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Modulation of blood pressure-lowering effects of dark chocolate according to an insulin sensitivity-randomized crossover study

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References

  1. Hooper L, Kay C, Abdelhamid A, Kroon PA, Cohn JS, Rimm EB, et al. Effects of chocolate, cocoa, and flavan-3-ols on cardiovascular health: a systematic review and meta-analysis of randomized trials. Am J Clin Nutr. 2012;95:740–51.

    Article  CAS  Google Scholar 

  2. Pickering TG, Miller NH, Ogedegbe G, Krakoff LR, Artinian NT, Goff D. Call to action on use and reimbursement for home blood pressure monitoring: a joint scientific statement from the American Heart Association, American Society Of Hypertension, and Preventive Cardiovascular Nurses Association. Hypertension. 2008;52:10–29.

    Article  CAS  Google Scholar 

  3. Liu Z, Zhao Y, Lu F, Zhang H, Diao Y. Day-by-day variability in self-measured blood pressure at home: effects on carotid artery atherosclerosis, brachial flow-mediated dilation, and endothelin-1 in normotensive and mild-moderate hypertensive individuals. Blood Press Monit. 2013;18:316–25.

    Article  Google Scholar 

  4. Fukui M, Ushigome E, Tanaka M, Hamaguchi M, Tanaka T, Atsuta H, et al. Home blood pressure variability on one occasion is a novel factor associated with arterial stiffness in patients with type 2 diabetes. Hypertens Res. 2013;36:219–25.

    Article  CAS  Google Scholar 

  5. Asayama K, Kikuya M, Schutte R, Thijs L, Hosaka M, Satoh M, et al. Home blood pressure variability as cardiovascular risk factor in the population of Ohasama. Hypertension. 2013;61:61–69.

    Article  CAS  Google Scholar 

  6. Kodama K, Tojjar D, Yamada S, Toda K, Patel CJ, Butte AJ. Ethnic differences in the relationship between insulin sensitivity and insulin response: a systematic review and meta-analysis. Diabetes Care. 2013;36:1789–96.

    Article  CAS  Google Scholar 

  7. Ried K, Sullivan TR, Fakler P, Frank OR, Stocks NP. Effect of cocoa on blood pressure. The Cochrane database of systematic reviews. 2012. https://doi.org/10.1002/14651858.CD008893.pub2)(8):Cd008893.

  8. Lee JW, Brancati FL, Yeh HC. Trends in the prevalence of type 2 diabetes in Asians versus whites: results from the United States National Health Interview Survey, 1997–2008. Diabetes Care. 2011;34:353–7.

    Article  Google Scholar 

  9. Grassi D, Desideri G, Necozione S, Lippi C, Casale R, Properzi G, et al. Blood pressure is reduced and insulin sensitivity increased in glucose-intolerant, hypertensive subjects after 15 days of consuming high-polyphenol dark chocolate. J Nutr. 2008;138:1671–6.

    Article  CAS  Google Scholar 

  10. Shiina K, Tomiyama H, Matsumoto C, Komatsu S, Natsume M, Oba C, et al. Gender difference in the effects of cacao polyphenols on blood pressure and glucose/lipid metabolism in prediabetic subjects: a double-blinded, randomized, placebo-controlled crossover trial. Hypertension Res. 2019;42:1083–5.

    Article  CAS  Google Scholar 

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Acknowledgements

We are indebted to the participants in this study for their outstanding commitments and cooperation. We also wish to thank the entire staff involved in this study, especially Ms. Tomoko Saisu and Ms. Ryouko Asanuma for their contribution to this study as laboratory technicians.

Funding

This study was supported by research funding from Morinaga & Co., Ltd., Japan.

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Contributions

Study design and conception: CM, HT, and KS. Statistical analyses: CM and HT. Drafting the manuscript: CM and HT. Manuscript review for scientific content: CM, KK, KS, MK, HI, AY, TC, and HT. Supervision: HT.

Corresponding author

Correspondence to Hirofumi Tomiyama.

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Conflict of interest

CM obtained a research grant for this study from Morinaga & Co. Ltd., Japan. HI and MK serve as members of Morinaga & Co., Ltd.

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Matsumoto, C., Tomiyama, H., Kimura, K. et al. Modulation of blood pressure-lowering effects of dark chocolate according to an insulin sensitivity-randomized crossover study. Hypertens Res 43, 575–578 (2020). https://doi.org/10.1038/s41440-020-0395-3

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