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Article detail · 2022

The Relationships Between Chocolate Consumption and Endothelial Dysfunction in Patients with Heart Failure

Türk Kardiyoloji Derneği Arşivi

YÖKSİS OpenAlex Open access · diamond SJR Q4 TR Index Citations 11 Percentile 77.9% FWCI 1.08
Year
2022
ISSN
1016-5169
Type
article

Data source split

  • YÖKSİS YÖKSİS article record
  • OpenAlex OpenAlex enrichment (abstract, citations, topics)

Abstract

English (OpenAlex)

OBJECTIVE: Dietary recommendations, in addition to medications, have recently become important in the treatment of heart failure. Our study aimed to show the positive effects of both milk chocolate and dark chocolate on heart failure through endothelial functions. METHODS: Twenty patients with heart failure and reduced ejection fraction were included in the study. In this randomized, crossover study, some of the patients consumed milk chocolate and some consumed dark chocolate. We recorded the patients' 6-minute walking tests, flow- mediated dilatation values, plasma catechin, epicatechin, and N-terminal pro-brain natri- uretic peptide values before and after chocolate consumption. After 2 weeks, their chocolate consumption was changed. The same parameters were measured again. RESULTS: A significant decrease was observed in N-terminal pro-brain natriuretic peptide values after consumption of both milk chocolate (356 ± 54.2 and 310 ± 72.1 pg/mL; P = .007) and dark chocolate (341 ± 57 and 301 ± 60.1 pg/mL;P=.028). Flow-mediated dilation values increased after dark chocolate consumption (8.9 ± 3% and 14 ± 4.5%; P = .019). CONCLUSION: Chocolate consumption acutely decreases N-terminal pro-brain natriuretic pep- tide values in heart failure. Dark chocolate consumption also seems to improve endothelial functions by increasing flow-mediated dilation values.

Topics

  • Cardiovascular Disease and Adiposity
  • Phytochemicals and Antioxidant Activities
  • Tea Polyphenols and Effects

Primary topic Cardiovascular Disease and Adiposity

Authors

  1. İBRAHİM ETEM DURAL AFYONKARAHİSAR SAĞLIK BİLİMLERİ ÜNİVERSİTESİ
  2. ERSEL ONRAT
  3. SEFA ÇELİK
  4. AYHAN VURMAZ
  5. ZAFER YALIM
  6. SERKAN GÖKASLAN
  7. ÇİĞDEM ÖZER GÖKASLAN
  8. CEM KORUCU
  9. UĞUR AKSU