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The effect of dietary nitrate on macro- and microvascular function: A systematic review
Mônica Volino-Souza1,2, Gustavo Vieira de Oliveira1,3, Vivian Dos Santos Pinheiro1,2
1Nutrition and Exercise Metabolism Research Group, Multidisciplinary Center UFRJ-Macaé, Federal University of Rio de Janeiro, Macaé, Rio de Janeiro, Brazil.
Dietary nitrate intake appears to enhance macrovascular function but has a modest effect on microvascular function. Further research should assess both to fully understand nitrate
Area of Science:
- Cardiovascular Physiology
- Nutritional Science
Background:
- Dietary nitrate is linked to improved nitric oxide (NO) bioavailability.
- Nitric oxide (NO) exerts differential effects on macro- and microvasculature.
- Understanding nitrate's impact on distinct vascular beds is crucial.
Purpose of the Study:
- To systematically review the effects of dietary nitrate on human macro- and microvascular function.
- To synthesize current evidence on nitrate's vascular benefits.
Main Methods:
- Systematic review of 29 human studies.
- Analysis of studies evaluating macrovascular function (19 studies).
- Analysis of studies evaluating microvascular function (8 studies).
- Analysis of studies evaluating both (2 studies).
Main Results:
- Dietary nitrate supplementation shows a positive impact on macrovascular function.
- The effect of dietary nitrate on microvascular function appears modest.
- Evidence suggests differential responses between macro- and microvascular beds.
Conclusions:
- Dietary nitrate ingestion is beneficial for macrovascular health.
- Further research is needed to clarify nitrate's effects on microvascular function.
- Future studies should measure both macro- and microvascular function to comprehensively assess nitrate's vascular impact.
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