Beetroot
supporting cardiovascular health and exercise performance
Beetroot is a vegetable rich in dietary nitrates, which may contribute to cardiovascular benefits, including blood pressure regulation, through conversion to nitric oxide.
Quick answer
What it is: Beetroot (Beta vulgaris) is a root vegetable rich in dietary nitrates, which are converted to nitric oxide in the body.
May support:Hypertension, High Blood Pressure
Evidence:Evidence · Grade B
Evidence Summary
Given the absence of specific PubMed studies provided, the rationale for any claims regarding beetroot's efficacy for hypertension or high blood pressure must be based on general scientific understanding of its components, particularly dietary nitrates. Without direct evidence, any potential benefits are speculative and require further research. The current understanding is largely derived from studies on dietary nitrates in general, rather than beetroot specifically for these conditions.
Last reviewed · Jun 2026
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How to use
Always consult a qualified clinician.Editorial guidance
- History of oxalate-containing kidney stones (in high amounts)
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Suggested dosage
General guidance — discuss specifics with a clinician.
Active medicinal compounds
Safety
Safety warnings
Avoid if
- History of oxalate-containing kidney stones (in high amounts)
Reported side effects
- Beeturia (red/pink urine or stools)
General guidance — discuss specifics with a clinician.
Evidence ecosystem
Scientific literature, clinical guidance, government sources, ongoing research, traditional use, and lived experience — grouped by source type and quality.
Overall grade (B)
Given the absence of specific PubMed studies provided, the rationale for any claims regarding beetroot's efficacy for hypertension or high blood pressure must be based on general scientific understanding of its components, particularly dietary nitrates. Without direct evidence, any potential benefits are speculative and require further research. The current understanding is largely derived from studies on dietary nitrates in general, rather than beetroot specifically for these conditions.
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Observational Studies(2)
Cohort, case-control, and cross-sectional human studies.
Grönroos R, Eggertsen R, Bernhardsson S, Praetorius Björk M · Nutrition, metabolism, and cardiovascular diseases : NMCD · 2024 · n=349
It has been suggested that nitrate-rich beetroot juice (BRJ) reduces blood pressure (BP) in various populations. We aimed to investigate the effect of BRJ on BP in adults with hypertension according to the European Society of Hypertension Guidelines (clinical BP ≥ 140/≥ 90 mmHg) and whether BRJ can be considered as an adjunct to hypertension drug treatment, by conducting a meta-analysis of randomized controlled trials. PubMed, SCOPUS, Medline Ovid, Cinahl, Cochrane Library and Web of Science were searched from inception until April 13, 2024 to identify randomized controlled trials of BRJ versus placebo, water, or no intake. Risk of bias was assessed using a standardized appraisal instrument from the Swedish Agency for Health Technology and Assessment of Social Services, which is based on the Cochrane risk-of-bias tool for randomized trials. The pooled BP effect size was calculated using random effects models and meta-regression. Certainty of evidence was a
Observational StudyPubMedLow QualityNutraceuticals in Patients With Heart Failure: A Systematic Review.
Hopper I, Connell C, Briffa T, De Pasquale CG, Driscoll A, Kistler PM · Journal of cardiac failure · 2020 · n=50
Nutraceuticals are pharmacologically active substances extracted from vegetable or animal food and administered to produce health benefits. We recently reviewed the current evidence for nutraceuticals in patients diagnosed with heart failure as part of the writing of the Australian Guidelines for the prevention, diagnosis, and management of heart failure. A systematic search for studies that compared nutraceuticals to standard care in adult patients with heart failure was performed. Studies were included if >50 patients were enrolled, with ≥6 months follow-up. If no studies met criteria then studies <50 patients and <6 months follow-up were included. The primary outcomes included mortality/survival, hospitalization, quality of life, and/or exercise tolerance. Iron was not included in this review as its role in heart failure is already well established. Forty studies met the inclusion criteria. The strongest evidence came from studies of polyunsaturated fatty acids, wh
Observational StudyPubMedLow Quality
Clinical Trial Registries(2)
Registered ongoing or completed trials (ClinicalTrials.gov).
n=180 · NCT05909631 · COMPLETED · COMPLETED
The goal of this clinical trial study is to investigate comparing Effects of Beetroot juice and Mediterranean diet on Liver Enzymes and Sonographic appearance in Patients with Non-Alcoholic Fatty Liver Disease (NAFLD) The main question\[s\] it aims to answer are: 1. Beetroot juice has role in reduce Liver Enzymes 2. Mediterranean diet has role in reduce Liver Enzymes
Clinical TrialClinicalTrials.govModerate Qualityn=20 · NCT05384340 · UNKNOWN · UNKNOWN
In the context of physical exercise, there is no evidence of the acute and continued use of beetroot juice with a previously recommended dose of nitrate (NO3) (\>300mg) on the cardiovascular performance of hypertensive and postmenopausal women. We will investigate the effects of beetroot juice rich in NO3 acutely (first day: 140mL/800mg) and during a week with daily doses (second to the seventh day: 70mL/400mg) on blood pressure, heart rate (HR), cardiac autonomic control, EF, inflammatory, hormonal, and stress biomarkers oxidative stress and enzymes involved in nitric oxide synthesis and mitochondrial regulation, under resting conditions, as well as mediated by submaximal aerobic exercise sessions. Through a randomized, crossover, triple-blind, placebo-controlled clinical trial, 20 physically inactive hypertensive women will undergo an acute and 7-day trial, each with two intervention protocols: 1) placebo and 2) beetroot; in which will ingest beet juice with or without NO3 in its composition with a 7-day washout interval. On collection days, exercise will be performed on a treadmill for 40 minutes at a speed corresponding to 65-70% of VO2peak. The collection of variables (cardiovascular, autonomic, and blood samples for molecular analyses) of the study will take place at rest (120 minutes after ingestion of the intervention), during exercise (40 minutes), and in the effort recovery stage (during 65 minutes) based on previously validated protocols. The collections were arranged so that the measurement of one variable does not interfere with the other and that they have adequate intervals between them.
Clinical TrialClinicalTrials.govModerate Quality
Limitations: A significant limitation is the lack of specific PubMed studies provided for review, making it impossible to assess the quality, design, and outcomes of research directly linking beetroot to hypertension or high blood pressure. General claims about beetroot's effects are based on broader scientific literature regarding dietary nitrates, which may not directly translate to beetroot's specific efficacy or optimal use for these conditions. There is an absence of evidence regarding specific dosages, long-term effects, or interactions from the provided context.
This page is educational. Statements use phrases like "may support" and "has been studied for"because no remedy here is approved to cure, treat, or reverse any condition. Discussion happens on the ailment pages — community statistics here are derived from those reports. Always consult a qualified clinician.
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