Randomized controlled trial2022Industry fundedOpen access

Funded in part by G's Fresh Ltd

Pharmacokinetic Profile of Incremental Oral Doses of Dietary Nitrate in Young and Older Adults: A Crossover Randomized Clinical Trial

Capper TE, Siervo M, Clifford T, Taylor G, Iqbal W, West D, Stevenson EJ

The Journal of nutrition · 19 citations

Review labels

Controlled feedingIndustry fundedMechanisms only

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
Mechanisms only
Intake measured by
Food provided by researchers

Who paid for it

Funding
Industry funded
Company
G's Fresh Ltd

Based on 1 listed funder(s).

Publication

Published
2021-09-30 · J Nutr · vol. 152 · issue 1 · pp. 130–139
Publisher
Elsevier BV
Cited
22 citations · more than 82% of similar papers · 1.5× the field average
References
35 works
Access
Open access (hybrid journal) · CC-BY
Research areas
Salivary Gland Disorders and Functions · Nitric Oxide and Endothelin Effects · Olfactory and Sensory Function Studies
Keywords
Nitrite, Nitrate, Saliva, Crossover study, Ingestion, Urine, Animal science, Potassium nitrate, Internal medicine, Repeated measures design, Chemistry, Medicine, Potassium, Biology, Placebo
MeSH
humans, beta vulgaris, vegetables, nitrates, nitrites, cross-over studies, aging, blood pressure, aged

7 authors

From GB

  • Tess E. CapperQueen's University Belfast; Newcastle University
  • Mario SiervoUniversity of Nottingham; Newcastle University
  • Tom CliffordLoughborough University; Newcastle University
  • Guy TaylorNewcastle University
  • Wasim A IqbalNewcastle University
  • Daniel J. WestNewcastle University

Abstract

Background

Dietary nitrate consumption can increase concentrations of nitrate and nitrite in blood, saliva, and urine. Whether the change in concentrations is influenced by age is currently unknown.

Objectives

We aimed to measure changes in nitrate and nitrite concentrations in plasma, urine, and saliva and exhaled NO concentrations after single incremental doses of dietary nitrate in young and older healthy adults.

Methods

Twelve young (18-35 y old) and 12 older (60-75 y old) healthy, nonsmoking participants consumed single doses of 100 g, 200 g, 300 g whole beetroot (BR) and 1000 mg potassium nitrate (positive control) ≥7 d apart in a crossover, randomized clinical trial. Plasma nitrate and nitrite concentrations and exhaled NO concentrations were measured over a 5-h period. Salivary nitrate and nitrite concentrations were measured over a 12-h period and urinary nitrate over a 24-h period. Time, intervention, age, and interaction effects were measured with repeated-measures ANOVAs.

Results

Dose-dependent increases were seen in plasma, salivary, and urinary nitrate after BR ingestion (all P ≤ 0.002) but there were no differences between age groups at baseline (all P ≥ 0.56) or postintervention (all P ≥ 0.12). Plasma nitrite concentrations were higher in young than older participants at baseline (P = 0.04) and after consumption of 200 g (P = 0.04; +25.7 nmol/L; 95% CI: 0.97, 50.3 nmol/L) and 300 g BR (P = 0.02; +50.3 nmol/L; 95% CI: 8.57, 92.1 nmol/L). Baseline fractional exhaled NO (FeNO) concentrations were higher in the younger group [P = 0.03; +8.60 parts per billion (ppb); 95% CI: 0.80, 16.3 ppb], and rose significantly over the 5-h period, peaking 5 h after KNO3 consumption (39.4 ± 4.5 ppb; P < 0.001); however, changes in FeNO were not influenced by age (P = 0.276).

Conclusions

BR is a source of bioavailable dietary nitrate in both young and older adults and can effectively raise nitrite and nitrate concentrations. Lower plasma nitrite and FeNO concentrations were found in older subjects, confirming the impact of ageing on NO bioavailability across different systems.This trial was registered at www.isrctn.com as ISRCTN86706442.

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

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