Beetroot Juice & Blood Pressure: How Your Oral Microbiome Holds the key to Healthy Aging
For years, research has pointed to the cardiovascular benefits of a diet rich in nitrates, notably through foods like beetroot. Now, a groundbreaking study from the University of Exeter sheds new light on why this works, specifically in older adults – adn the surprising role your oral microbiome plays. This research, published in Free Radical Biology and Medicine, isn’t just confirming existing benefits; it’s revealing a previously unknown mechanism, offering exciting possibilities for proactive health management as we age.
The Nitrate-Blood Pressure Connection: A Recap
High blood pressure is a major risk factor for heart disease, stroke, and other serious health complications.Dietary nitrate, naturally abundant in vegetables, has been shown to help lower blood pressure.The process involves the conversion of nitrate into nitric oxide (NO), a molecule vital for healthy blood vessel function and regulation of blood flow. However, previous studies have shown inconsistent results, particularly when comparing younger and older populations. This new research explains a meaningful piece of that puzzle.
Why Beetroot Juice Works Differently in Older Adults
The Exeter study, funded by a BBSRC Industrial partnership Award, meticulously compared the responses of 39 adults under 30 with 36 adults in their 60s and 70s. participants consumed concentrated beetroot juice “shots” twice daily for two weeks, followed by a two-week placebo period (juice with nitrate removed), with a “washout” period in between to ensure accurate results. The key finding? The blood pressure-lowering effect was primarily observed in the older adult group.
But the real breakthrough came from analyzing the participants’ oral microbiomes – the complex community of bacteria living in the mouth – before,during,and after the beetroot juice intervention. Researchers utilized bacterial gene sequencing to identify shifts in microbial populations.
The oral Microbiome: The Missing Link
The study revealed that the oral microbiome responds differently to dietary nitrate depending on age. While both groups experienced changes in their oral bacteria after consuming the beetroot juice, the nature of those changes differed significantly.Specifically, older adults experienced a notable decrease in the abundance of prevotella bacteria. This is crucial as Prevotella is frequently enough associated with inflammation and can hinder the conversion of nitrate to nitric oxide. Together,the older group saw an increase in beneficial bacteria like Neisseria,known to support overall health.
This shift in the oral microbiome appears to be the key to unlocking the blood pressure-lowering benefits of beetroot juice in older individuals. As we age, our bodies naturally produce less nitric oxide. A less-than-optimal oral microbiome can further exacerbate this decline, hindering the body’s ability to regulate blood pressure effectively. by modulating the oral microbiome, nitrate-rich foods can help restore nitric oxide production and improve vascular health.
Beyond Beetroot: A Spectrum of Nitrate-Rich Vegetables
“We know that a nitrate-rich diet has health benefits, and older people produce less of their own nitric oxide as they age,” explains Professor Anni vanhatalo, lead author of the study. “They also tend to have higher blood pressure, which can be linked to cardiovascular complications like heart attack and stroke. Encouraging older adults to consume more nitrate-rich vegetables coudl have significant long term health benefits.”
The good news is you don’t have to force down beetroot if you dislike it. Many other vegetables are excellent sources of dietary nitrate, including:
Spinach
Rocket (Arugula)
Fennel
Celery
Kale
Implications for Future Research & Personalized Nutrition
this research isn’t just about beetroot juice; it’s about understanding the intricate interplay between diet, the microbiome, and aging. Professor Andy Jones, a co-author of the study, emphasizes that “This study shows that nitrate-rich foods alter the oral microbiome in a way that could result in less inflammation, as well as a lowering of blood pressure in older people. This paves the way for larger studies to explore the influence of lifestyle factors and biological sex in how people respond to dietary nitrate supplementation.”
future research will likely focus on:
Individual Variability: Why do some individuals respond more strongly to dietary nitrate than others?
Lifestyle Factors: How do exercise, stress, and other lifestyle choices influence the oral microbiome and nitrate metabolism?
Biological Sex: Are there differences in how men and women respond to dietary nitrate supplementation?
* Targeted Interventions: Could specific probiotic or prebiotic strategies be used to optimize the oral microbiome for









