management · Cerebrovascular and Carotid Artery Diseases · Cardiovascular Health and Disease Prevention
Keywords
Claudication, Pulse wave velocity, Brachial artery, Medicine, Blood pressure, Crossover study, Nitrate, Internal medicine, Arterial stiffness, Nitrite, Cardiology, Placebo, Hemoglobin, Vasodilation, Anesthesia, Vascular disease, Chemistry, Arterial disease, Pathology
MeSH
endothelium, vascular, humans, beta vulgaris, intermittent claudication, nitrates, body mass index, treatment outcome, walking, cross-over studies, double-blind method, recovery of function, blood pressure, vasodilation, exercise tolerance, time factors, aged, middle aged, nebraska, female, male, peripheral arterial disease, vascular stiffness, fruit and vegetable juices

4 authors

From US

  • Elizabeth J. PekasUniversity of Nebraska at Omaha
  • TeSean K. WoodenUniversity of Nebraska at Omaha
  • Santosh Kumar YadavUniversity of Nebraska Medical Center
  • Song‐Young Park · correspondingUniversity of Nebraska at Omaha

Abstract

Peripheral artery disease (PAD) is characterized by the accumulation of atherosclerotic plaques in the lower extremity conduit arteries, which impairs blood flow and walking capacity. Dietary nitrate has been used to reduce blood pressure (BP) and improve walking capacity in PAD. However, a standardized dose for PAD has not been determined. Therefore, we sought to determine the effects of a body mass-normalized moderate dose of nitrate (0.11 mmol nitrate/kg) as beetroot juice on serum nitrate/nitrite, vascular function, walking capacity, and tissue oxygen utilization capacity in patients with PAD. A total of 11 patients with PAD received either nitrate supplement or placebo in a randomized crossover design. Total serum nitrate/nitrite, resting BP, brachial and popliteal artery endothelial function (flow-mediated dilation, FMD), arterial stiffness (pulse-wave velocity, PWV), augmentation index (AIx), maximal walking distance and time, claudication onset time, and skeletal muscle oxygen utilization were measured pre- and postnitrate and placebo intake. There were significant group × time interactions (P P > 0.05). These results indicate that a body-mass normalized moderate dose of nitrate may be effective and safe for reducing BP, improving endothelial function, and improving walking capacity in patients with PAD.

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

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