Evidence map›Paper›PMID 39992469›Full record

Trial reportEuropean journal of nutrition2025

Inter-individual differences in the blood pressure lowering effects of dietary nitrate: a randomised double-blind placebo-controlled replicate crossover trial.

Eleanor Hayes, Shatha Alhulaefi, Mario Siervo, Eleanor Whyte, Rachel Kimble, Jamie Matu, Alex Griffiths, Marc Sim, Mia Burleigh, Chris Easton and 4 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in European journal of nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05514821 (Effects of Dietary Nitrate on Blood Pressure), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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.

NCT05514821 nacompletednot on this map

Effects of Dietary Nitrate on Blood Pressure: Exploring the Repeatability and Inter-individual Variation in Responses

TypeinterventionalSponsorNewcastle UniversityRan2022 to 2023Enrolled15ConditionsBlood PressureArmsBeet It Sport Shot, Beet It Sport Shot Placebo
3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
  2. Efficacy of Watercress (Antioxidants (Basel, Switzerland) · 2026
    Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Can Beetroot (Nutrients · 2025
    Review
  8. Article
  9. Review
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

14 authors.

Eleanor HayesHuman Nutrition & Exercise Research Centre, Centre for Healthier Lives, Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Shatha AlhulaefiHuman Nutrition & Exercise Research Centre, Centre for Healthier Lives, Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Mario SiervoSchool of Population Health, Curtin University, Perth, WA, Australia.
Eleanor WhyteFreeman Hospital, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle Upon Tyne, UK.
Rachel KimbleSport and Physical Activity Research Institute, University of the West of Scotland, Blantyre, Scotland, UK.
Jamie MatuSchool of Health, Leeds Beckett University, Leeds, UK.
Alex GriffithsSchool of Health, Leeds Beckett University, Leeds, UK.
Marc SimNutrition and Health Innovation Research Institute, School of Medical and Health Sciences, Edith Cowan University, Joondalup, WA, Australia.
Mia BurleighSport and Physical Activity Research Institute, University of the West of Scotland, Blantyre, Scotland, UK.
Chris EastonSport and Physical Activity Research Institute, University of the West of Scotland, Blantyre, Scotland, UK.
Lorenzo LolliDepartment of Sport and Exercise Sciences, Institute of Sport, Manchester Metropolitan University, Manchester, UK.
Greg AtkinsonSchool of Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, UK.
John C MathersHuman Nutrition & Exercise Research Centre, Centre for Healthier Lives, Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Oliver M ShannonHuman Nutrition & Exercise Research Centre, Centre for Healthier Lives, Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK. Oliver.Shannon@Newcastle.ac.uk.ORCID http://orcid.org/0000-0001-8208-6837

Funding

The Wellcome Trust Translational Partnership The Wellcome Trust Translational PartnershipWellcome Trust
6 · The paper itself

Abstract

purposeDietary nitrate supplementation increases nitric oxide (NO) bioavailability and reduces blood pressure (BP). Inter-individual differences in these responses are suspected but have not been investigated using robust designs, e.g., replicate crossover, and appropriate statistical models. We examined the within-individual consistency of the effects of dietary nitrate supplementation on NO biomarkers and BP, and quantified inter-individual response differences.

methodsFifteen healthy males visited the laboratory four times. On two visits, participants consumed 140 ml nitrate-rich beetroot juice (~ 14.0mmol nitrate) and, on the other two visits, they consumed 140 ml nitrate-depleted beetroot juice (~ 0.03mmol nitrate). Plasma nitrate and nitrite concentrations were measured 2.5 h post-supplementation. BP was measured pre- and 2.5 h post-supplementation. Between-replicate correlations were quantified for the placebo-adjusted post-supplementation plasma nitrate and nitrite concentrations and pre-to-post changes in BP. Within-participant linear mixed models and a meta-analytic approach estimated participant-by-condition treatment response variability.

resultsNitrate-rich beetroot juice supplementation elevated plasma nitrate and nitrite concentrations and reduced systolic (mean:-7mmHg, 95%CI: -3 to -11mmHg) and diastolic (mean:-6mmHg, 95%CI: -2 to -9mmHg) BP versus placebo. The participant-by-condition interaction response variability from the mixed model was ± 7mmHg (95%CI: 3 to 9mmHg) for systolic BP and consistent with the treatment effect heterogeneity t = ± 7mmHg (95%CI: 5 to 12mmHg) derived from the meta-analytic approach. The between-replicate correlations were moderate-to-large for plasma nitrate, nitrite and systolic BP (r = 0.55 to 0.91).

conclusionsThe effects of dietary nitrate supplementation on NO biomarkers and systolic BP varied significantly from participant to participant. The causes of this inter-individual variation deserve further investigation.

trial registrationhttps://clinicaltrials.gov/study/NCT05514821 .

Indexed as

Blood PressureDietary SupplementsNitratesAdultBeta vulgarisBiomarkersCross-Over StudiesDouble-Blind MethodFruit and Vegetable JuicesHumansMaleNitric OxideNitritesYoung AdultBiomarkersNitratesNitric OxideNitritesBeetroot juiceBlood pressureDietary nitrateHypertensionIndividual differencesInter-individual variation

Identifiers

PMID39992469
PMCPMC11850510

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.