Beetroot Juice and Sleep

Sponsor
Mayo Clinic (Other)
Overall Status
Not yet recruiting
CT.gov ID
NCT05864521
Collaborator
(none)
60
1
2
36
1.7

Study Details

Study Description

Brief Summary

The purpose of this study is to investigate the effects of acute inorganic nitrate supplementation (with beetroot) on the regulation of sleep and neurovascular physiology.

Condition or Disease Intervention/Treatment Phase
  • Dietary Supplement: Active Beetroot Juice Supplement (aBRJ)
  • Dietary Supplement: Placebo Beetroot Juice Supplement (pBRJ)
N/A

Study Design

Study Type:
Interventional
Anticipated Enrollment :
60 participants
Allocation:
Randomized
Intervention Model:
Crossover Assignment
Masking:
Double (Participant, Outcomes Assessor)
Primary Purpose:
Basic Science
Official Title:
Effects of Nocturnal Inorganic Nitrate Supplementation on Physiological Function
Anticipated Study Start Date :
Jun 1, 2023
Anticipated Primary Completion Date :
Jun 1, 2026
Anticipated Study Completion Date :
Jun 1, 2026

Arms and Interventions

Arm Intervention/Treatment
Active Comparator: Active Beetroot Juice Supplement (aBRJ) then Placebo Beetroot Juice Supplement (pBRJ)

Subjects randomized to this arm of the study will have aBRJ administered during Visit 2 and then pBRJ administered during Visit 3.

Dietary Supplement: Active Beetroot Juice Supplement (aBRJ)
aBRJ will consist of 70ml concentrated beetroot juice with 6.45-7.26mmol inorganic nitrate (range for inter-batch variability) taken orally.

Dietary Supplement: Placebo Beetroot Juice Supplement (pBRJ)
pBRJ will consist of 70ml concentrated beetroot juice and will be chemically devoid of inorganic nitrate taken orally.

Active Comparator: Placebo Beetroot Juice Supplement (pBRJ) then Active Beetroot Juice Supplement (aBRJ)

Subjects randomized to this arm of the study will have pBRJ administered during Visit 2 and then aBRJ administered during Visit 3.

Dietary Supplement: Active Beetroot Juice Supplement (aBRJ)
aBRJ will consist of 70ml concentrated beetroot juice with 6.45-7.26mmol inorganic nitrate (range for inter-batch variability) taken orally.

Dietary Supplement: Placebo Beetroot Juice Supplement (pBRJ)
pBRJ will consist of 70ml concentrated beetroot juice and will be chemically devoid of inorganic nitrate taken orally.

Outcome Measures

Primary Outcome Measures

  1. Change in the amount of time in stage three sleep [Baseline, approximately 30 days, and approximately 60 days]

    Measured overnight polysomnography (PSG) used to identify sleep staging, reported in minutes

  2. Change in sleep quality [Baseline, approximately 30 days, and approximately 60 days]

    Measured by Pittsburgh Sleep Quality Index which measures the severity of sleep disturbances. Possible scores range from 0 to 21 with higher scores indicating a worse outcome/more severe symptoms of sleep disturbance.

  3. Change in self-reported sleep quality [Baseline, approximately 30 days, and approximately 60 days]

    Measured on a visual analog scale of 1-10, where 1 is not at all sleepy and 10 is as sleepy as you can imagine, how sleepy are you right now?

  4. Change in sleepiness [Baseline, approximately 30 days, and approximately 60 days]

    Measured by the Stanford Sleepiness Scale that asks participate to rank their degree of sleepiness where 1 would indicate the subject currently feels least sleepy and 7 would indicate the subject feels the most sleepy.

  5. Change in daytime sleepiness [Baseline, approximately 30 days, and approximately 60 days]

    Measured by Epworth Sleepiness Scale. The test is a list of eight situations in which you rate your tendency to become sleepy on a scale of 0, no chance of dozing, to 3, high chance of dozing. Total score is graded from 0-24. 0-7:It is unlikely that you are abnormally sleepy. 8-9:You have an average amount of daytime sleepiness. 10-15:You may be excessively sleepy depending on the situation. You may want to consider seeking medical attention. 16-24:You are excessively sleepy and should consider seeking medical attention.

Secondary Outcome Measures

  1. Change in blood pressure [Baseline, approximately 30 days, and approximately 60 days]

    Measured in millimeters of mercury (mmHg)

  2. Change in sympathetic nerve burst frequency [Baseline, approximately 30 days, and approximately 60 days]

    Measured by Microneurography reported as number of nerve bursts per minute (burst/min)

  3. Change in sympathetic nerve burst incidence [Baseline, approximately 30 days, and approximately 60 days]

    Measured by Microneurography reported as number of nerve burst per 100 heart beats (burst/100 heart beats)

  4. Change in sympathetic nerve burst amplitude (AU) [Baseline, approximately 30 days, and approximately 60 days]

    Measured by Microneurography reported in arbitrary units (AU)

  5. Change in total muscle sympathetic nerve activity (MSNA) [Baseline, approximately 30 days, and approximately 60 days]

    Measured by Microneurography reported burst arbitrary units per minute (AU/min)

  6. Change in arterial stiffness [Baseline, approximately 30 days, and approximately 60 days]

    Measured by applanation tonometry reported as aortic pulse wave velocity (m/sec)

  7. Change in endothelial function [Baseline, approximately 30 days, and approximately 60 days]

    Ultrasound assessment of flow-mediated vasodilation of the brachial artery. Brachial artery diameter and blood velocity will be measured after deflation to measure endothelial function.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years to 80 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes
Inclusion Criteria:
  • 18-30 or 65-80 years of age
Exclusion Criteria:
  • Coronary artery disease

  • Heart failure

  • Pregnancy

  • Diabetes

  • Sleep disorders

  • Shift workers

  • Individuals who typically go to sleep after midnight

  • Individuals who traveled across ≥2 time zones within one week of study visits

  • Individuals with a history frequent kidney stones

  • BMI ≥35.0kg/m2

  • Use of nicotine-containing products within the two years preceding study visits

  • Use of allopurinol, proton pump inhibitors, or other medications/supplements which interfere with the nitrate-nitrite-nitric oxide pathway or outcome measures

Contacts and Locations

Locations

Site City State Country Postal Code
1 Mayo Clinic in Rochester Rochester Minnesota United States 55905

Sponsors and Collaborators

  • Mayo Clinic

Investigators

  • Principal Investigator: Virend Somers, MD, PhD, Mayo Clinic

Study Documents (Full-Text)

None provided.

More Information

Additional Information:

Publications

None provided.
Responsible Party:
Virend Somers, MD, PhD, Principal Investigator, Mayo Clinic
ClinicalTrials.gov Identifier:
NCT05864521
Other Study ID Numbers:
  • 23-000874
First Posted:
May 18, 2023
Last Update Posted:
May 18, 2023
Last Verified:
May 1, 2023
Individual Participant Data (IPD) Sharing Statement:
No
Plan to Share IPD:
No
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
No
Product Manufactured in and Exported from the U.S.:
No
Keywords provided by Virend Somers, MD, PhD, Principal Investigator, Mayo Clinic

Study Results

No Results Posted as of May 18, 2023