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Nicotinamide riboside and walking in peripheral artery disease

A small trial found a walking signal using a one-sided statistical framework.

Read the evidence ↓

Supplement Science Insights Editorial Team

Published September 23, 2026

The study and its comparison

Ninety people with peripheral artery disease were randomized to nicotinamide riboside, riboside plus resveratrol, or placebo for six months. The principal comparison assessed six-minute walking distance. [1][2]

The riboside-only group improved by seven meters while placebo declined by about eleven meters. The reported between-group difference was 17.6 meters with a one-sided ninety-percent confidence interval. Adding resveratrol did not improve on riboside alone. [1][2]

What the finding establishes

That statistical interval is not interchangeable with a conventional two-sided ninety-five-percent interval. Adherence-subgroup results are also less secure than randomized comparisons. An author disclosed industry research support; the record lists American Heart Association grants. A publisher correction restored the trial registration sentence, without changing the reported result. Larger confirmation is needed before broad claims about NAD supplements. [1][2]

A hypothetical distinction

Imagine two studies use different confidence levels. Their nominal significance cannot be compared without checking those choices.

Interpretation checklist — Nicotinamide riboside and walking in peripheral artery disease
DetailInterpretation
Measured outcomeKeep the endpoint specific
Study preparationNot every retail product
Remaining uncertaintyNot resolved by a mechanism
Nicotinamide riboside and walking in peripheral artery disease — original article outline diagram
Original editorial diagram of this article’s sections; no product photograph or clinical finding is depicted.

Sources for this article

  1. Nicotinamide riboside for peripheral artery disease: the NICE randomized clinical trial.
    Source consulted: 2026-09-19. This is a reference resource, not a claim that we conducted the studies or tested a product.
  2. Publisher Correction: Nicotinamide riboside for peripheral artery disease: the NICE randomized clinical trial
    Source consulted: 2026-09-19. This is a reference resource, not a claim that we conducted the studies or tested a product.