Trial Outcomes & Findings for Effect of Beetroot Juice on Blood Pressure Regulation in Post Menopausal Women (NCT NCT03380000)

NCT ID: NCT03380000

Last Updated: 2022-07-12

Results Overview

Aortic Blood pressures were measured in the arm (cuff) and estimated in the aorta (radial artery tonometry).

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

16 participants

Primary outcome timeframe

Resting systolic blood pressure at 90 minutes after beetroot juice ingestion

Results posted on

2022-07-12

Participant Flow

20 healthy postmenopausal women were screened for eligibility between October 15, 2013 and January 1, 2020 at State College community in State College, PA.

16 of 20 participants were randomized. Of those not randomized, 3 did not meet inclusion criteria and 1 withdrew after the familiarization visit.

Participant milestones

Participant milestones
Measure
Nitrate Depleted Beetroot Juice First, Then Nitrate Rich Beetroot Juice
Subjects consumed 140 ml of beetroot juice (Beet-It Organic Shot) approximately 90 min before physiological testing. Nitrate-depleted Beetroot juice (placebo): This beverage is identical in look and taste to the Beet-It organic shot, but has the nitrate removed. It is also bottled and supplied by James White Drinks (UK). Nitrate-rich Beetroot juice: This beverage contains 0.3 g of inorganic nitrate per 70 ml container, and is bottled and supplied by James White Drinks (UK).
Nitrate Rich Beetroot Juice First, Then Nitrate Depleted Beetroot Juice
Subjects consumed 140 ml of beetroot juice (Beet-It Organic Shot) approximately 90 min before physiological testing. Nitrate-rich Beetroot juice: This beverage contains 0.3 g of inorganic nitrate per 70 ml container, and is bottled and supplied by James White Drinks (UK). Nitrate-depleted Beetroot juice (placebo): This beverage is identical in look and taste to the Beet-It organic shot, but has the nitrate removed. It is also bottled and supplied by James White Drinks (UK).
First Intervention (1day)
STARTED
8
8
First Intervention (1day)
COMPLETED
8
8
First Intervention (1day)
NOT COMPLETED
0
0
Washout (>7days)
STARTED
8
8
Washout (>7days)
COMPLETED
8
8
Washout (>7days)
NOT COMPLETED
0
0
Second Intervention (1day)
STARTED
8
8
Second Intervention (1day)
COMPLETED
8
8
Second Intervention (1day)
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Effect of Beetroot Juice on Blood Pressure Regulation in Post Menopausal Women

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Randomized, Nitrate-rich or -Depleted Beetroot Juice on Two Separate Days
n=13 Participants
Subjects consumed 140 ml of beetroot juice (Beet-It Organic Shot) approximately 90 min before physiological testing. Nitrate-rich Beetroot juice: This beverage contains 0.3 g of inorganic nitrate per 70 ml container, and is bottled and supplied by James White Drinks (UK). Nitrate-depleted Beetroot juice (placebo): This beverage is identical in look and taste to the Beet-It organic shot, but has the nitrate removed. It is also bottled and supplied by James White Drinks (UK).
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
9 Participants
n=5 Participants
Age, Categorical
>=65 years
4 Participants
n=5 Participants
Age, Continuous
63 year
STANDARD_DEVIATION 4.1 • n=5 Participants
Sex: Female, Male
Female
13 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
13 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
13 participants
n=5 Participants
Mean arterial pressure
91 mmHg
n=5 Participants

PRIMARY outcome

Timeframe: Resting systolic blood pressure at 90 minutes after beetroot juice ingestion

Population: This was a crossover study where the same group of subjects was intervened with both nitrate-rich beetroot juice and nitrate depleted beetroot juice

Aortic Blood pressures were measured in the arm (cuff) and estimated in the aorta (radial artery tonometry).

Outcome measures

Outcome measures
Measure
Randomized, Nitrate Rich Beetroot Juice
n=13 Participants
Subjects consumed 140 ml of beetroot juice (Beet-It Organic Shot) approximately 90 min before physiological testing. Beetroot juice: This beverage contains 0.3 g of inorganic nitrate per 70 ml container, and is bottled and supplied by James White Drinks (UK).
Randomized, Nitrate Depleted Beetroot Juice
n=13 Participants
Subjects consumed 140 ml of beetroot juice (Beet-It Organic Placebo) approximately 90 min before physiological testing. Beetroot juice placebo: This beverage is identical in look and taste to the Beet-It organic shot, but has the nitrate removed. It is also bottled and supplied by James White Drinks (UK).
Resting Aortic Blood Pressures
113.3 mmHg
Standard Error 4.1
116.9 mmHg
Standard Error 6.3

SECONDARY outcome

Timeframe: Change from baseline measures of plasma nitrate and nitrite at 90 minutes and at approximately 6 hours

Population: This study is a crossover study. Same subjects for nitrate-rich beetroot juice were intervened for nitrate-depleted beetroot juice.

Venous blood will be withdrawn (venipuncture) for determination of plasma nitrate and nitrite.

Outcome measures

Outcome measures
Measure
Randomized, Nitrate Rich Beetroot Juice
n=13 Participants
Subjects consumed 140 ml of beetroot juice (Beet-It Organic Shot) approximately 90 min before physiological testing. Beetroot juice: This beverage contains 0.3 g of inorganic nitrate per 70 ml container, and is bottled and supplied by James White Drinks (UK).
Randomized, Nitrate Depleted Beetroot Juice
n=13 Participants
Subjects consumed 140 ml of beetroot juice (Beet-It Organic Placebo) approximately 90 min before physiological testing. Beetroot juice placebo: This beverage is identical in look and taste to the Beet-It organic shot, but has the nitrate removed. It is also bottled and supplied by James White Drinks (UK).
Blood Measures of Nitrate Absorption and Conversion
Plasma nitrate concentration
643.9 uM
Standard Error 45.7
39.2 uM
Standard Error 9.3
Blood Measures of Nitrate Absorption and Conversion
Plasma Nitrite concentration
0.402 uM
Standard Error 0.077
0.115 uM
Standard Error 0.027

SECONDARY outcome

Timeframe: Change from baseline resting pulse wave velocity at 90 minutes after beet root juice ingestion

Carotid to femoral artery pulse wave velocity will be assessed using arterial tonometry.

Outcome measures

Outcome measures
Measure
Randomized, Nitrate Rich Beetroot Juice
n=13 Participants
Subjects consumed 140 ml of beetroot juice (Beet-It Organic Shot) approximately 90 min before physiological testing. Beetroot juice: This beverage contains 0.3 g of inorganic nitrate per 70 ml container, and is bottled and supplied by James White Drinks (UK).
Randomized, Nitrate Depleted Beetroot Juice
n=13 Participants
Subjects consumed 140 ml of beetroot juice (Beet-It Organic Placebo) approximately 90 min before physiological testing. Beetroot juice placebo: This beverage is identical in look and taste to the Beet-It organic shot, but has the nitrate removed. It is also bottled and supplied by James White Drinks (UK).
Resting Arterial Stiffness/Wave Properties
7.328 m/s
Standard Error 0.407
7.572 m/s
Standard Error 0.384

SECONDARY outcome

Timeframe: Approximately 180 minutes after ingestion of beetroot juice

Beat-to-beat blood pressure (finger cuff) will be assessed at rest and during handgrip exercise to volitional fatigue.

Outcome measures

Outcome measures
Measure
Randomized, Nitrate Rich Beetroot Juice
n=8 Participants
Subjects consumed 140 ml of beetroot juice (Beet-It Organic Shot) approximately 90 min before physiological testing. Beetroot juice: This beverage contains 0.3 g of inorganic nitrate per 70 ml container, and is bottled and supplied by James White Drinks (UK).
Randomized, Nitrate Depleted Beetroot Juice
n=8 Participants
Subjects consumed 140 ml of beetroot juice (Beet-It Organic Placebo) approximately 90 min before physiological testing. Beetroot juice placebo: This beverage is identical in look and taste to the Beet-It organic shot, but has the nitrate removed. It is also bottled and supplied by James White Drinks (UK).
Handgrip Exercise Blood Pressure Responses (Relative Change From Baseline)
25 percentage of change from baseline
Standard Error 3
30 percentage of change from baseline
Standard Error 5

SECONDARY outcome

Timeframe: Approximately 90 minutes after ingestion of beetroot juice

The Borg Rating of Perceived Exertion Scale (RPE) was used to assess exercise intensity during handgrip exercise. The RPE scale ranges from a minimum of 6 (no exertion at all) to a maximum of 20 (maximal exertion) units on a scale.

Outcome measures

Outcome measures
Measure
Randomized, Nitrate Rich Beetroot Juice
n=13 Participants
Subjects consumed 140 ml of beetroot juice (Beet-It Organic Shot) approximately 90 min before physiological testing. Beetroot juice: This beverage contains 0.3 g of inorganic nitrate per 70 ml container, and is bottled and supplied by James White Drinks (UK).
Randomized, Nitrate Depleted Beetroot Juice
n=13 Participants
Subjects consumed 140 ml of beetroot juice (Beet-It Organic Placebo) approximately 90 min before physiological testing. Beetroot juice placebo: This beverage is identical in look and taste to the Beet-It organic shot, but has the nitrate removed. It is also bottled and supplied by James White Drinks (UK).
Peak Rate of Perceived Exertion Scores During Handgrip Exercise
17.3 units on a scale
Standard Deviation 2.8
17.7 units on a scale
Standard Deviation 1.7

SECONDARY outcome

Timeframe: Approximately 90 minutes after ingestion of beetroot juice

Time to fatigue (seconds) was assessed during a progressive blood flow restricted handgrip exercise protocol.

Outcome measures

Outcome measures
Measure
Randomized, Nitrate Rich Beetroot Juice
n=13 Participants
Subjects consumed 140 ml of beetroot juice (Beet-It Organic Shot) approximately 90 min before physiological testing. Beetroot juice: This beverage contains 0.3 g of inorganic nitrate per 70 ml container, and is bottled and supplied by James White Drinks (UK).
Randomized, Nitrate Depleted Beetroot Juice
n=13 Participants
Subjects consumed 140 ml of beetroot juice (Beet-It Organic Placebo) approximately 90 min before physiological testing. Beetroot juice placebo: This beverage is identical in look and taste to the Beet-It organic shot, but has the nitrate removed. It is also bottled and supplied by James White Drinks (UK).
Handgrip Exercise Tolerance
602.8 seconds
Standard Deviation 48.61
541.0 seconds
Standard Deviation 48.66

Adverse Events

Randomized, Nitrate Rich Beetroot Juice

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

Randomized, Nitrate Depleted Beetroot Juice

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

David N. Proctor

Penn State University

Phone: 8145715234

Results disclosure agreements

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