Key result
Beetroot juice caused a non-significant overall BP decrease of 4.5/0.41 mmHg vs water placebo.
Why the study?
Beta vulgaris (beetroot) is a rich source of inorganic nitrates converted to nitric oxide, and its effect as juice in adults with grade 1 hypertension under a dietary regime required evaluation.
Does Beta vulgaris (beetroot) juice reduce blood pressure compared to water placebo in untreated adults with grade 1 hypertension under a dietary regime?
RCT (n=14)
Single-blind
Randomized
Does Beta vulgaris (beetroot) juice reduce blood pressure compared to water placebo in untreated adults with grade 1 hypertension under a dietary regime?
In this small 14-patient randomized trial, 2 weeks of daily 250 mL beetroot juice did not significantly reduce blood pressure or alter blood/urine nitrite levels compared to water in untreated adults with grade 1 hypertension.
Answers are grounded in this paper and cite their sources.
Hypothesis-generating for beetroot juice in grade 1 hypertension; prospective trials needed before clinical adoption.
Introduction: Lifestyle modification like increasing fruits/vegetables consumption is one of the key approaches in treating arterial hypertension: a major risk factor for mortality worldwide. Beta vulgaris (beetroot) and other vegetables consume frequently could be a rich source of inorganic nitrates, which will be converted to nitric oxide. Objective: To evaluate the effect of the roots of Beta vulgaris (Chenopodiaceae) juice on adults’ subjects with grade 1 hypertension under dietary regime. Methodology: Beetroot was obtained at the local market and decontaminated. Beetroot juice (BJ) was extracted and freeze till utilization. Recruitment was hospital-based, were included all adult subjects of both sexes, with grade 1 hypertensive according to the Joint National Committee 7, not subject to pharmacological treatment, non-gravid women. A single-blinded, randomized, placebo-controlled trial was performed during 4 weeks. Volunteers were randomized to receive either 250 mL of BJ or water (placebo) during 02 weeks and blood pressure (BP) registered in triplicates at baseline, 3 h, at 24 h. BP was recorded daily at home during trial, a week before, and after receiving BJ using an automatic BP machine. Blood and urine nitrates were assessed at baseline and 3 h after drinking juice. Results: A total of 14 subjects participated in the trial including 9 women and 5 men. An overall non-significant decrease in BP of 4.5/0.41 mmHg (decrease of 5.62/2.25 mmHg at H3 [p-value = 0.2427/0.3385], and decrease of 1.4 mmHg in systolic blood pressure at the 24th hour [p-value = 0.4150]) in the intervention group compared to the control group respectively for systolic and diastolic blood pressure of the intervention was observed [p-value = 0.1255/0.1612]. No change in blood and urine nitrite was registered. Conclusion: Beetroot juice decrease non-significantly blood pressure.
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Obono et al. (2023) conducted an RCT in Grade 1 hypertension (n=14). Beta vulgaris (beetroot) juice vs. Water (placebo) was evaluated on Change in systolic and diastolic blood pressure (Decrease of 4.5/0.41 mmHg, p=0.1255/0.1612). Beetroot juice caused a non-significant overall BP decrease of 4.5/0.41 mmHg vs water placebo.
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