title: Effects of chronic dietary nitrate supplementation on the hemodynamic response to dynamic exercise.
abstract: While acute treatment with beetroot juice (BRJ) containing nitrate (NO3 (-)) can lower systolic blood pressure (SBP), afterload, and myocardial O2 demand during submaximal exercise, effects of chronic supplementation with BRJ (containing a relatively low dose of NO3 (-), 400 mg) on cardiac output (CO), SBP, total peripheral resistance (TPR), and the work of the heart in response to dynamic exercise are not known. Thus, in 14 healthy males (22 ± 1 yr), we compared effects of 15 days of both BRJ and nitrate-depleted beetroot juice (NDBRJ) supplementation on plasma concentrations of NOx (NO3 (-)/NO2 (-)), SBP, diastolic blood pressure (DBP), mean arterial pressure (MAP), CO, TPR, and rate pressure product (RPP) at rest and during progressive cycling exercise. Endothelial function was also assessed via flow-mediated dilation (FMD). BRJ supplementation increased plasma NOx from 83.8 ± 13.8 to 167.6 ± 13.2 μM. Compared with NDBRJ, BRJ reduced SBP, DBP, MAP, and TPR at rest and during exercise (P < 0.05). In addition, RPP was decreased during exercise, while CO was increased, but only at rest and the 30% workload (P < 0.05). BRJ enhanced FMD-induced increases in brachial artery diameter (pre: 12.3 ± 1.6%; post: 17.8 ± 1.9%). We conclude that 1) chronic supplementation with BRJ lowers blood pressure and vascular resistance at rest and during exercise and attenuates RPP during exercise and 2) these effects may be due, in part, to enhanced endothelium-induced vasodilation in contracting skeletal muscle. Findings suggest that BRJ can act as a dietary nutraceutical capable of enhancing O2 delivery and reducing work of the heart, such that exercise can be performed at a given workload for a longer period of time before the onset of fatigue.
authors.affiliation: Graduate School of Physical Education, Kyung Hee University, Seoul, South Korea; and.
authors.forename: Jae-Seok
authors.initials: JS
authors.lastname: Lee
authors.affiliation: Department of Internal Medicine, Division of Cardiovascular Medicine, University of California at Davis, Davis, California.
authors.forename: Charles L
authors.initials: CL
authors.lastname: Stebbins
authors.affiliation: Graduate School of Physical Education, Kyung Hee University, Seoul, South Korea; and.
authors.forename: Eunji
authors.initials: E
authors.lastname: Jung
authors.affiliation: Graduate School of Physical Education, Kyung Hee University, Seoul, South Korea; and.
authors.forename: Hosung
authors.initials: H
authors.lastname: Nho
authors.affiliation: Graduate School of Physical Education, Kyung Hee University, Seoul, South Korea; and.
authors.forename: Jong-Kyung
authors.initials: JK
authors.lastname: Kim
authors.affiliation: Graduate School of Physical Education, Kyung Hee University, Seoul, South Korea; and.
authors.forename: Myoung-Jei
authors.initials: MJ
authors.lastname: Chang
authors.affiliation: Graduate School of Physical Education, Kyung Hee University, Seoul, South Korea; and hmchoi92@khu.ac.kr.
authors.forename: Hyun-Min
authors.initials: HM
authors.lastname: Choi
mesh_terms: D062186:Arterial Pressure; D027461:Beta vulgaris; D001642:Bicycling; D018592:Cross-Over Studies; D004032:Diet; D019587:Dietary Supplements; D004311:Double-Blind Method; D004730:Endothelium, Vascular / Q000502:physiology*; D015444:Exercise; D000067030:Fruit and Vegetable Juices; D006339:Heart Rate; D006439:Hemodynamics; D006801:Humans; D008297:Male; D009119:Muscle Contraction; D018763:Muscle Fatigue; D018482:Muscle, Skeletal / Q000098:blood supply*; D009566:Nitrates / Q000008:administration & dosage*; D018517:Plant Roots; D013997:Time Factors; D014655:Vascular Resistance; D055815:Young Adult
chemical_list: D009566:Nitrates
keywords: afterload; endothelial function; nitrate; nitrite; rate × pressure product; total peripheral resistance