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Chocolate and Reduced Risk of Atrial Fibrillation: A 13-Year Study

In 2017, there’s more on the health benefits of chocolate! Accumulating evidence links chocolate to heart health and now, a lower risk of atrial fibrillation.

A 13-year Danish study published in 2017 tracked the health of 55,000 participants, aged 50–64 years. During the period, more than 3,300 cases of atrial fibrillation emerged. All of the participants had completed detailed questionnaires about their lifestyles, everything from exercise habits to what they ate and drank, including how much chocolate they consumed.

Study Results: Chocoholics Delight

“Our study adds to the accumulating evidence on the health benefits of moderate chocolate intake,” said lead author of the study Elizabeth Mostofsky of Harvard School of Public Health.

Compared to those who ate a 1-ounce serving of chocolate less often than once a month, the risk of atrial fibrillation was:

• 10 percent lower among those who ate one to three servings a month
• 17 percent lower among those who ate one serving a week
• 20 percent lower among those who ate two to six servings of chocolate a week

Benefits of All Types of Chocolate

In the 2015 study, all types of chocolate, including milk chocolate, seemed to have the same beneficial effect.
Most of the previous studies on the chocolate-heart connection found that only dark chocolate offered any cardiovascular protection. But in a 2015 study, “any type of chocolate, including milk chocolate, seemed to have the same beneficial effect” according to Howard LeWine, M.D., Chief Medical Editor, Harvard Health Publications.

Dr. LeWine added that while scientists aren’t sure why chocolate seems to boost heart health, it may be related to flavonoids, a type of antioxidant produced by plants.

Flavonoids are particularly abundant in cacao beans and have been shown to help lower blood pressure, improve blood flow to the brain and heart, prevent blood clots, and fight cell damage. They’ve also been shown to help thinking skills.

To Avoid A-Fib: How Much Chocolate?

The study results found “the rate of atrial fibrillation was 20 percent lower for people consuming two to six 1-ounce servings [of chocolate] per week”.

A-Fib risk was 20 percent lower among those who ate two to six (1 oz.) servings of chocolate a week.

While no recommended daily amounts have been set when it comes to chocolate (or cocoa flavonoids), the European Food Safety Authority suggests that 200 mg of cocoa flavonoids per day is a good target for the general population.

What Patients Need to Know

To reap the various health benefits of chocolate, the higher the cocoa content of the bar, the better. Look for chocolate bars with 70% cocoa or more. You may have to do some detective word, as the amount of cocoa used in chocolate varies a lot (and the amount of flavonoids in chocolate is not always listed.)

Your best bet is to stick with dark chocolate. As a general rule, dark chocolate has more cocoa and therefore more flavonoids than milk chocolate (and less sugar and saturated fat).

References for this Article
• Mostofsky E, et al. Chocolate intake and risk of clinically apparent atrial fibrillation: the Danish Diet, Cancer, and Health Study. Heart Journal. Published Online First: 23 May 2017. doi: 10.1136/heartjnl-2016-310357. http://dx.doi.org/10.1136/heartjnl-2016-310357

• Preidt, R. Could Chocolate Guard Against an Irregular Heartbeat? WebMD News from HealthDay. May 23, 2017. http://www.webmd.com/heart-disease/atrial-fibrillation/news/20170523/could-chocolate-guard-against-an-irregular-heartbeat#1

• Eating Chocolate, A Little Each Week, May Lower The Risk Of A Heart Flutter. Heard on All Things Considered, NPR. May 24, 2017. http://www.npr.org/sections/thesalt/2017/05/24/529843647/eating-chocolate-a-little-each-week-may-lower-the-risk-of-a-heart-flutter

• Kwok, CS, et al. Habitual chocolate consumption and risk of cardiovascular disease among healthy men and women. Heart 2015; 101 1253-1255 Published Online First: 24 Jul 2015. doi: 10.1136/heartjnl-2015-308347. URL: http://heart.bmj.com/content/101/16/1279

• LeWine, H. Sweet dreams: eating chocolate prevents heart disease. Harvard Health Publications. June 16, 2015. http://www.health.harvard.edu/blog/sweet-dreams-eating-chocolate-prevents-heart-disease-201506168087

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