Evidence map›Paper›PMID 39019159›Full record

Trial reportThe Journal of nutrition2024

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

Lisa du Toit, Michaela L Sundqvist, Alvaro Redondo-Rio, Zöe Brookes, Patricia Casas-Agustench, Mary Hickson, Alicia Benavente, Gemma Montagut, Eddie Weitzberg, Toni Gabaldón and 2 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of nutrition, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

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  18. TheFrontiers in cellular and infection microbiology · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Lisa du ToitSchool of Health Professions, Faculty of Health, University of Plymouth, Plymouth, United Kingdom.
Michaela L SundqvistSwedish School of Sport and Health Sciences, Department of Physiology, Nutrition and Biomechanics, Stockholm, Sweden.
Alvaro Redondo-RioInstitute for Research in Biomedicine (IRB Barcelona), Barcelona, Spain; Barcelona Supercomputing Centre (BSC-CNS), Barcelona, Spain.
Zöe BrookesPeninsula Dental School, Faculty of Health, University of Plymouth, Plymouth, United Kingdom.
Patricia Casas-AgustenchSchool of Health Professions, Faculty of Health, University of Plymouth, Plymouth, United Kingdom.
Mary HicksonSchool of Health Professions, Faculty of Health, University of Plymouth, Plymouth, United Kingdom.
Alicia BenaventeInstitute for Research in Biomedicine (IRB Barcelona), Barcelona, Spain; Barcelona Supercomputing Centre (BSC-CNS), Barcelona, Spain.
Gemma MontagutInstitute for Research in Biomedicine (IRB Barcelona), Barcelona, Spain; Barcelona Supercomputing Centre (BSC-CNS), Barcelona, Spain.
Eddie WeitzbergPharmacology and Physiology Department, Karolinska Institute, Stockholm, Sweden.
Toni GabaldónInstitute for Research in Biomedicine (IRB Barcelona), Barcelona, Spain; Barcelona Supercomputing Centre (BSC-CNS), Barcelona, Spain; Catalan Institution for Research and Advanced Studies (ICREA), Barcelona, Spain; CIBER de Enfermedades Infecciosas, Instituto de Salud Carlos III, Barcelona, Spain.
Jon O LundbergPharmacology and Physiology Department, Karolinska Institute, Stockholm, Sweden.
Raul BescosSchool of Health Professions, Faculty of Health, University of Plymouth, Plymouth, United Kingdom. Electronic address: Raul.Bescos@plymouth.ac.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGreen 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.

objectivesThis 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.

methodsSeventy 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.

resultsThe 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.

conclusionThe 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.

Indexed as

BiomarkersHypertensionMicrobiotaMouthNitratesSalivaAdultDietDietary SupplementsFemaleHumansMaleMiddle AgedPotassium CompoundsVegetablesBiomarkersNitratesPotassium Compoundspotassium nitrateleafy green vegetablesmicrobiomenitratenitric oxidenitriteoral health

Identifiers

PMID39019159
PMCPMC11393165

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.