1. Acute Effects of Dietary Nitrate on Exercise Tolerance, Muscle Oxygenation, and Cardiovascular Function in Patients With Peripheral Arterial Disease
- Author
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Maria T. E. Hopman, Luc J. C. van Loon, Cindy M T van der Avoort, Dick T J Thijssen, Lex B. Verdijk, Paul P C Poyck, Physiotherapy, Human Physiology and Anatomy, Human Physiology and Sports Physiotherapy Research Group, Humane Biologie, and RS: NUTRIM - R3 - Respiratory & Age-related Health
- Subjects
0301 basic medicine ,NEAR-INFRARED SPECTROSCOPY ,Vascular damage Radboud Institute for Health Sciences [Radboudumc 16] ,Medicine (miscellaneous) ,Blood Pressure ,BLOOD-PRESSURE ,functional capacity ,030204 cardiovascular system & hematology ,Beetroot Juice ,0302 clinical medicine ,cardiovascular disease ,Orthopedics and Sports Medicine ,ERGOGENIC AID ,BEETROOT JUICE SUPPLEMENTATION ,Aged, 80 and over ,Nutrition and Dietetics ,Cross-Over Studies ,Exercise Tolerance ,General Medicine ,INTENSITY EXERCISE ,PLASMA NITRITE ,Fruit and Vegetable Juices ,Cardiology ,HEART-FAILURE ,INORGANIC NITRATE ,medicine.symptom ,Beta vulgaris ,medicine.medical_specialty ,exercise performance ,Placebo ,CAPACITY ,03 medical and health sciences ,Peripheral Arterial Disease ,All institutes and research themes of the Radboud University Medical Center ,Double-Blind Method ,Internal medicine ,medicine ,Humans ,Muscle, Skeletal ,Aged ,claudication ,Nitrates ,nitrate-rich vegetables ,business.industry ,Metabolic Disorders Radboud Institute for Health Sciences [Radboudumc 6] ,Oxygenation ,PERFORMANCE ,medicine.disease ,Crossover study ,030104 developmental biology ,Blood pressure ,Heart failure ,Dietary Supplements ,Arterial stiffness ,Claudication ,business - Abstract
Previous studies have used supplements to increase dietary nitrate intake in clinical populations. Little is known about whether effects can also be induced through vegetable consumption. Therefore, the aim of this study was to assess the impact of dietary nitrate, through nitrate-rich vegetables (NRV) and beetroot juice (BRJ) supplementation, on plasma nitrate and nitrite concentrations, exercise tolerance, muscle oxygenation, and cardiovascular function in patients with peripheral arterial disease. In a randomized crossover design, 18 patients with peripheral arterial disease (age: 73 ± 8 years) followed a nitrate intake protocol (∼6.5 mmol) through the consumption of NRV, BRJ, and nitrate-depleted BRJ (placebo). Blood samples were taken, blood pressure and arterial stiffness were measured in fasted state and 150 min after intervention. Each intervention was followed by a maximal walking exercise test to determine claudication onset time and peak walking time. Gastrocnemius oxygenation was measured by near-infrared spectroscopy. Blood samples were taken and blood pressure was measured 10 min after exercise. Mean plasma nitrate and nitrite concentrations increased (nitrate; Time × Intervention interaction; p p p = .762 and p = .165, respectively). Gastrocnemius oxygenation, blood pressure, and arterial stiffness were not affected by the intervention. NRV and BRJ intake markedly increase plasma nitrate and nitrite, but this does not translate to improved exercise tolerance, muscle oxygenation, and/or cardiovascular function.
- Published
- 2021
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