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Ageing modifies the oral microbiome, nitric oxide bioavailability and vascular responses to dietary nitrate supplementation

Anni Vanhatalo, Joanna E L’Heureux, Matthew I Black, Jamie R Blackwell, Kuni Aizawa, Christopher Thompson, David W Williams, Mark van der Giezen, Paul G Winyard, Andrew M Jones
Free Radical Biology and Medicine 2025 238:682–696

Bibliography

PubMed
PMID 40615058
Funding
BBSRC Industrial Partnership Award with DuPont Nutrition Biosciences Aps (BB/P022162/1; now International Flavors & Fragrances, IFF); publisher also acknowledges MRC/Wellcome/BBSRC core-facility support.
Competing interests
The authors formally declare no conflicts; the paper reports an industrial partnership award involving DuPont Nutrition Biosciences (now IFF) and thanks three IFF Health personnel for critical review of the manuscript. Both facts should accompany any appraisal.

Study snapshot

DesignRandomized double-blind placebo-controlled crossover trial
Model39 younger adults (18–30 years) and 36 older adults (67–79 years)
Sample75 participants total (39 younger; 36 older)
InterventionTwo-week nitrate-rich beetroot juice, placebo juice, and antiseptic mouthwash conditions separated by washouts
DurationThree two-week interventions with two-week washouts
EndpointsOral microbiome composition; Plasma nitrite; Blood pressure; Flow-mediated dilation

What the study showed, in plain terms

Dietary nitrate changed the oral microbiome differently by age. Older adults had a reduction in brachial mean arterial pressure after beetroot intervention; younger participants did not.

Key findings

Older adults had a −4 ±4 mmHg change in brachial mean arterial pressure after nitrate-rich beetroot juice; flow-mediated dilation did not change in older adults.

What this study can and cannot tell us

Age-stratified subgroup and short interventions; the study cannot establish long-term vascular events or support routine mouthwash cessation for dental patients.

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