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Your heart may be a reason to heart chocolate

Embargoed until: Publicly released:
Peer-reviewed: This work was reviewed and scrutinised by relevant independent experts.

Systematic review: This type of study is a structured approach to reviewing all the evidence to answer a specific question. It can include a meta-analysis which is a statistical method of combining the data from multiple studies to get an overall result.

People: This is a study based on research using people.

Choccy lovers rejoice! US researchers say that a bit of choc at least once a week is linked with a reduced risk of heart disease. The team looked at research over the last fifty years to examine how chocolate can affect your coronary arteries, and say that, those who munched down on the chocolate more than once a week had an 8 per cent decreased risk of coronary artery disease, compared to those (weirdos) who ate chocolate less than once a week. This type of study can not show eating chocolate causes this reduction in risk, but the researchers say the beneficial heart healthy nutrients in our favourite treats may be doing us good - just as long as we aren't overeating.

Journal/conference: European Journal of Preventive Cardiology

Link to research (DOI): 10.1177/2047487320936787

Organisation/s: Baylor College of Medicine, USA

Funder: The author(s) received no financial support for the research, authorship, and/or publication of this article.

Media release

From: European Society of Cardiology

Chocolate is good for the heart

Sophia Antipolis – 22 July 2020: Eating chocolate at least once a week is linked with a reduced risk of heart disease, according to research published today in the European Journal of Preventive Cardiology, a journal of the European Society of Cardiology (ESC).1

“Our study suggests that chocolate helps keep the heart’s blood vessels healthy,” said study author Dr. Chayakrit Krittanawong of Baylor College of Medicine, Houston, Texas.

“In the past, clinical studies have shown that chocolate is beneficial for both blood pressure and the lining of blood vessels,” he continued. “I wanted to see if it affects the blood vessels supplying the heart (the coronary arteries) or not. And if it does, is it beneficial or harmful?”

The researchers conducted a combined analysis of studies from the past five decades examining the association between chocolate consumption and coronary artery disease (the blockage of the coronary arteries). The analysis included six studies with a total of 336,289 participants who reported their chocolate consumption.

During a median follow-up of nearly nine years, 14,043 participants developed coronary artery disease and 4,667 had a heart attack (when coronary artery disease progresses and the flow of blood to the heart is suddenly blocked).

Compared with consuming chocolate less than once a week, eating chocolate more than once a week was associated with an 8% decreased risk of coronary artery disease.

Dr. Krittanawong said: “Chocolate contains heart healthy nutrients such as flavonoids, methylxanthines, polyphenols and stearic acid which may reduce inflammation and increase good cholesterol (high-density lipoprotein or HDL cholesterol).”

He noted that the study did not examine whether any particular type of chocolate is more beneficial and whether there is an ideal portion size. “Chocolate appears promising for prevention of coronary artery disease, but more research is needed to pinpoint how much and what kind of chocolate could be recommended,” he said.

While it’s not clear how much chocolate is optimal, Dr. Krittanawong warned against overeating. He said: “Moderate  amounts of chocolate seem to protect the coronary arteries but it’s likely that large quantities do not. The calories, sugar, milk, and fat in commercially available products need to be considered, particularly in diabetics and obese people.”

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