Meta-analysis2021Open access

The effects of dietary nitrate supplementation on endurance exercise performance and cardiorespiratory measures in healthy adults: a systematic review and meta-analysis

Gao C, Gupta S, Adli T, Hou W, Coolsaet R, Hayes A, Kim K, Pandey A, Gordon J, Chahil G, Belley-Cote EP, Whitlock RP

Journal of the International Society of Sports Nutrition · 34 citations

Review labels

Author industry ties

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
Meta-analysis (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function
Intake measured by
Not stated

Who paid for it

Funding
Independent funding
Nonprofit
Heart and Stroke Foundation of Canada
Authors
At least one author declares a financial tie to industry

Based on 1 listed funder(s) and full-text disclosure statement.

Publication

Published
2021-01-02 · J Int Soc Sports Nutr · vol. 18 · issue 1 · p. 55
Publisher
Springer Science+Business Media
Cited
53 citations · more than 80% of similar papers · 1.3× the field average
References
25 works
Access
Open access (journal) · CC-BY
Research areas
Nitric Oxide and Endothelin Effects · Exercise and Physiological Responses · Muscle metabolism and nutrition
Keywords
Medicine, Cardiorespiratory fitness, Meta-analysis, Placebo, CINAHL, Physical therapy, Endurance training, Sports medicine, Time trial, Randomized controlled trial, Internal medicine, Strictly standardized mean difference, Blood pressure, Heart rate, Psychological intervention, Alternative medicine, Pathology
MeSH
humans, nitrates, lactic acid, oxygen consumption, physical endurance, exercise tolerance, time factors, dietary supplements, publication bias, adult, athletic performance, athletes, cardiorespiratory fitness, bias, sedentary behavior

12 authors

From CA

  • Chloe GaoUniversity of British Columbia
  • Saurabh Kumar GuptaMcMaster University Medical Centre; McMaster University
  • Taranah AdliWestern University
  • Winston HouMcMaster University Medical Centre; Hamilton Health Sciences; McMaster University
  • Reid CoolsaetUniversity of Guelph
  • Abigail HayesQueen's University

Abstract

Background

Nitrate supplementation is thought to improve performance in endurance sports.

Objective

To meta-analyze studies evaluating the effect of nitrate supplementation on endurance sports performance among adults.

Data sources

We searched the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, EMBASE, Web of Science and CINAHL without language restrictions.

Methods

We included studies that: 1) compared nitrate supplementation with placebo; 2) enrolled adults engaging in an endurance-based activity; and 3) reported a performance measure or surrogate physiologic outcome. We evaluated risk of bias using the Cochrane Collaboration tool and pooled data with a random-effects model. We used the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach to evaluate confidence in estimates.

Results

We included 73 studies (n = 1061). Nitrate supplementation improved power output (MD 4.6 watts, P 2 (MD - 0.04 L/min, P 2max or blood lactate levels.

Conclusion

The available evidence suggests that dietary nitrate supplementation benefits performance-related outcomes for endurance sports.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).

Community trust

Loading…

How much do you trust this study's findings?

0 · not at all10 · completely

Comments

Sign in to rate, comment on or flag this study.Sign in

Something wrong here?

Flag this study if its information, labels or funding look wrong. An editor reviews every flag.

Sign in to rate, comment on or flag this study.Sign in

Educational information about published research. Not medical advice, and not a recommendation to start or stop anything.