Chocolate and Coronary Heart Disease: A Systematic Review

被引:27
|
作者
Khawaja, Owais [1 ,2 ,4 ]
Gaziano, J. Michael [1 ,2 ,3 ,4 ,5 ]
Djousse, Luc [1 ,2 ,3 ,4 ]
机构
[1] Brigham & Womens Hosp, Div Aging, OBC, Boston, MA 02120 USA
[2] Harvard Univ, Sch Med, Boston, MA 02120 USA
[3] Boston Vet Affairs Healthcare Syst, Geriatr Res Educ & Clin Ctr GRECC, Boston, MA USA
[4] Boston Vet Affairs Healthcare Syst, Massachusetts Vet Epidemiol & Res Informat Ctr MA, Boston, MA USA
[5] Brigham & Womens Hosp, Div Prevent Med, Boston, MA 02120 USA
关键词
Chocolate; Cocoa; Flavanol; Polyphenols; Coronary heart disease; Blood pressure; Epicatechin; Catechin; FLAVANOL-RICH COCOA; DARK CHOCOLATE; BLOOD-PRESSURE; CARDIOVASCULAR HEALTH; ANTIOXIDANT CAPACITY; INSULIN SENSITIVITY; PLATELET-FUNCTION; CONSUMPTION; PREVENTION; MORTALITY;
D O I
10.1007/s11883-011-0203-2
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
Coronary heart disease (CHD) is the leading cause of death in the United States. The high content of polyphenols and flavonoids present in cocoa has been reported to play an important protective role in the development of CHD. Although studies have demonstrated beneficial effects of chocolate on endothelial function, blood pressure, serum lipids, insulin resistance, and platelet function, it is unclear whether chocolate consumption influences the risk of CHD. This article reviews current evidence on the effects of cocoa/chocolate on clinical and subclinical CHD, CHD risk factors, and potential biologic mechanisms. It also discusses major limitations of currently available data and future directions in the field.
引用
收藏
页码:447 / 452
页数:6
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