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Cocoa Responsible For Improving Blood Flow

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General fitness, health and nutrition
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19 January 2006
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22 January 2006
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  1. Compound In Cocoa Responsible For Improving Blood Flow
    Category: Nutrition/Agriculture News
    Article Date: 19 Jan 2006 - 0am (UK)

    While a growing number of studies has shown a link between
    flavanol-rich cocoa and cardiovascular health, scientists have now
    substantiated a causal relationship between specific compounds present
    in cocoa and cardiovascular health. Published today in the Proceedings
    of the National Academy of Sciences of the United States of America
    (PNAS) , this new study identifies the flavanol, (-)epicatechin, as one
    of the bioactive nutrients in cocoa that can improve the ability of
    blood vessels to relax.

    An international team of scientists from the University of Dusseldorf,
    Germany; the University of California, Davis; Mars, Incorporated; and
    Harvard Medical School conducted a series of studies examining the role
    of specific cocoa flavanols in cardiovascular health.

    "Applying accepted causality criteria and gold standard methodologies,
    we have been able to advance our understanding of the relationship
    between the intake of certain flavanols present in cocoa, their
    absorption into the circulation, and their effects on cardiovascular
    function," said lead author Hagen Schroeter, PhD, faculty member at the
    University of California, Davis. "This study established direct
    evidence for the effect of the flavanol(-)epicatechin as a mediator of
    blood vessel relaxation."

    In a randomized, double-blind, cross-over investigation, the
    researchers provided healthy male participants with a specially
    prepared cocoa drink that was either high or low in certain cocoa
    flavanols. Only the group consuming the flavanol-rich cocoa experienced
    increased blood vessel relaxation. The researchers demonstrated that
    the relaxation response mediated by cocoa flavanols is dependent on
    nitric oxide, a key signal released by the inner lining of blood
    vessels (the endothelium) essential for normal blood vessel function
    and healthy blood flow.

    To provide direct evidence for the specific flavanol in cocoa that is
    partly responsible for the circulatory benefits, the research team
    conducted a "proof-of-concept" study. During this part of the
    investigation, participants drank either a placebo or a beverage
    containing isolated, cocoa-derived (-)epicatechin. The researchers
    demonstrated that the group of participants receiving the
    (-)epicatechin had vessel relaxation and nitric oxide responses similar
    to those experienced following the consumption of the flavanol-rich
    cocoa drink. Based on these findings, the investigators concluded that
    (-)epicatechin is one of the active nutrients in certain cocoas
    exerting the observed vascular benefits.

    "Pinpointing specific nutrients responsible for the observed
    cardiovascular effects, as we are seeing here with (-)epicatechin,
    opens up new possibilities for the development of dietary or
    therapeutic interventions for cardiovascular disease," said co-author
    Norman Hollenberg, MD, PhD, professor of medicine at Harvard Medical
    School.

    (-)Epicatechin, a nutrient that may be found in certain fruit and
    vegetables, green teas, red wine and purple grape juice, is especially
    abundant in certain cocoas. "This new insight into the bioactivity of
    flavanol nutrients is an important piece of information that will help
    us understand why diets rich in fruits and vegetables promote
    cardiovascular health," said co-author Carl L. Keen, PhD, professor of
    nutrition and internal medicine at the University of California, Davis.

    To assess the potential long-term benefits of a flavanol-rich diet, the
    researchers studied two populations of Kuna Indians of Panama. Previous
    work by Dr. Norman Hollenberg has shown that hypertension is rare among
    the indigenous Kuna Indians living on the islands as compared to those
    living on the mainland. The island-dwelling Kuna Indians traditionally
    consume large quantities of flavanol-rich cocoa (an average of 3-4 cups
    daily), while those who live in the suburbs of Panama City consume very
    little cocoa, supporting the idea that cocoa flavanols may be
    responsible for the lower blood pressure in the island dwellers.
    Linking Dr. Hollenberg's observations to their own findings, Schroeter
    and colleagues found that the Kuna Indians on the island who regularly
    consume flavanol-rich cocoa had higher levels of flavanols, as well as
    higher levels of nitric oxide metabolites in their circulation compared
    to the mainland Indians who consume little cocoa. "These findings
    suggest that frequent intake of cocoa flavanols can have biological
    effects with important implications for long-term cardiovascular
    health," said Dr. Hollenberg.

    In addition to collaborating on this research, Mars, Incorporated
    financially supported it and provided the flavanol-rich cocoa (Cocoapro
    cocoa powder) that was used throughout these ivestigations. "After more
    than 15 years of commitment to cocoa science research, we are excited
    to see such great progress in uncovering the link between cocoa
    flavanols and heart health," said Harold Schmitz, PhD, chief science
    officer of Mars, Incorporated and co-author of the study. "Traditional
    cocoa processing often destroys the flavanols, but Mars technology
    helps to retain these naturally occurring nutrients from cocoa. This
    new research emphasizes the importance of understanding the potential
    public health applications of emerging cocoa science, which is a
    challenge we take very seriously at Mars."

    Cocoapro cocoa powder is used in Dove Dark Chocolate, as well as in the
    new heart-healthy snack CocoaViaTM.

    For more information on the science of flavanols, visit
    http://www.chocolateinfo.com or http://www.cocoapro.com. The flavanol
    identified in this study, (-)epicatechin, is technically referred to as
    (minus) epicatechin, which is one of the stereoisomers of epicatechin.

    Mars, Incorporated is one of the world's top producers of chocolate,
    and with a strong commitment to health research, is the leader in the
    science of cocoa, chocolate and health. Mars uses patented and
    proprietary methods of processing cocoa beans to retain as much of
    their naturally occurring flavanols as possible, marking these products
    with the Cocoapro seal, a hand holding a cocoa bean to signify the
    careful handling. For more information please visit
    http://www.chocolateinfo.com or http://www.cocoapro.com.

    Mars Nutrition for Health & Well-Being, a new division of Mars North
    America, will develop and launch new foods, snacks, beverages and
    lifestyle support to better serve the nutritional and well-being needs
    of the consumer. The mission of the division is to be a trusted partner
    in healthy lifestyles, enabling consumers to look, perform and feel
    their best every day. Mars Nutrition for Health & Well-Being, launched
    in June 2004, is based in Hackettstown, NJ.

    Schroeter H, Heiss C, Balzer J, Kleinbongard P, Keen CL, Hollenberg NK,
    Sies H, Kwik-Uribe C., Schmitz HH, Kelm M. (-)Epicatechin mediates
    beneficial effects of flavanol-rich cocoa on vascular function in
    humans. Proceedings of the National Academy of Sciences of the United
    States of America. 2006; 108:1024-1029. Online publication:
    www.pnas.org/papbyrecent.shtml

    --------------------------------------------------------------------------------
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    Tom

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  2. I did some further research about this study and learned that the
    particular flavanol named (-)epicatechin relaxes only the peripheral
    arteries, not the major ones near the heart. Cayenne (hot red pepper), red
    wine, grapeseed extract, hawthorn berry, sage leaf, and Gingko biloba also
    supposedly produce the same effect. Green tea contains (-)epicatechin too.
    So perhaps it would also be expected to produce that same benefit to some
    degree.

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