Trial Outcomes & Findings for Dietary Nitrate and Physiological Aging (NCT NCT02593305)

NCT ID: NCT02593305

Last Updated: 2019-10-14

Results Overview

Carotid chemosensitivity examined by measuring hypoxia ventilatory responsiveness in older adults before and after 4 weeks of beet root juice supplementation and placebo. Chemoreflex sensitivity was quantified as the change in ventilation in relation to the change in pulse oxygen saturation.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

23 participants

Primary outcome timeframe

Pre and post 4 weeks dietary nitrate supplementation and pre and post 4 weeks of placebo.

Results posted on

2019-10-14

Participant Flow

Participant milestones

Participant milestones
Measure
Nitrate First Arm
Subjects consumed beet root juice with nitrate for 4 weeks during the first arm of the study. After a 4 week washout period, subjects consumed beetroot juice without nitrate (placebo) for 4 weeks.
Placebo First Arm
Subjects consumed beet root juice without nitrate (placebo) for 4 weeks during the first arm of the study. After a 4 week washout period, subjects consumed beetroot juice with nitrate for 4 weeks.
Young Comparison Group
Young subjects only completed a single experimental visit and no intervention. Data from young were used for age-related comparisons at baseline.
Baseline 1
STARTED
7
6
10
Baseline 1
COMPLETED
7
6
10
Baseline 1
NOT COMPLETED
0
0
0
Post 1
STARTED
7
6
10
Post 1
COMPLETED
7
6
0
Post 1
NOT COMPLETED
0
0
10
Baseline 2
STARTED
7
6
0
Baseline 2
COMPLETED
7
6
0
Baseline 2
NOT COMPLETED
0
0
0
Post 2
STARTED
7
6
0
Post 2
COMPLETED
7
6
0
Post 2
NOT COMPLETED
0
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Nitrate First Arm
Subjects consumed beet root juice with nitrate for 4 weeks during the first arm of the study. After a 4 week washout period, subjects consumed beetroot juice without nitrate (placebo) for 4 weeks.
Placebo First Arm
Subjects consumed beet root juice without nitrate (placebo) for 4 weeks during the first arm of the study. After a 4 week washout period, subjects consumed beetroot juice with nitrate for 4 weeks.
Young Comparison Group
Young subjects only completed a single experimental visit and no intervention. Data from young were used for age-related comparisons at baseline.
Post 1
Comparison only group. No intervention.
0
0
10

Baseline Characteristics

Row population reflect each distinct age group. Row older adults =13 subjects. Row young adults = 10 subjects. Together the two age groups (rows) total the overall 23 subjects enrolled in the study.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Nitrate First Arm
n=7 Participants
Subjects consumed beet root juice with nitrate for 4 weeks during the first arm of the study. After a 4 week washout period, subjects consumed beetroot juice without nitrate (placebo) for 4 weeks.
Placebo First Arm
n=6 Participants
Subjects consumed beet root juice without nitrate (placebo) for 4 weeks during the first arm of the study. After a 4 week washout period, subjects consumed beetroot juice with nitrate for 4 weeks.
Young Comparison Group
n=10 Participants
Young control group, used for age-related comparisons. This group did not go through any intervention.
Total
n=23 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=7 Participants
0 Participants
n=6 Participants
0 Participants
n=10 Participants
0 Participants
n=23 Participants
Age, Categorical
Between 18 and 65 years
1 Participants
n=7 Participants
0 Participants
n=6 Participants
10 Participants
n=10 Participants
11 Participants
n=23 Participants
Age, Categorical
>=65 years
6 Participants
n=7 Participants
6 Participants
n=6 Participants
0 Participants
n=10 Participants
12 Participants
n=23 Participants
Age, Continuous
Older Adults
68 years
STANDARD_DEVIATION 3 • n=7 Participants • Row population reflect each distinct age group. Row older adults =13 subjects. Row young adults = 10 subjects. Together the two age groups (rows) total the overall 23 subjects enrolled in the study.
66 years
STANDARD_DEVIATION 2 • n=6 Participants • Row population reflect each distinct age group. Row older adults =13 subjects. Row young adults = 10 subjects. Together the two age groups (rows) total the overall 23 subjects enrolled in the study.
67 years
STANDARD_DEVIATION 3 • n=13 Participants • Row population reflect each distinct age group. Row older adults =13 subjects. Row young adults = 10 subjects. Together the two age groups (rows) total the overall 23 subjects enrolled in the study.
Age, Continuous
Young Adults
25 years
STANDARD_DEVIATION 4 • n=10 Participants • Row population reflect each distinct age group. Row older adults =13 subjects. Row young adults = 10 subjects. Together the two age groups (rows) total the overall 23 subjects enrolled in the study.
25 years
STANDARD_DEVIATION 4 • n=10 Participants • Row population reflect each distinct age group. Row older adults =13 subjects. Row young adults = 10 subjects. Together the two age groups (rows) total the overall 23 subjects enrolled in the study.
Sex: Female, Male
Female
2 Participants
n=7 Participants
4 Participants
n=6 Participants
5 Participants
n=10 Participants
11 Participants
n=23 Participants
Sex: Female, Male
Male
5 Participants
n=7 Participants
2 Participants
n=6 Participants
5 Participants
n=10 Participants
12 Participants
n=23 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=7 Participants
0 Participants
n=6 Participants
0 Participants
n=10 Participants
0 Participants
n=23 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
7 Participants
n=7 Participants
6 Participants
n=6 Participants
10 Participants
n=10 Participants
23 Participants
n=23 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=7 Participants
0 Participants
n=6 Participants
0 Participants
n=10 Participants
0 Participants
n=23 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=7 Participants
0 Participants
n=6 Participants
0 Participants
n=10 Participants
0 Participants
n=23 Participants
Race (NIH/OMB)
Asian
0 Participants
n=7 Participants
0 Participants
n=6 Participants
1 Participants
n=10 Participants
1 Participants
n=23 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=7 Participants
0 Participants
n=6 Participants
0 Participants
n=10 Participants
0 Participants
n=23 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=7 Participants
0 Participants
n=6 Participants
0 Participants
n=10 Participants
0 Participants
n=23 Participants
Race (NIH/OMB)
White
7 Participants
n=7 Participants
6 Participants
n=6 Participants
9 Participants
n=10 Participants
22 Participants
n=23 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=7 Participants
0 Participants
n=6 Participants
0 Participants
n=10 Participants
0 Participants
n=23 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=7 Participants
0 Participants
n=6 Participants
0 Participants
n=10 Participants
0 Participants
n=23 Participants
Region of Enrollment
United States
7 participants
n=7 Participants
6 participants
n=6 Participants
10 participants
n=10 Participants
23 participants
n=23 Participants
Body Mass Index
Older Adults
26 kg/m^2
STANDARD_DEVIATION 4 • n=7 Participants • Row population reflect each distinct age group. Row older adults =13 subjects. Row young adults = 10 subjects. Together the two age groups (rows) total the overall 23 subjects enrolled in the study.
25 kg/m^2
STANDARD_DEVIATION 3 • n=6 Participants • Row population reflect each distinct age group. Row older adults =13 subjects. Row young adults = 10 subjects. Together the two age groups (rows) total the overall 23 subjects enrolled in the study.
26 kg/m^2
STANDARD_DEVIATION 3 • n=13 Participants • Row population reflect each distinct age group. Row older adults =13 subjects. Row young adults = 10 subjects. Together the two age groups (rows) total the overall 23 subjects enrolled in the study.
Body Mass Index
Young Adults
24 kg/m^2
STANDARD_DEVIATION 3 • n=10 Participants • Row population reflect each distinct age group. Row older adults =13 subjects. Row young adults = 10 subjects. Together the two age groups (rows) total the overall 23 subjects enrolled in the study.
24 kg/m^2
STANDARD_DEVIATION 3 • n=10 Participants • Row population reflect each distinct age group. Row older adults =13 subjects. Row young adults = 10 subjects. Together the two age groups (rows) total the overall 23 subjects enrolled in the study.
Systolic Blood Pressure
Older Adults
126 mmHg
STANDARD_DEVIATION 12 • n=7 Participants • Row population reflect each distinct age group. Row older adults =13 subjects. Row young adults = 10 subjects. Together the two age groups (rows) total the overall 23 subjects enrolled in the study.
118 mmHg
STANDARD_DEVIATION 5 • n=6 Participants • Row population reflect each distinct age group. Row older adults =13 subjects. Row young adults = 10 subjects. Together the two age groups (rows) total the overall 23 subjects enrolled in the study.
122 mmHg
STANDARD_DEVIATION 10 • n=13 Participants • Row population reflect each distinct age group. Row older adults =13 subjects. Row young adults = 10 subjects. Together the two age groups (rows) total the overall 23 subjects enrolled in the study.
Systolic Blood Pressure
Young Adults
119 mmHg
STANDARD_DEVIATION 8 • n=10 Participants • Row population reflect each distinct age group. Row older adults =13 subjects. Row young adults = 10 subjects. Together the two age groups (rows) total the overall 23 subjects enrolled in the study.
119 mmHg
STANDARD_DEVIATION 8 • n=10 Participants • Row population reflect each distinct age group. Row older adults =13 subjects. Row young adults = 10 subjects. Together the two age groups (rows) total the overall 23 subjects enrolled in the study.
Diastolic Blood Pressure
Older Adults
76 mmHg
STANDARD_DEVIATION 5 • n=7 Participants • Row population reflect each distinct age group. Row older adults =13 subjects. Row young adults = 10 subjects. Together the two age groups (rows) total the overall 23 subjects enrolled in the study.
75 mmHg
STANDARD_DEVIATION 6 • n=6 Participants • Row population reflect each distinct age group. Row older adults =13 subjects. Row young adults = 10 subjects. Together the two age groups (rows) total the overall 23 subjects enrolled in the study.
76 mmHg
STANDARD_DEVIATION 5 • n=13 Participants • Row population reflect each distinct age group. Row older adults =13 subjects. Row young adults = 10 subjects. Together the two age groups (rows) total the overall 23 subjects enrolled in the study.
Diastolic Blood Pressure
Young Adults
72 mmHg
STANDARD_DEVIATION 5 • n=10 Participants • Row population reflect each distinct age group. Row older adults =13 subjects. Row young adults = 10 subjects. Together the two age groups (rows) total the overall 23 subjects enrolled in the study.
72 mmHg
STANDARD_DEVIATION 5 • n=10 Participants • Row population reflect each distinct age group. Row older adults =13 subjects. Row young adults = 10 subjects. Together the two age groups (rows) total the overall 23 subjects enrolled in the study.
Glucose
Older Adults
97 mg/dl
STANDARD_DEVIATION 7 • n=7 Participants • Row population reflect each distinct age group. Row older adults =13 subjects. Row young adults = 10 subjects. Together the two age groups (rows) total the overall 23 subjects enrolled in the study.
96 mg/dl
STANDARD_DEVIATION 4 • n=6 Participants • Row population reflect each distinct age group. Row older adults =13 subjects. Row young adults = 10 subjects. Together the two age groups (rows) total the overall 23 subjects enrolled in the study.
96 mg/dl
STANDARD_DEVIATION 5 • n=13 Participants • Row population reflect each distinct age group. Row older adults =13 subjects. Row young adults = 10 subjects. Together the two age groups (rows) total the overall 23 subjects enrolled in the study.
Glucose
Young Adults
89 mg/dl
STANDARD_DEVIATION 5 • n=10 Participants • Row population reflect each distinct age group. Row older adults =13 subjects. Row young adults = 10 subjects. Together the two age groups (rows) total the overall 23 subjects enrolled in the study.
89 mg/dl
STANDARD_DEVIATION 5 • n=10 Participants • Row population reflect each distinct age group. Row older adults =13 subjects. Row young adults = 10 subjects. Together the two age groups (rows) total the overall 23 subjects enrolled in the study.
Total Cholesterol
Older Adults
171 mg/dl
STANDARD_DEVIATION 40 • n=7 Participants • Row population reflect each distinct age group. Row older adults =13 subjects. Row young adults = 10 subjects. Together the two age groups (rows) total the overall 23 subjects enrolled in the study.
184 mg/dl
STANDARD_DEVIATION 31 • n=6 Participants • Row population reflect each distinct age group. Row older adults =13 subjects. Row young adults = 10 subjects. Together the two age groups (rows) total the overall 23 subjects enrolled in the study.
177 mg/dl
STANDARD_DEVIATION 35 • n=13 Participants • Row population reflect each distinct age group. Row older adults =13 subjects. Row young adults = 10 subjects. Together the two age groups (rows) total the overall 23 subjects enrolled in the study.
Total Cholesterol
Young Adults
153 mg/dl
STANDARD_DEVIATION 22 • n=10 Participants • Row population reflect each distinct age group. Row older adults =13 subjects. Row young adults = 10 subjects. Together the two age groups (rows) total the overall 23 subjects enrolled in the study.
153 mg/dl
STANDARD_DEVIATION 22 • n=10 Participants • Row population reflect each distinct age group. Row older adults =13 subjects. Row young adults = 10 subjects. Together the two age groups (rows) total the overall 23 subjects enrolled in the study.
HDL
Older Adults
57 mg/dl
STANDARD_DEVIATION 19 • n=7 Participants • Row population reflect each distinct age group. Row older adults =13 subjects. Row young adults = 10 subjects. Together the two age groups (rows) total the overall 23 subjects enrolled in the study.
49 mg/dl
STANDARD_DEVIATION 21 • n=6 Participants • Row population reflect each distinct age group. Row older adults =13 subjects. Row young adults = 10 subjects. Together the two age groups (rows) total the overall 23 subjects enrolled in the study.
53 mg/dl
STANDARD_DEVIATION 19 • n=13 Participants • Row population reflect each distinct age group. Row older adults =13 subjects. Row young adults = 10 subjects. Together the two age groups (rows) total the overall 23 subjects enrolled in the study.
HDL
Young Adults
60 mg/dl
STANDARD_DEVIATION 15 • n=10 Participants • Row population reflect each distinct age group. Row older adults =13 subjects. Row young adults = 10 subjects. Together the two age groups (rows) total the overall 23 subjects enrolled in the study.
60 mg/dl
STANDARD_DEVIATION 15 • n=10 Participants • Row population reflect each distinct age group. Row older adults =13 subjects. Row young adults = 10 subjects. Together the two age groups (rows) total the overall 23 subjects enrolled in the study.
LDL
Older Adults
98 mg/dl
STANDARD_DEVIATION 33 • n=7 Participants • Row population reflect each distinct age group. Row older adults =13 subjects. Row young adults = 10 subjects. Together the two age groups (rows) total the overall 23 subjects enrolled in the study.
107 mg/dl
STANDARD_DEVIATION 33 • n=6 Participants • Row population reflect each distinct age group. Row older adults =13 subjects. Row young adults = 10 subjects. Together the two age groups (rows) total the overall 23 subjects enrolled in the study.
102 mg/dl
STANDARD_DEVIATION 32 • n=13 Participants • Row population reflect each distinct age group. Row older adults =13 subjects. Row young adults = 10 subjects. Together the two age groups (rows) total the overall 23 subjects enrolled in the study.
LDL
Young Adults
82 mg/dl
STANDARD_DEVIATION 23 • n=10 Participants • Row population reflect each distinct age group. Row older adults =13 subjects. Row young adults = 10 subjects. Together the two age groups (rows) total the overall 23 subjects enrolled in the study.
82 mg/dl
STANDARD_DEVIATION 23 • n=10 Participants • Row population reflect each distinct age group. Row older adults =13 subjects. Row young adults = 10 subjects. Together the two age groups (rows) total the overall 23 subjects enrolled in the study.
Triglycerides
Older Adults
84 mg/dl
STANDARD_DEVIATION 39 • n=7 Participants • Row population reflect each distinct age group. Row older adults =13 subjects. Row young adults = 10 subjects. Together the two age groups (rows) total the overall 23 subjects enrolled in the study.
144 mg/dl
STANDARD_DEVIATION 84 • n=6 Participants • Row population reflect each distinct age group. Row older adults =13 subjects. Row young adults = 10 subjects. Together the two age groups (rows) total the overall 23 subjects enrolled in the study.
111 mg/dl
STANDARD_DEVIATION 69 • n=13 Participants • Row population reflect each distinct age group. Row older adults =13 subjects. Row young adults = 10 subjects. Together the two age groups (rows) total the overall 23 subjects enrolled in the study.
Triglycerides
Young Adults
53 mg/dl
STANDARD_DEVIATION 12 • n=10 Participants • Row population reflect each distinct age group. Row older adults =13 subjects. Row young adults = 10 subjects. Together the two age groups (rows) total the overall 23 subjects enrolled in the study.
53 mg/dl
STANDARD_DEVIATION 12 • n=10 Participants • Row population reflect each distinct age group. Row older adults =13 subjects. Row young adults = 10 subjects. Together the two age groups (rows) total the overall 23 subjects enrolled in the study.

PRIMARY outcome

Timeframe: Pre and post 4 weeks dietary nitrate supplementation and pre and post 4 weeks of placebo.

Carotid chemosensitivity examined by measuring hypoxia ventilatory responsiveness in older adults before and after 4 weeks of beet root juice supplementation and placebo. Chemoreflex sensitivity was quantified as the change in ventilation in relation to the change in pulse oxygen saturation.

Outcome measures

Outcome measures
Measure
Nitrate Pre
n=13 Participants
Subjects randomized to the nitrate group for 4 weeks. Values reflect pre intervention measures.
Nitrate Post
n=13 Participants
Subjects randomized to the nitrate group for 4 weeks. Values reflect post intervention measures.
Placebo Pre
n=13 Participants
Subjects randomized to the placebo group for 4 weeks. Values reflect pre intervention measures.
Placebo Post
n=13 Participants
Subjects randomized to the placebo group for 4 weeks. Values reflect post intervention measures.
Change in Carotid Chemosensitivity Following 4 Weeks of Dietary Nitrate Supplementation and Placebo in Older Adults
-0.13 L/min/%SpO2
Standard Error 0.04
-0.05 L/min/%SpO2
Standard Error 0.02
-0.10 L/min/%SpO2
Standard Error 0.05
-0.11 L/min/%SpO2
Standard Error 0.05

PRIMARY outcome

Timeframe: Pre and post 4 weeks dietary nitrate supplementation and pre and post 4 weeks of placebo.

Muscle metaboreflex examined by measuring systolic blood pressure responses to ischemic isometric muscle contraction in older adults before and after 4 weeks of beet root juice supplementation and placebo.

Outcome measures

Outcome measures
Measure
Nitrate Pre
n=13 Participants
Subjects randomized to the nitrate group for 4 weeks. Values reflect pre intervention measures.
Nitrate Post
n=13 Participants
Subjects randomized to the nitrate group for 4 weeks. Values reflect post intervention measures.
Placebo Pre
n=13 Participants
Subjects randomized to the placebo group for 4 weeks. Values reflect pre intervention measures.
Placebo Post
n=13 Participants
Subjects randomized to the placebo group for 4 weeks. Values reflect post intervention measures.
Change in Systolic Blood Pressure During Metaboreflex Testing Following 4 Weeks of Dietary Nitrate Supplementation and Placebo in Older Adults.
19.2 mmHg
Standard Error 2.1
13 mmHg
Standard Error 2.5
16.1 mmHg
Standard Error 1.8
17 mmHg
Standard Error 1.9

Adverse Events

Nitrate

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Young Comparison Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Darren P. Casey

University of Iowa

Phone: 3193841009

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place