High Chocolate Consumption May Reduce Heart Disease Risk By One Third

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Main Category: Nutrition / Diet
Also Included In: Heart Disease;  Stroke
Article Date: 30 Aug 2011 - 6:00 PST

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'High Chocolate Consumption May Reduce Heart Disease Risk By One Third'

Patient / Public:4 stars

3.95 (21 votes)

Healthcare Prof:3 and a half stars

3.38 (13 votes)

Article opinions: 2 posts

Consuming lots of chocolate appears to reduce the risk of developing heart disease by one third, researchers from the University of Cambridge, England reported in the BMJ (British Medical Journal) and the European Society of Cardiology Congress in Paris, France.

Dr Oscar Franco and team explain that their study confirms findings revealed in previous research that the consumption of chocolate is associated with improved heart health. However, they emphasize that they have not been able to rule out other unmeasured confounding factors, and suggest that additional studies are needed.

According to WHO (World Health Organization), almost 23.6 million people worldwide are expected to die from heart disease by the year 2030. Several factors, including diet, exercise, body weight control and lifestyle changes could help reduce the risk of heart disease, the authors wrote.

Chocolate has been found to have antioxidant and anti-inflammatory properties which have a positive impact on human health, including regulating insulin sensitivity and controlling blood pressure, several recent studies have revealed.

Nevertheless, nobody was sure how eating chocolate helps human health. So, Dr. Franco and team set out to review a number of scientific studies to determine what the impact of eating chocolate might be on cardiovascular events, such as stroke and heart attack.

They assessed the data in seven studies which included 114,009 individuals - some of them had existing heart problems while others did not. One study was cross-sectional, six were cohort studies, none of them were randomized.

They compared the highest chocolate consumers with the lowest in each study. In order to minimize bias, they took into account variations in study design and quality.

The researchers found that: None of the studies focused on either milk or dark chocolate, and included chocolate desserts, biscuits chocolate bars and drinks.

Bearing in mind that most of the chocolate we buy in shops and supermarkets are high in calories, the researchers say that people must be careful when interpreting these findings. Commercially available chocolate has approximately 500 calories per 100 grams. High chocolate consumption of commercially available chocolate may lead to weight gain, which in turn raises the risk of developing heart disease and diabetes type 2.

Attempts should be made to reduce the current sugar and fat content of chocolate, given that it appears to have benefits for heart health, the authors wrote.

They concluded in an Abstract in the journal:

"Based on observational evidence, levels of chocolate consumption seem to be associated with a substantial reduction in the risk of cardiometabolic disorders. Further experimental studies are required to confirm a potentially beneficial effect of chocolate consumption."


Written by Christian Nordqvis
Copyright: Medical News Today
Not to be reproduced without permission of Medical News Today

Visit our nutrition / diet section for the latest news on this subject.
"Chocolate consumption and cardiometabolic disorders: systematic review and meta-analysis"
Adriana Buitrago-Lopez, Jean Sanderson, Laura Johnson, Samantha Warnakula, Angela Wood, Emanuele Di Angelantonio, Oscar H Franco
BMJ Aug 29, 2011; 343:d4488 doi: 10.1136/bmj.d4488
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Visitor Opinions (latest shown first)

Thank you David Braun

posted by Dan on 3 Sep 2011 at 2:54 pm

Thank you, David, for your very informative reply to the original article.

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Source of benefits are well known and related to Cocoa

posted by David H Braun on 29 Aug 2011 at 9:02 am

I'm continually amazed to read statements similar to the following in your article: "nobody was sure how eating chocolate helps human health." There is no reason for ignorance, given the abundance of mainstream studies that have illuminated the subject.

I'm also amazed to still see articles that tout the amazing benefits of "chocolate", but which lament it's high calories and saturated fat content without emphasizing (or even mentioning) that the specific ingredient that has been linked to health benefits is COCOA, which is low-fat and low in calories, not to mention high in fiber. Further, COCOA is cheap, compared to chocolate.

The flavan-3-ols in COCOA (more specific than "chocolate") have known mechanisms by which they protect the body: for example, raising nitric oxide levels to dilate blood vessels and lower blood pressure, increasing insulin sensitivity to reduce blood sugar, acting as an antioxidant to prevent cancers and arterial plaque development, reducing platelet activation and aggregation to prevent blood clots, etc.

The most exciting study I have read (available online) was published in 2006 by the Archives of Internal Medicine (American Medical Association), titled "Cocoa Intake, Blood Pressure, and Cardiovascular Mortality." This study tracked the cocoa intake of elderly men for 15 years, from age 65 to 80. The study determined that the highest tertile of COCOA consumers had HALF the cardiovascular mortality and HALF the ALL-CAUSE mortality of the lowest tertile, which consumed no cocoa. More amazing was that the highest tertile (lowest mortality) was consuming an average of only 4.18 grams per day; that's LESS THAT ONE TABLESPOON!

Nutritionists routinely warn people not to eat too much chocolate, but negligently fail to mention that the benefits of chocolate can be had, without the negatives, simply by consuming COCOA. A cup of home-made chocolate milk is typically made with 2 Tablespoons of cocoa, more than twice the amount that radically lowered mortality in the study already mentioned. (Natural cocoa is preferred to dutch/alkalized cocoa, as the dutching process destroys flavan-3-ols to some degree.)

Other mainstream articles/research (available online) include:

"Cocoa Antioxidants and Cardiovascular Health", 2005, American Society for Clinical Nutrition.

"Cocoa Products Decrease Low Density Lipoprotein Oxidative Succeptibility but Do Not Affect Biomarkers of Inflamation in Humans", 2002, American Society for Nutritional Sciences

"Cocoa Antioxidants and Cardiovascular Health", 2005, American Society for Clinical Nutrition

"Cocoa, Flavanols and Cardiovascular Risk", 2004, British Journal of Cardiology

"Cerebral Blood Flow Response to Flavanol-rich cocoa in Healthy Elderly Humans", 2008, Neuropsychiatric Disease and Treatment (key finding: cocoa increased cerebral blood flow by 8% in one week, 10% in two weeks)

"Cocoa Inhibits Platelet Activation and Function", 2000, American Society for Clinical Nutrition

"Cocoa Reduces Blood Pressure and Insulin Resistance and Improves Endothelium-dependent Vasodialation in Hypertensives", 2005, American Heart Association

"Effects of Low Habitual Cocoa Intake on Blood Pressure and Bioactive Nitric Oxide: A Randomized Controlled Trial", 2007, Journal of the American Medical Association

"Natural Methods for Reversing Atherosclerosis", 2008, Life Extension Foundation

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