Effects of acute beetroot juice supplementation on exercise-induced hematological responses
Original article - e245664 - Published 2026, Jun 8
DOI:
https://doi.org/10.33233/rbfex.v25i1.5664Keywords:
nitrate, erythrocytes, platelets, running, athleteAbstract
Introduction: Beetroot juice (BRJ), a source of inorganic nitrate, is recognized for its ergogenic action; however, little is known about its effects on hematological variables. Therefore, the aim of this study was to investigate the effects of BRJ on erythrocyte, leukocyte, and platelet responses to intense exercise. Methods: A crossover, double-blind, placebo-controlled design was used in which 15 participants (5 women; 22 ± 2 years; 10.3% body fat; VO2max 58.7 ± 3.5 mLO2.kg-1.min-1) were randomly assigned to receive 100 mL of BRJ (10 g BT400, Dobro) or 100 mL of placebo (PLA) two hours before an interval running test (5x600 m, 30 s interval). Venous blood was collected before, immediately after, and 24 h after the run (BC-6200, Mindray). Differences were tested using a paired t-test and a 2x3 ANOVA with repeated measures, Tukey's post-hoc test, α = 0.05. Results: No significant effects were observed in the total time to complete the running protocol (PLA: 674.7 ± 49.5 s; BRJ: 677.8 ± 50.2 s). Significant changes in heart rate responses and red blood cell and platelet counts were observed, but no differences were observed between conditions. The exercise caused significant leukocytosis, with no interaction between conditions and a return to baseline values 24 h post-exercise (PLA: pre 5.4 ± 0.9; post 7.4 ± 1.0; 24h-post 5.9 ± 1.0; BRJ: pre 5.8 ± 1.1; post 7.3 ± 1.5; 24h-post 6.4 ± 1.3 thousands/µL); however, differences were observed in white blood cell subpopulations. Conclusion: Acute supplementation with beetroot juice does not affect performance in high-intensity interval running, but it appears to exert some immunomodulatory effect on exercise responses.
References
1. Poon ET, Iu JC, Sum WM, Wong PS, Lo KK, Ali A, et al. Dietary nitrate supplementation and exercise performance: an umbrella review of 20 published systematic reviews with meta-analyses. Sports Med. 2025;55(5):1213-31. doi: 10.1007/s40279-025-02194-6
2. Antonio J, Pereira F, Curtis J, Rojas J, Evans C. The top 5 can't-miss sport supplements. Nutrients. 2024;16(19): 3247. doi: 10.3390/nu16193247
3. Mueller BJ, Roberts MD, Mobley CB, Judd RL, Kavazis AN. Nitric oxide in exercise physiology: past and present perspectives. Front Physiol. 2024;15:1504978. doi: 10.3389/fphys.2024.1504978
4. Waltz P, Escobar D, Botero AM, Zuckerbraun BS. Nitrate/nitrite as critical mediators to limit oxidative injury and inflammation. Antioxidants & Redox Signaling. 2015;23(4):328-39. doi: 10.1089/ars.2015.6256
5. Martinez RM, Melo CPB, Pinto IC, Mendes-Pierotti S, Vignoli JA, Verri WA, et al. Betalains: A narrative review on pharmacological mechanisms supporting the nutraceutical potential towards health benefits. Foods. 2024;13(23):3909. doi: 10.3390/foods13233909
6. Sand KL, Flatebo T, Andersen MB, Maghazachi AA. Effects of exercise on leukocytosis and blood hemostasis in 800 healthy young females and males. World J Exp Med. 2013;3(1):11-20. doi: 10.5493/wjem.v3.i1.11
7. Martins NC, Figueiredo PN, Rodrigues GC, Meirelles CM, Martins MA, editors. Suplementação com nitrato do suco de beterraba no desempenho físico e estresse oxidativo de pentatletas militares. X Congresso Norte e Nordeste de Nutrição Clínica e Esportiva; 2025; Brazil
8. Cooper KH. A means of assessing maximal oxygen intake. Correlation between field and treadmill testing. JAMA. 1968;203(3):201-4. doi: 10.1001/jama.1968.03140030033008
9. Wylie LJ, Kelly J, Bailey SJ, Blackwell JR, Skiba PF, Winyard PG, et al. Beetroot juice and exercise: pharmacodynamic and dose-response relationships. J Appl Physiol. 2013;115(3):325-36. doi: 10.1152/japplphysiol.00372.2013
10. Tanaka H, Monahan KD, Seals DR. Age-predicted maximal heart rate revisited. J Am Coll Cardiol. 2001;37(1):153-6. doi: 10.1016/s0735-1097(00)01054-8
11. Thompson C, Vanhatalo A, Jell H, Fulford J, Carter J, Nyman L, et al. Dietary nitrate supplementation improves sprint and high-intensity intermittent running performance. Nitric Oxide. 2016;61:55-61. doi: 10.1016/j.niox.2016.10.006
12. Wong TH, Sim A, Burns SF. The effect of beetroot ingestion on high-intensity interval training: a systematic review and meta-analysis. Nutrients. 2021;13(11):3674. doi: 10.3390/nu13113674
13. Robinson GP, Killer SC, Stoyanov Z, Stephens H, Read L, James LJ, et al. Influence of dietary nitrate supplementation on high-intensity intermittent running performance at different doses of normobaric hypoxia in endurance-trained males. Int J Sport Nutr Exerc Metab. 2021;31(1):1-8. doi: 10.1123/ijsnem.2020-0198
14. Heibel AB, Perim PHL, Saunders B, Heibel AB, Abrantes DM, Rauber CF, et al. Abstracts from ISSN Brazil. Journal of the International Society of Sports Nutrition. 2017;14(Supl1):8. doi: 10.1186/s12970-017-0164-0
15. Peacock O, Tjønna AE, James P, Wisløff U, Welde B, Böhlke N, et al. Dietary nitrate does not enhance running performance in elite cross-country skiers. Med Sci Sports Exerc. 2012;44(11):2213-9. doi: 10.1249/MSS.0b013e3182640f48
16. Sandbakk SB, Sandbakk Ø, Peacock O, James P, Welde B, Stokes K, et al. Effects of acute supplementation of L-arginine and nitrate on endurance and sprint performance in elite athletes. Nitric Oxide. 2015;48:10-5. doi: 10.1016/j.niox.2014.10.006
17. Senefeld JW, Wiggins CC, Regimbal RJ, Dominelli PB, Baker SE, Joyner MJ. Ergogenic effect of nitrate supplementation: A systematic review and meta-analysis. Med Sci Sports Exerc. 2020;52(10):2250-61. doi: 10.1249/mss.0000000000002363
18. ACSM. ACSM's Guidelines for Exercise Testing and Prescription. 12 ed: Lippincott Williams & Wilkins; 2025
19. Figueiredo PN. Efeitos agudos do suco de beterraba sobre o desempenho físico, o estresse oxidativo e o perfil metabolômico em pentatletas militares do sexo feminino [Dissertação]. Universidade do Estado do Rio de Janeiro; 2025
20. Hayes E, Alhulaefi S, Siervo M, Whyte E, Kimble R, Matu J, et al. Inter-individual differences in the blood pressure lowering effects of dietary nitrate: a randomised double-blind placebo-controlled replicate crossover trial. Eur J Nutr. 2025;64(2):101. doi: 10.1007/s00394-025-03616-x
21. Yuschen X, Choi JH, Seo J, Sun Y, Lee E, Kim SW, et al. Effects of acute beetroot juice supplementation and exercise on cardiovascular function in healthy men in preliminary study: a randomized, double-blinded, placebo-controlled, and crossover trial. Healthcare (Basel). 2024;12(13). doi: 10.3390/healthcare12131240
22. Sawka MN, Convertino VA, Eichner ER, Schnieder SM, Young AJ. Blood volume: importance and adaptations to exercise training, environmental stresses, and trauma/sickness. Med Sci Sports Exerc. 2000;32(2):332-48. doi: 10.1097/00005768-200002000-00012
23. Lippi G, Salvagno GL, Danese E, Tarperi C, Guidi GC, Schena F. Variation of red blood cell distribution width and mean platelet volume after moderate endurance exercise. Adv Hematol. 2014;2014:192173. doi: 10.1155/2014/192173
24. Schaffner A, Augustiny N, Otto RC, Fehr J. The hypersplenic spleen. A contractile reservoir of granulocytes and platelets. Arch Intern Med. 1985;145(4):651-4. doi: 10.1001/archinte.145.4.651
25. Bärtsch P. Platelet activation with exercise and risk of cardiac events. Lancet. 1999;354(9192):1747-8. doi: 10.1016/s0140-6736(99)90259-3
26. Walford G, Loscalzo J. Nitric oxide in vascular biology. J Thromb Haemost. 2003;1(10):2112-8. doi: 10.1046/j.1538-7836.2003.00345.x
27. Nieman DC. Exercise immunology: practical applications. Int J Sports Med. 1997;18 Suppl 1:S91-100. doi: 10.1055/s-2007-972705
28. Clifford T, Allerton DM, Brown MA, Harper L, Horsburgh S, Keane KM, et al. Minimal muscle damage after a marathon and no influence of beetroot juice on inflammation and recovery. Appl Physiol Nutr Metab. 2017;42(3):263-70. doi: 10.1139/apnm-2016-0525
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Claudia de Mello Meirelles, Gabriela Cunha Rodrigues, Matheus Lehmann Lourenci, Marcio Antonio de Barros Sena, Cristiane Matsuura

This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish in this journal agree to the following terms: Authors retain the copyright and grant the journal the right of first publication, with the work simultaneously licensed under the Creative Commons Attribution License which allows the sharing of work with acknowledgment of authorship and initial publication in this magazine; Authors are authorized to assume additional contracts separately, for non-exclusive distribution of the version of the work published in this journal (eg, publish in an institutional repository or as a book chapter), with acknowledgment of authorship and initial publication in this journal; Authors are allowed and encouraged to publish and distribute their work online (eg, in institutional repositories or on their personal page) at any point before or during the editorial process, as this can generate productive changes as well as increase impact and citation of published work (See The Effect of Open Access).