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FREQUENTLY ASKED QUESTIONS Q: How much chocolate needs to be eaten for the heart health benefits? A: Currently there are no guidelines for optimum levels of flavanols that should be consumed. Research is underway to determine a recommended daily intake of flavanols and the USDA is developing a database of foods with their flavanol content. This will enable consumers to understand and choose foods that contain flavanols. Chocolate can be consumed in moderation as part of a balanced diet rich in fruits and vegetables and whole grain foods. Q: Are there flavanols in milk and dark chocolate? A: Yes, but the level of flavanols depends on several factors. Flavanols are a natural compound found in the cocoa bean, but some of them may be lost during several steps in the processing. Mars, Incorporated utilizes the patented Cocoapro process and marks products with the Cocoapro logo to signify that the cocoa beans were carefully handled to retain flavanols in the chocolate. The flavanols can be retained in both milk and dark chocolates if the cocoa beans are processed accordingly. Q: Is the fat in chocolate the kind that raises cholesterol? A: Scientific studies going back more than 40 years have repeatedly shown that the fat in chocolate does not raise blood cholesterol. Chocolate contains about 9 grams of fat per ounce. The fat is both saturated and unsaturated. Stearic and palmitic acid are the saturated fats and oleic is the unsaturated fat in chocolate. Unlike other saturated fats that tend to raise cholesterol, stearic acid appears to have a neutral effect on cholesterol. Oleic acid, the same type of fat found in olive oil, has been shown in research to have beneficial effects on cholesterol. The net effect, in multiple studies, is that chocolate appears to be cholesterol neutral. Like many foods, it is important to consume chocolate in moderation as part of a balanced diet rich in fruits, vegetables and whole grains. Q: How do I get more information on the developing research relating to chocolate and health? A: Check the websites www.cocoapro.com or www.chocolateinfo.com for more information on chocolate and health. ©2003 Mars, Incorporated Photocopies permitted for educational purposes EXTCHOCHEALTH Marriage Offering of Cacao, by permission of the British Museum. The Nutrients in Chocolate Chocolate contains nutrients and other components that are important and essential nutrients for good health. The macronutrients are those that contain calories and provide energy including carbohydrate, protein and fat. Cocoa and chocolate also contain micronutrients, including minerals such as potassium, magnesium, calcium, phosphorus, iron, zinc and copper. These minerals are essential to the body and utilized for actions such as muscle contraction, energy storage, growth, and nerve activity. In addition, because chocolate and cocoa are plant-based foods, they contain naturally-occurring compounds called phytonutrients that may provide health benefits when consumed. Phytonutrients are of great interest to scientists all over the world because of their potential impacts on human health. Flavanols and heart health Perhaps you’ve heard news about the potential health benefits of certain chocolate and cocoa. According to recent scientific research, specific chocolates and cocoas may play a positive role in a heart healthy diet. A moderate amount of chocolate may be part of a heart healthy lifestyle, which includes a balanced diet rich in fruits, vegetables and whole grains, and regular physical activity. Researchers believe that flavonoids, compounds with healthbenefiting properties found in plant based foods, may be the cause of these potential heart health benefits. Flavanols, a subgroup of flavonoids, may be found in abundant quantities in foods and beverages such as apples, grapes, red wine, tea, certain cocoa and chocolate. Because flavanols may be destroyed during certain steps in processing, not all chocolates contain the same level of flavanols. The cocoa beans must be carefully processed in a way to retain flavanols. Developing research suggests that flavanols may impact heart health in a variety of ways. RESEARCH Blood Pressure Cocoa flavanols may play a role in maintaining healthy blood pressure by maintaining blood vessel health. There is a particular population of people living off the coast of Central America who have both a high intake of cocoa and a correspondingly low incidence of hypertension (high blood pressure). Researchers speculate that there may be a connection. The traditional diet of this population, called the Kuna Amerinds, includes a great deal of salt, which is typically associated with high blood pressure. However, the group has a very low incidence of hypertension. It is suggested that the unusually high intake of flavanols from a cocoa drink that is a traditional part of the Kuna diet may play a role in supporting healthy blood pressure in this population. Research also suggests that cocoa flavanols may increase levels of nitric oxide in the blood. Nitric oxide is important in opening up blood vessels to increase blood flow and is therefore important in maintaining healthy blood pressure. Blood Flow Flavanols may also support healthy blood flow by reducing platelet stickiness in the blood. Platelets are round disks found in the blood, which play a role in blood clotting. In the initial stage of injury a blood clot will act as a plug to stop the loss of blood. However, in the case of chronic injury to the heart as in heart disease, blood clots can be lethal, potentially blocking an artery vital to proper blood flow through the heart. Preliminary clinical studies found that when study participants consumed flavanol-rich cocoa or chocolates, compared to a control with low levels of flavanols, there was a corresponding reduced tendency for platelets to stick together – an effect similar to the effect caused by the ingestion of aspirin. In fact, one study had participants take flavanol-rich chocolate and a baby aspirin and saw an even greater effect with the combination over taking either one alone. Antioxidant Flavanols maintain heart health Flavanol Content in Food and Beverages 600 by acting as antioxidants. In 500 the body, antioxidants help to 400 neutralize free radicals, which 300 are natural by-products of 200 metabolism. All processes in 100 the body, including when the 0 body breaks down food to use Apple Cherry Chocolate Red Wine Black Tea for energy, may create free Adapted From: Hannum SM et al. Nutr Today 2002; 37:103-109 radicals. Free radicals can damage healthy tissues and cells if they are not counteracted by an antioxidant. Importantly, antioxidants appear to help reduce the oxidation of LDL or “bad” cholesterol. When LDL cholesterol is oxidized there is a likelihood that plaques can form in blood vessels. As plaque builds up in the arteries, a blockage may occur leading to a heart attack. It is important to keep vessels free from plaque build-up to maintain heart health. Several studies suggest a decreased production of free radicals, an inhibition of LDL oxidation and an increase in antioxidant capacity in the blood with ingestion of flavanol rich chocolate. Flavanols (mg/100g or mg/100ml) Chocolate is one of the favorite foods of people all over the world. But in ancient times even before chocolate was enjoyed for its delicious taste, it was believed to promote good health and to be useful for medicinal purposes. Scientists of today are discovering through research that yesterday’s health giving beliefs about chocolate just may hold true. ©2003 Mars, Incorporated