Effects of Nitrate Supplementation on Exercise Performance in Humans: A Narrative Review
Open accessAbstract
Nitrates have become increasingly popular for their potential role as an ergogenic aid. The purpose of this article was to review the current scientific evidence of nitrate supplementation on human performance. The current recommendation of nitrate supplementation is discussed, as well as possible health complications associated with nitrate intake for athletes, and dietary strategies of covering nitrate needs through sufficient intake of nitrate-rich foods alone are presented. Pubmed, Scopus, and Web of Science were searched for articles on the effects of nitrate supplementation in humans. Nitrates are an effective ergogenic aid when taken acutely or chronically in the range of ~5–16.8 mmol (~300–1041 mg) 2–3 h before exercise and primarily in the case of exercise duration of ~10–17 min in less trained individuals (VO2max < 65 mL/kg/min). Nitrate needs are most likely meet by ingesting approximately 250–500 g of leafy and root vegetables per day; however, dietary supplements might represent a more convenient and accurate way of covering an athlete’s nitrate needs. Athletes should refrain from mouthwash usage when nitrate supplementation benefits are desired. Future research should focus on the potential beneficial effects of nitrate supplementation on brain function, possible negative impacts of chronic nitrate supplementation through different nitrate sources, and the effectiveness of nitrate supplementation on strength and high-intensity intermittent exercise.
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Recommended nitrate dosages generally range between 300-600 mg ingested 1-2 h prior to exercise.
“Recommended dosages generally range between 300–600 mg ingested 1–2 h prior to exercise [204,205,206].”
From Bioavailability, Efficacy, Safety, and Regulatory Status of Creatine and Related Compounds: A Critical Review (2022) · cites this paper as [206]
Section 2.1 gives a likely effective dose of 5–9 mmol (310–560 mg), broadly consistent with the claimed 300–600 mg range. It recommends taking an acute dose 2–3 hours before exercise, not 1–2 hours, and says effects are not statistically significant when nitrate is taken less than 2 hours beforehand. No page number is provided in our copy. (LLM, conf=0.89)
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Cited by
Sorted by citations
Kreider, R. B., Jäger, R., & Purpura, M. (2022) · Nutrients · doi:10.3390/nu14051035 · Cited by 103 · see citing works
Calella, P., Cerullo, G., Di Dio, M., Liguori, F., Di Onofrio, V., Gallè, F., & Liguori, G. (2022) · Frontiers in Nutrition · doi:10.3389/fnut.2022.1048258 · Cited by 69 · see citing works
Macuh, M., Kojić, N., & Knap, B. (2023) · Nutrients · doi:10.3390/nu15173721 · Cited by 9 · see citing works
Self-citationRosier, B. T., & Mira, A. (2024) · npj Biofilms and Microbiomes · doi:10.1038/s41522-024-00528-2 · Cited by 6 · see citing works
- Authors
- Macuh, M., & Knap, B.
- Affiliations
- University of Ljubljana (SI)
- Corresponding author
- Macuh, Matjaž
- Venue
- Nutrients
- Publisher
- MDPI AG
- Published
- 2021-09-13
- Volume
- 13
- Issue
- 9
- Pages
- 3183
- ISSN
- 2072-6643 (ISSN-L)
- PMC
- PMC8465461
- OpenAlex
- W3199682581
- Cited by
- 53
- References
- 30
- Citations by year
- 2026: 6 · 2025: 17 · 2024: 9 · 2023: 11 · 2022: 10
- FWCI
- 0.87
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Nutrients (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Rehabilitation › Exercise and Physiological Responses
- Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Muscle metabolism and nutrition
- Keywords
- nitrate supplementation, ergogenic aids, exercise performance, dietary nitrate, leafy vegetables, root vegetables, athletes, mouthwash, high-intensity intermittent exercise, strength, brain function
- MeSH terms
- Humans, Nitrates, Dietary Supplements, Athletic Performance, Performance-Enhancing Substances
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