Heart and blood pressure
Dietary nitrateand Systolic blood pressure
Two sources here, and they say different things: one measured lower systolic blood pressure and one found no clear difference.
How sure anyone can be
Moderate certainty, level 3 of 4Further research may change this.
The most certain of the two findings here; each record carries its own.
The numbers reported
One source’s range, drawn against its own line of no difference and scaled to its own numbers.
-10.05-3.81 mmHg2.43
This range crosses the no-difference line, so these numbers fit a real difference and no difference at all equally well.
Two sources, newest first
We do not pick between these or average them into one number.
What we read is the published abstract, not the full paper, so a blank below may still be printed in the paper itself. A fixed rule worked this out from the source’s own fields. Nobody checked this rating by hand.
Systematic review, 2026 · 6 studies pooled
Moderate certainty, level 3 of 4Effects of chronic nitrate supplementation on blood pressure in adults: a systematic review and meta-analysis of randomized clinical trials.
Nutr Res. 2026;146:111-120. doi:10.1016/j.nutres.2025.08.002. PMID:41619653.
- Number reported
- -3.81 mmHg
- Which way it went
- No clear difference
- Likely range
- -10.05 to 2.43
- Source’s own words
- mm Hg mean difference in systolic blood pressure vs placebo
- Who was studied
- Older adult
- Compared with
- placebo
- Amount taken
- Recorded detail — sodium nitrate (beetroot juice trials excluded)
- For how long
- 7 days (upper bound: Not in the abstract)
- Disagreement between studies
- Not in the abstract
- Kind of record
- Journal article
How this rating was reachedstarts at High, one step down: imprecision
- Starts at High
- Imprecision brought it down to Moderatethe confidence interval includes no effectReported in the abstract
- Ends at ModerateOne step down.
- Checked, nothing to step it down for
- risk of bias and indirectness
- Inconsistency
- No high disagreement reported between the 6 studies it pooled
Imprecision stops at the first check that applies; others may apply too.
AI-reviewed & signed — an AI agent re-read this finding against the saved source and checked that the quote, the numbers, the units and the direction match it. No person read it. The owner authorised the agent to sign the batch with the owner's key, and every build rechecks that signature against these exact bytes.
Systematic review, 2017
Low certainty, level 2 of 4Medium-term effects of dietary nitrate supplementation on systolic and diastolic blood pressure in adults: a systematic review and meta-analysis.
J Hypertens. 2017;35(7):1353-1359. doi:10.1097/HJH.0000000000001305. PMID:28319596.
- Number reported
- -4.1 mmHg
- Which way it went
- Lower
- Likely range
- -6.1 to -2.2
- Source’s own words
- mm Hg pooled change in systolic blood pressure vs placebo control
- Who was studied
- Adult
- Compared with
- placebo control
- Amount taken
- Recorded detail — inorganic nitrate or beetroot juice
- For how long
- 7 to 42 days
- Disagreement between studies
- Not in the abstract
- Kind of record
- Journal article
How this rating was reachedstarts at High, 2 steps down: risk of bias and imprecision
- Starts at High
- Risk of bias brought it down to Moderatethe abstract reports no risk-of-bias or quality appraisal, so study limitations cannot be ruled outNot in the abstract
- Imprecision brought it down to Lowthe abstract does not state how many participants were pooledNot in the abstract
- Ends at Low2 steps down.
- Checked, nothing to step it down for
- indirectness
- Inconsistency
- No disagreement reported, and no count of studies behind it
Imprecision stops at the first check that applies; others may apply too.
AI review could not confirm it — an AI agent re-read this finding against the saved source and at least one check failed. The batch record names the check and quotes the sentence that caused the doubt. No person read it.
What is still missing from these readings
- Two do not say how many people took part.
Something nobody wrote down is never a zero and never a guess.
Still to read for Dietary nitrate
One of the five things on our list for Dietary nitrate has no reading here yet:
- Plasma nitrate
Still to read means nobody here has got to it, not that it was tried and did nothing or that no research exists. A pairing on no list is not a gap: we never set out to read it.
Read next
Dietary nitrate
Three other questions read for it
Heart and blood pressure
49 questions read under it
Systolic blood pressure
15 other ingredients read against it
First six, alphabetical, and by nothing else. The rest are on Heart and blood pressure.
This is a library, not advice. No recommendation, no dose, no diagnosis, no ranking. We never ask about your symptoms, and nothing here is tailored to you.