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Benefits of Beetroot / Dietary Nitrate

Evidence:Strong
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This content is for informational purposes only and does not constitute medical advice. Statements about dietary supplements have not been evaluated by the FDA and are not intended to diagnose, treat, cure, or prevent any disease. Individual results may vary — consult your healthcare provider before starting any supplement. Full disclaimer

Evidence-Based Benefits

  • Endurance performance [1] — a meta-analysis (McMahon et al., 2017) of 76 studies found dietary nitrate supplementation significantly improved time to exhaustion and time trial performance, particularly in recreationally active individuals
  • Oxygen efficiency [2] — Bailey et al. (2009) demonstrated beetroot juice reduced oxygen cost of moderate-intensity exercise by 5% and extended time to exhaustion by 16%, effectively improving exercise economy
  • Blood pressure [3] — Siervo et al. (2013) meta-analysis found inorganic nitrate and beetroot juice reduced systolic blood pressure by 3-10 mmHg, comparable to some antihypertensive drugs
  • High-altitude and hypoxic performance — the nitrate-nitrite-NO pathway becomes more active under hypoxic conditions, making beetroot particularly effective at altitude

What the Research Says

Beetroot / Dietary Nitrate is recognized as an effective ergogenic aid in endurance sports. The nitrate-nitrite-NO pathway facilitates oxygen-independent nitric oxide production, complementing the classical L-arginine pathway (Bailey et al., 2009). Research demonstrates that beetroot supplementation reduces the oxygen cost of exercise and enhances endurance performance by approximately 1-3% in healthy adults. A systematic review and meta-analysis by McMahon et al. (2017) encompassing 47 studies (76 trials) revealed a small but significant improvement in time to exhaustion, though no notable effect on time-trial or graded-exercise test outcomes.

The efficacy of beetroot supplementation appears more pronounced in recreational athletes than in elite athletes, possibly due to optimized nitric oxide production in the latter group. Beyond athletic performance, beetroot juice offers cardiovascular benefits. A systematic review and meta-analysis by Siervo et al. (2013) involving 16 randomized clinical trials (n=254) found that inorganic nitrate and beetroot juice supplementation significantly lowered systolic blood pressure by -4.4 mm Hg compared to placebo.

In summary, beetroot / dietary nitrate supplementation provides modest enhancements in endurance performance and substantial cardiovascular benefits, making it a valuable supplement for both athletes and individuals focused on improving overall health.

References

  1. Meta-analysisMcMahon NF, Leveritt MD, Pavey TG (2017). The effect of dietary nitrate supplementation on endurance exercise performance in healthy adults: a systematic review and meta-analysis. Sports Medicine. DOI PubMed
  2. RCTBailey SJ, Winyard P, Vanhatalo A, et al. (2009). Dietary nitrate supplementation reduces the O2 cost of low-intensity exercise and enhances tolerance to high-intensity exercise in humans. Journal of Applied Physiology. DOI PubMed
  3. Meta-analysisSiervo M, Lara J, Ogbonmwan I, Mathers JC (2013). Inorganic nitrate and beetroot juice supplementation reduces blood pressure in adults: a systematic review and meta-analysis. Journal of Nutrition. DOI PubMed