Randomized controlled trial2024Open access

The Effect of Dietary Nitrate on the Oral Microbiome and Salivary Biomarkers in Individuals with High Blood Pressure

du Toit L, Sundqvist ML, Redondo-Rio A, Brookes Z, Casas-Agustench P, Hickson M, Benavente A, Montagut G, Weitzberg E, Gabaldón T, Lundberg JO, Bescos R

The Journal of nutrition · 12 citations

Review labels

Mechanisms 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
Not stated

Who paid for it

Funding
Independent funding

Based on full-text disclosure statement.

Publication

Published
2024-07-16 · J Nutr · vol. 154 · issue 9 · pp. 2696–2706
Publisher
Elsevier BV
Cited
27 citations · more than 98% of similar papers · 7.8× the field average
Impact
Top 10% most cited in its field
References
52 works
Access
Open access (hybrid journal) · CC-BY
Research areas
Oral microbiology and periodontitis research · Gut microbiota and health · Salivary Gland Disorders and Functions
Keywords
Nitrate, Veillonella, Microbiome, Saliva, Actinomyces, Oral Microbiome, Bacteroides, Eubacterium, Prevotella, Food science, Prebiotic, Chemistry, Physiology, Fusobacteria, Streptococcus, Internal medicine, Microbiology, Biology, Biochemistry, Medicine, Firmicutes, Bacteria
MeSH
mouth, saliva, humans, vegetables, hypertension, nitrates, potassium compounds, diet, dietary supplements, adult, middle aged, female, male, microbiota, biomarkers

12 authors

From GB, SE, ES

  • Lisa Du ToitUniversity of Plymouth
  • Michaela L. SundqvistSwedish School of Sport and Health Sciences
  • Álvaro Redondo-RíoBarcelona Supercomputing Center; Institute for Research in Biomedicine; Universitat Politècnica de Catalunya
  • Zoë L.S. BrookesUniversity of Plymouth
  • Patricia Casas‐AgustenchUniversity of Plymouth
  • Mary Agnes HicksonUniversity of Plymouth

Abstract

Background

Green leafy vegetables (GLV) contain inorganic nitrate, an anion with potential prebiotic effects on the oral microbiome. However, it remains unclear whether GLV and pharmacological supplementation [potassium nitrate (PN)] with a nitrate salt induce similar effects on the oral microbiome.

Objectives

This study aimed to compare the effect of GLV with PN supplementation on the oral microbiome composition and salivary biomarkers in individuals with high blood pressure.

Methods

Seventy individuals were randomly allocated to 3 different groups to follow a 5-wk dietary intervention. Group 1 consumed 300 mg/d of nitrate in form of GLV. Group 2 consumed pills with 300 mg/d of PN and low-nitrate vegetables. Group 3 consumed pills with potassium chloride (placebo: PLAC) and low-nitrate vegetables. The oral microbiome composition and salivary biomarkers of oral health were analyzed before and after the dietary intervention.

Results

The GLV and PN groups showed similar microbial changes, probably nitrate-dependent, including an increase in the abundance of Neisseria, Capnocytophaga, Campylobacter species, and a decrease in Veillonella, Megasphaera, Actinomyces, and Eubacterium species after the treatment. Increased abundance of Rothia species, and reduced abundance of Streptococcus, Prevotella, Actinomyces, and Mogibacterium species were observed in the GLV group, which could be nitrate-independent. GLV and PN treatments increased salivary pH, but only GLV treatment showed an increase in the salivary buffering capacity and a reduction of lactate.

Conclusion

The combination of nitrate-dependent and nitrate-independent microbial changes in the GLV group has a stronger effect to potentially improve oral health biomarkers compared with PN.

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

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