Effects of Dietary Nitrate Supplementation on Performance during Single and Repeated Bouts of Short-Duration High-Intensity Exercise: A Systematic Review and Meta-Analysis of Randomised Controlled Trials

Inorganic nitrate (NO<sub>3</sub><sup>−</sup>) has emerged as a potential ergogenic aid over the last couple of decades. While recent systematic reviews and meta-analyses have suggested some small positive effects of NO<sub>3</sub><sup>−</sup> suppleme...

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Main Authors: Nehal S. Alsharif (Author), Tom Clifford (Author), Abrar Alhebshi (Author), Samantha N. Rowland (Author), Stephen J. Bailey (Author)
Format: Book
Published: MDPI AG, 2023-05-01T00:00:00Z.
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001 doaj_324c1b231d134e44b6e4cf9f34a7beea
042 |a dc 
100 1 0 |a Nehal S. Alsharif  |e author 
700 1 0 |a Tom Clifford  |e author 
700 1 0 |a Abrar Alhebshi  |e author 
700 1 0 |a Samantha N. Rowland  |e author 
700 1 0 |a Stephen J. Bailey  |e author 
245 0 0 |a Effects of Dietary Nitrate Supplementation on Performance during Single and Repeated Bouts of Short-Duration High-Intensity Exercise: A Systematic Review and Meta-Analysis of Randomised Controlled Trials 
260 |b MDPI AG,   |c 2023-05-01T00:00:00Z. 
500 |a 10.3390/antiox12061194 
500 |a 2076-3921 
520 |a Inorganic nitrate (NO<sub>3</sub><sup>−</sup>) has emerged as a potential ergogenic aid over the last couple of decades. While recent systematic reviews and meta-analyses have suggested some small positive effects of NO<sub>3</sub><sup>−</sup> supplementation on performance across a range of exercise tasks, the effect of NO<sub>3</sub><sup>−</sup> supplementation on performance during single and repeated bouts of short-duration, high-intensity exercise is unclear. This review was conducted following PRISMA guidelines. MEDLINE and SPORTDiscus were searched from inception to January 2023. A paired analysis model for cross-over trials was incorporated to perform a random effects meta-analysis for each performance outcome and to generate standardized mean differences (SMD) between the NO<sub>3</sub><sup>−</sup> and placebo supplementation conditions. The systematic review and meta-analysis included 27 and 23 studies, respectively. Time to reach peak power (SMD: 0.75, <i>p</i> = 0.02), mean power output (SMD: 0.20, <i>p</i> = 0.02), and total distance covered in the Yo-Yo intermittent recovery level 1 test (SMD: 0.17, <i>p</i> < 0.0001) were all improved after NO<sub>3</sub><sup>−</sup> supplementation. Dietary NO<sub>3</sub><sup>−</sup> supplementation had small positive effects on some performance outcomes during single and repeated bouts of high-intensity exercise. Therefore, athletes competing in sports requiring single or repeated bouts of high-intensity exercise may benefit from NO<sub>3</sub><sup>−</sup> supplementation. 
546 |a EN 
690 |a nitric oxide 
690 |a beetroot 
690 |a exercise performance 
690 |a Therapeutics. Pharmacology 
690 |a RM1-950 
655 7 |a article  |2 local 
786 0 |n Antioxidants, Vol 12, Iss 6, p 1194 (2023) 
787 0 |n https://www.mdpi.com/2076-3921/12/6/1194 
787 0 |n https://doaj.org/toc/2076-3921 
856 4 1 |u https://doaj.org/article/324c1b231d134e44b6e4cf9f34a7beea  |z Connect to this object online.