Beetroot and endurance

What 3 graded rows on beetroot agree on for endurance, 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 endurance

3 rows · 3,603 people

Mostly an improvement: 2 of 3 rows, and most of the people. 1 found no difference.

No difference
Improved
Each block is one evidence row, sized by how many people it enrolled, with its grade inside.
  • Grade B× 2
  • Grade C× 1
Rows
3
Trials
229
People
3,603
Pooled reviews may count some twice

Where they differ

From the rows
Trial sizeWhen publishedGrade

The best-graded row, grade B, is a meta-analysis of 2,672 people (2025) and found an improvement.

The 2 rows that found an improvement were larger: a median of 1,688 people, against 228 people for the row that found no difference.

The 2 rows that found an improvement are newer (2025 to 2026) than the row that found no difference (2023).

The best grade is B among the rows that found an improvement, and C among the row that found no difference.

The rows

2 improved · 1 no difference
  1. Grade BExercise performance (time to exhaustion, endurance, power) · Improved

    Meta-analysis, 180 studies · n 2,672 · 2025 · Participants in 180 studies pooled across 20 meta-analyses

    Larger gains with at least 6 mmol (372 mg) a day for more than 3 days · Single doses to multi-day loading

    Small improvements in time to exhaustion (SMD 0.33), distance covered, muscular endurance and peak power; no significant effect on other performance outcomes. Most included reviews were rated low or critically low quality.

    Row on the Beetroot page · PubMed 40085422 (opens PubMed)

  2. Grade BVO2max / VO2peak · Improved

    Meta-analysis, 38 studies · n 703 · 2026 · Healthy adults in 38 placebo-controlled randomized and crossover trials

    Most consistent effects at 6.4–12.8 mmol nitrate (about 400–790 mg) · Most consistent with at least 3 consecutive days

    VO2max/VO2peak rose slightly versus placebo (SMD 0.24, 95% CI 0.11 to 0.37); larger in recreationally active people (SMD 0.38) and not clearly shown in highly trained athletes (SMD 0.07). Adjusting for possible small-study bias attenuated the effect to SMD 0.19. Certainty moderate.

    Row on the Beetroot page · PubMed 42523624 (opens PubMed)

  3. Grade CGains from exercise training (VO2peak, time to exhaustion) · No difference

    Meta-analysis, 11 studies · n 228 · 2023 · 11 placebo-controlled trials (9 studies) of nitrate during at least 3 weeks of identical training

    Varied across trials · At least 3 weeks of training

    Nitrate did not add to training gains in VO2peak (SMD 0.18, 95% CI −0.09 to 0.44) or time to exhaustion (SMD 0.08); in healthy people taking beetroot juice there was a non-significant trend for VO2peak (p = 0.08). Trials had low statistical power.

    Row on the Beetroot page · PubMed 37697072 (opens PubMed)

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