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The Science of Cocoa Flavanols: Bioavailability, Emerging Evidence, and Proposed Mechanisms
Author(s) -
Jeffrey B. Blumberg,
Eric L. Ding,
Richard A. Dixon,
Giulio Maria Pasinetti,
Francisco Villarreal
Publication year - 2014
Publication title -
advances in nutrition
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.362
H-Index - 90
eISSN - 2156-5376
pISSN - 2161-8313
DOI - 10.3945/an.114.006478
Subject(s) - observational study , bioavailability , disease , clinical trial , medicine , human studies , meta analysis , bioinformatics , pharmacology , biology , intensive care medicine , microbiology and biotechnology
Over the past 20 y, evidence derived from in vitro experiments, animal models, observational studies, and clinical interventions have suggested that cacao (cocoa) flavonoids act through a variety of mechanisms to modify a number of risk factors associated with chronic conditions, including cardiovascular and neurodegenerative diseases. Recent studies have elucidated the synthesis of flavonoids by plants, making available for research specific flavonoids and their metabolites. The body of evidence suggesting that cocoa flavanols may play a role in reducing the risk of cardiovascular disease has been sufficient to generate several systematic reviews and meta-analyses. Studies are now being directed to identify the molecular pathways underlying the effect of cocoa flavanols, and clinical trials are being planned to test their impact on disease endpoints.

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