Acute consumption of dietary nitrate (as beetroot juice) has been shown to decrease systemic blood pressure in multiple populations as well as increase organ perfusion in areas of interest such as the pancreas and brain. Obstructive sleep apnoea syndrome (OSAS) is associated with high blood pressure, dysglycaemia and impaired vigilance. The effect of dietary nitrate in OSAS has not been reported.
Acute consumption of dietary nitrate (as beetroot juice) has been shown to decrease systemic blood pressure in multiple populations as well as increase organ perfusion in areas of interest such as the pancreas and brain. Obstructive sleep apnoea syndrome (OSAS) is associated with high blood pressure, dysglycaemia and impaired vigilance. The effect of dietary nitrate in OSAS has not been reported. The investigators hypothesize that chronic nitrate consumption might decrease blood pressure and dysglycaemia and improve vigilance compared to a placebo beetroot juice. This study is a randomized, double-blind placebo-controlled, crossover trial. At baseline, mid-point and endpoint ambulatory blood pressure will be assessed in conjunction with demographics, questionnaires, vigilance and blood draw. After baseline measures, each subject will be randomized to consume nitrate rich beetroot juice for 14 consecutive nights when assessments will be repeated followed by 14 nights of placebo and endpoint assessments or the converse.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
TRIPLE
Enrollment
10
140ml of nitrate rich beetroot juice provides 12.9mmol nitrate and will be consumed on a daily basis during the intervention by the study subjects.
140ml of nitrate depleted beetroot juice provides 0.5mmol nitrate and will be consumed on a daily basis during the intervention by the study subjects.
Connolly Hospital, Blanchardstown
Dublin, Ireland
Difference in ambulatory nocturnal blood pressure
Comparison of the change after nitrate-rich beetroot juice compared to placebo.
Time frame: Day 1, day 15, day 29
Difference in 24h blood pressure
Comparison of the change after nitrate-rich beetroot juice compared to placebo.
Time frame: Day 1, day 15, day 29
Difference in plasma nitrate and nitrite
Comparison of the change after nitrate-rich beetroot juice compared to placebo.
Time frame: Day 1, day 15, day 29
Difference in fasting glucose
Comparison of the change after nitrate-rich beetroot juice compared to placebo.
Time frame: Day 1, day 15, day 29
Difference in OSAS symptomatology
Comparison of the change after nitrate-rich beetroot juice compared to placebo.
Time frame: Day 1, day 15, day 29
Difference in 2h post OGT glucose
Comparison of the change after nitrate-rich beetroot juice compared to placebo.
Time frame: Day 1, day 15, day 29
Difference in overnight oximetry
Comparison of the change after nitrate-rich beetroot juice compared to placebo.
Time frame: Day 1, day 15, day 29
Difference in exhaled nitric oxide
Comparison of the change after nitrate-rich beetroot juice compared to placebo.
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Time frame: Day 1, day 15, day 29
Difference in vigilance scores derived from the Conner's Continuous Performance Test.
Comparison of the change after nitrate-rich beetroot juice compared to placebo.
Time frame: Day 1, day 15, day 29