The effect of nitrate supplementation on exercise performance – an umbrella review of meta-analyses

Maisarah Mohd Saleh, Roxana Dev Omar Dev, Adam Linoby, Iqbal Norhamazi, Rozella Ab Razak, Azrisan Ahsan, Norhasmah Sulaiman

Ashwinkumar Chandrashekarapuram Swaminathan et al. – The effect of nitrate supplementation on exercise performance – an umbrella review of meta-analyses –  Fizjoterapia Polska 2025; 25(1); 356-363

DOI: https://doi.org/10.56984/8ZG007D9ZWE

Abstract
There is often a lack of agreement in the outcomes of meta-analyses exploring the performance-boosting effects of nitrate supplements. The present study conducts a detailed assessment of existing meta-analyses on the impact of dietary nitrate on exercise efficiency, applying a comprehensive review strategy. Research articles were sourced from electronic databases, including EBSCOhost, PubMed, Scopus, and Web of Science. The methodological rigor of these meta-analyses was evaluated using established tools—AMSTAR 2—and was found to be moderate on average. The findings indicate that nitrate supplementation leads to a small but significant enhancement in exercise performance by 0.10% compared to a placebo. However, the benefit is specific to aerobic endurance, which saw an improvement of 0.11%, while no significant effects were observed for muscle endurance, strength, or anaerobic capacity. Notably, muscle endurance performance tends to improve with nitrate supplementation by 0.31% (P = 0.07). In summary, the current work indicates that nitrate supplementation can improve exercise performance, with the magnitude of the effect being greater in aerobic endurance compared to anaerobic performance.
Key words
nitrate, supplementation, exercise performance, umbrella review, meta-analysis
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Effects of a Single Dose of Dietary Nitrate via Beetroot Crystals on High-Intensity Intermittent Exercise Performance in Recreational Collegiate Athletes

Maisarah Mohd Saleh, Roxana Dev Omar Dev, Adam Linoby, Iqbal Norhamazi, Rozella Ab Raza, Norhasmah Sulaiman, Salimah Jaapar

 

Maisarah Mohd Saleh et al. – Effects of a Single Dose of Dietary Nitrate via Beetroot Crystals on High-Intensity Intermittent Exercise Performance in Recreational Collegiate Athletes –  Fizjoterapia Polska 2024; 24(3); 125-132

DOI: https://doi.org/10.56984/8ZG020AQYL

Abstract:
Endurance and high-intensity intermittent exercise are paramount in the pursuit of optimal athletic performance. Nitrate (NO₃⁻) supplementation has emerged as a promising avenue for enhancing these aspects. Prior studies underscore the beneficial role of nitrate supplementation in augmenting endurance and high-intensity intermittent exercise. The current study probes the immediate effects of nitrate supplementation, specifically beetroot crystals (BRC), on high-intensity intermittent running performance in recreational collegiate athletes. In a randomized, cross-over, placebo-controlled, double-blind investigation, fourteen male athletes consumed either an acute dose of BRC (25 g·day⁻¹, containing ~8.1 mmol of NO₃⁻) or a placebo (PLA; 25 g·day⁻¹ of maltodextrin) 1.5 hours prior to undergoing a high-intensity intermittent exercise test in a controlled laboratory setting. Results elucidated that BRC supplementation improved high-intensity intermittent exercise performance (BRC: 270.5 ± 138.5 s vs. PLA: 231.7 ± 141.5 s; p < 0.05) and elevated plasma NO₃⁻ and NO₂⁻ concentrations compared to the placebo group (p < 0.05). Nonetheless, blood pressure, muscle oxygenation, plasma lactate, and glucose levels did not reveal any significant differences (p > 0.05). Crucially, this study stands as the first to identify BRC as a significant enhancer of intermittent cycling performance in a controlled laboratory setting. These findings underscore the potential of acute BRC supplementation in boosting high-intensity intermittent exercise performance in recreational collegiate athletes, thereby prompting further investigation into its potential usage in sports and exercise scenarios.

Keywords:
endurance exercise, ergogenic aids, nitric oxide, recreational sports

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