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The goal of this clinical trial is to determine whether hydroponic spinach (HS) versus conventional spinach (CS) smoothies produce differential post-consumption effects on salivary nitrate availability and blood pressure in adults.
The main questions it aims to answer are:
Do hydroponic spinach (HS) and conventional spinach (CS) smoothies produce differential post-consumption salivary nitrate availability responses in adults when consumed in equal volumes? Do hydroponic spinach (HS) and conventional spinach (CS) smoothies produce differential post-consumption blood pressure responses in adults when consumed in equal volumes?
Participants will:
Consume hydroponic spinach (HS) and conventional spinach (CS) smoothies on two separate study days.
Attend two laboratory visits at the university, scheduled within a 1-2 week period.
Undergo check-ups and study measurements during each visit (e.g., blood pressure and saliva sampling).
This randomized, double-blind, crossover study will investigate the acute effects of hydroponic spinach (HS) compared with conventional spinach (CS) smoothies on vascular responses in adults. The study aims to determine whether HS and CS smoothies elicit differential effects on nitrate bioavailability and blood pressure.
Spinach is a rich source of dietary nitrate, which can be converted via the enterosalivary pathway to nitrite and subsequently to nitric oxide, a key regulator of vascular function and blood pressure. The nitrate content of spinach varies according to cultivation methods, with hydroponically grown spinach often reported to have higher nitrate concentrations than conventionally grown spinach. However, it remains unclear whether these compositional differences translate into meaningful physiological effects following consumption.
Participants will attend two laboratory visits separated by a washout period of approximately 7-14 days. In this randomized crossover design, each participant will receive both interventions in a randomized order, enabling within-subject comparisons. At each visit, participants will consume a standardized smoothie containing either hydroponic or conventional spinach. The smoothies will be matched for volume and appearance to maintain blinding of both participants and investigators.
Baseline measurements will be obtained prior to smoothie consumption. Following intake, measurements will be repeated over the acute postprandial period, including at 2 hours post-consumption, to assess physiological responses. These assessments will include saliva samples to evaluate nitrate bioavailability (salivary nitrate) and cardiovascular measures-systolic blood pressure, diastolic blood pressure, mean arterial pressure (MAP), and heart rate (HR).
The crossover design allows each participant to act as their own control, thereby reducing inter-individual variability and improving statistical power in this pilot investigation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Hydroponic then Conventional Spinach | Experimental | Participants consume a hydroponic spinach smoothie at the first visit followed by a conventional spinach smoothie at the second visit, separated by a washout period. |
|
| Conventional then Hydroponic Spinach | Experimental | Participants consume a conventional spinach smoothie at the first visit followed by a hydroponic spinach smoothie at the second visit, separated by a washout period. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Hydroponic spinach smoothie | Other | Standardized smoothie prepared with hydroponically grown spinach, matched for volume and appearance. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Salivary nitrate concentration | Salivary nitrate levels assessed at baseline and 2 hours post-consumption as a marker of nitrate bioavailability. | Baseline and 2 hours post-consumption |
| Measure | Description | Time Frame |
|---|---|---|
| Systolic blood pressure | Systolic blood pressure measured at baseline and 2 hours after consumption of hydroponic and conventional spinach smoothies. | Baseline and 2 hours post-consumption |
| Diastolic blood pressure |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Raul Bescos, PhD | Contact | +44 1752 587585 | raul.bescos@plymouth.ac.uk | |
| Patricia Casas Agustench, PhD | Contact | +44 1752 588892 | patricia.casas@plymouth.ac.uk |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Plymouth | Recruiting | Plymouth | Devon | PL4 6AB | United Kingdom |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35871120 | Background | Qadir OK, Seal CJ, Ashor AW, Tassotti M, Mena P, Del Rio D, Siervo M, Brandt K. Double-blind controlled dietary cross-over intervention with differentially fertilised intact lettuce leaves shows acute reduction in blood pressure in young adults, associated with faster uptake of nitrate than of phenolics. Eur J Nutr. 2022 Dec;61(8):4191-4203. doi: 10.1007/s00394-022-02961-5. Epub 2022 Jul 23. | |
| 29506204 |
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| Conventional spinach smoothie | Other | Standardized smoothie prepared with conventionally grown spinach, matched for volume and appearance. |
|
Diastolic blood pressure measured at baseline and 2 hours after consumption of hydroponic and conventional spinach smoothies.
| Baseline and 2 hours post-consumption |
| Mean arterial pressure | Mean arterial pressure measured at baseline and 2 hours post-consumption. | Baseline and 2 hours post-consumption |
| Heart rate | Heart rate measured at baseline and 2 hours post-consumption. | Baseline and 2 hours post-consumption |
| Background |
| Jackson JK, Patterson AJ, MacDonald-Wicks LK, Oldmeadow C, McEvoy MA. The role of inorganic nitrate and nitrite in cardiovascular disease risk factors: a systematic review and meta-analysis of human evidence. Nutr Rev. 2018 May 1;76(5):348-371. doi: 10.1093/nutrit/nuy005. |
| 37084661 | Background | Hosseini MJ, Dezhangah S, Esmi F, S Gharavi-Nakhjavani M, Hashempour-Baltork F, Mirza Alizadeh A. A worldwide systematic review, meta-analysis and meta-regression of nitrate and nitrite in vegetables and fruits. Ecotoxicol Environ Saf. 2023 Jun 1;257:114934. doi: 10.1016/j.ecoenv.2023.114934. Epub 2023 Apr 19. |
| 36690137 | Background | Bryan NS, Ahmed S, Lefer DJ, Hord N, von Schwarz ER. Dietary nitrate biochemistry and physiology. An update on clinical benefits and mechanisms of action. Nitric Oxide. 2023 Mar 1;132:1-7. doi: 10.1016/j.niox.2023.01.003. Epub 2023 Jan 20. |
| 29635489 | Background | Blekkenhorst LC, Bondonno NP, Liu AH, Ward NC, Prince RL, Lewis JR, Devine A, Croft KD, Hodgson JM, Bondonno CP. Nitrate, the oral microbiome, and cardiovascular health: a systematic literature review of human and animal studies. Am J Clin Nutr. 2018 Apr 1;107(4):504-522. doi: 10.1093/ajcn/nqx046. |
| 32503134 | Background | Bian Z, Wang Y, Zhang X, Li T, Grundy S, Yang Q, Cheng R. A Review of Environment Effects on Nitrate Accumulation in Leafy Vegetables Grown in Controlled Environments. Foods. 2020 Jun 3;9(6):732. doi: 10.3390/foods9060732. |