Effects of Dietary Nitrate Supplementation on Weightlifting Exercise Performance in Healthy Adults: A Systematic Review
Open accessAbstract
Dietary nitrate (NO3−) supplementation has been evidenced to induce an ergogenic effect in endurance and sprint-type exercise, which may be underpinned by enhanced muscle contractility and perfusion, particularly in type II muscle fibers. However, limited data are available to evaluate the ergogenic potential of NO3− supplementation during other exercise modalities that mandate type II fiber recruitment, such as weightlifting exercise (i.e., resistance exercise). In this systematic review, we examine the existing evidence basis for NO3− supplementation to improve muscular power, velocity of contraction, and muscular endurance during weightlifting exercise in healthy adults. We also discuss the potential mechanistic bases for any positive effects of NO3− supplementation on resistance exercise performance. Dialnet, Directory of Open Access Journals, Medline, Pubmed, Scielo, Scopus and SPORT Discus databases were searched for articles using the keywords: nitrate or beetroot and supplement or nut*r or diet and strength or “resistance exercise” or “resistance training” or “muscular power”. Four articles fulfilling the inclusion criteria were identified. Two of the four studies indicated that NO3− supplementation could increase aspects of upper body weightlifting exercise (i.e., bench press) performance (increases in mean power/velocity of contraction/number of repetitions to failure), whereas another study observed an increase in the number of repetitions to failure during lower limb weightlifting exercise (i.e., back squat). Although these preliminary observations are encouraging, further research is required for the ergogenic potential of NO3− supplementation on weightlifting exercise performance to be determined.
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Written from the paper’s full text.
TL;DR
This systematic review of four studies (49 resistance-trained men) found preliminary evidence that dietary nitrate supplementation may improve some weightlifting performance outcomes, particularly bench press power, velocity, and repetitions to failure, but not consistently box squat performance. The authors conclude further research is needed because of limited high-quality evidence and heterogeneous dosing and exercise protocols.
Key findings
- Four studies met the inclusion criteria. Two reported upper-body benefits: acute beetroot juice increased mean power by 19.5%, mean velocity by 6.5%, and repetitions to failure by 10.7% during free-weight bench press at 70% 1RM; 6 days of beetroot juice increased repetitions to failure by 19.4% and total weight lifted by 18.9% during Smith machine bench press at 60% 1RM.
- One study observed a 17.7% increase in repetitions to failure summed across bench press and back squat at 60%, 70%, and 80% 1RM after acute beetroot juice, but no effect on muscular velocity or power. Another study found no change in repetitions to failure during box squat at 60% 1RM after low-dose nitrate-rich bars.
- Overall, acute and short-term nitrate supplementation may enhance bench press performance in resistance-trained males, but effects on lower-body squat performance are inconsistent. Proposed mechanisms include enhanced skeletal muscle excitation–contraction coupling, improved metabolic control, and increased muscle perfusion.
Methods
- PRISMA-guided systematic search of Dialnet, Directory of Open Access Journals, Medline, PubMed, Scielo, Scopus, and SPORTDiscus until April 2020, using nitrate/beetroot, supplement/nutrition/diet, and strength/resistance exercise/training/muscular power terms. The original search yielded 619 studies; 291 were independently reviewed; 4 met eligibility. Quality was assessed with the PEDro scale.
- Inclusion criteria required full articles in healthy humans aged 18–65 years, a nitrate and placebo intervention, voluntary dynamic resistance exercise (not isometric, isokinetic, or NMES-evoked), and outcomes including 1RM, power or movement velocity, or repetitions to failure with submaximal loads. The four included studies comprised 49 men, all resistance trained.
- Supplementation protocols varied: two studies used acute 70 mL beetroot juice (~6.4 mmol nitrate) ~2 h before exercise; one used 70 mL/day (~6.4 mmol nitrate) for 6 days; one used two nitrate-rich performance bars (32.5 mg nitrate per two bars) for 3 days, with the final bars ~60 min before exercise. The review presents a narrative synthesis.
Limitations
- The paper states that the number of high-quality randomized controlled trials focused on weightlifting exercise is limited, restricting the analyzed sample; between-study differences in nitrate dose (from 32.5 mg to 6.4 mmol), supplementation period (acute to 6 days), and exercise type prevented a firm conclusion. It also notes that all existing studies lacked plasma nitrite determination.
- Evident from the text: all included participants were men and resistance trained, so findings may not generalize to women, untrained individuals, older adults, or other populations. Only four studies were included and no meta-analysis was performed, so the performance estimates are preliminary.
Model-written summary. Check it against the paper before relying on it.
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Claims the paper makes
0 of 149 cited sources checked · 0 supported · 0 flagged
- Findingcitation
Ranchal-Sánchez et al. observed an enhancement in the number of repetitions to failure (+17.7%) in the sum of sets for bench press and back squat with loads of 60%, 70% and 80% 1RM after NO3− supplementation.
“In another study, Ranchal-Sánchez et al. [114] observed an enhancement in the number of repetitions to failure (+17.7%) in the sum of sets for bench press and back squat with loads of 60%, 70% and 80% 1RM after NO3− supplementation (BR ingested 2 h prior to exercise), although authors failed to find an effect on muscular velocity and power.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [114] Ranchal-Sanchez, A., Diaz-Bernier, V.M., De La Florida-Villagran, C.A., Llorente-Cantarero, F.J., Campos-Perez, J., and Jurado-Castro, J.M. (2020). Acute Effects of Beetroot Juice Supplements on Resistance Training: A Randomized Double-Blind Crossover. Nutrients, 12. source
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- Findingcitation
Ranchal-Sánchez et al. failed to find an effect on muscular velocity and power after NO3− supplementation.
“In another study, Ranchal-Sánchez et al. [114] observed an enhancement in the number of repetitions to failure (+17.7%) in the sum of sets for bench press and back squat with loads of 60%, 70% and 80% 1RM after NO3− supplementation (BR ingested 2 h prior to exercise), although authors failed to find an effect on muscular velocity and power.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [114] Ranchal-Sanchez, A., Diaz-Bernier, V.M., De La Florida-Villagran, C.A., Llorente-Cantarero, F.J., Campos-Perez, J., and Jurado-Castro, J.M. (2020). Acute Effects of Beetroot Juice Supplements on Resistance Training: A Randomized Double-Blind Crossover. Nutrients, 12. source
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- Findingcitation
Williams et al. observed a 10.7% increase in the number of repetitions to failure during free-weight bench press exercise at 70%1RM in resistance-trained men after acute dietary NO3− supplementation.
“The authors observed a 19.5% increase in mean power, a 6.5% increase in mean velocity, and a 10.7% increase in the number of repetitions to failure [113].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [113] Williams, 2020, Effect of Acute Beetroot Juice Supplementation on Bench Press Power, Velocity, and Repetition Volume, J. Strength Cond. Res. source
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- Findingnone given
A limited number of studies have assessed the potential for ergogenic effects of NO3− supplementation on a more transferable form of resistance exercise, such as weightlifting performance.
“Despite the evidence outlined above, which suggests that NO3− supplementation has the potential to enhance resistance exercise performance during voluntary isometric and/or isokinetic assessments, and muscle isometric contractions evoked by NMES, a limited number of studies have assessed the potential for ergogenic effects of NO3− supplementation on a more transferable form of resistance exercise,”
Quote in the paperSubstantial claim - Findingcitation
Williams et al. observed a 19.5% increase in mean power during free-weight bench press exercise at 70%1RM in resistance-trained men after acute dietary NO3− supplementation.
“The authors observed a 19.5% increase in mean power, a 6.5% increase in mean velocity, and a 10.7% increase in the number of repetitions to failure [113].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [113] Williams, 2020, Effect of Acute Beetroot Juice Supplementation on Bench Press Power, Velocity, and Repetition Volume, J. Strength Cond. Res. source
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- Findingcitation
Williams et al. observed a 6.5% increase in mean velocity during free-weight bench press exercise at 70%1RM in resistance-trained men after acute dietary NO3− supplementation.
“The authors observed a 19.5% increase in mean power, a 6.5% increase in mean velocity, and a 10.7% increase in the number of repetitions to failure [113].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [113] Williams, 2020, Effect of Acute Beetroot Juice Supplementation on Bench Press Power, Velocity, and Repetition Volume, J. Strength Cond. Res. source
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- Findingcitation
Six days of BR supplementation increased the number of repetitions to failure (+19.4%) during Smith machine bench press exercise at 60%1RM in resistance-trained men.
“Longer-term NO3− supplementation was also observed to be effective, as 6 days of BR supplementation increased the number of repetitions to failure (+19.4%) and increased the total amount of weight lifted (+18.9%) during Smith machine bench press exercise at 60%1RM in resistance-trained men [116].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [116] Mosher, 2016, Ingestion of a Nitric Oxide Enhancing Supplement Improves Resistance Exercise Performance, J. Strength Cond. Res. source
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- Findingcitation
Flanagan et al. did not observe any change in the number of repetitions to failure during box squat exercise at 60%1RM in resistance-trained men following administration of NO3−-rich performance bars over 3 days.
“In contrast, Flanagan et al. [115] did not observe any change in the number of repetitions to failure during box squat exercise at 60%1RM in resistance-trained men following the administration of NO3−-rich performance bars over 3 days.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [115] Flanagan, 2016, The Effects of Nitrate-Rich Supplementation on Neuromuscular Efficiency during Heavy Resistance Exercise, J. Am. Coll. Nutr. source
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- Findingcitation
Six days of BR supplementation increased the total amount of weight lifted (+18.9%) during Smith machine bench press exercise at 60%1RM in resistance-trained men.
“Longer-term NO3− supplementation was also observed to be effective, as 6 days of BR supplementation increased the number of repetitions to failure (+19.4%) and increased the total amount of weight lifted (+18.9%) during Smith machine bench press exercise at 60%1RM in resistance-trained men [116].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [116] Mosher, 2016, Ingestion of a Nitric Oxide Enhancing Supplement Improves Resistance Exercise Performance, J. Strength Cond. Res. source
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- Findingcitation
Using a mouse model, Hernández et al. demonstrated that 7 days of NO3− supplementation increased the rate of force development at 100 Hz by 35% and force production at 50 Hz during evoked skeletal muscle contractions at a supraphysiological PO2.
“Using a mouse model, Hernández et al. [98] demonstrated that 7 days of NO3− supplementation increased the rate of force development at 100 Hz by 35% and force production at 50 Hz during evoked skeletal muscle contractions at a supraphysiological PO2.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [98] Schiffer, 2012, Dietary nitrate increases tetanic [Ca2+]i and contractile force in mouse fast-twitch muscle, J. Physiol. source
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- Findingcitation
The increase in evoked force production was accompanied by increased expression of Ca2+-handling proteins, DHPRs and CASQ in type II but not type I skeletal muscle.
“The increase in evoked force production was accompanied by the increased expression of Ca2+-handling proteins, dihydropyridine receptors (DHPRs) and calsequestrin (CASQ) in type II but not type I skeletal muscle [98].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [98] Schiffer, 2012, Dietary nitrate increases tetanic [Ca2+]i and contractile force in mouse fast-twitch muscle, J. Physiol. source
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- Premisecitation
An ergogenic effect of NO3− supplementation appears less likely in endurance-trained individuals.
“Although an ergogenic effect of NO3− supplementation appears less likely in endurance-trained individuals, i.e., [65,66,67,68,69,70,71,72,73,74], recent systematic reviews support its efficacy as an ergogenic aid during continuous endurance-type exercise [75,76,77] and high-intensity intermittent-type exercise [78].”
Quote in the paperNot a substantial claim0 of 10 sources checked- cites [65] Boorsma, 2014, Beetroot juice supplementation does not improve performance of elite 1500-m runners, Med. Sci. Sports Exerc. source
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- cites [66] Callahan, 2017, Single and Combined Effects of Beetroot Crystals and Sodium Bicarbonate on 4-km Cycling Time Trial Performance, Int. J. Sport Nutr. Exerc. Metab. source
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- cites [67] Cermak, 2012, No improvement in endurance performance after a single dose of beetroot juice, Int. J. Sport Nutr. Exerc. Metab. source
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- cites [68] Manoel, 2018, Beetroot juice supplementation does not modify the 3-km running performance in untrained women, Sci. Sports source
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- cites [69] Lowings, 2017, Effect of Dietary Nitrate Supplementation on Swimming Performance in Trained Swimmers, Int. J. Sport Nutr. Exerc. Metab. source
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- cites [70] McQuillan, 2017, Dietary Nitrate Fails to Improve 1 and 4 km Cycling Performance in Highly Trained Cyclists, Int. J. Sport Nutr. Exerc. Metab. source
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- cites [71] Mosher, 2019, High dose Nitrate ingestion does not improve 40 km cycling time trial performance in trained cyclists, Res. Sports Med. source
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- cites [72] Oskarsson, 2018, No individual or combined effects of caffeine and beetroot-juice supplementation during submaximal or maximal running, Appl. Physiol. Nutr. Metab. source
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- cites [73] Wickham, 2019, No effect of beetroot juice supplementation on exercise economy and performance in recreationally active females despite increased torque production, Physiol. Rep. source
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- cites [74] Wilkerson, 2012, Influence of acute dietary nitrate supplementation on 50 mile time trial performance in well-trained cyclists, Graefe’s Arch. Clin. Exp. Ophthalmol.
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- Premisecitation
The elevation of plasma [NO2−] is dependent on methodological considerations such as supplementation regimen (dosage, timing and duration).
“The elevation of plasma [NO2−] is dependent on methodological considerations, such as the supplementation regimen (i.e., dosage of NO3−, timing and duration) [64], and there is evidence to suggest that performance enhancement may be more likely after chronic, compared to acute, NO3− supplementation [56,63,67].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [64] Wylie, 2013, Beetroot juice and exercise: Pharmacodynamic and dose-response relationships, J. Appl. Physiol. source
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- Premisecitation
Performance enhancement may be more likely after chronic, compared to acute, NO3− supplementation.
“The elevation of plasma [NO2−] is dependent on methodological considerations, such as the supplementation regimen (i.e., dosage of NO3−, timing and duration) [64], and there is evidence to suggest that performance enhancement may be more likely after chronic, compared to acute, NO3− supplementation [56,63,67].”
Quote in the paperSubstantial claim0 of 3 sources checked- cites [56] Cermak, 2012, Nitrate supplementation’s improvement of 10-km time-trial performance in trained cyclists, Int. J. Sport Nutr. Exerc. Metab. source
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- cites [63] Vanhatalo, 2010, Acute and chronic effects of dietary nitrate supplementation on blood pressure and the physiological responses to moderate-intensity and incremental exercise, Am. J. Physiol. Integr. Comp. Physiol. source
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- cites [67] Cermak, 2012, No improvement in endurance performance after a single dose of beetroot juice, Int. J. Sport Nutr. Exerc. Metab. source
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- Premisecitation
Elevations in [NO3−] and [NO2−] following NO3− supplementation have been observed in skeletal muscle and plasma.
“Elevations in [NO3−] and [NO2−] following NO3− supplementation have been observed in skeletal muscle [88,89,90,91] and plasma [53,64,92], and are associated with positive physiological effects [41,64,74,93] that facilitate a greater capacity for muscular work [51,53,59] and/or improved muscle contractile efficiency (i.e., a lower high-energy phosphate cost of force production) [51,94].”
Quote in the paperSubstantial claim0 of 7 sources checked- cites [88] Gilliard, 2018, Effect of dietary nitrate levels on nitrate fluxes in rat skeletal muscle and liver, Nitric Oxide source
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- cites [89] Piknova, 2015, Skeletal muscle as an endogenous nitrate reservoir, Nitric Oxide source
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- cites [90] Piknova, 2016, Nitrate as a source of nitrite and nitric oxide during exercise hyperemia in rat skeletal muscle, Nitric Oxide source
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- cites [91] Wylie, 2019, Human skeletal muscle nitrate store: Influence of dietary nitrate supplementation and exercise, J. Physiol. source
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- cites [53] Bailey, 2009, Dietary nitrate supplementation reduces the O2cost of low-intensity exercise and enhances tolerance to high-intensity exercise in humans, J. Appl. Physiol. source
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- cites [64] Wylie, 2013, Beetroot juice and exercise: Pharmacodynamic and dose-response relationships, J. Appl. Physiol. source
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- cites [92] Webb, 2008, Acute blood pressure lowering, vasoprotective, and antiplatelet properties of dietary nitrate via bioconversion to nitrite, Hypertension source
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- Premisecitation
The reduction of NO2− to NO is potentiated under conditions of hypoxia and acidosis, as occur intramuscularly during exercise.
“The reduction of NO2− to NO is potentiated under conditions of hypoxia [85] and acidosis [86], as are known to occur intramuscularly during exercise [87].”
Quote in the paperSubstantial claim0 of 3 sources checked- cites [85] Castello, 2006, Mitochondrial cytochrome oxidase produces nitric oxide under hypoxic conditions: Implications for oxygen sensing and hypoxic signaling in eukaryotes, Cell Metab. source
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- cites [86] Modin, 2001, Nitrite-derived nitric oxide: A possible mediator of ‘acidic-metabolic’ vasodilation, Acta Physiol. Scand.
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- cites [87] Richardson, 1995, Myoglobin O2 desaturation during exercise. Evidence of limited O2 transport, J. Clin. Investig. source
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- Interpretationcitation
Findings regarding involuntary contractions evoked by NMES may not readily translate to voluntary contractions.
“However, findings regarding involuntary contractions evoked by neuromuscular electrostimulation (NMES) may not readily translate to voluntary contractions, since there are some important differences between NMES and voluntary actions [100].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [100] Bickel, 2011, Motor unit recruitment during neuromuscular electrical stimulation: A critical appraisal, Graefe’s Arch. Clin. Exp. Ophthalmol.
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- Premisecitation
NO3− supplementation has the potential to enhance performance during repeated sub-maximal knee-extensor contractions continued to failure.
“In addition to enhancing force production during single muscle contractions, NO3− supplementation has the potential to enhance performance during repeated sub-maximal knee-extensor contractions continued to failure [51].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [51] Bailey, 2010, Dietary nitrate supplementation enhances muscle contractile efficiency during knee-extensor exercise in humans, J. Appl. Physiol. source
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- Interpretationreasoning
The conflicting findings between Williams et al. and Ranchal-Sánchez et al. may be attributed to inter-study differences in the protocols used to assess muscular power and velocity.
“These conflicting findings may be attributed to inter-study differences in the protocols used to assess muscular power and velocity.”
Quote in the paperSubstantial claim - Premisecitation
Coggan et al. reported that the relative magnitude of the increase in knee-extensor peak power output following NO3− ingestion was positively correlated with the increase in plasma [NO2−].
“This interpretation is reinforced by Coggan et al. [123] who reported that the relative magnitude of the increase in knee-extensor peak power output following NO3− ingestion was positively correlated with the increase in plasma [NO2−].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [123] Coggan, 2018, Dietary nitrate-induced increases in human muscle power: High versus low responders, Physiol. Rep. source
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- Interpretationcitation
The greater proportion of type II fibers in upper body musculature might account for the improved bench press and inconsistent effects on squat performance after NO3− supplementation.
“Given that there is evidence to suggest that NO3− supplementation may be more effective at enhancing physiological responses in type II muscle fibers [124] and since the proportion of type II muscle fibers may be greater in the upper body musculature, i.e., [125], this might account for the improved bench press and the inconsistent effects observed on squat performance after NO3− supplementation.”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [124] Jones, 2016, Fiber Type-Specific Effects of Dietary Nitrate, Exerc. Sport Sci. Rev. source
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- cites [125] Nielsen, 2018, The Muscle Fiber Profiles, Mitochondrial Content, and Enzyme Activities of the Exceptionally Well-Trained Arm and Leg Muscles of Elite Cross-Country Skiers, Front. Physiol. source
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- Interpretationreasoning
The procedure used by Ranchal-Sánchez et al. to assess muscle power and velocity may not be suitable to detect a potential effect of NO3− supplementation.
“Thus, the procedure used by Ranchal-Sánchez et al. [114] to assess muscle power and velocity may not be suitable to detect a potential effect of NO3− supplementation.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [114] Ranchal-Sanchez, A., Diaz-Bernier, V.M., De La Florida-Villagran, C.A., Llorente-Cantarero, F.J., Campos-Perez, J., and Jurado-Castro, J.M. (2020). Acute Effects of Beetroot Juice Supplements on Resistance Training: A Randomized Double-Blind Crossover. Nutrients, 12. source
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- Interpretationcitation
The existing evidence suggests that acute and short-term NO3− supplementation can improve bench press performance in resistance-trained males.
“Therefore, the existing evidence suggests that acute and short-term NO3− supplementation can improve bench press performance in resistance-trained males.”
Quote in the paperSubstantial claim - Study design and conductnone given
A limitation of all existing studies assessing the effect of NO3− supplementation on resistance exercise performance is the lack of plasma [NO2−] determination.
“However, a limitation of all existing studies assessing the effect of NO3− supplementation on resistance exercise performance is the lack of plasma [NO2−] determination.”
Quote in the paperSubstantial claim - Interpretationreasoning
A limitation in Flanagan et al. was the low NO3− dose administered.
“A limitation in Flanagan et al. [115] was the low NO3− dose administered.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [115] Flanagan, 2016, The Effects of Nitrate-Rich Supplementation on Neuromuscular Efficiency during Heavy Resistance Exercise, J. Am. Coll. Nutr. source
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- Interpretationreasoning
This could partly account for the improvements observed in Mosher et al., Williams et al. and Ranchal-Sánchez et al., who recruited resistance-trained men.
“Accordingly, this could partly account for the improvements observed in Mosher et al. [116], Williams et al. [113] and Ranchal-Sánchez et al. [114], who recruited resistance-trained men.”
Quote in the paperSubstantial claim0 of 3 sources checked- cites [116] Mosher, 2016, Ingestion of a Nitric Oxide Enhancing Supplement Improves Resistance Exercise Performance, J. Strength Cond. Res. source
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- cites [113] Williams, 2020, Effect of Acute Beetroot Juice Supplementation on Bench Press Power, Velocity, and Repetition Volume, J. Strength Cond. Res. source
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- cites [114] Ranchal-Sanchez, A., Diaz-Bernier, V.M., De La Florida-Villagran, C.A., Llorente-Cantarero, F.J., Campos-Perez, J., and Jurado-Castro, J.M. (2020). Acute Effects of Beetroot Juice Supplements on Resistance Training: A Randomized Double-Blind Crossover. Nutrients, 12. source
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- Premisecitation
There is evidence to suggest that NO3− supplementation may be more effective at enhancing physiological responses in type II muscle fibers.
“Given that there is evidence to suggest that NO3− supplementation may be more effective at enhancing physiological responses in type II muscle fibers [124] and since the proportion of type II muscle fibers may be greater in the upper body musculature, i.e., [125], this might account for the improved bench press and the inconsistent effects observed on squat performance after NO3− supplementation.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [124] Jones, 2016, Fiber Type-Specific Effects of Dietary Nitrate, Exerc. Sport Sci. Rev. source
Not checked in the free run.
- Premisecitation
The proportion of type II muscle fibers may be greater in the upper body musculature.
“Given that there is evidence to suggest that NO3− supplementation may be more effective at enhancing physiological responses in type II muscle fibers [124] and since the proportion of type II muscle fibers may be greater in the upper body musculature, i.e., [125], this might account for the improved bench press and the inconsistent effects observed on squat performance after NO3− supplementation.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [125] Nielsen, 2018, The Muscle Fiber Profiles, Mitochondrial Content, and Enzyme Activities of the Exceptionally Well-Trained Arm and Leg Muscles of Elite Cross-Country Skiers, Front. Physiol. source
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- Interpretationreasoning
The exercise modality (upper body vs. lower body) employed might also have contributed to the disparate findings across studies assessing the ergogenic potential of NO3− supplementation on resistance exercise performance.
“In addition to inter-study differences in the dosing strategies, the exercise modality (upper body vs. lower body) employed might also have contributed to the disparate findings across studies assessing the ergogenic potential of NO3− supplementation on resistance exercise performance to date.”
Quote in the paperSubstantial claim - Premisecitation
During a repeated, fatigue-inducing contraction protocol, NaNO2 administration increased time to task failure by offsetting reductions in Ca2+ pumping rate and Ca2+ sensitivity.
“However, during a repeated, fatigue-inducing contraction protocol, NaNO2 administration increased time to task failure by offsetting the reductions in Ca2+ pumping rate and Ca2+ sensitivity [135].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [135] Bailey, 2019, Incubation with sodium nitrite attenuates fatigue development in intact single mouse fibres at physiological, J. Physiol. source
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- Premisecitation
S-nitrosylation and denitrosylation alter the structural conformation and thus function of proteins.
“S-nitrosylation and denitrosylation alter the structural conformation and thus function of proteins [138].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [138] Stamler, 1994, Redox signaling: Nitrosylation and related target interactions of nitric oxide, Cell source
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- Premisecitation
NO can react with protein thiols to form RSNO groups in a reversible process termed S-nitrosylation.
“Indeed, NO can react with protein thiols (i.e., moieties containing sulfhydryl groups, RSH or RS−) to form RSNO groups in a reversible process termed S-nitrosylation [137].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [137] Stamler, 2001, Physiology of nitric oxide in skeletal muscle, Physiol. Rev. source
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- Premisecitation
NO has been reported to S-nitrosylate myosin heavy chains in skeletal muscle, leading to increased contractile force.
“For example, NO has been reported to S-nitrosylate myosin heavy chains in skeletal muscle, leading to increased contractile force [139].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [139] Evangelista, A.M., Rao, V.S., Filo, A.R., Marozkina, N.V., Doctor, A., Jones, D.R., Gaston, B., and Guilford, W. (2010). Direct Regulation of Striated Muscle Myosins by Nitric Oxide and Endogenous Nitrosothiols. PLoS ONE, 5. source
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- Premisecitation
NO3− supplementation has been reported to alter high-energy phosphate turnover and phosphorus metabolites in human skeletal muscle.
“In addition to potential changes to excitation–contraction coupling proteins, NO3− supplementation has been reported to alter high-energy phosphate turnover and phosphorus metabolites in human skeletal muscle [51,94].”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [51] Bailey, 2010, Dietary nitrate supplementation enhances muscle contractile efficiency during knee-extensor exercise in humans, J. Appl. Physiol. source
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- cites [94] Fulford, 2013, Influence of dietary nitrate supplementation on human skeletal muscle metabolism and force production during maximum voluntary contractions, Pflüg. Arch. source
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- Interpretationreasoning
NO3− supplementation might offer potential as an ergogenic and therapeutic nutritional aid.
“Given the important athletic and clinical implications of improved weightlifting exercise performance, NO3− supplementation might offer potential as an ergogenic and therapeutic nutritional aid.”
Quote in the paperSubstantial claim - Interpretationreasoning
The limited existing literature suggests that acute and short-term dietary NO3− supplementation holds promise as a nutritional intervention to enhance weightlifting performance in resistance-trained males.
“In conclusion, the limited exisiting literature suggests that acute and short-term dietary NO3− supplementation holds promise as a nutritional intervention to enhance weightlifting performance in resistance-trained males.”
Quote in the paperSubstantial claim - Interpretationreasoning
Therefore, NO3− supplementation holds promise as an effective nutritional ergogenic aid for weightlifting exercise.
“Therefore, NO3− supplementation holds promise as an effective nutritional ergogenic aid for weightlifting exercise.”
Quote in the paperSubstantial claim - Interpretationreasoning
Existing between-study differences in supplementation dosage (from 32.5 mg NO3− to 6.4 mmol NO3−) and period (from acute to chronic over 6 days), along with differences in exercise type, prevented a firm conclusion on the ergogenic potential of NO3− supplementation on weightlifting exercise performance at this stage.
“In addition, existing between-study differences in the supplementation dosage (from 32.5 mg NO3− to 6.4 mmol NO3−) and the period of supplementation (from acute to chronic over 6 days), along with differences regarding the type of exercise selected, prevented a firm conclusion on the ergogenic potential of NO3− supplementation on weightlifting exercise performance at this stage.”
Quote in the paperSubstantial claim
- Classified as probably not a substantial claim. 17
- May combine two claims. 36
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
FindingcitationThe exercise modalities used to assess weightlifting exercise performance were bench press using free weights, bench press using a Smith machine, and box squats using a Smith machine.
“The exercise modalities used to assess weightlifting exercise performance were bench press using free weights [113], bench press using a Smith machine [114,116] and box squats using a Smith machine [114,115].”
Quote in the paperNot a substantial claim0 of 4 sources checked- cites [113] Williams, 2020, Effect of Acute Beetroot Juice Supplementation on Bench Press Power, Velocity, and Repetition Volume, J. Strength Cond. Res. source
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- cites [114] Ranchal-Sanchez, A., Diaz-Bernier, V.M., De La Florida-Villagran, C.A., Llorente-Cantarero, F.J., Campos-Perez, J., and Jurado-Castro, J.M. (2020). Acute Effects of Beetroot Juice Supplements on Resistance Training: A Randomized Double-Blind Crossover. Nutrients, 12. source
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- cites [116] Mosher, 2016, Ingestion of a Nitric Oxide Enhancing Supplement Improves Resistance Exercise Performance, J. Strength Cond. Res. source
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- cites [115] Flanagan, 2016, The Effects of Nitrate-Rich Supplementation on Neuromuscular Efficiency during Heavy Resistance Exercise, J. Am. Coll. Nutr. source
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Classified as probably not a substantial claim.
Findingown dataA total of four articles met the eligibility criteria for the present systematic review.
“A total of four articles met the eligibility criteria for the present systematic review (Figure 1).”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataThe original search yielded a total of 619 studies.
“The original search yielded a total of 619 studies.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataThe four studies selected included a total of 49 men, all of whom were resistance trained (performed resistance exercise a minimum of twice per week).
“The four studies selected for our systematic review included a total of 49 men, all of whom were resistance trained (i.e., performed resistance exercise a minimum of twice per week).”
Quote in the paperNot a substantial claimMay combine two claims.
FindingcitationWilliams et al. assessed muscle power and velocity during two single explosive repetitions with full recovery (5 min rest between sets), whereas Ranchal-Sánchez et al. assessed power and velocity during sets of repetitions until failure.
“Indeed, whereas Williams et al. [113] assessed muscle power and velocity during two single explosive repetitions with full recovery (5 min rest between sets), Ranchal-Sánchez et al. [114] assessed power and velocity during sets of repetitions until failure.”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [113] Williams, 2020, Effect of Acute Beetroot Juice Supplementation on Bench Press Power, Velocity, and Repetition Volume, J. Strength Cond. Res. source
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- cites [114] Ranchal-Sanchez, A., Diaz-Bernier, V.M., De La Florida-Villagran, C.A., Llorente-Cantarero, F.J., Campos-Perez, J., and Jurado-Castro, J.M. (2020). Acute Effects of Beetroot Juice Supplements on Resistance Training: A Randomized Double-Blind Crossover. Nutrients, 12. source
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Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).
Findingnone givenThis is the first systematic review to have focused on the ergogenic effect of dietary NO3− supplementation on weightlifting exercise performance.
“This is the first systematic review to have focused on the ergogenic effect of dietary NO3− supplementation on weightlifting exercise performance.”
Quote in the paperNot a substantial claimMay combine two claims.
FindingcitationFlanagan et al. administered 32.5 mg (~0.5 mmol) of NO3− daily, which is markedly lower than Williams et al. (6.4 mmol NO3− acutely) and Mosher et al. (6 days of 6.4 mmol NO3− daily).
“Specifically, Flanagan et al. [115] administered 32.5 mg (~0.5 mmol) of NO3− daily, which is markedly lower than Williams et al. [113] (6.4 mmol NO3− acutely) and Mosher et al. [116] (6 days of 6.4 mmol NO3− daily), both of whom observed improved resistance exercise performance.”
Quote in the paperSubstantial claim0 of 3 sources checked- cites [115] Flanagan, 2016, The Effects of Nitrate-Rich Supplementation on Neuromuscular Efficiency during Heavy Resistance Exercise, J. Am. Coll. Nutr. source
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- cites [113] Williams, 2020, Effect of Acute Beetroot Juice Supplementation on Bench Press Power, Velocity, and Repetition Volume, J. Strength Cond. Res. source
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- cites [116] Mosher, 2016, Ingestion of a Nitric Oxide Enhancing Supplement Improves Resistance Exercise Performance, J. Strength Cond. Res. source
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May combine two claims.
FindingcitationWhitfield et al. observed increased force production and rate of force production during evoked isometric twitches in healthy humans without changes in skeletal muscle CASQ, DHPR or SERCA protein content following 7 days of BR supplementation.
“Specifically, these authors observed an increased force production and rate of force production during evoked isometric twitches in healthy humans without changes in skeletal muscle CASQ, DHPR or SERCA protein content following 7 days of BR supplementation.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [96] Whitfield, 2017, Beetroot Juice Increases Human Muscle Force without Changing Ca2+-Handling Proteins, Med. Sci. Sports Exerc. source
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Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
FindingcitationAn interesting observation by Flanagan et al. was that EMG amplitude increased during weightlifting exercise after NO3− supplementation despite no change in weightlifting exercise performance.
“An interesting observation by Flanagan et al. [115] was that EMG amplitude increased during weightlifting exercise after NO3− supplementation despite no change in weightlifting exercise performance.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [115] Flanagan, 2016, The Effects of Nitrate-Rich Supplementation on Neuromuscular Efficiency during Heavy Resistance Exercise, J. Am. Coll. Nutr. source
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Findingnone givenThe number of high-quality studies (randomized controlled trials) focused on weightlifting exercise is limited, which restricted the sample analyzed in the present systematic review.
“Although there are numerous studies analyzing the effect of NO3− on various aspects of exercise performance, the number of high-quality studies (i.e., randomized controlled trials) focused on weightlifting exercise is limited, which restricted the sample analyzed in the present systematic review.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationInorganic nitrate ingestion, often administered as concentrated NO3−-rich beetroot juice, has been reported to confer ergogenic effects in various exercise modalities including running, rowing, kayaking, knee extensions and cycling.
“More recently, inorganic nitrate (NO3−) ingestion, often administered as concentrated NO3−-rich beetroot juice (BR), has been reported to confer ergogenic effects in various exercise modalities [35], including running [36,37,38,39,40,41,42,43,44,45,46,47], rowing [48,49], kayaking [50], knee extensions [37,51] and cycling [52,53,54,55,56,57,58,59,60,61,62,63,64].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [35] Jones, 2018, Dietary nitrate and physical performance, Annu. Rev. Nutr. source
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PremisecitationRecent systematic reviews support NO3− supplementation efficacy as an ergogenic aid during continuous endurance-type exercise and high-intensity intermittent-type exercise.
“Although an ergogenic effect of NO3− supplementation appears less likely in endurance-trained individuals, i.e., [65,66,67,68,69,70,71,72,73,74], recent systematic reviews support its efficacy as an ergogenic aid during continuous endurance-type exercise [75,76,77] and high-intensity intermittent-type exercise [78].”
Quote in the paperNot a substantial claim0 of 4 sources checked- cites [75] Domínguez, R., Cuenca, E., Maté-Muñoz, J.L., Garca-Fernández, P., Paya, N.S., Lozano-Estevan, M.D.C., Veiga-Herreros, P., and Garnacho-Castaño, M.V. (2017). Effects of Beetroot Juice Supplementation on Cardiorespiratory Endurance in Athletes. A Systematic Review. Nutrition, 9. source
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- cites [76] McMahon, 2016, The Effect of Dietary Nitrate Supplementation on Endurance Exercise Performance in Healthy Adults: A Systematic Review and Meta-Analysis, Sports Med. source
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- cites [77] Vukovich, 2018, The Effect of Nitrate Supplementation on Exercise Tolerance and Performance, J. Strength Cond. Res. source
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- cites [78] Cuenca, 2018, Effects of beetroot juice supplementation on intermittent high-intensity exercise efforts, J. Int. Soc. Sports Nutr. source
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May combine two claims.
PremisecitationDietary NO3− supplementation elevates nitric oxide bioavailability via reduction of exogenous NO3− to nitrite by commensal anaerobic bacteria in the oral cavity, followed by one-electron reduction of NO2− to NO catalyzed by various NO2− reductases in tissue and blood.
“Dietary NO3− supplementation has been observed to elevate nitric oxide (NO) bioavailability via the reduction of exogenous NO3− to nitrite (NO2−) by commensal anaerobic bacteria in the oral cavity [79], followed by the one-electron reduction of NO2− to NO (and other nitrogen intermediates) catalyzed by various NO2− reductases [80,81,82,83,84] in the tissue and blood.”
Quote in the paperSubstantial claim0 of 6 sources checked- cites [79] Spiegelhalder, 1976, Influence of dietary nitrate on nitrite content of human saliva: Possible relevance to in vivo formation of N-nitroso compounds, Food Cosmet. Toxicol. source
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- cites [80] Cosby, 2003, Nitrite reduction to nitric oxide by deoxyhemoglobin vasodilates the human circulation, Nat. Med. source
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- cites [81] Kozlov, 2003, Various intracellular compartments cooperate in the release of nitric oxide from glycerol trinitrate in liver, Br. J. Pharmacol. source
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- cites [82] Li, 2008, Nitric Oxide Production from Nitrite Occurs Primarily in Tissues Not in the Blood, J. Biol. Chem. source
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- cites [83] Shiva, 2007, Deoxymyoglobin is a nitrite reductase that generates nitric oxide and regulates mitochondrial respiration, Circ. Res. source
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- cites [84] Zhang, 1997, Human xanthine oxidase converts nitrite ions into nitric oxide (NO), Biochem. Soc. Trans. source
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Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationThese improvements in skeletal muscle contractile function were accompanied by increased protein expression of Ca2+-handling proteins in the extensor digitorum longus (predominantly type II fibers) but not the soleus (predominantly type I fibers).
“These improvements in skeletal muscle contractile function were accompanied by increased protein expression of calcium (Ca2+)-handling proteins in the extensor digitorum longus, which is predominantly comprised of type II muscle fibers, but not the soleus, which is predominantly comprised of type I muscle fibers [98].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [98] Schiffer, 2012, Dietary nitrate increases tetanic [Ca2+]i and contractile force in mouse fast-twitch muscle, J. Physiol. source
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May combine two claims.
PremisecitationNO3− supplementation can enhance force production during voluntary and evoked isometric assessments and isokinetic voluntary knee extensor power and velocity.
“There is some evidence that NO3− supplementation can enhance force production during voluntary and evoked isometric assessments [73,95,96] and isokinetic voluntary knee extensor power and velocity [97].”
Quote in the paperSubstantial claim0 of 4 sources checked- cites [73] Wickham, 2019, No effect of beetroot juice supplementation on exercise economy and performance in recreationally active females despite increased torque production, Physiol. Rep. source
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- cites [95] Haider, 2014, Nitrate Supplementation Enhances the Contractile Properties of Human Skeletal Muscle, Med. Sci. Sports Exerc. source
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- cites [96] Whitfield, 2017, Beetroot Juice Increases Human Muscle Force without Changing Ca2+-Handling Proteins, Med. Sci. Sports Exerc. source
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- cites [97] Coggan, 2015, Effect of acute dietary nitrate intake on maximal knee extensor speed and power in healthy men and women, Nitric Oxide source
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May combine two claims.
InterpretationcitationCollectively, these findings suggest that dietary NO3− supplementation has the potential to increase contractile force production, skeletal muscle power and velocity of contraction, particularly in type II muscle fibers, which are heavily recruited during weightlifting exercise.
“Collectively, these findings suggest that dietary NO3− supplementation has the potential to increase contractile force production, skeletal muscle power and velocity of contraction, particularly in type II muscle fibers, which are heavily recruited during weightlifting exercise [99].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [99] Morton, 2019, Muscle fibre activation is unaffected by load and repetition duration when resistance exercise is performed to task failure, J. Physiol. source
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PremisecitationIn contrast to rodent studies, there was an increase in evoked contractile force after NO3− supplementation without an effect on muscle Ca2+-handling proteins in human skeletal muscle.
“However, in contrast to the rodent studies, there was an increase in evoked contractile force after NO3− supplementation without an effect on muscle Ca2+-handling proteins in human skeletal muscle [96].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [96] Whitfield, 2017, Beetroot Juice Increases Human Muscle Force without Changing Ca2+-Handling Proteins, Med. Sci. Sports Exerc. source
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PremisecitationIn rodents, 7 days of NO3− supplementation increased evoked force production at low-stimulation frequencies and rate of force development at high-contraction frequencies compared to age-matched controls.
“Data from animal studies support these observations and have indicated that 7 days of NO3− supplementation increased evoked force production in rodents at low-stimulation frequencies and the rate of force development at high-contraction frequencies compared to age-matched controls [98].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [98] Schiffer, 2012, Dietary nitrate increases tetanic [Ca2+]i and contractile force in mouse fast-twitch muscle, J. Physiol. source
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May combine two claims.
PremisecitationElevations in [NO3−] and [NO2−] following NO3− supplementation are associated with positive physiological effects that facilitate a greater capacity for muscular work and/or improved muscle contractile efficiency.
“Elevations in [NO3−] and [NO2−] following NO3− supplementation have been observed in skeletal muscle [88,89,90,91] and plasma [53,64,92], and are associated with positive physiological effects [41,64,74,93] that facilitate a greater capacity for muscular work [51,53,59] and/or improved muscle contractile efficiency (i.e., a lower high-energy phosphate cost of force production) [51,94].”
Quote in the paperSubstantial claim0 of 8 sources checked- cites [41] Porcelli, 2015, Aerobic fitness affects the exercise performance responses to nitrate supplementation, Med. Sci. Sports Exerc. source
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- cites [64] Wylie, 2013, Beetroot juice and exercise: Pharmacodynamic and dose-response relationships, J. Appl. Physiol. source
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- cites [74] Wilkerson, 2012, Influence of acute dietary nitrate supplementation on 50 mile time trial performance in well-trained cyclists, Graefe’s Arch. Clin. Exp. Ophthalmol.
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- cites [93] Wendt, 2010, Positive correlation between plasma nitrite and performance during high-intensive exercise but not oxidative stress in healthy men, Nitric Oxide source
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- cites [51] Bailey, 2010, Dietary nitrate supplementation enhances muscle contractile efficiency during knee-extensor exercise in humans, J. Appl. Physiol. source
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- cites [53] Bailey, 2009, Dietary nitrate supplementation reduces the O2cost of low-intensity exercise and enhances tolerance to high-intensity exercise in humans, J. Appl. Physiol. source
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- cites [59] Lansley, 2011, Acute Dietary Nitrate Supplementation Improves Cycling Time Trial Performance, Med. Sci. Sports Exerc. source
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- cites [94] Fulford, 2013, Influence of dietary nitrate supplementation on human skeletal muscle metabolism and force production during maximum voluntary contractions, Pflüg. Arch. source
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PremisecitationNO3− supplementation can lower the PCr cost of muscle force production at the end of a protocol comprising 50 MVIs of the knee extensors and is more effective at improving skeletal muscle contractile function after the muscle has become fatigued.
“In addition, it has been reported that NO3− supplementation can lower the PCr cost of muscle force production at the end of a protocol comprising 50 MVIs of the knee extensors [94] and is more effective at improving skeletal muscle contractile function after the muscle has become fatigued [103].”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [94] Fulford, 2013, Influence of dietary nitrate supplementation on human skeletal muscle metabolism and force production during maximum voluntary contractions, Pflüg. Arch. source
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- cites [103] Tillin, 2018, Nitrate supplement benefits contractile forces in fatigued but not unfatigued muscle, Med. Sci. Sports Exerc. source
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PremisecitationThe recovery of muscle force during repeated bouts of high-intensity exercise is linked to muscle PCr resynthesis, which is largely an O2-dependent process.
“The recovery of muscle force during repeated bouts of high-intensity exercise is linked to muscle PCr resynthesis [104,105,106], which is largely an O2-dependent process [107,108].”
Quote in the paperSubstantial claim0 of 5 sources checked- cites [104] Bogdanis, 1995, Recovery of power output and muscle metabolites following 30 s of maximal sprint cycling in man, J. Physiol. source
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- cites [105] Bogdanis, 1996, Contribution of phosphocreatine and aerobic metabolism to energy supply during repeated sprint exercise, J. Appl. Physiol. source
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- cites [106] Gaitanos, 1993, Human muscle metabolism during intermittent maximal exercise, J. Appl. Physiol. source
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- cites [107] Trump, 1996, Importance of muscle phosphocreatine during intermittent maximal cycling, J. Appl. Physiol. source
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- cites [108] Vanhatalo, 2011, Dietary nitrate reduces muscle metabolic perturbation and improves exercise tolerance in hypoxia, J. Physiol. source
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PremisecitationMotor unit recruitment during NMES is spatially fixed, temporally synchronous and nonselective, such that it may not conform to the orderly recruitment of motor units during voluntary contractions.
“Specifically. motor unit recruitment during NMES is spatially fixed, temporally synchronous and nonselective (i.e., randomized), such that it may not conform to the orderly recruitment of motor units during voluntary contractions [101].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [101] Henneman, 1957, Relation between Size of Neurons and Their Susceptibility to Discharge, Science source
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Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataA quality assessment procedure was performed by three authors using the PEDro scale.
“A quality assessment procedure was performed by three authors (ALR, RD and JJM) using the PEDro scale [111].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [111] Maher, 2003, Reliability of the PEDro Scale for Rating Quality of Randomized Controlled Trials, Phys. Ther. source
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InterpretationcitationThe main findings were that dietary NO3− supplementation can increase muscular power and velocity, and the number of repetitions to failure during bench press exercise, but not box squat exercise, in resistance-trained males.
“The main findings were that dietary NO3− supplementation can increase muscular power and velocity, and the number of repetitions to failure during bench press exercise, but not box squat exercise, in resistance-trained males.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataAfter elimination of duplicates and screening, a total of 291 articles were independently read and reviewed by three authors.
“After the elimination of duplicate articles and screening for inclusion criteria, a total of 291 articles were independently read and reviewed by three authors (RD, JJM and ASF).”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim.
Study design and conductown dataA systematic search using PRISMA guidelines was conducted for studies investigating NO3− supplementation on weightlifting exercise performance using Dialnet, Directory of Open Access Journals, Medline, Pubmed, Scielo, Scopus and SPORTDiscus databases until April 2020.
“A systematic search using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines [110] was conducted for studies that investigated NO3− supplementation on weightlifting exercise performance using Dialnet, Directory of Open Access Journals, Medline, Pubmed, Scielo, Scopus and SPORTDiscus databases until April 2020, using the following terms:”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [110] Shamseer, 2015, The PRISMA-P Group Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: Elaboration and explanation, BMJ source
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PremisecitationIncreased time to task failure following NO3− supplementation was accompanied by lower rates of ATP and PCr turnover, and ADP and Pi accumulation, factors expected to lower skeletal muscle fatigue.
“This increased time to task failure following NO3− supplementation was accompanied by lower rates of ATP and PCr turnover, and ADP and Pi accumulation, factors that would be expected to lower skeletal muscle fatigue [102].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [102] Allen, 2008, Skeletal Muscle Fatigue: Cellular Mechanisms, Physiol. Rev. source
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PremisecitationWeightlifting training increases both the hypertrophy and proportion of type II muscle fibers, such that the proportion of type II muscle is greater in resistance-trained individuals.
“However, there is evidence that weightlifting training increases both the hypertrophy and proportion of type II muscle fibers, such that the proportion of type II muscle is greater in resistance-trained individuals [126,127].”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [126] Andersen, 2000, Myosin heavy chain IIX overshoot in human skeletal muscle, Muscle Nerve source
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- cites [127] Andersen, 2010, Early and late rate of force development: Differential adaptive responses to resistance training?, Scand. J. Med. Sci. Sports source
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PremisecitationMuscle velocity and muscle power assessment require optimal neuromuscular conditions, and studies analyzing supplement effects on muscular velocity and power selected a maximum of two repetitions with a submaximal load, with recovery periods of 2−5 min.
“Muscle velocity and muscle power assessment require optimal neuromuscular conditions and, as such, studies analyzing the effect of different supplements on muscular velocity and power selected a maximum of two repetitions with a submaximal load, with recovery periods of 2−5 min [117,118,119,120,121,122].”
Quote in the paperSubstantial claim0 of 6 sources checked- cites [117] Salinero, 2012, Dose response effects of a caffeine-containing energy drink on muscle performance: A repeated measures design, J. Int. Soc. Sports Nutr. source
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- cites [118] Ortega, 2015, Improvements on neuromuscular performance with caffeine ingestion depend on the time-of-day, J. Sci. Med. Sport source
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- cites [119] Ortega, 2013, Neuromuscular Responses to Incremental Caffeine Doses, Med. Sci. Sports Exerc. source
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- cites [120] Lougedo, 2018, Effects of β-alanine supplementation during a 5-week strength training program: A randomized, controlled study, J. Int. Soc. Sports Nutr. source
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- cites [121] Venier, 2019, Acute Enhancement of Jump Performance, Muscle Strength, and Power in Resistance-Trained Men After Consumption of Caffeinated Chewing Gum, Int. J. Sports Physiol. Perform. source
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- cites [122] Romero-Moraleda, B., Del Coso, J., Gutiérrez-Hellín, J., and Lara, B. (2019). The Effect of Caffeine on the Velocity of Half-Squat Exercise during the Menstrual Cycle: A Randomized Controlled Trial. Nutrients, 11. source
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Probably not a substantial claim: may not pass S3 (load-bearing).
InterpretationreasoningThese effects could occur independent of changes in the content of Ca2+-handling proteins.
“Importantly, these effects could occur independent of changes in the content of Ca2+-handling proteins.”
Quote in the paperNot a substantial claimMay combine two claims.
PremisecitationEnhanced skeletal muscle contractile function has been observed during electrically stimulated contractions, and enhanced peak power output has been observed during isokinetic dynamometry and cycling exercise.
“Consistent with the potential for improved weightlifting exercise performance after NO3− supplementation, enhanced skeletal muscle contractile function has been observed during electrically stimulated contractions [95,96,103], and enhanced peak power output has been observed during isokinetic dynamometry [97,123,128] and cycling [45,57,60,129,130,131,132,133] exercise.”
Quote in the paperSubstantial claim0 of 10 sources checked- cites [95] Haider, 2014, Nitrate Supplementation Enhances the Contractile Properties of Human Skeletal Muscle, Med. Sci. Sports Exerc. source
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- cites [96] Whitfield, 2017, Beetroot Juice Increases Human Muscle Force without Changing Ca2+-Handling Proteins, Med. Sci. Sports Exerc. source
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- cites [103] Tillin, 2018, Nitrate supplement benefits contractile forces in fatigued but not unfatigued muscle, Med. Sci. Sports Exerc. source
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- cites [97] Coggan, 2015, Effect of acute dietary nitrate intake on maximal knee extensor speed and power in healthy men and women, Nitric Oxide source
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- cites [123] Coggan, 2018, Dietary nitrate-induced increases in human muscle power: High versus low responders, Physiol. Rep. source
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- cites [128] Coggan, 2019, A Single Dose of Dietary Nitrate Increases Maximal Knee Extensor Angular Velocity and Power in Healthy Older Men and Women, J. Gerontol. Ser. A Biol. Sci. Med. Sci. source
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- cites [45] Thompson, 2015, Dietary nitrate improves sprint performance and cognitive function during prolonged intermittent exercise, Eur. J. Appl. Physiol. source
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- cites [57] Jonvik, 2018, Repeated-sprint performance and plasma responses following beetroot juice supplementation do not differ between recreational, competitive and elite sprint athletes, Eur. J. Sport Sci. source
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- cites [60] Rimer, 2016, Increase in Maximal Cycling Power with Acute Dietary Nitrate Supplementation, Int. J. Sports Physiol. Perform. source
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- cites [129] Cuenca, E., Jodra, P., Pérez-López, A., Rodríguez, L.G.G., Da Silva, S.F., Veiga-Herreros, P., and Domínguez, R. (2018). Effects of Beetroot Juice Supplementation on Performance and Fatigue in a 30-s All-Out Sprint Exercise: A Randomized, Double-Blind Cross-Over Study. Nutrients, 10. source
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PremisecitationRyR proteins contain a markedly greater number of sulfhydryl groups compared to other contractile proteins, which supports the proposed hypothesis that NO-mediated RyR modulation and Ca2+ release could contribute to enhanced muscle contractility following NO3− supplementation.
“In addition, RyR proteins contain a markedly greater number of sulfhydryl groups compared to other contractile proteins [146], which supports the proposed hypothesis that NO-mediated RyR modulation and Ca2+ release could contribute to enhanced muscle contractility following NO3− supplementation [123].”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [146] Takeshima, 1989, Primary structure and expression from complementary DNA of skeletal muscle ryanodine receptor, Nature source
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- cites [123] Coggan, 2018, Dietary nitrate-induced increases in human muscle power: High versus low responders, Physiol. Rep. source
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Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationNaNO2 administration can increase cytosolic [Ca2+] without altering force production at a supraphysiological PO2, or lower cytosolic [Ca2+] concomitant with lower submaximal, but not maximal, force at a physiological PO2, during single evoked isometric contractions in isolated mouse muscle fibers.
“There is also previous evidence indicating that NaNO2 administration can increase cytosolic [Ca2+] without altering force production at a supraphysiological PO2 [134], or lower cytosolic [Ca2+] concomitant with lower submaximal, but not maximal, force at a physiological PO2 [118], during single evoked isometric contractions in isolated mouse muscle fibers.”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [134] Andrade, 1998, Effect of hydrogen peroxide and dithiothreitol on contractile function of single skeletal muscle fibres from the mouse, J. Physiol. source
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- cites [118] Ortega, 2015, Improvements on neuromuscular performance with caffeine ingestion depend on the time-of-day, J. Sci. Med. Sport source
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PremisecitationVarious contractile-related proteins can undergo reversible post-translation modifications at cysteine residues on thiols, such as myosin, troponin, SERCA and ryanodine receptors, and these modifications are likely dependent on interactions between NO, reactive oxygen species and glutathione bioavailability.
“The potential influence of S-nitrosylation on excitation–contraction coupling is complex given that various contractile-related proteins can undergo reversible post-translation modifications at cysteine residues on thiols, such as myosin [140], troponin [141], SERCA [142] and ryanodine receptors (RyRs) [143,144], and that these post-translation protein modifications are likely dependent on inter”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites [140] Nogueira, 2009, Myosin is reversibly inhibited by S-nitrosylation, Biochem. J. source
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- cites [141] Dutka, 2017, S-nitrosylation and S-glutathionylation of Cys134 on troponin I have opposing competitive actions on Ca2+ sensitivity in rat fast-twitch muscle fibers, Am. J. Physiol. Physiol. source
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- cites [142] Ishii, 1998, Inhibition of skeletal muscle sarcoplasmic reticulum Ca2+-ATPase by nitric oxide, FEBS Lett. source
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InterpretationcitationOther studies have not observed changes in EMG after NO3− supplementation, and it is unclear whether NO3− supplementation alters neural drive.
“However, other studies have not observed changes in EMG after NO3− supplementation [95,103] and, as such, it is unclear whether NO3− supplementation alters neural drive.”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [95] Haider, 2014, Nitrate Supplementation Enhances the Contractile Properties of Human Skeletal Muscle, Med. Sci. Sports Exerc. source
Not checked in the free run.
- cites [103] Tillin, 2018, Nitrate supplement benefits contractile forces in fatigued but not unfatigued muscle, Med. Sci. Sports Exerc. source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Interpretationnone givenThe exact physiological mechanisms responsible for enhanced exercise performance following dietary NO3− supplementation are unclear.
“Although the exact physiological mechanisms responsible for enhanced exercise performance following dietary NO3− supplementation are unclear, a number of putative mechanisms have been identified which could contribute to improved weightlifting exercise performance.”
Quote in the paperNot a substantial claimMay combine two claims.
InterpretationreasoningTaken together, the existing, albeit limited, evidence suggests that acute and short-term dietary NO3− supplementation can enhance weightlifting exercise performance by increasing muscle power production, velocity of contraction and muscular endurance in healthy resistance-trained adults.
“Taken together, the existing, albeit limited, evidence suggests that acute and short-term dietary NO3− supplementation can enhance weightlifting exercise performance by increasing muscle power production, velocity of contraction and muscular endurance in healthy resistance-trained adults.”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationNO3− supplementation has been reported to lower the high-energy phosphate cost of skeletal muscle contractile force production and the intramuscular accumulation of ADP and Pi, factors expected to abate the development of skeletal muscle fatigue.
“Specifically, NO3− supplementation has been reported to lower the high-energy phosphate cost of skeletal muscle contractile force production [51,94] and the intramuscular accumulation of ADP and Pi [51], factors which would be expected to abate the development of skeletal muscle fatigue [102].”
Quote in the paperSubstantial claim0 of 3 sources checked- cites [51] Bailey, 2010, Dietary nitrate supplementation enhances muscle contractile efficiency during knee-extensor exercise in humans, J. Appl. Physiol. source
Not checked in the free run.
- cites [94] Fulford, 2013, Influence of dietary nitrate supplementation on human skeletal muscle metabolism and force production during maximum voluntary contractions, Pflüg. Arch. source
Not checked in the free run.
- cites [102] Allen, 2008, Skeletal Muscle Fatigue: Cellular Mechanisms, Physiol. Rev. source
Not checked in the free run.
May combine two claims.
InterpretationreasoningThe results are incongruous with inconsistencies likely linked to differences in supplementation strategies and exercise modality.
“However, the results are incongruous with inconsistencies likely linked to differences in supplementation strategies and exercise modality.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationAnother mechanism that could improve skeletal muscle contractile function after NO3− supplementation is post-translational modification of skeletal muscle contractile or Ca2+-handling proteins.
“Another mechanism that could improve skeletal muscle contractile function after NO3− supplementation is the post-translational modification of the skeletal muscle contractile or Ca2+-handling proteins [136].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [136] Nyakayiru, 2017, Sodium nitrate ingestion increases skeletal muscle nitrate content in humans, J. Appl. Physiol. source
Not checked in the free run.
Classified as probably not a substantial claim. May combine two claims.
InterpretationreasoningWhile NO3− supplementation appears to potentially enhance resistance training quality, it is unclear if this will translate into improved weightlifting training adaptations.
“Furthermore, while NO3− supplementation appears to potentially enhance resistance training quality, it is unclear if this will translate into improved weightlifting training adaptations.”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationDietary NO3− supplementation has also been shown to increase muscle blood flow, which might aid muscle PCr resynthesis between sets to failure and the recovery of force and performance.
“Dietary NO3− supplementation has also been shown to increase muscle blood flow [109], which might aid muscle PCr resynthesis between sets to failure [107,108] and the recovery of force and performance [104,105,106].”
Quote in the paperSubstantial claim0 of 6 sources checked- cites [109] Ferguson, 2012, Impact of dietary nitrate supplementation via beetroot juice on exercising muscle vascular control in rats, J. Physiol. source
Not checked in the free run.
- cites [107] Trump, 1996, Importance of muscle phosphocreatine during intermittent maximal cycling, J. Appl. Physiol. source
Not checked in the free run.
- cites [108] Vanhatalo, 2011, Dietary nitrate reduces muscle metabolic perturbation and improves exercise tolerance in hypoxia, J. Physiol. source
Not checked in the free run.
- cites [104] Bogdanis, 1995, Recovery of power output and muscle metabolites following 30 s of maximal sprint cycling in man, J. Physiol. source
Not checked in the free run.
- cites [105] Bogdanis, 1996, Contribution of phosphocreatine and aerobic metabolism to energy supply during repeated sprint exercise, J. Appl. Physiol. source
Not checked in the free run.
- cites [106] Gaitanos, 1993, Human muscle metabolism during intermittent maximal exercise, J. Appl. Physiol. source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationNO3− supplementation has been reported to enhance the adaptations to sprint interval training.
“Notably, although NO3− supplementation has been reported to enhance the adaptations to sprint interval training [62,147], the molecular bases for skeletal muscle oxidative metabolism and hypertrophy training adaptations are different and can be potentially antagonistic [148,149].”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [62] Thompson, 2016, Influence of dietary nitrate supplementation on physiological and muscle metabolic adaptations to sprint interval training, J. Appl. Physiol. source
Not checked in the free run.
- cites [147] Thompson, 2018, Discrete physiological effects of beetroot juice and potassium nitrate supplementation following 4-wk sprint interval training, J. Appl. Physiol. source
Not checked in the free run.
May combine two claims.
PremisecitationThe molecular bases for skeletal muscle oxidative metabolism and hypertrophy training adaptations are different and can be potentially antagonistic.
“Notably, although NO3− supplementation has been reported to enhance the adaptations to sprint interval training [62,147], the molecular bases for skeletal muscle oxidative metabolism and hypertrophy training adaptations are different and can be potentially antagonistic [148,149].”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [148] Coffey, 2016, Concurrent exercise training: Do opposites distract?, J. Physiol. source
Not checked in the free run.
- cites [149] Fyfe, 2014, Interference between Concurrent Resistance and Endurance Exercise: Molecular Bases and the Role of Individual Training Variables, Sports Med. source
Not checked in the free run.
May combine two claims.
InterpretationcitationThe potential candidate mechanisms for improved weightlifting exercise performance after NO3− supplementation include enhanced excitation-contraction coupling via modulation of Ca2+-handling and contractile proteins; improved skeletal muscle metabolic control via lowering the high-energy phosphate cost of contraction and fatigue-related metabolite accumulation; and improved skeletal muscle PerfUSI
“The potential candidate mechanisms for improved weightlifting exercise performance after NO3− supplementation include enhanced excitation–contraction coupling, via modulation of Ca2+-handling and contractile proteins [98,134,135,139]; improved skeletal muscle metabolic control, via lowering the high-energy phosphate cost of contraction and fatigue-related metabolite accumulation [51,94]; and”
Quote in the paperSubstantial claim0 of 7 sources checked- cites [98] Schiffer, 2012, Dietary nitrate increases tetanic [Ca2+]i and contractile force in mouse fast-twitch muscle, J. Physiol. source
Not checked in the free run.
- cites [134] Andrade, 1998, Effect of hydrogen peroxide and dithiothreitol on contractile function of single skeletal muscle fibres from the mouse, J. Physiol. source
Not checked in the free run.
- cites [135] Bailey, 2019, Incubation with sodium nitrite attenuates fatigue development in intact single mouse fibres at physiological, J. Physiol. source
Not checked in the free run.
- cites [139] Evangelista, A.M., Rao, V.S., Filo, A.R., Marozkina, N.V., Doctor, A., Jones, D.R., Gaston, B., and Guilford, W. (2010). Direct Regulation of Striated Muscle Myosins by Nitric Oxide and Endogenous Nitrosothiols. PLoS ONE, 5. source
Not checked in the free run.
- cites [51] Bailey, 2010, Dietary nitrate supplementation enhances muscle contractile efficiency during knee-extensor exercise in humans, J. Appl. Physiol. source
Not checked in the free run.
- cites [94] Fulford, 2013, Influence of dietary nitrate supplementation on human skeletal muscle metabolism and force production during maximum voluntary contractions, Pflüg. Arch. source
Not checked in the free run.
- cites [109] Ferguson, 2012, Impact of dietary nitrate supplementation via beetroot juice on exercising muscle vascular control in rats, J. Physiol. source
Not checked in the free run.
Probably not a substantial claim: may not pass S4 (based).
InterpretationreasoningThe mechanistic bases responsible for the potential ergogenic effect of NO3− supplementation on weightlifting exercise performance may be linked to improvements in skeletal muscle excitation-contraction coupling, high-energy phosphate metabolism and perfusion.
“The mechanistic bases responsible for the potential ergogenic effect of NO3− supplementation on weightlifting exercise performance may be linked to improvements in skeletal muscle excitation–contraction coupling, high-energy phosphate metabalism and perfusion.”
Quote in the paperNot a substantial claimMay combine two claims.
InterpretationreasoningTaken together, the existing evidence suggests that NO3− supplementation can improve skeletal muscle contractile function and might enhance weightlifting exercise performance in humans.
“Taken together, the existing evidence suggests that NO3− supplementation can improve skeletal muscle contractile function and might enhance weightlifting exercise performance in humans.”
Quote in the paperSubstantial claimMay combine two claims.
InterpretationreasoningNO3− supplementation can improve muscular power production, velocity of contraction, and the number of repetitions to failure during weightlifting exercise.
“Indeed, NO3− supplementation can improve muscular power production, velocity of contraction, and the number of repetitions to failure during weightlifting exercise.”
Quote in the paperSubstantial claim
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Improved muscle perfusion and oxygen delivery may support anabolic signalling and enhance adaptations to resistance training, suggesting potential relevance in managing sarcopenia.
“Improved muscle perfusion and oxygen delivery may also support anabolic signalling and enhance adaptations to resistance training, suggesting its potential relevance in managing sarcopenia [202,203].”
From Dietary Nitrate-Rich Vegetables as Natural Modulators of Health: Mechanisms and Benefits in Ageing Populations (2026) · cites this paper as [202]
The Introduction (page unavailable) says nitrate supplementation may increase muscle blood flow and aid recovery between resistance-exercise sets. But Physiological Mechanisms (page unavailable) says its effect on long-term training adaptations is unclear and notes possible interference with mTORC1 signalling; the paper does not establish enhanced anabolic signalling or relevance to managing sarcopenia. (LLM, conf=0.86)
Experimental — accuracy not yet measuredDietary NO3− can improve exercise tolerance in older patient populations affected by reduced O2 delivery to skeletal muscles.
“Moreover, dietary NO3− can improve exercise tolerance in older patient populations, which are affected by reduced O2 delivery to skeletal muscles [32].”
Dietary nitrate (NO3−) supplementation has beneficial effects on muscle contractility and muscle efficiency, and improves muscle endurance during weightlifting exercise in healthy adults.
“The ergogenic potential of dietary nitrate (NO3−) supplementation has shown beneficial effects on muscle contractility and muscle efficiency, as well as to improve muscle endurance during weightlifting exercise in healthy adults [32].”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Reference [150] names a different kinase from the one attributed to it
MinorThe text attributes AMPK activation to reference [150], but the cited reference's title says that nitrite activates protein kinase A. AMPK and protein kinase A are different kinases.
“For example, NO2− has been reported to activate AMPK [150]”
“150. Pride C.K. Mo L. Quesnelle K.M. Dagda R.K. Murillo D. Geary L. Corey C. Portella R. Zharikov S. Croix C.S. Nitrite activates protein kinase A in normoxia to mediate mitochondrial fusion and tolerance to ischaemia/reperfusion”
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Self-citationEffect of Movement Velocity during Resistance Training on Neuromuscular Performance
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“It is well documented that a propensity for high muscular power production, velocity of contraction and endurance are required for optimal performance in various sports [13,24] and that resistance exercise training can improve these performance determinants [8].”
BackgroundImpact of Resistance Training on Endurance Performance
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“More recently, inorganic nitrate (NO3−) ingestion, often administered as concentrated NO3−-rich beetroot juice (BR), has been reported to confer ergogenic effects in various exercise modalities [35], including running [36–47], rowing [48,49], kayaking [50], knee extensions [37,51] and cycling [52–64].”
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Self-citationFiber Type-Specific Effects of Dietary Nitrate
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Self-citationNo Improvement in Endurance Performance after a Single Dose of Beetroot Juice
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Self-citationDietary nitrate supplementation improves sprint and high-intensity intermittent running performance
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Dietary Nitrate Supplementation Improves Rowing Performance in Well-Trained Rowers
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Whole Beetroot Consumption Acutely Improves Running Performance
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Self-citationHuman skeletal muscle nitrate store: Influence of dietary nitrate supplementation and exercise
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Is There a Physiologic Basis for Creatine Use in Children and Adolescents?
UNNITHAN, V. B., VEEHOF, S. H. E., VELLA, C. A., & KERN, M. (2001) · Journal of Strength and Conditioning Research · doi:10.1519/00124278-200111000-00021 · Cited by 18 · see citing works
Mosher, S. L., Gough, L. A., Deb, S., Saunders, B., Mc Naughton, L. R., Brown, D. R., & Sparks, S. A. (2020) · Research in Sports Medicine · doi:10.1080/15438627.2019.1586707 · Cited by 9 · see citing works
Beetroot juice supplementation does not modify the 3-km running performance in untrained women
Fernandes de Castro, T., de Assis Manoel, F., & Machado, F. A. (2018) · Science & Sports · doi:10.1016/j.scispo.2018.01.010 · Cited by 6 · see citing works
Andersen (2000) · doi:10.1002/1097-4598(200007)23:7
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Gonzalez, A. M., Townsend, J. R., Pinzone, A. G., & Hoffman, J. R. (2023) · Nutrients · doi:10.3390/nu15030660 · Cited by 89 · see citing works
Effects of Nitrate Supplementation on Exercise Performance in Humans: A Narrative Review
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A Survey on Dietary Supplement Consumption in Amateur and Professional Rugby Players
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Jurado‐Castro, J. M., Campos-Pérez, J., Ranchal‐Sánchez, A., Durán-López, N., & Domínguez, R. (2022) · Sports Health A Multidisciplinary Approach · doi:10.1177/19417381221083590 · Cited by 40 · see citing works
Nitric oxide in exercise physiology: past and present perspectives
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Renna, M., D’Imperio, M., Maggi, S., & Serio, F. (2022) · Frontiers in Nutrition · doi:10.3389/fnut.2022.966018 · Cited by 21 · see citing works
Lago-Rodríguez, Á., Domínguez, R., Ramos-Álvarez, J. J., Tobal, F. M., Jiménez, P. J., Tan, R., & Bailey, S. J. (2020) · Nutrients · doi:10.3390/nu12103022 · Cited by 15 · see citing works
Self-citationNeteca, J., Veseta, U., Liepina, I., Volgemute, K., Dzintare, M., & Babarykin, D. (2024) · Nutrients · doi:10.3390/nu17010063 · Cited by 13 · see citing works
Nutritional supplements in combat sports: What we know and what we do
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On the Role of Dietary Nitrate in the Maintenance of Systemic and Oral Health
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Gonzalez, A. M., Pinzone, A. G., Lipes, S. E., Mangine, G. T., Townsend, J. R., Allerton, T. D., Sell, K. M., & Ghigiarelli, J. J. (2022) · European Journal of Applied Physiology · doi:10.1007/s00421-022-04940-4 · Cited by 10 · see citing works
Effects of Acute Beetroot Juice Ingestion on Reactive Agility Performance
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Sport supplementation in competitive swimmers: a systematic review with meta-analysis
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Self-citationDietary Nitrate Ingestion Does Not Improve Neuromuscular Performance in Male Sport Climbers
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Nutrient Intake and Body Composition in CrossFit Athletes: a Cross-sectional Study
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“Improved muscle perfusion and oxygen delivery may also support anabolic signalling and enhance adaptations to resistance training, suggesting its potential relevance in managing sarcopenia [202,203].”
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Supplementation and Ergogenic Aids for Enhancing Muscular Strength Production
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Vision-Based Temporal Classification of Correct and Incorrect Weightlifting Exercises
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- Authors
- San Juan, A. F., Dominguez, R., Lago-Rodríguez, Á., Montoya, J. J., Tan, R., & Bailey, S. J.
- Affiliations
- Department of Health and Human Performance, Sport Biomechanics Laboratory, Facultad de Ciencias de la Actividad Física y del Deporte—INEF, Universidad Politécnica de Madrid, 28040 Madrid, Spain
- Faculty of Health Science, Universidad Isabel I, 09003 Burgos, Spain
- Universidad Isabel I (ES)
- Universidad Complutense de Madrid (ES)
- Pepperdine University (US)
- Loughborough University (GB)
- ORCID
- Venue
- Nutrients
- Publisher
- MDPI AG
- Published
- 2020-07-26
- Volume
- 12
- Issue
- 8
- Pages
- 2227
- ISSN
- 2072-6643 (ISSN-L)
- PMC
- PMC7469052
- OpenAlex
- W3045438527
- Semantic Scholar
- db696aa396a43aea0755cf32c6e4aa274f1579af
- Cited by
- 36
- References
- 154
- Citations by year
- 2026: 4 · 2025: 7 · 2024: 4 · 2023: 5 · 2022: 10 · 2021: 4 · 2020: 2
- FWCI
- 0.61
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Nutrients (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Figshare (submittedVersion, cc-by)
- Pepperdine Digital Commons (Pepperdine University) (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Muscle metabolism and nutrition
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports Performance and Training
- Health Sciences › Medicine › Rehabilitation › Exercise and Physiological Responses
- Keywords
- dietary nitrate, nitrate supplementation, beetroot, weightlifting, resistance exercise performance, ergogenic aids, muscle power, muscular endurance, repetitions to failure, fast-twitch muscle, bench press, back squat
- MeSH terms
- Adult, Humans, Male, Nitrates, Physical Endurance, Weight Lifting, Muscle, Skeletal, Dietary Supplements, Athletic Performance, Resistance Training, Performance-Enhancing Substances, Healthy Volunteers
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-10.
Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-10.
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