Sodium nitrate supplementation improves blood pressure reactivity in patients with peripheral artery disease.

Nutr Metab Cardiovasc Dis

Departments of Physical Therapy and Rehabilitation Science, Fraternal Order of Eagles Diabetes Research Center, Abboud Cardiovascular Research Center University of Iowa, Iowa City, IA, USA. Electronic address:

Published: March 2022

Background & Aims: Peripheral artery disease (PAD) is characterized by elevated blood pressure (BP), low nitric oxide availability (NO), and exaggerated pressor responses to sympatho-excitatory stressors. Inorganic nitrate reduces peripheral BP in healthy and chronically diseased populations. The objective of this study was to investigate the effects of eight-weeks of sodium nitrate (NaNO) supplementation on indices of BP in PAD patients.

Methods: 21 patients with PAD were recruited to participate in this study, undergoing 8-weeks of NaNO (n = 13; 73 ± 9 years) or placebo (n = 8; 69 ± 10 years) supplementation. BP responsiveness to a cold pressor test (CPT) were examined prior to and following the supplementation period. The systolic BP response (change from rest) during the first (26 ± 10 vs. 19 ± 11 mmHg) and second minutes (32 ± 10 vs. 26 ± 12 mmHg) of CPT were reduced following NaNO (P < 0.05 for both) but not after placebo (first minute: 22 ± 10 vs. 24 ± 10 mmHg, P = 0.30; second minute 26 ± 10 vs 27 ± 10 mmHg, P = 0.72) supplementation.

Conclusion: Our data suggest that eight-weeks of NaNO supplementation reduces BP responsiveness to sympatho-excitatory stimuli.

Clinical Trials Registration Number: NCT01983826.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8857030PMC
http://dx.doi.org/10.1016/j.numecd.2021.12.002DOI Listing

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