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The Effect of Beetroot Powder on Exercise Performance in Competitive Swimmers

19. června 2026 aktualizováno: Aysun Köktürk Bayram, Halic University

Swimming requires high energy in a short time and involves overcoming water resistance. Besides regular training, swimmers use supplements to enhance performance, correct nutrient deficiencies, and speed recovery. The Australian Institute of Sport (AIS) classifies supplements by evidence level, with nitrate in Group A. Nitrate aids vasodilation and muscle performance via conversion to nitric oxide (NO).

About 25% of dietary nitrate converts to nitrite by oral bacteria, then to NO in the stomach-a valuable oxygen-independent pathway. NO improves exercise by enhancing oxygen efficiency, muscle contraction, and affecting type II fibers. Timing, dose, nitrate source, and individual traits influence its effect. Beetroot, rich in nitrate, is practical as juice for storage and consumption.

Beetroot gels and juices raise plasma nitrate 1-3 hours post-consumption, effective during 10-17 minute exercises. Some studies found no improvement in short-distance swimming, but others reported dose-dependent benefits. Meta-analyses recommend 5-14.9 mmol nitrate ≥150 minutes before acute exercise, and 5-9.9 mmol for chronic intake. Highly trained athletes may need ≥6-8 mmol NO₃-.

JECFA and the European Commission set acceptable daily intake (ADI) at 0-3.7 mg/kg body weight nitrate ion, safe for all ages.

No long-term, controlled studies exist on beetroot powder's effect in swimmers. To address this, a randomized, placebo-controlled, triple-blind crossover study was designed to evaluate beetroot powder supplementation's impact on competitive swimmers' performance, potentially contributing valuable knowledge.

Přehled studie

Detailní popis

  1. Study Design and Participants: This study employed a randomized, double-blind, placebo-controlled crossover design to investigate the effects of beetroot supplementation. Based on a power analysis conducted with a 5% error level and a statistical power of 0.95, a sample size of 36 participants was determined to be sufficient. The study was conducted over a one-year period at the Galatasaray Swimming Club following approval from the institutional ethics committee, and all participants provided written informed consent. Inclusion criteria required voluntary participation with parental consent, an age range of 18-24 years, participation in a structured training program for at least 18 hours per week, no history of chronic disease, no current use of sports or food supplements/medications, and no adherence to a special diet. Conversely, exclusion criteria included irregular training attendance, the presence of chronic diseases, and a failure to cease the use of food supplements one week prior to the study.
  2. Product Development and Standardization: Three types of beetroot powder were selected from the Turkish market and analyzed by a laboratory accredited under the TURKAK TS EN ISO/IEC 17025:2017 standard, utilizing the HPLC-DAD method in accordance with NMKL No. 165. Based on these analyses, 1.5 g of beetroot powder, corresponding to a 10 mmol nitrate intervention, was used for product development at the Haliç University Nutrition Principles Laboratory. A base mixture of water, gelatin, pectin, starch, and stevia was heated to 85-90°C for homogenization and cooled to 55-60°C. The intervention product contained 1.5 g of beetroot powder, while the placebo product included food coloring to match the visual characteristics of the intervention. Products were prepared 24 hours before each session, stored in opaque, food-safe packaging at 0-4°C, and coded by an independent researcher using a random number generator to ensure triple-blind conditions.
  3. Experimental Procedure and Controls: Participants were instructed to maintain their habitual dietary intake throughout the study and were provided with a list of nitrate-rich foods to avoid. To prevent interference with oral nitrate-to-nitrite reduction, participants were strictly instructed to abstain from mouthwash, chewing gum, sweets, stimulants, and alcohol on all intervention days. The study consisted of five visits. Visit 1 involved providing study information and obtaining informed consent, while Visit 2 included baseline anthropometric assessments and randomization. Visit 3 involved data collection, including food record retrieval, a standardized warm-up, a 200-m freestyle performance test, and post-test measurements of blood lactate, heart rate, and fatigue. A two-week washout period was implemented between intervention phases to eliminate potential carry-over effects, followed by Visits 4 and 5, where the crossover intervention was conducted by repeating the established testing protocols with the alternative condition.
  4. Data Collection: Sociodemographic and lifestyle data, including age, sex, education, nutritional habits, and training characteristics, were recorded. Anthropometric measurements included body composition via bioelectrical impedance analysis, height, BMI, and hand grip strength measured by a digital dynamometer. Performance was assessed through a 200-m maximum-effort freestyle swimming test. Physiological assessments included fingertip blood lactate concentration and heart rate (resting, maximum, and average). Finally, subjective fatigue was evaluated using the Perceived Physical and Cognitive Fatigue Scale and the Visual Analog Scale (VAS).

Typ studie

Intervenční

Zápis (Aktuální)

21

Fáze

  • Nelze použít

Kontakty a umístění

Tato část poskytuje kontaktní údaje pro ty, kteří studii provádějí, a informace o tom, kde se tato studie provádí.

Studijní místa

    • Kartal
      • Istanbul, Kartal, Turecko (Türkiye)
        • Kartal Kosuyolu Yuksek Ihtisas EAH

Kritéria účasti

Výzkumníci hledají lidi, kteří odpovídají určitému popisu, kterému se říká kritéria způsobilosti. Některé příklady těchto kritérií jsou celkový zdravotní stav osoby nebo předchozí léčba.

Kritéria způsobilosti

Věk způsobilý ke studiu

  • Dospělý

Přijímá zdravé dobrovolníky

Ano

Popis

Inclusion Criteria:

  • Voluntary participation with parental consent
  • Age range: 18-24 years
  • Participation in a training program for at least 18 hours per week
  • No history of chronic disease
  • Not currently using any sports supplements, food supplements, or medications
  • Not following a special diet

Exclusion Criteria:

  • Irregular training participation
  • Presence of chronic diseases
  • Failure to cease the use of food supplements one week prior to the study

Studijní plán

Tato část poskytuje podrobnosti o studijním plánu, včetně toho, jak je studie navržena a co studie měří.

Jak je studie koncipována?

Detaily designu

  • Primární účel: Podpůrná péče
  • Přidělení: Randomizované
  • Intervenční model: Crossover Assignment
  • Maskování: Čtyřnásobek

Zbraně a zásahy

Skupina účastníků / Arm
Intervence / Léčba
Experimentální: Beetroot then Placebo
Participants in this arm will first receive 1,5 grams of beetroot powder contain jelly candy daily for 3 consecutive days. After a 14-day washout period, they will receive placebo jelly candy daily for 3 consecutive days.
1.5 g of beetroot powder (equivalent to 10 mmol nitrate) administered as a jelly candy.
Color-matched, nitrate-free jelly candy.
Komparátor placeba: Placebo then Beetroot
Participants in this arm will first receive placebo jelly candy daily for 3 consecutive days. After a 14-day washout period, they will receive 1,5 grams of beetroot powder contain jelly candy daily for 3 consecutive days.
1.5 g of beetroot powder (equivalent to 10 mmol nitrate) administered as a jelly candy.
Color-matched, nitrate-free jelly candy.

Co je měření studie?

Primární výstupní opatření

Měření výsledku
Popis opatření
Časové okno
Change in 200-meter swim performance time
Časové okno: On the 3rd day of each 3-day intervention period (after beetroot or placebo supplementation).
The duration (in seconds) required for the participant to complete a 200-meter freestyle swim, measured using a Seiko stopwatch.
On the 3rd day of each 3-day intervention period (after beetroot or placebo supplementation).
Blood lactate concentration
Časové okno: Immediately post-exercise on the 3rd day of each 3-day intervention period (after beetroot or placebo supplementation).
Blood lactate levels (mmol/L) measured from capillary blood samples collected 3 minutes after completion of 200-meter swim test.
Immediately post-exercise on the 3rd day of each 3-day intervention period (after beetroot or placebo supplementation).

Sekundární výstupní opatření

Měření výsledku
Popis opatření
Časové okno
Visual Analog Scale (VAS) for Perceived Fatigue
Časové okno: On the 3rd day of each 3-day intervention period (after beetroot or placebo supplementation).
Participant's self-reported fatigue level assessed using a 10-cm visual analog scale, ranging from 0 (no fatigue) to 10 (extreme fatigue), completed immediately after the swim test.
On the 3rd day of each 3-day intervention period (after beetroot or placebo supplementation).
Heart Rate Change
Časové okno: On the 3rd day of each 3-day intervention period (after beetroot or placebo supplementation).
Maximum heart rate during the 200m swim, heart rate at 1 minute post-performance, and mean heart rate during the test, recorded using a Polar sports watch with an integrated wrist-based optical heart rate monitor.
On the 3rd day of each 3-day intervention period (after beetroot or placebo supplementation).
Change in Perceived Physical and Cognitive Fatigue Scale (AFBYÖ) Scores
Časové okno: On the 3rd day of each 3-day intervention period (after beetroot or placebo supplementation).
The 19-item Perceived Physical and Cognitive Fatigue Scale (PPCFS) is a 5-point Likert-type instrument used to assess athletes' perceived fatigue levels after each training session. The scale consists of two subscales: the Perceived Physical Fatigue (PPF) subscale, which includes the first 8 items with a total score range of 8 to 40, and the Perceived Cognitive Fatigue (PCF) subscale, which includes the remaining 11 items with a total score range of 11 to 55. The total score of the scale ranges from 19 to 95, where higher scores in either the subscales or the total score indicate increased levels of physical and cognitive fatigue, respectively.
On the 3rd day of each 3-day intervention period (after beetroot or placebo supplementation).
Daily Energy and Nutrient Intake
Časové okno: Collected during the 24-hour period prior to the 3rd day of each 3-day intervention period (both beetroot or placebo supplementation).
Dietary intake was monitored through 24-hour dietary records kept by participants for 24 hours prior to each measurement day. Ingredient quantities for composite dishes were calculated using the "Standard Food Recipes" manual. Subsequently, total daily energy and nutrient intakes were analyzed and quantified using the Nutrition Information System (BeBİS) software.
Collected during the 24-hour period prior to the 3rd day of each 3-day intervention period (both beetroot or placebo supplementation).

Spolupracovníci a vyšetřovatelé

Zde najdete lidi a organizace zapojené do této studie.

Publikace a užitečné odkazy

Osoba odpovědná za zadávání informací o studiu tyto publikace poskytuje dobrovolně. Mohou se týkat čehokoli, co souvisí se studiem.

Termíny studijních záznamů

Tato data sledují průběh záznamů studie a předkládání souhrnných výsledků na ClinicalTrials.gov. Záznamy ze studií a hlášené výsledky jsou před zveřejněním na veřejné webové stránce přezkoumány Národní lékařskou knihovnou (NLM), aby se ujistily, že splňují specifické standardy kontroly kvality.

Hlavní termíny studia

Začátek studia (Aktuální)

22. prosince 2025

Primární dokončení (Aktuální)

22. května 2026

Dokončení studie (Aktuální)

1. června 2026

Termíny zápisu do studia

První předloženo

16. června 2026

První předloženo, které splnilo kritéria kontroly kvality

19. června 2026

První zveřejněno (Aktuální)

23. června 2026

Aktualizace studijních záznamů

Poslední zveřejněná aktualizace (Aktuální)

23. června 2026

Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality

19. června 2026

Naposledy ověřeno

1. května 2025

Více informací

Termíny související s touto studií

Další identifikační čísla studie

  • 2025-08/318

Plán pro data jednotlivých účastníků (IPD)

Plánujete sdílet data jednotlivých účastníků (IPD)?

NE

Popis plánu IPD

Individual participant data (IPD) will not be shared due to concerns regarding participant confidentiality and the small sample size, which may increase the risk of re-identification.

Informace o lécích a zařízeních, studijní dokumenty

Studuje lékový produkt regulovaný americkým FDA

Ne

Studuje produkt zařízení regulovaný americkým úřadem FDA

Ne

Tyto informace byly beze změn načteny přímo z webu clinicaltrials.gov. Máte-li jakékoli požadavky na změnu, odstranění nebo aktualizaci podrobností studie, kontaktujte prosím register@clinicaltrials.gov. Jakmile bude změna implementována na clinicaltrials.gov, bude automaticky aktualizována i na našem webu .

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