Systematic review2025

Effects of dietary nitrate supplementation on oral health and associated markers of systemic health: a systematic review

Alhulaefi SS, Watson AW, Ramsay SE, Jakubovics NS, Matu J, Griffiths A, Kimble R, Siervo M, Brandt K, Shannon OM

Critical reviews in food science and nutrition · 11 citations

How it was studied

Design
Systematic review (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
Taif University
University or hospital
Taif University, Taif, KSA

Based on 2 listed funder(s).

Publication

Published
2024-05-11 · Crit Rev Food Sci Nutr · vol. 65 · issue 14 · pp. 2813–2828
Publisher
Taylor & Francis
Cited
13 citations · more than 80% of similar papers · 1.8× the field average
References
58 works
Access
Open access (hybrid journal) · CC-BY
Research areas
Oral microbiology and periodontitis research · Salivary Gland Disorders and Functions · Dental Erosion and Treatment
Keywords
Medicine, Nitrate, CINAHL, Cochrane Library, Oral Microbiome, Randomized controlled trial, Saliva, Meta-analysis, Systematic review, Physiology, Environmental health, Food science, MEDLINE, Internal medicine, Psychological intervention, Biology, Disease, Biochemistry
MeSH
saliva, humans, beta vulgaris, gingivitis, nitrates, diet, hydrogen-ion concentration, dietary supplements, oral health, randomized controlled trials as topic, microbiota, biomarkers, fruit and vegetable juices

10 authors

From SA, BE, GB, RS, AU

  • Shatha S. AlhulaefiTaif University; Nutrition Sciences (Belgium); Newcastle University
  • Anthony WatsonNutrition Sciences (Belgium); Newcastle University
  • Sheena E RamsayNewcastle University
  • Nick S. JakubovicsNewcastle Dental Hospital; Newcastle University
  • Jamie MatuLeeds Beckett University
  • Alex GriffithsLeeds Beckett University

Abstract

Poor oral health can impact an individual's ability to eat and has been associated with an increased risk of non-communicable diseases. While the benefits of nitrate consumption on oral health were first proposed more than 20 years ago, no systematic review has been published examining effects of dietary nitrate on oral health. This systematic review investigated the effects of dietary nitrate on markers of oral health in vivo in randomized controlled trials (RCTs). Five databases (PubMed, The Cochrane Library, CINAHL, MEDLINE, and SPORTDiscus) were searched from inception until March 2023. Nine articles reporting data on 284 participants were included. Dietary nitrate was provided via beetroot juice in most studies. The duration of the interventions ranged from one day to six weeks. Dietary nitrate supplementation increased the relative abundance of several individual bacterial genera including Neisseria and Rothia. Dietary nitrate supplementation increased salivary pH and decreased salivary acidification following consumption of a sugar-sweetened beverage. Furthermore, dietary nitrate supplementation resulted in a decrease in the gingival inflammation index. The results of this systematic review suggest that dietary nitrate could represent a potential nutritional strategy to positively modify oral health by impacting the oral microbiome, altering salivary pH, and minimizing gingival inflammation.

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

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