The investigators have shown in two short-term studies in healthy, young participants that the combined supplementation of inorganic nitrate with vitamin C has beneficial effects on blood pressure and blood vessel wall stiffness. However, the effects of the combined supplementation have not been tested in individuals at greater cardiovascular disease risk. The investigators would like to show whether inorganic nitrate and vitamin C will produce greater effects on blood pressure and endothelial function when compared to inorganic nitrate alone versus the placebo treatment in people at greater risk of cardiovascular disease.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
DOUBLE
Enrollment
15
Concentrated beetroot juice (70 ml in the morning before breakfast and 70 ml in the evening before dinner) plus Vitamin C tablets (500mg/tablet)
Concentrated beetroot juice (70ml in the morning and 70 ml in the evening) plus placebo tablets (containing 500 mg of the non-nutritive sweetener aspartame)
nitrate-depleted beetroot juice (70ml in the morning and 70 ml in the evening) plus placebo tablets (containing 500 mg of the non-nutritive sweetener aspartame)
David Greenfield Human Physiology Lab, Queens Medical Centre
Nottingham, Nottinghamshire, United Kingdom
Blood pressure
Resting diastolic and systolic blood pressure using portable automated monitor
Time frame: Pre, 24 hours, 48 hours and 72 hours after supplementation
Cardiac function
Resting cardiac function using a non-invasive methodology (Finometer)
Time frame: Pre and post 3 days of supplementation
Flow-mediated dilation
Assess endothelial function through changes in brachial artery diameter in response to reactive hyperaemia using high-resolution B-mode ultrasound.
Time frame: Pre and post 3 days of supplementation
Saliva nitrate concentration
Colorimetric assays based on the Griess reaction will be used to measure nitrate concentration in saliva samples
Time frame: Pre and post 3 days supplementation
Urinary nitrate concentration
Colorimetric assays based on the Griess reaction will be used to measure nitrate concentration in urine samples
Time frame: Pre and post 3 days supplementation
Saliva nitrite concentration
Colorimetric assays based on the Griess reaction will be used to measure nitrite concentration in saliva samples
Time frame: Pre and post 3 days supplementation
Urine vitamin C concentration
A colorimetric assay kit will be used to measure vitamin C in urine samples
Time frame: Pre and post 3 days supplementation
Urine 8-isoprastane concentration
An Enzyme Linked Immuosorbant assay will be used to determine 8-isoprostane concentrations in urine.
Time frame: Pre and post 3 days supplementation
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