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Hydroponic vs Conventional Spinach Smoothies: Effects on Salivary Nitrate Bioavailability and Blood Pressure

Acute Effects of Hydroponically vs. Conventionally Grown Spinach Smoothies on Salivary Nitrate Bioavailability and Blood Pressure: A Randomized Controlled Crossover Trial

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07665944
Acronym
SPIN-BP-NO
Enrollment
12
Registered
2026-06-24
Start date
2026-05-22
Completion date
2026-07-31
Last updated
2026-06-24

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

Conditions

Adult

Keywords

spinach, Hydroponic agriculture, Conventional agriculture, Dietary nitrate, Nitrite, Nitric oxide, Blood pressure, Crossover study, Randomized controlled trial, Smoothie intervention, Postprandial response, Saliva biomarkers, Nitrate bioavailability

Brief summary

The goal of this clinical trial is to determine whether hydroponic spinach (HS) versus conventional spinach (CS) smoothies produce differential post-consumption effects on salivary nitrate availability and blood pressure in adults. The main questions it aims to answer are: Do hydroponic spinach (HS) and conventional spinach (CS) smoothies produce differential post-consumption salivary nitrate availability responses in adults when consumed in equal volumes? Do hydroponic spinach (HS) and conventional spinach (CS) smoothies produce differential post-consumption blood pressure responses in adults when consumed in equal volumes? Participants will: Consume hydroponic spinach (HS) and conventional spinach (CS) smoothies on two separate study days. Attend two laboratory visits at the university, scheduled within a 1-2 week period. Undergo check-ups and study measurements during each visit (e.g., blood pressure and saliva sampling).

Detailed description

This randomized, double-blind, crossover study will investigate the acute effects of hydroponic spinach (HS) compared with conventional spinach (CS) smoothies on vascular responses in adults. The study aims to determine whether HS and CS smoothies elicit differential effects on nitrate bioavailability and blood pressure. Spinach is a rich source of dietary nitrate, which can be converted via the enterosalivary pathway to nitrite and subsequently to nitric oxide, a key regulator of vascular function and blood pressure. The nitrate content of spinach varies according to cultivation methods, with hydroponically grown spinach often reported to have higher nitrate concentrations than conventionally grown spinach. However, it remains unclear whether these compositional differences translate into meaningful physiological effects following consumption. Participants will attend two laboratory visits separated by a washout period of approximately 7-14 days. In this randomized crossover design, each participant will receive both interventions in a randomized order, enabling within-subject comparisons. At each visit, participants will consume a standardized smoothie containing either hydroponic or conventional spinach. The smoothies will be matched for volume and appearance to maintain blinding of both participants and investigators. Baseline measurements will be obtained prior to smoothie consumption. Following intake, measurements will be repeated over the acute postprandial period, including at 2 hours post-consumption, to assess physiological responses. These assessments will include saliva samples to evaluate nitrate bioavailability (salivary nitrate) and cardiovascular measures-systolic blood pressure, diastolic blood pressure, mean arterial pressure (MAP), and heart rate (HR). The crossover design allows each participant to act as their own control, thereby reducing inter-individual variability and improving statistical power in this pilot investigation.

Interventions

OTHERHydroponic spinach smoothie

Standardized smoothie prepared with hydroponically grown spinach, matched for volume and appearance.

OTHERConventional spinach smoothie

Standardized smoothie prepared with conventionally grown spinach, matched for volume and appearance.

Sponsors

University of Plymouth
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
Yes

Inclusion criteria

* Adults aged 18-60 years * Generally healthy individuals (no diagnosed chronic disease) * Non-smokers and non-vapers * Not currently taking medications known to affect cardiovascular function or nitrate metabolism * Able and willing to provide informed consent * Willing to comply with study procedures and attend both study visits

Exclusion criteria

* Presence of chronic disease (e.g., cardiovascular, metabolic, renal, or respiratory conditions) * Use of pacemakers or implanted medical devices * Pregnant or lactating individuals * Known allergy or intolerance to spinach * History of gastrointestinal disorders or pathology affecting digestion or absorption * Use of nitrate or nitrite supplements * Use of antibiotics within the past 3 weeks * Use of antibacterial mouthwash or oral products within the past 2 weeks * Current participation in another clinical trial or recent participation that may interfere with outcomes

Design outcomes

Primary

MeasureTime frameDescription
Salivary nitrate concentrationBaseline and 2 hours post-consumptionSalivary nitrate levels assessed at baseline and 2 hours post-consumption as a marker of nitrate bioavailability.

Secondary

MeasureTime frameDescription
Systolic blood pressureBaseline and 2 hours post-consumptionSystolic blood pressure measured at baseline and 2 hours after consumption of hydroponic and conventional spinach smoothies.
Diastolic blood pressureBaseline and 2 hours post-consumptionDiastolic blood pressure measured at baseline and 2 hours after consumption of hydroponic and conventional spinach smoothies.
Mean arterial pressureBaseline and 2 hours post-consumptionMean arterial pressure measured at baseline and 2 hours post-consumption.
Heart rateBaseline and 2 hours post-consumptionHeart rate measured at baseline and 2 hours post-consumption.

Countries

United Kingdom

Contacts

CONTACTRaul Bescos, PhD
raul.bescos@plymouth.ac.uk+44 1752 587585
CONTACTPatricia Casas Agustench, PhD
patricia.casas@plymouth.ac.uk+44 1752 588892

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Jun 25, 2026