--- title: "Beetroot Juice and Exercise Capacity: A Systematic Review and…" description: "Beetroot juice supplementation can improve exercise capacity and lower blood pressure in individuals with COPD." url: "https://magellanlongevity.com/study/beet_bp.md" canonical: "https://magellanlongevity.com/study/beet_bp.html" html: "https://magellanlongevity.com/study/beet_bp.html" type: "study" study_key: "beet_bp" journal: "Nutrition Reviews" year: 2026 pmid: "41996285" doi: "10.1093/nutrit/nuag013" citations: 1 updated: 2026-09-02 author: "Gabriel Radu, DO" author_credentials: "Physiatrist (PM&R). NY medical license 275110. NPI 1376861765." publisher: "Magellan Longevity" content_format: "markdown" --- # Beetroot Juice and Exercise Capacity: A Systematic Review and Meta-Analysis [Home](https://magellanlongevity.com/) › [Research map](https://magellanlongevity.com/longevity-research-map.html) › Beetroot Juice and Exercise Capacity: A Systematic Review… **HTML version:** https://magellanlongevity.com/study/beet_bp.html · **In the Magellan app:** https://magellanlongevity.com/#/study/beet_bp ## Citation | Field | Value | | --- | --- | | Journal | Nutrition Reviews | | Year | 2026 | | PMID | [41996285](https://pubmed.ncbi.nlm.nih.gov/41996285/) | | DOI | [10.1093/nutrit/nuag013](https://doi.org/10.1093/nutrit/nuag013) | | Study key | beet_bp | ## Takeaway Beetroot juice supplementation can improve exercise capacity and lower blood pressure in individuals with COPD. ## The question Does beetroot juice supplementation improve exercise capacity and cardiovascular parameters in patients with chronic obstructive pulmonary disease (COPD)? ## Hypothesis Beetroot juice supplementation will improve exercise capacity and cardiovascular parameters in COPD patients, with potential differences in effects based on study design (parallel vs. crossover trials). ## Methods A systematic review and meta-analysis was conducted by searching Scopus, Lilacs, PubMed, Embase, Web of Science, CENTRAL, and Science Direct databases up to December 30, 2024. Two independent reviewers extracted data on participant characteristics, supplementation protocols, exercise capacity, and cardiovascular parameters from studies on nitrate-rich beetroot juice in COPD patients. Data synthesis involved subgroup and sensitivity analyses, meta-regression, and stratified random effects meta-analyses. Risk of bias was assessed using RoB2, and evidence certainty with GRADE methodology. ## Results Twelve studies involving 357 participants were included. Beetroot juice significantly improved exercise capacity (standardized mean difference [SMD], 0.31). Stratified analysis showed greater benefits in parallel RCTs (SMD, 0.52) compared to crossover trials (SMD, 0.06). BJ also reduced systolic blood pressure by 5.33 mmHg and diastolic blood pressure by 3.01 mmHg. ## Conclusion This meta-analysis provides strong evidence that beetroot juice improves exercise capacity and key cardiovascular parameters in COPD patients. Stratifying results by study design addressed previous methodological limitations, establishing a reliable foundation for clinical application. ## Limitations The abstract does not explicitly state limitations of the current meta-analysis, but it does suggest the need for standardized long-term studies to confirm findings and elucidate dose-response relationships. ## Verbatim from the abstract > Beetroot juice significantly reduced systolic (−5.33 mmHg) and diastolic (−3.01 mmHg) blood pressure and improved exercise capacity. ## Effect of Beetroot Juice on Exercise Capacity by Study Design | Measure | Standardized Mean Difference (SMD) | | --- | --- | | Overall | 0.31 | | Parallel RCTs | 0.52 | | Crossover Trials | 0.06 | *Standardized mean difference (SMD) in exercise capacity with beetroot juice supplementation, showing overall effect and effects stratified by study design.* ## Where this study is used on Magellan This paper is one of the citations behind the evidence grade on the pages below. Grades are assigned from the published research and are independent of affiliate commissions. | Compound or device | Evidence grade | Graded pages | | --- | --- | --- | | Beetroot / Dietary Nitrate | Moderate evidence | [Beetroot / Dietary Nitrate](https://magellanlongevity.com/p/202.md) | ## Reference 1. **Beetroot Juice and Exercise Capacity: A Systematic Review and Meta-Analysis** Nutrition Reviews 2026 · [PMID 41996285](https://pubmed.ncbi.nlm.nih.gov/41996285/) · [DOI 10.1093/nutrit/nuag013](https://doi.org/10.1093/nutrit/nuag013) > Beetroot juice significantly reduced systolic (−5.33 mmHg) and diastolic (−3.01 mmHg) blood pressure and improved exercise capacity. ## Structured data ```json {"@context":"https://schema.org","@graph":[{"@type":"MedicalWebPage","@id":"https://magellanlongevity.com/study/beet_bp.html#page","url":"https://magellanlongevity.com/study/beet_bp.html","name":"Beetroot Juice and Exercise Capacity: A Systematic Review and Meta-Analysis","description":"Beetroot juice supplementation can improve exercise capacity and lower blood pressure in individuals with COPD.","inLanguage":"en","isPartOf":{"@type":"WebSite","name":"Magellan Longevity","url":"https://magellanlongevity.com/"},"author":{"@type":"Person","name":"Gabriel Radu, DO","jobTitle":"Physiatrist (PM&R)","identifier":[{"@type":"PropertyValue","name":"NPI","value":"1376861765"},{"@type":"PropertyValue","name":"NY medical license","value":"275110"}]},"publisher":{"@type":"Organization","name":"Magellan Longevity","url":"https://magellanlongevity.com/"},"encoding":{"@type":"MediaObject","encodingFormat":"text/markdown","contentUrl":"https://magellanlongevity.com/study/beet_bp.md"},"dateModified":"2026-09-02"},{"@type":"BreadcrumbList","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://magellanlongevity.com/"},{"@type":"ListItem","position":2,"name":"Research map","item":"https://magellanlongevity.com/longevity-research-map.html"},{"@type":"ListItem","position":3,"name":"Beetroot Juice and Exercise Capacity: A Systematic Review…","item":"https://magellanlongevity.com/study/beet_bp.html"}]},{"@type":"ScholarlyArticle","@id":"https://magellanlongevity.com/study/beet_bp.html#study","name":"Beetroot Juice and Exercise Capacity: A Systematic Review and Meta-Analysis","headline":"Beetroot Juice and Exercise Capacity: A Systematic Review and Meta-Analysis","datePublished":"2026","isPartOf":{"@type":"Periodical","name":"Nutrition Reviews"},"identifier":"PMID:41996285","url":"https://pubmed.ncbi.nlm.nih.gov/41996285/","sameAs":"https://doi.org/10.1093/nutrit/nuag013","abstract":"Beetroot juice supplementation can improve exercise capacity and lower blood pressure in individuals with COPD."}]} ``` ## Related on Magellan Longevity - [Beetroot / Dietary Nitrate](https://magellanlongevity.com/p/202.md) — product graded on this and related evidence - [Therapeutic potential of beetroot juice in peripheral artery disease (review of the…](https://magellanlongevity.com/study/beet_no.md) - [Impact of dietary nitrate supplementation on exercise capacity and cardiovascular…](https://magellanlongevity.com/study/beet_meta2.md) - [Longevity research map](https://magellanlongevity.com/longevity-research-map.html) - [Evidence-based longevity supplements](https://magellanlongevity.com/longevity-supplements.md) ## Scope and disclosures Educational information, not medical advice. Nothing here is intended to diagnose, treat, cure, or prevent any disease. Talk to your physician before starting any supplement or device, especially if you are pregnant, nursing, or taking medication. Editorial firewall: evidence grades are assigned from the published research and are independent of any affiliate commission. As an Amazon Associate, Magellan Longevity earns from qualifying purchases. Reviewed for accuracy by a board-certified physician (DO).