The goal of this clinical trial is to examine whether consumption of dark chocolate affects blood pressure and a cardiovascular risk factor called trimethylamine N-oxide in Thai male participants with hypertension. The main questions it aims to answer are: Can consumption of dark chocolate lower blood pressure? Can consumption of dark chocolate lower blood trimethylamine N-oxide? Researchers will compare dark chocolate to white chocolate to see if the effects are due to theobromine (a key bioactive compound in dark chocolate). Participants will consume either 100 g 72% dark chocolate bar or 80 g white chocolate bar daily for 14 days, rest for 7 days, and then switch to the other type of chocolate.
This is a randomized cross-over trial conducted in Chiang Mai, Thailand. The goal of this clinical trial is to examine whether consumption of dark chocolate affects cardiovascular risk factors, with the primary outcomes being blood pressure and a cardiovascular risk factor called trimethylamine N-oxide. Participants are Thai males aged 35-70 years with hypertension who live in the Chiang Mai area. 42 Participants will consume either 100 g 72% dark chocolate bar (\~2.5 servings, providing \~900 mg theobromine) or 80 g white chocolate bar (\~2 servings, providing 0 mg theobromine) daily for 14 days. After a 7-day wash-out period, the participant will repeat the protocol with the other intervention.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
NONE
Enrollment
53
Consumption of 100 g/day of 72% dark chocolate bar for 14 days consecutively
Consumption of 80 g/day of white chocolate bar for 14 days consecutively
Research Institute for Health Sciences, Chiang Mai University
Mueang, Chiang Mai, Thailand
Blood pressure
Office blood pressure measured in the morning after fasting
Time frame: Measured at the beginning and the end of each intervention period (14 days)
Fasting blood trimethylamine-N-oxide
Fasting blood trimethylamine-n-oxide concentrations
Time frame: Measured at the beginning and the end of each intervention period (14 days)
Postprandial trimethylamine-N-oxide
Urinary trimethylamine-N-oxide concentrations at 24 and 48 hours after consumption of a test meal (3 boiled eggs)
Time frame: Measured at the beginning and the end of the dark chocolate intervention (14 days)
Ankle-brachial index
Ankle-brachial index is a noninvasive test that measures the ratio of blood pressure in the ankle to the blood pressure in the arm.
Time frame: From the beginning and end of each intervention period of 14 days
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