The purpose of this study is to examine the effect of acute ingestion of a concentrated beetroot juice supplement on vascular function and exercise capacity in patients with moderate to severe chronic kidney disease
People with Chronic Kidney Disease (CKD) are at an increased risk of cardiovascular disease. Blood vessel dysfunction and exercise intolerance are common in CKD. Blood vessel dysfunction has been shown to predict future cardiovascular events and decreased physical activity can contribute to an increased risk of cardiovascular disease. Therefore, this study investigates if dietary nitrate from beetroot juice, which has been shown to improve blood vessel function and exercise capacity in other cardiovascular disease pathologies, could be effective at improving these measures in patients with CKD. In a controlled, double blinded trial, stage 3-5 CKD patients will be randomly assigned to receive either beetroot beverage or a placebo and then complete measures of blood vessel function and an exercise test.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
DOUBLE
Enrollment
15
Source of naturally occurring dietary nitrates
Placebo
Department of Kinesiology and Applied Physiology, University of Delaware
Newark, Delaware, United States
Microvascular Function, assessed by laser Doppler flowmetry coupled with intradermal microdialysis
Nitric oxide mediated cutaneous microvascular dilatory response to local heating assessed by laser Doppler flowmetry coupled with microdialysis
Time frame: 2.5 hours post ingestion of juice
Endothelial function
Conduit artery endothelial function assessed by brachial artery flow mediated dilation
Time frame: 2.5 hours post ingestion of juice
Blood pressure
Blood pressure recorded by automatic blood pressure machine
Time frame: Change from pre-ingestion baseline to 2.5 hours post ingestion of juice
Arterial stiffness
Carotid to femoral pulse wave velocity assessed by tonometry
Time frame: 2.5 hours post ingestion of juice
Pulse wave analysis
Central blood pressure and augmentation index assessed by oscillometry and radial tonometry
Time frame: 2.5 hours post ingestion of juice
Peak aerobic capacity
Peak oxygen uptake (VO2 peak) during incremental cycling exercise to exhaustion
Time frame: 2.5 hours post ingestion of juice
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