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The assessment of ventilatory efficiency is critical to understanding the matching of ventilation (VE) and perfusion in the lungs during exercise. This study aimed to establish a causal physiological relationship between ventilatory efficiency and resistance exercise performance after beetroot juice (BJ) intake. Eleven well-trained males performed a resistance exercise test after drinking 140 mL of BJ (~12.8 mmol NO 3  - ) or a placebo (PL). Ventilatory efficiency was assessed by the VE•VCO 2  -1 slope, the oxygen uptake efficiency slope and the partial pressure of end-tidal carbon dioxide (PetCO 2 ). The two experimental conditions were controlled using a randomized, double-blind crossover design. The resistance exercise test involved repeating the same routine twice, which consisted of wall ball shots plus a full squat (FS) with a 3 min rest or without a rest between the two exercises. A higher weight lifted was detected in the FS exercise after BJ intake compared with the PL during the first routine ( p = 0.004). BJ improved the VE•VCO 2  -1 slope and the PetCO 2 during the FS exercise in the first routine and at rest ( p &lt; 0.05). BJ intake improved the VE•VCO 2  -1 slope and the PetCO 2 coinciding with the resistance exercise performance. The ergogenic effect of BJ could be induced under aerobic conditions at rest.

The Relationship between Resistance Exercise Performance and Ventilatory Efficiency after Beetroot Juice Intake in Well-Trained Athletes