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Nitrate Supplementation; Duration

The Effect of Nitrate Supplementation on Sports Performance: Duration of Supplementation

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02115893
Acronym
NO-how
Enrollment
20
Registered
2014-04-16
Start date
2014-04-30
Completion date
2015-03-31
Last updated
2016-03-16

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Time-trial Performance, Submaximal Exercise Performance, Nitrite, Nitrate

Keywords

Nitrate, Performance, Sports

Brief summary

The main aim of the current study will be to find the optimal duration of supplementation to enhance sports performance.

Detailed description

Oral ingestion of nitrate (NO3-) in the form of both nitrate salts and beetroot juice has been shown to significantly lower blood pressure at rest and to also lower pulmonary oxygen uptake during exercise, in addition to improving exercise performance during cycle time trial. However, there has been no consensus on the optimal supplementation protocols, in terms of duration of supplementation to see these metabolic effects. Furthermore, a positive exercise performance effect of nitrate ingestion has primarily been observed in recreational athletes. The potentially ergogenic effects of nitrate in well-trained or elite athletes therefore remain to be fully established. Based on the gaps in current literature, our main goal will be to gain further insight into different aspects of nitrate supplementation to enhance (elite) sports performance. This will be investigated in this study by assessing the effect of an acute vs. chronic supplementation period of sodium nitrate (NaNO3-) on exercise performance.

Interventions

DIETARY_SUPPLEMENTSodium Nitrate
DIETARY_SUPPLEMENTSodium Chloride

Sponsors

Maastricht University Medical Center
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
MALE
Age
18 Years to 35 Years
Healthy volunteers
Yes

Inclusion criteria

* 18.5 \< BMI \< 25 kg/m2 * Endurance trained cyclists/triathletes (with at least 1 year of competitive cycling experience) * VO2max ≥ 55 mL/kg/min

Exclusion criteria

* Use of medication * Injury prohibiting them from performing the exercise protocol effectively * Smoking * Currently supplementing diet with nitrate * Lactose intolerance

Design outcomes

Primary

MeasureTime frameDescription
Time-trial exercise performanceTime trial starts 4 hours after ingestion and ends on average after 15 minutes of cycling (depending on subject's cycling speed)The primary outcome measure will be the time to complete the time-trial following dietary nitrate or placebo ingestion

Secondary

MeasureTime frameDescription
Resting blood pressure30 min pre-ingestion until 2.5 hours post-ingestionResting blood pressure measures following ingestion of dietary nitrate
Plasma nitrate and nitrite levels30 min pre-ingestion until 30 min post-time-trial testingPlasma nitrate and nitrite levels following ingestion of dietary nitrate
Submaximal exercise performancestarting from 3 hours post-ingestion on testing days until completion of the submaximal exerciseOxygen consumption CO2 production and heart rate during submaximal exercise
Time-trial exercise performance; power output and heart ratestarting from 4 hours post-ingestion on testing days until completion of the time-trialPower output and heart rate during the time-trial exercise

Other

MeasureTime frameDescription
Baseline characteristics and fitness level assessment3 hours during visit 1 (Screening)Resting blood pressure, height, body weight, age, BMI, measures of GI tolerance, VO2 max, Wmax, rate of perceived exertion

Countries

Netherlands

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026