Cocoa FlavanolsCocoa Flavanols
other
别名: Cocoa Polyphenols, Cocoa Extract, Dark Chocolate Flavanols, Epicatechin, CocoaVia
About
Cocoa flavanols, particularly (-)-epicatechin, activate endothelial nitric oxide synthase improving flow-mediated dilation. The COSMOS trial (21,442 participants, 3.6 years) — the largest flavanol supplement trial ever — found cocoa extract at 500 mg/day reduced cardiovascular mortality by 27%. EFSA has approved a health claim for cocoa flavanols and vascular elasticity.
How It Works
(-)-Epicatechin and related procyanidins activate endothelial nitric oxide synthase (eNOS) via PI3K/Akt signaling; sustained NO production improves flow-mediated dilation; inhibit NADPH oxidase reducing superoxide-mediated NO degradation; reduce platelet reactivity; improve insulin sensitivity and reduce blood pressure through arterial compliance improvement.
Evidence For Conditions
| 健康状况 | 等级 | 研究数量 | 受试者 | |
|---|---|---|---|---|
| Endothelial Dysfunction | A | 30 | 25000 | 查看 → |
| High Blood Pressure (Hypertension) | C | 20 | 1000 | 查看 → |
Side Effects
- Mild gastrointestinal discomfort
- Caffeine-related effects (insomnia, nervousness — from cocoa/chocolate sources)
- Headache (rare)
- Weight gain (if consuming as chocolate rather than extract)
Drug & Supplement Interactions
- Anticoagulants (mild antiplatelet effect at high doses)
- MAO inhibitors (cocoa contains tyramine)
- Adenosine (caffeine in cocoa may antagonize)
- Blood pressure medications (additive hypotensive effect)
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Related Ingredients
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