The influence of sex on the effects of inorganic nitrate supplementation on muscular power and endurance

J Appl Physiol (1985). 2024 Dec 1;137(6):1649-1658. doi: 10.1152/japplphysiol.00321.2024. Epub 2024 Oct 17.

Abstract

Inorganic nitrate ([Formula: see text]) supplementation increases nitric oxide (NO) bioavailability and may improve muscular power and endurance, although most studies are in males. Therefore, the present double-blind, randomized, placebo-controlled study examined the effects of [Formula: see text] supplementation on isokinetic peak power, maximal voluntary isometric contraction (MVIC) force, muscular endurance (time-to-task failure; TTF), and recovery from fatigue in young females (n = 12) and males (n = 14). Participants consumed ∼13 mmol [Formula: see text] [beetroot juice (BRJ)], or an identical [Formula: see text]-depleted beverage placebo (PL), for ∼3 days and 2 h before testing visits. Plasma nitrate and nitrite were elevated in the BRJ condition (P ≤ 0.05). Peak power (W·kg-1) showed a sex effect (P ≤ 0.05) at all angular velocities and a sex-by-treatment effect at 270 and 360°/s (P ≤ 0.05). Post hoc analysis revealed no significant differences between treatments (P > 0.05). Estimated maximal knee extension power (Pmax) and maximal knee extension velocity (Vmax) demonstrated no sex, treatment, or sex-by-treatment effect (P > 0.05). There were no significant effects for TTF (F: PL; 269 ± 161 vs. BRJ; 277 ± 158 s and M: PL; 228 ± 171 vs. BRJ; 194 ± 100 s; P > 0.05). Cohen's d effect sizes for peak power showed moderate to large effect sizes at 270 (d = 0.92) and 360°/s (d = 0.81), showing a possible differentiated effect of dietary nitrate in females and males. The present data indicate that [Formula: see text] supplementation does not significantly affect knee extensor maximal power, maximal contraction velocity, and muscular endurance in either sex. The sex-dependent response to dietary nitrate supplementation requires further investigation as data on females is scarce.NEW & NOTEWORTHY Recent data have suggested that inorganic nitrate ([Formula: see text]) supplementation may benefit males; however, females may experience worsened endurance capacity. This study revealed a potential differentiated effect of [Formula: see text] supplementation on outcomes of muscle contractile function between healthy, young males and females. The specific responses of [Formula: see text] supplementation in females and across sexes remain understudied and require further investigation.

Keywords: inorganic nitrate; muscular endurance; muscular power; sex-differences.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Dietary Supplements*
  • Double-Blind Method
  • Female
  • Fruit and Vegetable Juices
  • Humans
  • Isometric Contraction / drug effects
  • Isometric Contraction / physiology
  • Male
  • Muscle Fatigue / drug effects
  • Muscle Fatigue / physiology
  • Muscle Strength* / drug effects
  • Muscle Strength* / physiology
  • Muscle, Skeletal / drug effects
  • Muscle, Skeletal / physiology
  • Nitrates* / administration & dosage
  • Nitrates* / blood
  • Nitrates* / pharmacology
  • Nitric Oxide / metabolism
  • Nitrites / blood
  • Physical Endurance* / drug effects
  • Physical Endurance* / physiology
  • Sex Characteristics
  • Sex Factors
  • Young Adult

Substances

  • Nitrates
  • Nitrites
  • Nitric Oxide