The effect of delivering dietary nitrate via different food matrices on blood pressure in normotensive volunteers

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Caroline Day completed the Summer Studentship at the Nutrition and Dietetics Department at King’s College London under the supervision of Dr Trevor George.  Caroline, myself and Harriet Smith also run Fight the Fads, a nutrition media platform that addresses and corrects misinformation in the media with evidence-based science. You can find FTF on Twitter and Instagram.
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Project Title: The effect of delivering dietary nitrate via different food matrices on blood pressure in normotensive volunteers

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About the project:

My project investigated the effect of the consumption of dietary nitrate, consumed in the form of both beetroot bread and beetroot juice, on blood pressure.

Increased vegetable consumption has been associated with a reduction in blood pressure and reduced risk of cardiovascular disease. Originally, this association was thought to be a result of the anti-oxidant properties of vegetables. More recently however the effect vegetable nitrate on blood pressure has been investigated. Vegetables including beetroot have a high nitrate content which after ingestion is reduced endogenously to nitric oxide, a potent vasodilator. Previous studies have found the consumption of beetroot juice is associated with a significant reduction in systolic blood pressure.  This could have important clinical relevance if the dietary nitrate in beetroot could be transferred to a commonly consumed food such as bread, which could then be used in the lifestyle management of hypertensive patients.red-beets-1725799_1920.jpg

Whist some studies have found that beetroot enriched bread products also reduced blood pressure in normotensive subjects, no studies had compared the effect of delivering nitrate via bread and juice using beetroot from the same source, so direct comparisons of the efficacy of each method of delivery have not been possible. My project aimed to create a novel beetroot bread product to establish if it was possible to create the same blood pressure lowering effect as when the same source of beetroot was consumed as a juice.

beet-1637437_1920.jpgAdditionally, I wanted to test if my increasing the nitrate content in the novel beetroot bread, it was possible to create further reductions in blood pressure.

My results demonstrated that the  both beetroot juice and beetroot bread lowered blood pressure in participants. After the consumption of beetroot bread, blood pressure remained lower for two hours longer than beetroot juice consumption.

What was the best aspect of your Summer studentship experience?

Having the opportunity and funding to design and implement your own research idea is an invaluable experience. I am considering expanding the study for my dissertation project next year, I have gained skills so many areas that I can take forward with me to make this process much smoother! Particularly in participant recruitment, project planning and data analysis.

What was the most challenging part of your studentship?

Learning to adapt when the project didn’t go to plan. Adding beetroot extract to a standard bread recipe presented many challenges. I had originally intended to maximise the nitrate content of the bread by using a concentrated beetroot juice extract. Unfortunately, the high sugar content of this extract killed the yeast in the standard bread recipe and my loaf ended up more like a cake. This then delayed the project as I had to source and trial other forms of beetroot extract. After two disappointing weeks of trial and error, and thirty loaves of unusable bread I finally found a recipe that worked. This has taught me that patience and flexibility are crucial skills for working in research!

What’s the one thing you learnt that is transferable to future work you might do?

My study was powered for 24 volunteers and only 9 were recruited, so the results do not have sufficient statistical power to draw conclusions even though a pattern was observed. Experiencing the difficulties of participant recruitment has been very useful as this is something I will need to do on a larger scale for my dissertation.

Tips for anyone who is interested in applying for the NS – SS or a similar fellowship:

When researching your project for the application process, I would recommend exploring a number of different project ideas. Speaking to researchers in different areas and thoroughly explore the literature. By doing this I gained a lot of knowledge in different research areas before deciding on my final topic, which helped both with the planning of chosen project and has sparked ideas for future research.

Would you be interested to do more research in the future and if so what topic(s) would interest you?

I am hoping to continue this project as part of my final year dissertation with a larger sample size. There is also the potential to test the bread products on participants with hypertension as all the studies to date have used normotensive subjects.

Continue reading “The effect of delivering dietary nitrate via different food matrices on blood pressure in normotensive volunteers”

90 Days to the London Marathon!

 

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Training Summary

Day 1. 10 K

Day 2. Rest day

Day 3. 23 k

Day4. Define class by Ashley Yeater

Day 5. 10 k + 2.5 km @Midnight Runners

Day 6. Rest day

Day 7. 10k Run

Day 8. Rest day

Day 9. 24 km

Day 10. Bikram Yoga (60 minutes)

*Detailed update starts on Day -13, 1st January 2017…

My marathon training started on the other side of the Atlantic…all the way at Los Angeles, CA, on a visit to my best friend during the festive season! I managed to start my training with two runs, a 10k (5:30min/km) and a 12k (5:57 min/km). Running from Santa Monica to Venice Beach, apart from the beautiful view the warmer temperature made them really enjoyable!

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Somewhere between Venice and Santa Monica, CA

January 9th – 15th 

Coming back to London, I decided I would have to face the rain and frost but at least I would enjoy running in favourite city! Last week started with two 10km (5:41 min/km, 5:50 min/km) runs on Wednesday and Friday, followed by a 23 km (6:10 min/km) run on Sunday with my running buddy, Giulia!

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Giulia and I on 19 k of our 23 k Sunday run…still smiling!

Giulia, (a very soon to be Dietitian from KCL!) is running the Rotterdam Marathon on the 9th April, which is two weeks before the London Marathon. We have decided to keep each other accountable and train together! On our long run we passed through Tower Bridge, the London Eye, Westminster and headed to Battersea Park were we did two laps and then headed back. The view on the early Sunday evening was beautiful and made us feel like we were part of the La la Land crew!

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Albert Bridge, Chelsea – London

January 16th – 22nd

This week started with a DEFINE class by Ashley Yeater. DEFINE is definitely one of my favourite classes. It combines elements of dancing, ballet and strength exercise! Stay tuned as I will be posting more about this class on my next marathon update.

On Tuesday evening, I joined the Midnight Runners crew! Tuesday runs involve a 10 km run with stops every 2 km for group exercises! There were around 170 runners on Tuesday, which motivated me to keep on going! As if that was not hard enough, I decided to run to the meeting point from home to add an extra 2.5 km. I am not going to lie, the exercises were tough…but by the end I managed to log a 12.5 km (5:50 min/km) run for the week and also strengthen my muscles! 😉

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Midnight Runners – Tuesday, 17th January 2017, spot me on the right with my friend Alice!

Wednesday I took the day off from running. Did some foam rolling in the morning and then headed to uni for lectures and library studying! 

Thursday was a busy day. Started with work from home, headed to uni for a 3 hour class on the management of obesity, followed by a Nutrition and Dietetics Society event. On my way home I ran 10 km (5:49 min/km). Back home, as I was stretching and foam rolling, I tuned in to BBC2 Horizon to watch Giles Yeo talking about Clean Eating.

The final run for the week was on Saturday, a 24 km run (6:21 min/km). Giulia was away this weekend so I knew this would be a tough run, however, the sun was shining and the blue sky filled me with happiness and motivation to run! I have decided to vary the routes of my long runs so that the training is more exciting. As I had never visited Greenwich Park I decided to explore that side of London. The run there was very good, however I realised how hilly it was only when I reached the park and at that point I had run only 11 k. With  13 km left to run I slightly panicked…Reaching 20 km I thought I would pass out but thankfully with you in mind I picked myself up and completed the run! Following the run I had a lovely lunch with my father, which gave the chance to refuel! 

 

Currently, I am trying to decide on a half marathon race. If you are also a runner (cyclist, swimmer etc.) and can’t decide which race is for you, make sure to check out Racecheck, a great resource for finding races in the U.K. and abroad. On Racecheck you can read athletes reviews in order to pick the race that best suits you!

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DIET

In terms of my diet I haven’t really changed much, however, I am making sure I drink lots prior to my runs and I have noticed I have a bizarre new craving for milk post my long runs. I say bizarre, as I am the type of person who would never consider drinking milk on its own unless I was forced to…

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My brother made sure a steak with potato and sweet potato, mixed vegetables and a green salad were waiting for me when I got back from my Midnight Runners run on Tuesday! What else could one wish for?!

I am looking into protein supplements and whether protein shakes is something I want to consider, but haven’t reached any conclusions yet. As I look more into what works for me I will be updating you! I will most likely be asking the expert opinion of dietitians before making any changes.

 

 

 

 

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I would like to thank my dad- John, Vangelis, Eirini, Freya, Masha, Michael and Teresita and Takis for their generous donations!

If you wish to sponsor me please visit Elisabeth’s Virgin Donation Page!

All donations will be greatly appreciated and will contribute to the development of the research on spinal injuries.

I am hoping to complete the marathon in 4h30m! I know this training will be really hard for me and I need your help! To keep me accountable, I plan to post an update of my training every 10 days, so stay tuned for the next post on 80 Days till the London Marathon!