PMID- 36839248 OWN - NLM STAT- MEDLINE DCOM- 20230228 LR - 20230301 IS - 2072-6643 (Electronic) IS - 2072-6643 (Linking) VI - 15 IP - 4 DP - 2023 Feb 10 TI - Caloric Restriction (CR) Plus High-Nitrate Beetroot Juice Does Not Amplify CR-Induced Metabolic Adaptation and Improves Vascular and Cognitive Functions in Overweight Adults: A 14-Day Pilot Randomised Trial. LID - 10.3390/nu15040890 [doi] LID - 890 AB - Caloric restriction (CR) and dietary nitrate supplementation are nutritional interventions with pleiotropic physiological functions. This pilot study investigates the combined effects of CR and nitrate-rich beetroot juice (BRJ) on metabolic, vascular, and cognitive functions in overweight and obese middle-aged and older adults. This was a two-arm, parallel randomized clinical trial including 29 participants allocated to CR + BRJ (n = 15) or CR alone (n = 14) for 14 days. Body composition, resting energy expenditure (REE), and hand-grip strength were measured. Resting blood pressure (BP) and microvascular endothelial function were measured, and Trail-Making Test A and B were used to assess cognitive function. Salivary nitrate and nitrite, and urinary nitrate and 8-isoprostane concentrations were measured. Changes in body composition, REE, and systolic and diastolic BP were similar between the two interventions (p > 0.05). The CR + BRJ intervention produced greater changes in average microvascular flux (p = 0.03), NO-dependent endothelial activity (p = 0.02), and TMT-B cognitive scores (p = 0.012) compared to CR alone. Changes in urinary 8-isoprostane were greater in the CR + BRJ group (p = 0.02), and they were inversely associated with changes in average microvascular flux (r = -0.53, p = 0.003). These preliminary findings suggest that greater effects on vascular and cognitive functions could be achieved by combining CR with dietary nitrate supplementation. FAU - Alharbi, Mushari AU - Alharbi M AUID- ORCID: 0000-0003-4273-9674 AD - School of Life Sciences, The University of Nottingham Medical School, Queen's Medical Centre, Nottingham NG7 2UH, UK. AD - Department of Clinical Biochemistry, Faculty of Medicine, King Abdulaziz University, Jeddah 22252, Saudi Arabia. FAU - Chiurazzi, Martina AU - Chiurazzi M AD - Department of Clinical Medicine and Surgery, Federico II University of Naples, Via S. Pansini, 5, 80131 Naples, Italy. FAU - Nasti, Gilda AU - Nasti G AUID- ORCID: 0000-0001-6436-0281 AD - Department of Clinical Medicine and Surgery, Federico II University of Naples, Via S. Pansini, 5, 80131 Naples, Italy. FAU - Muscariello, Espedita AU - Muscariello E AD - Department of Clinical Medicine and Surgery, Federico II University of Naples, Via S. Pansini, 5, 80131 Naples, Italy. FAU - Mastantuono, Teresa AU - Mastantuono T AD - Department of Clinical Medicine and Surgery, Federico II University of Naples, Via S. Pansini, 5, 80131 Naples, Italy. FAU - Koechl, Christina AU - Koechl C AD - Human Nutrition Research Centre, Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE2 4HH, UK. FAU - Stephan, Blossom Cm AU - Stephan BC AD - Institute of Mental Health, The University of Nottingham Medical School, Nottingham NG7 2UH, UK. AD - Curtin School of Population Health, Curtin University, Kent Street, Bentley, WA 6102, Australia. FAU - Shannon, Oliver M AU - Shannon OM AD - Human Nutrition Research Centre, Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE2 4HH, UK. FAU - Colantuoni, Antonio AU - Colantuoni A AD - Department of Clinical Medicine and Surgery, Federico II University of Naples, Via S. Pansini, 5, 80131 Naples, Italy. FAU - Siervo, Mario AU - Siervo M AD - School of Life Sciences, The University of Nottingham Medical School, Queen's Medical Centre, Nottingham NG7 2UH, UK. AD - Curtin School of Population Health, Curtin University, Kent Street, Bentley, WA 6102, Australia. LA - eng PT - Journal Article PT - Randomized Controlled Trial DEP - 20230210 PL - Switzerland TA - Nutrients JT - Nutrients JID - 101521595 RN - 0 (Nitrates) RN - 0 (Antioxidants) SB - IM MH - Middle Aged MH - Humans MH - Aged MH - *Nitrates/pharmacology MH - Pilot Projects MH - Overweight MH - Caloric Restriction MH - Dietary Supplements MH - Blood Pressure MH - Antioxidants/pharmacology MH - Cognition MH - *Beta vulgaris MH - Double-Blind Method MH - Fruit and Vegetable Juices PMC - PMC9962072 OTO - NOTNLM OT - caloric restriction OT - cognitive function OT - dietary nitrate OT - endothelial function OT - nitric oxide OT - obesity COIS- The authors declare no conflict of interest. EDAT- 2023/02/26 06:00 MHDA- 2023/03/03 06:00 PMCR- 2023/02/10 CRDT- 2023/02/25 04:07 PHST- 2023/01/17 00:00 [received] PHST- 2023/02/07 00:00 [revised] PHST- 2023/02/08 00:00 [accepted] PHST- 2023/02/25 04:07 [entrez] PHST- 2023/02/26 06:00 [pubmed] PHST- 2023/03/03 06:00 [medline] PHST- 2023/02/10 00:00 [pmc-release] AID - nu15040890 [pii] AID - nutrients-15-00890 [pii] AID - 10.3390/nu15040890 [doi] PST - epublish SO - Nutrients. 2023 Feb 10;15(4):890. doi: 10.3390/nu15040890.