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. 2023 Jan 28;15(3):660. doi: 10.3390/nu15030660

Table 3.

Summary of studies investigating the effect of nitrates on strength performance.

Study Subjects Design Intervention Performance Tests Main Findings
Bender et al. (2018) [94] 12 healthy, active male adolescents (16.8 ± 1.0 y; 74.8 ± 12.5 kg) Randomized, double-blind, placebo-controlled, crossover study BRJ (800 mg/~12.9 mmol nitrates) vs. nitrate depleted placebo; 150 min prior IMTP

4 20 s WAnT
↑ IMTP peak force
↔ WAnT
Coggan et al. (2015) [93] 12 healthy men and women (36 ± 10 y; 26.1 ± 4.1 kg·m2) Randomized, double-blind, placebo-controlled, crossover study BRJ (11.2 mmol nitrates) vs. nitrate depleted placebo; 120 min prior Isokinetic knee extensions at 0, 90, 180, 270, & 360° s−1

50-contraction fatigue test at 180° s−1
↑ maximal knee extensor velocity
↑ maximal knee power velocity
↑ peak torque at 360° s−1
↔ 50-contraction fatigue test
Flanagan et al. (2016) [104] 14 resistance-trained males (21.1 ± 0.9 y; 77.6 ± 4.3 kg) Randomized, double-blind, placebo-controlled, crossover study Nitrate-rich bar (35.2 mg nitrates) vs. nitrate-poor bar; 3 days Dynamic box squat pyramid protocol (60-90% 1RM ascending and descending load by 10%)

Box squat MVIC with EMG
↔ box squat repetitions to failure
↑ mean peak EMG amplitude
Garnacho-Castaño et al. (2022) [103] 11 trained male CrossFit athletes (29.2 ± 3.7 y; 78.9 ± 5.4 kg) Randomized, double-blind, placebo-controlled, crossover study BRJ (~800 mg/12.8 mmol nitrates) vs. placebo; 180 min prior 90 s of wall-balls (10 kg) and 60 s of back squat (50% 1RM) separated by 3 min rest, followed by 90 s of wall-balls (10 kg) and 60 s of back squat (50% 1RM) without rest between the two exercises ↑ back squat repetitions completed in 1st round
↔ wall-balls repetitions completed in 1st round
↔ back squat or wall-balls completed in 2nd round
Haynes et al. (2021) [86] 10 resistance-trained males (22.6 ± 3.2 y; 88.3 ± 7.8 kg) Randomized, double-blind, placebo-controlled, crossover study Red spinach extract (180 mg nitrates) vs. maltodextrin placebo; 7 days (60 min prior) 5 sets of bench press (75% 1RM) to failure ↔ repetitions to failure
↔ velocity & power during bench press
Haider & Folland (2014) [97] 19 healthy untrained males (21 ± 3 y; 73 ± 10 kg) Randomized, double-blind, placebo-controlled, crossover study BRJ (9.7 mmol) vs. placebo; 7 days (150 min prior) Surface EMG during voluntary and involuntary knee extension MVIC at 110° & 120° ↔ maximal and explosive voluntary force
↑ maximal evoked force
↑ twitch peak force
Jonvik et al. (2021) [96] 15 recreationally active males (25 ± 4 y; 81 ± 10 kg) Randomized, double-blind, placebo-controlled, crossover study BRJ (985 mg nitrates) vs. nitrate depleted placebo; 6 days (180 min prior) CMJ

Knee extension MVIC at 30° & 60°

Isokinetic knee extension/flexion at 60°,120°,180°, & 300°·s−1

30 isokinetic knee extensions at 180°·s−1
↔ CMJ jump
↔ isometric strength
↑ isokinetic knee flexion power at 60°·s−1
↔ isokinetic knee flexion power at 120°,180°, and 300°·s−1
↔ isokinetic knee extension power at all velocities
↔ total workload and fatigue index for 30 isokinetic repetitions
Jurado-Castro et al. (2022) [101] 14 physically active women (25.4 ± 4.0 y; 57.0 ± 5.4 kg) Randomized, double-blind, placebo-controlled, crossover study BRJ (400 mg/6.4 mmol nitrates) vs. nitrate depleted placebo; 120 min prior CMJ

Back squat mean and peak power and velocity at 50% and 70% 1RM

3 sets of back squat, leg press, and leg extension (75% 1RM) to failure
↑ CMJ height
↑ mean/peak velocity at 50% 1RM
↑ mean/peak power at 50% 1RM
↑ repetitions to failure
Kramer et al. (2016) [95] 12 male CrossFit athletes (23 ± 5 y; 82.7 ± 13.5 kg) Randomized, double-blind, placebo-controlled, crossover study 8 mmol potassium nitrate vs. nitrate-free potassium chloride; 6 days Day 1:
2 sets of 5 isokinetic knee extension/flexion at 60°·s−1 and 180°·s−1

30-s WAnT

Day 2:
CrossFit workout (“Grace” protocol)
↔ Isokinetic leg performance
↔ Isometric leg performance
↑ peak WAnT power
↔ CrossFit performance
Mosher et al. (2016) [98] 12 recreationally trained males (21 ± 2 y; 82.5 ± 9.8 kg) Randomized, double-blind, placebo-controlled, crossover study BRJ (6.4 mmol nitrate) vs. nitrate depleted placebo; 6 days (150 min prior) 3 sets of bench press (60% 1RM) to failure ↑ repetitions to failure
↑ total weight lifted
Porcelli et al. (2016) [81] 7 recreationally active males (25 ± 2 y; 66.3 ± 6.0 kg) Randomized, crossover study High-nitrate diet (~8.2 mmol·d−1) vs. control diet (~2.9 mmol·d−1); 6 days Knee extension MVIC

Isometric knee extensions (75% max voluntary torque) to failure
↔ MVIC
↑ muscle work during isometric knee extensions
Ranchal-Sanchez et al. (2020) [99] 12 recreationally trained males (24 ± 3 y; 73 ± 9.2 kg) Randomized, double-blind, placebo-controlled, crossover study BRJ (400 mg nitrates) vs. nitrate depleted placebo; 120 min prior 3 sets of the back squat and bench press (60%, 70%, and 80% 1RM) to failure ↑ total repetitions to failure
↑ back squat repetitions to failure
↔ bench press repetitions to failure
↔ maximum power & velocity for back squat and bench press
Rodríguez-Fernández et al. (2021) [102] 18 healthy, active adult males (22.8 ± 4.9 y; 74.4 ± 9.6 kg) Randomized, double-blind, placebo-controlled, crossover study BRJ (800 mg nitrates) vs. nitrate depleted placebo; 150 min prior 4 sets of 8 maximal half-squats on flywheel device at inertial loads of 0.025, 0.050, 0.075, & 0.100 kg·m−2 ↑ mean/peak power during concentric and eccentric contractions at all inertial loads
Tan et al. (2022) [87] 14 recreationally active males (22 ± 5 y; 84 ± 17 kg) Randomized, double-blind, placebo-controlled, cross-over study BRJ (11.8 mmol nitrates) vs. nitrate depleted placebo; 4 days 2 sets of 2 “explosive” back squat and bench press repetitions (70% 1RM)

1 set of back squat and bench press (60% 1RM) to failure
↔ back squat mean/peak power
↔ bench press mean/peak power
↑ bench press repetitions to failure
↔ quadricep & pectoralis tissue saturation index
Tillin et al. (2018) [113] 17 recreationally active males (23 ± 4 y; 74.0 ± 9.6 kg) Randomized, double-blind, placebo-controlled, crossover study BRJ (800 mg/~12.9 mmol nitrate) vs. nitrate depleted placebo; 7 days (150 min prior) Knee extensions MVIC and involuntary tetanic contractions at 10, 20, 50, and 100 Hz in unfatigued and fatigued state (following 60 MVICs) ↔ knee extension performance in unfatigued state
↓ fatigue during the 60 MVICs
↑ knee extension performance in fatigued state (lower decline in tetanic force)
Townsend et al. (2021) [105] 16 Division I male baseball athletes (20.5 ± 1.7 y; 90.4 ± 10.5 kg) Randomized, double-blind, placebo-controlled, parallel study Red spinach extract (180 mg nitrates) vs. placebo; daily for 11 weeks during offseason training (~30 min prior) 1RM bench press

30 s WAnT

Body composition

Muscle thickness of RF and VL via ultrasound
↔ 1RM Bench Press
↔ WAnT
↔ Body Composition
↔ Muscle Thickness (RF, VL)
Trexler et al. (2019) [58] 27 recreationally active males (22.0 ± 4.0 y; 78.9 ± 12.5 kg) Randomized, double-blind, placebo-controlled, crossover study BRJ (400 mg nitrates) vs. placebo; 120 min prior 5 sets of 30 maximal isokinetic concentric knee extensions at 180°·s−1 ↔ peak and average torque
↔ total work
↔ blood lactate
↔ femoral artery diameter ↔ vastus lateralis cross-sectional area
Williams et al. (2020) [100] 11 resistance-trained males (22.1 ± 2.4 y; 89.3 ± 10.3 kg) Randomized, double-blind, placebo-controlled, crossover study BRJ (400 mg nitrate) vs. nitrate depleted placebo; 120 min prior 2 sets of 2 “explosive” bench press repetitions (70% 1RM)

3 sets of bench press (70% 1RM) to failure
↑ mean power & velocity
↑ repetitions to failure

↑ = significantly greater (p < 0.05) than placebo; ↓ = significantly less (p < 0.05) than placebo; ↔ = no significant difference between supplement and placebo; 1RM = one-repetition maximum; BRJ = beetroot juice; CMJ = countermovement jump; EMG = electromyography; IMTP = isometric mid-thigh pull; MVIC = maximal voluntary isometric contraction; RF = rectus femoris; VL = vastus lateralis; WAnT = Wingate anaerobic test.