Evidence mapPaperPMID 40920641Full record

ArticleAmerican journal of physiology. Heart and circulatory physiology2025

Oral nitrate-reducing capacity and aerobic fitness are impaired in older individuals with heart failure with reduced ejection fraction.

Macy E Stahl, Emily E Grammer, Arthur Weltman, Mia C Burleigh, Cassandra C Derella, Antonio Abbate, Martin Denicolai, Jason D Allen

Abstract read
In one paragraph

Article in American journal of physiology. Heart and circulatory physiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Oral microbiota in cardiovascular health and disease.Frontiers in cellular and infection microbiology · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Macy E StahlDepartment of Kinesiology, University of Virginia, Charlottesville, Virginia, United States.ORCID 0009-0003-8674-5635
Emily E GrammerDepartment of Kinesiology, University of Virginia, Charlottesville, Virginia, United States.ORCID 0000-0001-7811-0785
Arthur WeltmanDepartment of Kinesiology, University of Virginia, Charlottesville, Virginia, United States.
Mia C BurleighSport and Physical Activity Research Institute, University of the West of Scotland, Blantyre, United Kingdom.ORCID 0000-0002-0569-4895
Cassandra C DerellaDepartment of Kinesiology, University of Virginia, Charlottesville, Virginia, United States.ORCID 0000-0003-1649-9347
Antonio AbbateDepartment of Medicine, University of Virginia, Charlottesville, Virginia, United States.ORCID 0000-0002-1930-785X
Martin DenicolaiDepartment of Medicine, University of Virginia, Charlottesville, Virginia, United States.
Jason D AllenDepartment of Kinesiology, University of Virginia, Charlottesville, Virginia, United States.ORCID 0000-0001-5219-4423

Funding

PRIME HRrEF: Novel Exercise for Older Patients with Heart Failure with Reduced Ejection FractionR01AG075556 · UNIVERSITY OF VIRGINIA · 2025 to 2025
$588k
HHS | NIH | National Institute on Aging (NIA) 5R01AG075556NIA NIH HHS R01 AG075556UV | Curry School of Education and Human Development, University of Virginia (Curry School)
6 · The paper itself

Abstract

Nitric oxide (NO) is essential for cardiovascular health and is purported as an ergogenic aid. Endothelial dysfunction and reduced endogenous NO production are hallmarks of heart failure (HF), which may contribute to impaired exercise capacity. Oral inorganic nitrate supplementation offers an exogenous route to increase bioavailable NO via reduction of nitrate by oral commensal bacteria. However, individuals with HF with reduced ejection fraction (HFrEF) display blunted increases in plasma nitrite and inconsistent improvements in exercise tolerance following supplementation. Thus, the purpose of this study was to examine whether bacterial oral nitrate-reducing capacity (ONRC) and markers of exercise capacity are impaired in patients with HFrEF compared with age-matched, healthy controls. Nine individuals with HFrEF [age: 74.89 ± 7.40 yr, peak oxygen consumption (V̇o

Indexed as

Cardiorespiratory FitnessExercise ToleranceHeart FailureNitratesStroke VolumeVentricular Function, LeftAdministration, OralAgedAged, 80 and overAge FactorsCase-Control StudiesDietary SupplementsFemaleHumansMaleNitric OxideNitratesNitric OxideNitritescardiovascular diseasenitratenitriteoral microbiome

Identifiers

PMID40920641
PMCPMC12494231

What Socratic holds

Textmetadata
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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.