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November 25, 2014HypertensionOpen Access

Daily dietary nitrate supplementation for 4 weeks significantly reduced clinic blood pressure by 7.7/2.4 mm Hg (P<0.001 and P=0.050) in patients with hypertension.

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Why the study?

Does dietary nitrate reduce blood pressure in patients with hypertension?

Population

68 patients with hypertension aged 18 to 85 years, stratified into drug-naive (n=34) and treated (n=34)

Comparison

Dietary nitrate for 4 weeks vs Placebo for 4 weeks

Design

RCT, Stratified randomization of drug-naive and treated patients…

Follow-up

4 weeks

Key result

Daily dietary nitrate supplementation for 4 weeks significantly reduced clinic blood pressure by 7.7/2.4 mm Hg (P<0.001 and P=0.050) in patients with hypertension.

Authors

VKVikas KapilRKRayomand S. KhambataARAmy Robertson

Discussion

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Overview

Supports dietary nitrate supplementation for BP lowering in hypertension; confirms efficacy via ambulatory monitoring in RCT.

Study Design

Type

RCT (n=68)

Blinding

double-blind

Randomization

stratified randomization

Structured PICO

Does dietary nitrate reduce blood pressure in patients with hypertension?

P
Population
68 drug-naive and treated patients with hypertension aged 18 to 85 years, followed for 4 weeks.
I
Intervention
Dietary nitrate (250 mL daily, as beetroot juice) for 4 weeks
C
Comparator
Placebo (250 mL daily, as nitrate-free beetroot juice) for 4 weeks
O
Outcome
Change in clinic, ambulatory, and home blood pressure compared with placebosurrogate

Main Result

Mean Difference: 7.7 (95% CI 3.6–11.8)

p-value: p=<0.001 and 0.050

Daily dietary nitrate supplementation via beetroot juice provides significant and sustained blood pressure reduction in hypertensive patients.

Cite This Study

Kapil et al. (2014) conducted an RCT in hypertension (n=68). Dietary nitrate (beetroot juice) vs. Placebo (nitrate-free beetroot juice) was evaluated on change in clinic, ambulatory, and home BP compared with placebo (MD 7.7/2.4 mm Hg (clinic BP reduction), 95% CI 3.6-11.8/0.0-4.9, p=<0.001 and 0.050). Daily dietary nitrate supplementation for 4 weeks significantly reduced clinic blood pressure by 7.7/2.4 mm Hg (P<0.001 and P=0.050) in patients with hypertension.

synapsesocial.com/papers/6a624a895a5e300a3289ef62https://doi.org/10.1161/hypertensionaha.114.04675
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