Beetroot and blood pressure

What 5 graded rows on beetroot agree on for blood pressure, and where they differ. Counted side by side, never averaged.

What the rows agree on

Each block and row is one graded row from the Beetroot page, with its PubMed record.

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Beetroot and blood pressure

5 rows · 2,819 people

Mostly an improvement: 4 of 5 rows, and most of the people. 1 had mixed results.

Each block is one evidence row, sized by how many people it enrolled, with its grade inside. Outlined: mixed results.
  • Grade B× 1
  • Grade C× 4
Rows
5
Trials
116
People
2,819
Pooled reviews may count some twice

What the rows share

From the rows

The best-graded row, grade B, is a meta-analysis of 1,823 people (2025) and found an improvement.

The rows run from 68 to 1,823 people, published from 2013 to 2025: 4 pooled reviews and 1 single study.

The rows

4 improved · 1 mixed
  1. Grade BBlood pressure and arterial stiffness (dose-response) · Improved

    Meta-analysis, 75 studies · n 1,823 · 2025 · 75 RCTs of dietary nitrate in adults with and without health conditions

    Analysed per 1 mmol (62 mg) of nitrate · Acute to medium term

    Each extra mmol of nitrate lowered systolic pressure by 0.28 mmHg acutely, 0.24 mmHg short term and 0.48 mmHg medium term, and diastolic pressure by 0.12 mmHg. Medium-term pulse wave velocity, flow-mediated dilation and augmentation index also improved in a linear dose-response.

    Row on the Beetroot page · PubMed 40128734 (opens PubMed)

  2. Grade CClinic blood pressure in hypertension · Improved

    Meta-analysis, 11 studies · n 349 · 2024 · Adults with hypertension (clinic BP of 140/90 mmHg or higher) in 11 RCTs

    200–800 mg nitrate a day · Varied across trials

    Clinic systolic pressure fell 5.3 mmHg versus placebo; no significant effect on diastolic or 24-hour blood pressure. GRADE certainty low.

    Row on the Beetroot page · PubMed 39069465 (opens PubMed)

  3. Grade CBlood pressure after short-term nitrate · Improved

    Meta-analysis, 16 studies · n 254 · 2013 · Adults in 16 crossover RCTs

    Varied; higher daily nitrate linked to larger systolic drops · 2 hours to 15 days

    Systolic pressure fell 4.4 mmHg; the diastolic change (−1.1 mmHg) was not significant.

    Row on the Beetroot page · PubMed 23596162 (opens PubMed)

  4. Grade CClinic, ambulatory and home blood pressure in hypertension · Improved

    RCT · n 68 · 2015 · Adults with hypertension, half untreated and half on medication

    250 mL/day · 4 weeks

    Clinic BP fell 7.7/2.4, 24-hour BP 7.7/5.2 and home BP 8.1/3.8 mmHg versus placebo juice, with no fading over 4 weeks; endothelial function improved about 20%.

    Row on the Beetroot page · PubMed 25421976 (opens PubMed)

  5. Grade CBlood pressure with 1–6 weeks of nitrate · Mixed

    Meta-analysis, 13 studies · n 325 · 2017 · Adults in 13 RCTs

    Varied across trials · 1–6 weeks

    Systolic fell 4.1 and diastolic 2.0 mmHg overall, but only in clinic measurements; 24-hour ambulatory and home monitoring showed no significant change.

    Row on the Beetroot page · PubMed 28319596 (opens PubMed)

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