Clinical trial NCT05841407: Beetroot Supplementation and High Intensity Exercise
Official title: The Effect of Isotonic Beetroot Supplementation on High-intensity Time-trial Performance
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Exercise Performance
Lead sponsor: Nanyang Technological University
Sponsor class: OTHER
First posted: 2023-05-03
Enrollment: 24
Sex: ALL
Minimum age (years): 21
Maximum age (years): 40
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: CROSSOVER
Primary purpose: OTHER

Brief summary: Ingested beetroot contains inorganic nitrate which is later converted to nitric oxide (NO) in the bloodstream. NO is an important signaling molecule with several physiological functions in the body including acting as a vasodilator, expanding arteries and improving blood flow. Beetroot juice contain inorganic nitrate and consumption of beetroot has been shown to improve skeletal muscle contractility and metabolism enhancing high-intensity exercise performance. Isotonic sports drinks contain carbohydrates and sodium, which also improve exercise performance by providing exogenous glucose for energy to the working muscle and central nervous system and enabling faster absorption of fluid into the bloodstream. The ingestion of exogenous nitrate and isotonic-carbohydrate drink are recognized strategies for promoting exercise performance but whether they can be effectively combined has not been shown. This study will compare the salivary nitrite response, muscle oxygenation and time-trial performance after ingestion of two isotonic drinks with high in nitrate or with no nitrate.

Detailed description: Ingested beetroot contains inorganic nitrate (NO3-) which is later converted to nitric oxide (NO) in the bloodstream. NO is an important signaling molecule with several physiological functions in the body including acting as a vasodilator, expanding arteries and improving blood flow. These functions mean that beetroot juice has become of strong interest in the field of exercise and is a recommended supplement for athletes to improve performance in recent consensus statements by the International Olympic Committee on dietary supplements. Importantly, the consumption of beetroot has been shown to improve skeletal muscle contractility and metabolism, hence, enhancing high-intensity exercise performance . Isotonic sports drinks contain carbohydrates and sodium, which also improve exercise performance by providing exogenous glucose for energy to the working muscle and central nervous system and enabling faster absorption of fluid into the bloodstream. The ingestion of exogenous nitrate and isotonic-carbohydrate drink are recognized strategies for promoting exercise performance but whether they can be effectively combined has not been shown. This study will compare the salivary nitrite response, muscle oxygenation and time-trial performance after ingestion of two drinks either high in nitrate or with no nitrate. Participants will ingest the two drinks in a randomised, crossover double-blind trial. One hour after drink ingestion they will undertake high intensity intermittent exercise for 30 minutes followed by a 10 km time trial on a cycle ergometer. Time trial will be compared between trials as the main outcome. It is hypothesised that the drink high in nitrate will lead to faster time trial completion.

Eligibility criteria: Inclusion Criteria:

* Age: 21 - 40 years
* Healthy and injury-free (e.g., no cardiovascular disease, diabetes mellitus, orthopaedic impairment that interferes with moderate-to-vigorous exercise)
* Blood pressure \< 130/90 mmHg
* Physically active: Engaging in a minimum of 150 minutes of moderate-intensity exercise or 75 minutes of vigorous-intensity physical activity each week.
* Recreational cyclist (Minimum 1 hour cycling per week)
* Body mass index: 18.5-25 kg/m2
* Non-smoker
* Asian ethnicity by self identification

Exclusion Criteria:

* Any allergies to beetroot or isotonic drink.
* Asthma.
* Any report of personal health issues that may compromise the individual's ability to undertake exercise safely.
* Any recent Covid vaccination (within last 2 weeks).

Primary outcomes:
measure: 10 km cycling time trial (endurance) performance
timeFrame: 1 hour after drink ingestion the time taken to complete 10 km on a stationary cycle ergometer will be assessed. Time to complete this is the primary outcome measure .
Secondary outcomes:
measure: Salivary nitrate
timeFrame: Four samples over 2 hours
measure: Near infra-red spectroscopy (NIRS)
timeFrame: During cycling ~1 hour
Other outcomes:
Locations:
city: Singapore
country: Singapore
facility: Human Bioenergetics Laboratory, National Institute of Education, Nanyang Technological University
Study officials:
affiliation: Nanyang Technological University
name: Stephen Burns, PhD
role: PRINCIPAL_INVESTIGATOR
References: