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Saturday, 4 July 2009

Spring 2002 Issue — Cocoa and Chocolate: Nutritious or Not?

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Scientific studies challenge negative image

Chocolate, and its possibly beneficial nutritional effects, have long been the subject of conjecture: is it a nutritious food, a cause of acne, migraine and tooth decay, or beneficial for the stomach and digestion?

A thorough search of the literature reveals however that none of these claims, positive or negative, is supported by scientific evidence. Their origin seems to be rather more emotional than scientific. Scientific research into the nutritional value of chocolate and cocoa is more complete than ever before. The studies reveal the following facts:

Cocoa and chocolate: sources of energy and wellbeing

Cocoa and chocolate are important sources of energy: with their concentration of calories in a small volume, cocoa and chocolate are among the most concentrated vegetable energy suppliers.

Chocolate contains a combination of sugars and fats which can produce a positive psychological effect during and after consumption. The relevant scientific studies showed increased feelings of satisfaction among the majority of experimental subjects.

Cocoa and chocolate are often consumed after heavy physical or mental effect by workers, sportsmen and so on, as a compensation for the energy expended during their exertions.

The macronutrients: fats, carbohydrates and proteins

Fats, and the effect of cocoa and chocolate on cholesterol

Cocoa and dark chocolate contain no cholesterol. Milk chocolate and white chocolate contain only minimal quantities due to the added milk fats.

Cocoa and chocolate contain stearic acid. According to recent studies (see bibliography) this unique saturated fatty acid has a neutral effect on the production of LDL or "bad" cholesterol, even with daily moderate consumption. The same studies show that the stearic acid in chocolate can promote the production of moderate quantities of "good" cholesterol in some test subjects.

The relevant studies conclude from this that regular moderate consumption of chocolate, provided it is in the context of a varied and balance diet and a healthy lifestyle, should hold no risks of any heart and blood vessel problems.

The carbohydrates

Sugars
Cocoa beans used in cocoa and chocolate production naturally contain very low levels of sugar (0.8-1.73%).

Chocolate however contains between 30 and 55% added sugars (sucrose and lactose), which are needed to neutralise the bitter taste of cocoa and also act as bulking agents, producing high-quality chocolate with a perfect texture.

According to scientific research the sugars present in chocolate cause only a moderate rise in blood sugar levels at moderate levels of consumption. Scientists are also convinced (in studies carried out on behalf of the WHO) that sugar consumption in itself is not a direct cause of chronic illness like obesity, cardiovascular disease or cancer. Instead, a combination of various unhealthy habits (over-eating, monotonous diet, lack of exercise ...) are thought to be the relevant causes.

Fibre
Cocoa mass contains around 15% soluble and insoluble dietary fibre. Dietary fibre has an important function in supporting the passage of food through the gut and keep the gut and stomach walls clean.

Proteins
Cocoa and dark chocolate contain very little digestible protein. However, science points to their potential role in improving the taste of protein rich drinks like (soya) milk and other dairy products. These may provide the primary source of protein and calcium for children and the elderly. A single 200ml glass of milk can provide around 13% of the RDA (Recommended Daily Allowance) of protein and 30% of the RDA for calcium. However, milk is declining in popularity among large numbers of growing children and adults. According to scientists, the use of chocolate and cocoa as flavourings can play a role in countering this shift.

Milk chocolate and white chocolate are also regarded as important sources of calcium and proteins. Barry Callebaut's milk and white chocolates contain around 14-30% milk solids. This equates to 4-8g of protein per 100g of chocolate, or 15% of the RDA.

The micronutrients: vitamins, minerals and polyphenols

Polyphenols and flavonoids

Cocoa is rich in polyphenols, a subject currently of major interest to many centres of scientific study. The possible role of polyphenols in the prevention of blood clotting in the blood vessels is under scrutiny. Experimental results show that the substance may be comparable to aspirin in its effects. The potential significance of cocoa polyphenols and their influence on the functions of the human body are still to be confirmed by future scientific research.

Certain polyphenols in cocoa are suspected to have an anti-oxidant effect. Studies on this are proceeding apace. We can report the following factual findings:

The naturally present cocoa polyphenols protect dark and milk chocolate from oxidation for long periods. They are natural preservatives. The flavonoids present in cocoa may counteract the oxidation which turns good cholesterol (HDL) into bad cholesterol (LDL). This transformation is suspected of causing diseases of the heart and blood vessels. Little is yet known about the effect of these so-called cocoa flavonoids in normal consumption doses. Scientists do predict, on the basis of recent research, that cocoa flavonoids will be found to have a stronger anti-oxidant effect than the flavonoids found in red wine.

Cocoa polyphenols may protect the body against substances which damage the immune system, causing rheumatism and arthritis. Many of these studies were carried out in Japan, and additional in vivo research will be needed before definitive statements can be made.

Scientific studies show that certain polyphenols in cocoa may render harmless the free radicals which affect DNA in body cells. In addition, they may neutralise other free radicals which cause cancer. Cocoa polyphenol (epicatechin) may also have an inhibitory effect on the development of certain cancers. Only further research will lead to certainty about these scientific indications.

Vitamins

Depending on the type and the recipe, Barry Callebaut chocolates may contain several vitamins which are significant in obtaining the recommended daily allowance. The examples in Table 1 are the most important.

Minerals

Cocoa and chocolate contain a host of minerals. Often working in conjunction with vitamins, these are indispensable for proper operation of physical functions. Cocoa and chocolate are particularly important sources of certain minerals. The most significant of these are shown in Table 2.

Theobromine and caffeine

Cocoa and chocolate contain minimal quantities of caffeine and theobromine. Scientists believe these substances have a stimulating effect on the operation of the central nervous system, the heart muscles, the production of urine and the relaxation of the respiratory muscles.

In cocoa mass, theobromine is found in the greatest concentrations (1.89-2.69%) while caffeine is present to a far lesser degree (0.16-0.31%. A comparison with the amount of caffeine in coffee (between 1 and 2.5%) shows that these amounts, and any effects, are relatively small. In view of the minimal quantities in cocoa and chocolate, most scientific studies point towards a minor or virtually unmeasurable effect.

Many test subjects experience positive effects from the moderate consumption of these substances, such as elevation of mood and improved concentration.

There is very little consistency in scientific findings on the possible negative effects of caffeine. Frequent coffee drinkers also appear to become accustomed tonegative symptoms such as nervousness, palpitations or sleeping difficulties.

Research into the consumption of caffeine in cocoa and chocolate by children shows no change whatever in the child's physiological or cognitive status or behaviour.

Some myths

Chocolate and obesity

After hundreds of scientific studies there is still no direct evidence that chocolate is an immediate cause of obesity. The total number of calories consumed, the digestion of those calories and the balance in the consumption of proteins, carbohydrates and fats play the predominant role in the prevention of obesity. Studies show that chocolate, consumed in moderation and as part of a balanced diet, is not a direct cause of obesity.

Chocolate and tooth decay

Scientific analyses of cocoa and chocolate indicate very small concentrations of substances which cause caries or carry out an acidic attack on the tooth enamel.

Cocoa naturally contains substances that combat oral bacteria. Further, when nuts and/or dairy products are added to chocolate, the time taken for salivary enzymes to neutralise oral bacterial decreases.

Chocolate and acne

No study has found evidence for chocolate as a cause of acne. While science is still groping in the dark for the precise cause of acne, indications are that this will be found in hormonal changes and bacterial effects.

The American Dietary Association and the American Academy of Dermatology currently discount any link between chocolate and acne.

Conclusions

Cocoa and chocolate contain valuable nutritional elements and may, with regular and moderate consumption, form part of a healthy and balanced diet.

Neither is in reality the villain or the forbidden fruit portrayed by public opinion. Many of these prejudices belong in the past, or are the result of inexact scientific studies.

Alongside its role as a source of energy and minerals, its taste and its fat/carbohydrate ratio means that chocolate offers positive psychological effects to such an extent that these effects are among its most significant.

Sources of further information:

Rupien John R. (1999) Overview of the Nutritional Benefits of Cocoa and Chocolate. In: Chocolate and Cocoa: Health & Nutrition (Ed. By Knight, I.). Blackwell Science, Oxford.

Burke, L.M. (1999) The role of chocolate in exercise performance. In: Chocolate and Cocoa: Health & Nutrition (Ed. by Knight, I). Blackwell Science, Oxford. Keys, A. (1970) Coronary heart disease in 7 countries. Circulation 41 (Suppl. 1), 1-221.

Kris-Etherton, P.M., Derr, J. Mustad, V.A. Seligson, F.H. and Pearson, T.A. (1994) Effects of milk chocolate bar per day substituted for a high-carbohydrate snack in young men on an NCEP/AHA Step 1 diet. Am. J. Clin. Nutr. 60 (Suppl.6), 1037S-1042S.

Kritchevsky, D. (1999) Cocoa butter and constituent fatty acids. In: Chocolate and Cocoa: Health & Nutrition (Ed. By Knight, I.). Blackwell Science, Oxford.

Würsch, P and Finot P-A (1999) Carbohydrate and protein. In: Chocolate and Cocoa: Health & Nutrition (Ed. By Knight, I.). Blackwell Science, Oxford.

Brand-Miller, J.C. (1999) Chocolate consumption and glucose response in people with diabetes. In: Chocolate and Cocoa: Health & Nutrition (Ed. By Knight, I.). Blackwell Science, Oxford.

FAO/WHO (1998) Dietary carbohydrate and disease. In: Carbohydrates in Human Nutrition. FAO Food and Nutrition Paper 66, pp 19-23. Food and Agriculture Organization, Rome.

Valiente, C., Esteban, R.M., Molla, E. and Lopez-Andreu, F.J. (1994) Roasting effects on dietary fibre composition of cocoa beans. J. Food Sci. 59, 132-124.

Prosky, L., Asp, N.-G., Schweizer, T.F., DeVries, J.W. and Furda, I. (1998) Determination of insoluble, soluble and total dietary fibre in food products: interlaboratory study. J. Assoc. Off. Anal. Chem. 71, 1017-1023.

Kondo, K., Hirano, R., Matsumoto, A., Igarashi, O. and Itakura, H. (1996) Inhibition of LDL oxidation by cocoa. Lancet 348, 1514.

Osawa, T. (1995) Antioxidation and antimutagenic reactions of polyphenols contained in chocolate cocoa. International Symposium on Nutrition of Chocolate and Cocoa, Japan.

Sanbongi, C., Suzuki, N. and Sakane, T. (1997) Polyphenols in chocolate, which have anti-oxidant activity, modulate immune functions in humans in vitro. Cell. Immunol. 177, 129-136.

Apgar, J.L. and Tarka jr., S.M. Methylxanthines. In: Chocolate and Cocoa: Health & Nutrition (Ed. By Knight, I.). Blackwell Science, Oxford.

Rapoport, J.L., Berg, C.J., Ismond, D.R., Zahn, T.P. and Neims, A. (1984) Behavioural effects of caffeine in children. Arch. Gen. Psychiatry 41, 1073-1079.

Stein, M.A., Krasowski, M., Leventhal, B.L. Phillips, W. ad Bender, B.G. (1996) Behavioural and cognitive effects of methylxanthines. Arch. Pediatr. Adolesc. Med. 150, 284-288.

Relevant studies have been carried out by Stein, M.A., Rapoport, J.L., Mumford, G.K., Evans, S.M. and Griffiths, R.R., Smith, B.D. and Tola, K., and others.

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