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| Name | Class |
|---|---|
| Centers for Disease Control and Prevention | FED |
| The Hershey Company | INDUSTRY |
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Cardiovascular disease is the leading cause of death in the United States. Studies have shown that obesity is an important risk factor for development of cardiovascular disease. Endothelial dysfunction, a pathologic feature of obesity, predicts the occurrence of cardiovascular disease. Recent research findings indicate that consumption of cocoa exerts cardioprotective effects, which include increasing HDL levels, reduction in systolic BP, inhibition of platelet aggregation/activity and activation of endothelial nitric oxide synthase.
Proposed is a randomized controlled trial consisting of 4 phases designed to examine the dose-response, and the acute and sustained effects of cocoa consumption on endothelial function as a marker of cardiovascular disease risk in 45 otherwise healthy adults with a BMI 25-35kg/m2.
Endothelial function has been used extensively to evaluate the acute and chronic effects of foods and nutrients on cardiac risk and can provide a direct measurement of the effect of cocoa powder consumption on vascular physiology in healthy adults with BMI between 25-35 kg/m2.
To our knowledge, our study is the first to examine the dose response effects of sugar free, liquid, cocoa and solid, dark chocolate with sugar consumption on FMD, concentrating on individuals with elevated BMI. Given the current epidemic of obesity in the United States; its role as a risk factor in the development of cardiovascular disease; and the fact that cardiovascular disease is the leading cause of mortality in this country, examination of the cardio-protective effects of cocoa or dark chocolate in an at risk population is of considerable potential interest. Demonstrating that ingestion of cocoa may reverse damage caused to the endothelium may lead to new dietary recommendations that may help curb the prevalence of heart disease in the U.S.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1, 2 | Experimental | acute phase, solid dark chocolate, placebo |
|
| 3, 4, 5 | Experimental | acute phase, sugared cocoa, sugar-free cocoa, placebo |
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| 6, 7, 8 | Experimental | sustained phase, sugared cocoa, sugar-free cocoa, placebo |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Chocolate | Other | 74 grams of single dose solid dark chocolate versus placebo |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Endothelial Function(acute & sustained phase) | Single dose(acute phase), 6 weeks (sustained phase) |
| Measure | Description | Time Frame |
|---|---|---|
| Blood Pressure(acute and sustained phase), lipid profile(sustained), LDL oxidation(sustained), lipid hydroperoxide(sustained), CRP(sustained), blood glucose(sustained), body weight(sustained), waist circumference(sustained), endothelin(sustained) | Single dose(acute phase), 6 weeks(sustained phase) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| David L Katz, MD | Yale-Griffin Prevention Research Center | Principal Investigator |
| Zubaida Faridi, MPH | Yale-Griffin Prevention Research Center | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Griffin Hospital | Derby | Connecticut | 06418 | United States |
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| ID | Term |
|---|---|
| D000069956 | Chocolate |
| ID | Term |
|---|---|
| D005502 | Food |
| D000066888 | Diet, Food, and Nutrition |
| D010829 | Physiological Phenomena |
| D019602 | Food and Beverages |
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| Chocolate |
| Other |
22 grams of single dose sugared cocoa, sugar-free cocoa, and placebo |
|
| Chocolate | Other | 22 grams of sugared cocoa, sugar-free cocoa, & placebo given for six weeks |
|