Performance and Health Benefits of Dietary Nitrate Supplementation in Older Adults: A Systematic Review
Supplementation with nitrate (NO₃ )-rich beetroot juice has been shown to improve exercise performance and cardiovascular (CV) responses, due to an increased nitric oxide (NO) availability. However, it is unclear whether these benefits are greater in older adults who have an age-related decrease in...
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description | Supplementation with nitrate (NO₃
)-rich beetroot juice has been shown to improve exercise performance and cardiovascular (CV) responses, due to an increased nitric oxide (NO) availability. However, it is unclear whether these benefits are greater in older adults who have an age-related decrease in NO and higher risk of disease. This systematic review examines 12 randomised, crossover, control trials, investigating food-based NO₃
supplementation in older adults and its potential benefits on physiological and cognitive performances, and CV, cerebrovascular and metabolic health. Four studies found improvements in physiological performance (time to exhaustion) following dietary NO₃
supplementation in older adults. Benefits on cognitive performance were unclear. Six studies reported improvements in CV health (blood pressure and blood flow), while six found no improvement. One study showed improvements in cerebrovascular health and two found no improvement in metabolic health. The current literature indicates positive effects of dietary NO₃
supplementation in older adults on physiological performance, with some evidence indicating benefits on cardiovascular and cerebrovascular health. Effects on cognitive performance were mixed and studies on metabolic health indicated no benefit. However, there has been limited research conducted on the effects of dietary NO₃
supplementation in older adults, thus, further study, utilising a randomised, double-blind, control trial design, is warranted. |
doi_str_mv | 10.3390/nu9111171 |
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)-rich beetroot juice has been shown to improve exercise performance and cardiovascular (CV) responses, due to an increased nitric oxide (NO) availability. However, it is unclear whether these benefits are greater in older adults who have an age-related decrease in NO and higher risk of disease. This systematic review examines 12 randomised, crossover, control trials, investigating food-based NO₃
supplementation in older adults and its potential benefits on physiological and cognitive performances, and CV, cerebrovascular and metabolic health. Four studies found improvements in physiological performance (time to exhaustion) following dietary NO₃
supplementation in older adults. Benefits on cognitive performance were unclear. Six studies reported improvements in CV health (blood pressure and blood flow), while six found no improvement. One study showed improvements in cerebrovascular health and two found no improvement in metabolic health. The current literature indicates positive effects of dietary NO₃
supplementation in older adults on physiological performance, with some evidence indicating benefits on cardiovascular and cerebrovascular health. Effects on cognitive performance were mixed and studies on metabolic health indicated no benefit. However, there has been limited research conducted on the effects of dietary NO₃
supplementation in older adults, thus, further study, utilising a randomised, double-blind, control trial design, is warranted.</description><identifier>ISSN: 2072-6643</identifier><identifier>EISSN: 2072-6643</identifier><identifier>DOI: 10.3390/nu9111171</identifier><identifier>PMID: 29077028</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Adults ; athletic performance ; beets ; Blood flow ; Blood pressure ; Cardiovascular system ; Cerebrovascular system ; cognition ; Cognitive ability ; Disease control ; elderly ; Exhaustion ; Health risks ; Metabolism ; nitrates ; Nitric oxide ; Older people ; Physiological effects ; Physiology ; Randomization ; Review ; Risk assessment ; Studies ; Sugar beets ; Systematic review ; vegetable juices</subject><ispartof>Nutrients, 2017-10, Vol.9 (11), p.1171</ispartof><rights>Copyright MDPI AG 2017</rights><rights>2017 by the authors. 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c436t-7d77af1a9b59c91e4d226048e789282e5c20ad311fa4886c4f517d26aa94a55e3</citedby><cites>FETCH-LOGICAL-c436t-7d77af1a9b59c91e4d226048e789282e5c20ad311fa4886c4f517d26aa94a55e3</cites><orcidid>0000-0002-6093-1435</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5707643/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5707643/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27903,27904,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29077028$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Stanaway, Luke</creatorcontrib><creatorcontrib>Rutherfurd-Markwick, Kay</creatorcontrib><creatorcontrib>Page, Rachel</creatorcontrib><creatorcontrib>Ali, Ajmol</creatorcontrib><title>Performance and Health Benefits of Dietary Nitrate Supplementation in Older Adults: A Systematic Review</title><title>Nutrients</title><addtitle>Nutrients</addtitle><description>Supplementation with nitrate (NO₃
)-rich beetroot juice has been shown to improve exercise performance and cardiovascular (CV) responses, due to an increased nitric oxide (NO) availability. However, it is unclear whether these benefits are greater in older adults who have an age-related decrease in NO and higher risk of disease. This systematic review examines 12 randomised, crossover, control trials, investigating food-based NO₃
supplementation in older adults and its potential benefits on physiological and cognitive performances, and CV, cerebrovascular and metabolic health. Four studies found improvements in physiological performance (time to exhaustion) following dietary NO₃
supplementation in older adults. Benefits on cognitive performance were unclear. Six studies reported improvements in CV health (blood pressure and blood flow), while six found no improvement. One study showed improvements in cerebrovascular health and two found no improvement in metabolic health. The current literature indicates positive effects of dietary NO₃
supplementation in older adults on physiological performance, with some evidence indicating benefits on cardiovascular and cerebrovascular health. Effects on cognitive performance were mixed and studies on metabolic health indicated no benefit. However, there has been limited research conducted on the effects of dietary NO₃
supplementation in older adults, thus, further study, utilising a randomised, double-blind, control trial design, is warranted.</description><subject>Adults</subject><subject>athletic performance</subject><subject>beets</subject><subject>Blood flow</subject><subject>Blood pressure</subject><subject>Cardiovascular system</subject><subject>Cerebrovascular system</subject><subject>cognition</subject><subject>Cognitive ability</subject><subject>Disease control</subject><subject>elderly</subject><subject>Exhaustion</subject><subject>Health risks</subject><subject>Metabolism</subject><subject>nitrates</subject><subject>Nitric oxide</subject><subject>Older people</subject><subject>Physiological effects</subject><subject>Physiology</subject><subject>Randomization</subject><subject>Review</subject><subject>Risk assessment</subject><subject>Studies</subject><subject>Sugar beets</subject><subject>Systematic review</subject><subject>vegetable juices</subject><issn>2072-6643</issn><issn>2072-6643</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNqFkU1rVTEQhoMottQu_AMScKOLq_n-cCFc60eFYsXqOqQ5c9qUc5JrklPpvzeX1kt142xmYB5e5p0XoaeUvOLcktdpsbSXpg_QPiOarZQS_OG9eQ8d1npFtqWJVvwx2mOWaE2Y2UcXX6GMucw-BcA-DfgY_NQu8TtIMMZWcR7x-wjNlxv8JbbiG-CzZbOZYIbUfIs54Zjw6TRAwethmVp9g9f47KY2mPs64G9wHeHXE_Ro9FOFw7t-gH58_PD96Hh1cvrp89H6ZBUEV22lB639SL09lzZYCmJgTBFhQBvLDAMZGPEDp3T0whgVxCipHpjy3govJfAD9PZWd7OczzCEfmTxk9uUOHcLLvvo_t6keOku8rWT298I3gVe3AmU_HOB2twca4Bp8gnyUh1jRlmhtST_RamVWiguNe3o83_Qq7yU1D_RKa2NEVTbTr28pULJtRYYd3dT4rZhu13YnX123-iO_BMt_w3cYqQd</recordid><startdate>20171027</startdate><enddate>20171027</enddate><creator>Stanaway, Luke</creator><creator>Rutherfurd-Markwick, Kay</creator><creator>Page, Rachel</creator><creator>Ali, Ajmol</creator><general>MDPI AG</general><general>MDPI</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>7S9</scope><scope>L.6</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-6093-1435</orcidid></search><sort><creationdate>20171027</creationdate><title>Performance and Health Benefits of Dietary Nitrate Supplementation in Older Adults: A Systematic Review</title><author>Stanaway, Luke ; Rutherfurd-Markwick, Kay ; Page, Rachel ; Ali, Ajmol</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c436t-7d77af1a9b59c91e4d226048e789282e5c20ad311fa4886c4f517d26aa94a55e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adults</topic><topic>athletic performance</topic><topic>beets</topic><topic>Blood flow</topic><topic>Blood pressure</topic><topic>Cardiovascular system</topic><topic>Cerebrovascular system</topic><topic>cognition</topic><topic>Cognitive ability</topic><topic>Disease control</topic><topic>elderly</topic><topic>Exhaustion</topic><topic>Health risks</topic><topic>Metabolism</topic><topic>nitrates</topic><topic>Nitric oxide</topic><topic>Older people</topic><topic>Physiological effects</topic><topic>Physiology</topic><topic>Randomization</topic><topic>Review</topic><topic>Risk assessment</topic><topic>Studies</topic><topic>Sugar beets</topic><topic>Systematic review</topic><topic>vegetable juices</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Stanaway, Luke</creatorcontrib><creatorcontrib>Rutherfurd-Markwick, Kay</creatorcontrib><creatorcontrib>Page, Rachel</creatorcontrib><creatorcontrib>Ali, Ajmol</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>AGRICOLA</collection><collection>AGRICOLA - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Nutrients</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Stanaway, Luke</au><au>Rutherfurd-Markwick, Kay</au><au>Page, Rachel</au><au>Ali, Ajmol</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Performance and Health Benefits of Dietary Nitrate Supplementation in Older Adults: A Systematic Review</atitle><jtitle>Nutrients</jtitle><addtitle>Nutrients</addtitle><date>2017-10-27</date><risdate>2017</risdate><volume>9</volume><issue>11</issue><spage>1171</spage><pages>1171-</pages><issn>2072-6643</issn><eissn>2072-6643</eissn><abstract>Supplementation with nitrate (NO₃
)-rich beetroot juice has been shown to improve exercise performance and cardiovascular (CV) responses, due to an increased nitric oxide (NO) availability. However, it is unclear whether these benefits are greater in older adults who have an age-related decrease in NO and higher risk of disease. This systematic review examines 12 randomised, crossover, control trials, investigating food-based NO₃
supplementation in older adults and its potential benefits on physiological and cognitive performances, and CV, cerebrovascular and metabolic health. Four studies found improvements in physiological performance (time to exhaustion) following dietary NO₃
supplementation in older adults. Benefits on cognitive performance were unclear. Six studies reported improvements in CV health (blood pressure and blood flow), while six found no improvement. One study showed improvements in cerebrovascular health and two found no improvement in metabolic health. The current literature indicates positive effects of dietary NO₃
supplementation in older adults on physiological performance, with some evidence indicating benefits on cardiovascular and cerebrovascular health. Effects on cognitive performance were mixed and studies on metabolic health indicated no benefit. However, there has been limited research conducted on the effects of dietary NO₃
supplementation in older adults, thus, further study, utilising a randomised, double-blind, control trial design, is warranted.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>29077028</pmid><doi>10.3390/nu9111171</doi><orcidid>https://orcid.org/0000-0002-6093-1435</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Adults athletic performance beets Blood flow Blood pressure Cardiovascular system Cerebrovascular system cognition Cognitive ability Disease control elderly Exhaustion Health risks Metabolism nitrates Nitric oxide Older people Physiological effects Physiology Randomization Review Risk assessment Studies Sugar beets Systematic review vegetable juices |
title | Performance and Health Benefits of Dietary Nitrate Supplementation in Older Adults: A Systematic Review |
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