Review Article

Beneficial Effects of Dietary Nitrate on Endothelial Function and Blood Pressure Levels

Table 2

Clinical trials evaluating the effects of dietary inorganic nitrate on cardiovascular health.

PopulationStudy design and durationNitrate doseControlVascular parameterResultReference

Hypertensive 

57 years
144/88 mmHg
Chronic
4 weeks
450 mg
(250 mL beetroot juice)
Beetroot juice poor in nitratePWV
FMD
SBP
DBP
↓ PWV, ↑ FMD
↓ SBP, ↓ DBP 
↓ SBP24 h
↓ DBP24 h
Kapil et al., 2015 [12]

Hypertensive 

63 years
133/77 mmHg
Chronic
1 week
420 mg
(140 mL beetroot juice)
Beetroot juice poor in nitrateSBP
DBP
No effectBondonno et al., 2015 [13]

Overweight elderly 

63 years
Chronic
3 weeks
±350 mg
(70 mL beetroot juice)
Blackcurrant juiceSBP
DBP
↓ SBP
No effect on DBP
Jajja et al., 2014 [14]

T2DM 

67 years
143/81 mmHg
Chronic
2 weeks
500 mg
(250 mL beetroot juice)
Beetroot juice poor in nitrateFMDNo effectGilchrist et al., 2013 [15]

Healthy 

47 years
112/68 mmHg
Acute
0–2 h
190 mg
(200 g spinach)
Rice milkFMD2% ↑ after 2 hBondonno et al., 2012 [16]

Healthy 

25 years
121/71 mmHg
Acute
0–3 h
375 mg
(250 mL beetroot juice)
Mineral waterSBP
DBP
↓ SBP after 3 h
No effect on DBP
Kapil et al., 2010 [17]

Healthy 

26 years
106/70 mmHg
Acute
0–6 h–24 h
1437 mg
(500 mL beetroot juice)
Mineral waterSBP
DBP
MAP
↓ SBP
↓ DBP
↓ MAP
Webb et al., 2008 [18]

Healthy 

27 years
Acute
0–2 h
1437 mg
(500 mL beetroot juice)
Mineral waterFMDProtection against reperfusion ischemia after 2 hWebb et al., 2008 [18]

T2DM, type 2 diabetes mellitus; PWV, pulse wave velocity; FMD, flow mediated dilation; SBP, systolic blood pressure; DBP, diastolic blood pressure; MAP, mean arterial pressure.