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Betalains Alleviate Exercise-Induced Oxidative Stress, Inflammation, and Fatigue and Improve Sports Performance: an Update on Recent Advancement
Abstract
Purpose of review Beetroot juice is a popular natural food supplement commonly consumed for its health and ergogenic benefits. It contains an abundance of phytochemical compounds, which have been shown to enhance sports endurance and recovery. Among them, nitrate is well-studied and known for improving performance during exercise. On the other hand, betalains, the bioactive pigment, have shown various biological activities including antioxidant, anti-inflammatory, and anti-hypertensive, which may improve exercise performance and post-exercise recovery. Additionally, free radical scavenging activities of betalains could increase nitric oxide availability in the blood, thereby improving blood flow and oxygen supply during strenuous exercise. This review article provides a critical discussion of the non-pathological conditions induced by prolonged or strenuous exercise and betalains' potential in reducing such conditions including muscle damage, inflammation, and fatigue. Additionally, the real-time application of betalains as an ergogenic compound in competitive athletes has been discussed. Finally, future directions and conclusions on the potential of betalains as a natural ergogenic aid in sport endurance are outlined. Recent findings Betalains in beetroot are the major water-soluble nitrogen-containing pigment possessing high antioxidant, anti-inflammatory, and anti-fatigue activities. Betalain supplementation could alleviate exercise-induced oxidative stress, inflammation, and fatigue in competitive athletes. Betalains have the potential to become a natural ergogenic aid or nutraceutical compound for sports people during exercise and competitive performance.
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“Evidence from exercise models further suggests that interventions rich in betalains attenuate oxidative stress and inflammation, potentially via improved mitochondrial efficiency [78].”
From Dietary Nitrate-Rich Vegetables as Natural Modulators of Health: Mechanisms and Benefits in Ageing Populations (2026) · cites this paper as [78]
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The Potential Benefits of Red Beetroot Supplementation in Health and Disease
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“Upon ingestion, the dietary nitrate is reduced to nitric oxide through various metabolic actions [21, 23].”
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Sorted by citations
Kurhaluk, N., Kołodziejska, R., Buyun, L., Kamiński, P., & Tkaczenko, H. (2026) · International Journal of Molecular Sciences · doi:10.3390/ijms27083461 · Cited by 3
Metadata
- Authors
- Nirmal, S., Olatunde, O. O., Medhe, S., Vitti, S., Khemtong, C., & Nirmal, N. P.
- Affiliations
- Burapha University (TH)
- University of Manitoba (CA)
- Mahidol University (TH)
- Drexel University (US)
- Corresponding author
- Nirmal, Nilesh Prakash
- Venue
- Current Nutrition Reports
- Published
- 2023-10-12
- Volume
- 12
- Issue
- 4
- Pages
- 778-787
- ISSN
- 2161-3311 (ISSN-L)
- OpenAlex
- W4387563232
- Cited by
- 22
- References
- 6
- Citations by year
- 2026: 9 · 2025: 9 · 2024: 4
- FWCI
- 0.75
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Current Nutrition Reports (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology (medical) › Exercise and Physiological Responses
- Life Sciences › Agricultural and Biological Sciences › Food Science › Botanical Research and Applications
- Health Sciences › Medicine › Physiology (medical) › Biochemical effects in animals
- Keywords
- betalains, beetroot juice, exercise-induced oxidative stress, exercise-induced inflammation, exercise fatigue, muscle damage, ergogenic aids, athletic performance, nitric oxide, antioxidant activity, anti-inflammatory activity, post-exercise recovery, nutraceuticals
- MeSH terms
- Anti-Inflammatory Agents, Antioxidants, Fatigue, Humans, Inflammation, Oxidative Stress, Betalains
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