Randomized controlled trial2023

15 N-labeled dietary nitrate supplementation increases human skeletal muscle nitrate concentration and improves muscle torque production

Kadach S, Park JW, Stoyanov Z, Black MI, Vanhatalo A, Burnley M, Walter PJ, Cai H, Schechter AN, Piknova B, Jones AM

Acta physiologica (Oxford, England) · 29 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
University or hospital
University of Exeter
University or hospital
University of Queensland
Government
Biotechnology and Biological Sciences Research Council
Grants
Biotechnology and Biological Sciences Research Council (BB/S020632/1); Biotechnology and Biological Sciences Research Council (BB/S020632/1)

Based on 3 listed funder(s).

Publication

Published
2023-01-06 · Acta Physiol (Oxf) · vol. 237 · issue 3 · p. e13924
Publisher
Wiley
Cited
35 citations · more than 99% of similar papers · 11.0× the field average
Impact
Top 10% most cited in its field
References
57 works
Access
Open access (hybrid journal) · CC-BY
Research areas
Cardiovascular and exercise physiology · Nitric Oxide and Endothelin Effects · Pharmacological Effects and Assays
Keywords
Chemistry, Skeletal muscle, Internal medicine, Endocrinology, Crossover study, Ingestion, Nitric oxide, Bioavailability, Placebo, Animal science, Biochemistry, Medicine, Biology, Pharmacology
MeSH
muscle, skeletal, humans, nitrates, nitrites, nitric oxide, nitrogen dioxide, polyesters, cross-over studies, double-blind method, blood pressure, torque, dietary supplements

11 authors

From GB, US

  • Stefan KadachUniversity of Exeter
  • Ji Won ParkNational Institutes of Health; National Institute of Diabetes and Digestive and Kidney Diseases
  • Zdravko StoyanovUniversity of Exeter
  • Matthew I. BlackUniversity of Exeter
  • Anni VanhataloUniversity of Exeter
  • Mark BurnleyLoughborough University

Abstract

Aim

Dietary nitrate (NO3 - ) supplementation increases nitric oxide bioavailability and can enhance exercise performance. We investigated the distribution and metabolic fate of ingested NO3 - at rest and during exercise with a focus on skeletal muscle.

Methods

In a randomized, crossover study, 10 healthy volunteers consumed 12.8 mmol 15 N-labeled potassium nitrate (K15 NO3 ; NIT) or potassium chloride placebo (PLA). Muscle biopsies were taken at baseline, at 1- and 3-h post-supplement ingestion, and immediately following the completion of 60 maximal intermittent contractions of the knee extensors. Muscle, plasma, saliva, and urine samples were analyzed using chemiluminescence to determine absolute [NO3 - ] and [NO2 - ], and by mass spectrometry to determine the proportion of NO3 - and NO2 - that was 15 N-labeled.

Results

Neither muscle [NO3 - ] nor [NO2 - ] were altered by PLA. Following NIT, muscle [NO3 - ] (but not [NO2 - ]) was elevated at 1-h (from ~35 to 147 nmol/g, p 15 N-labeled. There was a significant reduction in 15 N-labeled muscle [NO3 - ] from pre- to post-exercise. Relative to PLA, mean muscle torque production was ~7% greater during the first 18 contractions following NIT. This improvement in torque was correlated with the pre-exercise 15 N-labeled muscle [NO3 - ] and the magnitude of decline in 15 N-labeled muscle [NO3 - ] during exercise (r = 0.66 and r = 0.62, respectively; p < 0.01).

Conclusion

This study shows, for the first time, that skeletal muscle rapidly takes up dietary NO3 - , the elevated muscle [NO3 - ] following NO3 - ingestion declines during exercise, and muscle NO3 - dynamics are associated with enhanced torque production during maximal intermittent muscle contractions.

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

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