Theobromine consumption does not improve fasting and postprandial vascular function in overweight and obese subjects
Lotte Smolders1, Ronald P Mensink1, Jose J van den Driessche1
1Department of Human Biology and Movement Sciences, School of Nutrition and Translational Research in Metabolism (NUTRIM), Maastricht University Medical Center, Universiteitssingel 50, P.O. Box 616, 6200 MD, Maastricht, The Netherlands.
Insights
Theobromine from cocoa did not improve fasting or postprandial vascular function in overweight adults. While it increased postprandial arterial diameter, it did not support cocoa's cardioprotective effects.
Area of Science:
- Cardiovascular Research
- Nutritional Science
- Vascular Physiology
Background:
- Theobromine, a cocoa component, may influence cardiovascular risk markers.
- Its impact on vascular function, including flow-mediated dilation (FMD), remains unclear.
Purpose of the Study:
- To assess the effects of 4-week theobromine supplementation (500 mg/day) on vascular function markers.
- Evaluate changes in both fasting and postprandial states.
Main Methods:
- A randomized, double-blind, crossover study involving 44 overweight/obese adults with low HDL-C.
- Measurements included FMD, PAT, AIx, PWV, BP, and retinal microvasculature, under fasting and postprandial conditions.
Main Results:
- Theobromine did not alter fasting vascular function, except for a decrease in central augmentation index (cAIx).
- Postprandial high-fat meal challenge negatively impacted FMD, RHI, and blood pressure.
- Theobromine did not modify these postprandial responses but increased brachial artery diameter and decreased AIx postprandially.
Conclusions:
- Theobromine supplementation did not enhance fasting or postprandial endothelial function.
- Findings suggest theobromine alone may not confer the cardioprotective benefits associated with cocoa consumption.
Backgound:
Theobromine, a component of cocoa, may favorably affect conventional lipid-related cardiovascular risk markers, but effects on flow-mediated dilation (FMD) and other vascular function markers are not known.
Objective:
To evaluate the effects of 4-week theobromine consumption (500 mg/day) on fasting and postprandial vascular function markers.
Design:
In a randomized, double-blind crossover study, 44 apparently healthy overweight (N = 30) and obese (N = 14) men and women with low HDL-C concentrations, consumed daily 500 mg theobromine or placebo for 4 weeks. After 4 weeks, FMD, peripheral arterial tonometry (PAT), augmentation index (AIx), pulse wave velocity (PWV), blood pressure (BP) and retinal microvasculature measurements were performed. These measurements were carried out under fasting conditions and 2.5 h after a high-fat mixed meal challenge.
Results:
4-week theobromine consumption did not change fasting vascular function markers, except for a decrease in central AIx (cAIx, - 1.7 pp, P = 0.037) and a trend towards smaller venular calibers (- 2 µm, P = 0.074). Consuming a high-fat mixed meal decreased FMD (0.89 pp, P = 0.002), reactive hyperemia index (RHI, - 0.30, P < 0.001), peripheral systolic BP (SBP, - 3 mmHg, P ≤ 0.001), peripheral diastolic BP (DBP, - 2 mmHg, P ≤ 0.001), central SBP (- 6 mmHg, P ≤ 0.001) and central DBP (- 2 mmHg, P ≤ 0.001), but increased heart rate (HR, 2 bpm, P < 0.001). Theobromine did not modify these postprandial effects, but increased postprandially the brachial artery diameter (0.03 cm, P = 0.015), and decreased the cAIx corrected for a HR of 75 (cAIx75, - 5.0 pp, P = 0.004) and peripheral AIx (pAIx, - 6.3 pp, P = 0.017).
Conclusion:
Theobromine consumption did not improve fasting and postprandial endothelial function, but increased postprandial peripheral arterial diameters and decreased the AIx. These findings do not suggest that theobromine alone contributes to the proposed cardioprotective effects of cocoa. This trial was registered on clinicaltrials.gov under study number NCT02209025.
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