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This study evaluates whether dietary manipulation of the oral microbiota modulates cardiovascular health through effects on nitric oxide bioavailability.
Nitric oxide is an important molecule for human health because it controls blood flow and blood pressure. With aging, our ability to make nitric oxide gets worse and our blood pressure tends to increase. We can help the body produce more nitric oxide by supplementing the diet with vegetables, such as beetroot juice, which contains high amounts of nitrate. This has been shown to improve blood flow and blood pressure. The bacteria inside our mouths play an important role in helping convert the ingested nitrate to nitric oxide. The reason for this study is to find out whether there are differences in oral bacteria between young and older adults, and how the oral bacterial community and blood flow and blood pressure might change when diet is supplemented with natural, nitrate-rich beetroot juice and when we use antibacterial mouthwash. This study will help us understand how the bacteria inside our mouths might be useful for keeping us healthy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Nitrate-rich beetroot juice | Active Comparator | 2 x 70mL concentrated juice per day for 14 days |
|
| Nitrate-depleted beetroot juice | Placebo Comparator | 2 x 70mL concentrated juice per day for 14 days |
|
| Antibacterial mouthwash | Other | 2 x 10mL antibacterial mouthwash per day for 14 days |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Nitrate-rich beetroot juice | Dietary Supplement | concentrated beetroot juice |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Quantity of nitrate -reducing bacteria | Change in total quantity of nitrate-reducing bacteria as measured by sequencing bacterial 16S rRNA genes | 14 days |
| Measure | Description | Time Frame |
|---|---|---|
| Nitric oxide bioavailability - plasma nitrite | Change in nitrite concentration of plasma as measured by ozone-based chemiluminescence | 14 days |
| Nitric oxide bioavailability - salivary nitrite | Change in nitrite concentration of saliva as measured by ozone-based chemiluminescence |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Andrew M Jones, PhD | University of Exeter | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Diabetes & Vascular Medicine Research Centre, Clinical Research Facility | Exeter | Devon | United Kingdom |
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| ID | Term |
|---|---|
| D009067 | Mouthwashes |
| ID | Term |
|---|---|
| D001697 | Biomedical and Dental Materials |
| D020313 | Specialty Uses of Chemicals |
| D020164 | Chemical Actions and Uses |
| D003358 | Cosmetics |
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| Nitrate-depleted beetroot juice |
| Dietary Supplement |
concentrated beetroot juice |
|
| Mouthwash | Other | 2 x 10 mL antibacterial mouthwash per day for 14 days |
|
| 14 days |
| Nitric oxide bioavailability - plasma nitrate | Change in nitrate concentration of plasma as measured by ozone-based chemiluminescence | 14 days |
| Nitric oxide bioavailability - salivary nitrate | Change in nitrate concentration of saliva as measured by ozone-based chemiluminescence | 14 days |
| Blood pressure | Change in systolic and diastolic BP | 14 days |
| Flow mediated dilation | Change in flow mediated dilation | 14 days |
| D008420 | Manufactured Materials |
| D013676 | Technology, Industry, and Agriculture |