Chocolate and CVD Risk in Postmenopausal Women

NCT ID: NCT03453073

Last Updated: 2020-11-06

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

83310 participants

Study Classification

OBSERVATIONAL

Study Start Date

2014-12-15

Study Completion Date

2018-07-01

Brief Summary

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The investigators will conduct an epidemiological analysis of data from the Women's Health Initiative to investigate the prospective association between chocolate intake and the risk of heart disease and stroke.

Detailed Description

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BACKGROUND: Three recent meta-analyses found significant prospective inverse associations between chocolate intake and cardiovascular disease risk. Evidence from these meta-analyses suggests that such inverse associations may only apply to elderly individuals or those with preexisting major chronic disease.

OBJECTIVE: The investigators will assess the association between habitual chocolate intake and subsequent incident coronary heart disease (CHD) and stroke, and the potential effect of modification by age.

DESIGN: The investigators will conduct multivariable Cox regression analyses using data from 83,310 postmenopausal women free of baseline preexisting major chronic disease in the prospective Women's Health Initiative cohort. Chocolate intake was assessed using a food frequency questionnaire. Physician adjudicated events or deaths were ascertained up to September 30, 2013.

Conditions

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Cardiovascular Disease Heart Disease Stroke

Keywords

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Coronary heart disease stroke chocolate consumption postmenopausal women nutrition dietary intake epidemiology

Study Design

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Observational Model Type

ECOLOGIC_OR_COMMUNITY

Study Time Perspective

PROSPECTIVE

Study Groups

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chocolate consumption level referent

women who ate 1 oz. (28.35 g) of chocolate \<1 time/month

chocolate consumption level

Intervention Type BEHAVIORAL

level of consumption of 1 oz. of chocolate, as assessed at baseline

chocolate consumption level 2

women who ate 1 oz. (28.35 g) of chocolate between 1 and \<1.5 times/month

chocolate consumption level

Intervention Type BEHAVIORAL

level of consumption of 1 oz. of chocolate, as assessed at baseline

chocolate consumption level 3

women who ate 1 oz. (28.35 g) of chocolate between 1.5 and \<3.5 times/month,

chocolate consumption level

Intervention Type BEHAVIORAL

level of consumption of 1 oz. of chocolate, as assessed at baseline

chocolate consumption level 4

women who ate 1 oz. (28.35 g) of chocolate between 3.5 times/month and \<3 times/week

chocolate consumption level

Intervention Type BEHAVIORAL

level of consumption of 1 oz. of chocolate, as assessed at baseline

chocolate consumption level 5

women who ate 1 oz. (28.35 g) of chocolate \>3 times/week

chocolate consumption level

Intervention Type BEHAVIORAL

level of consumption of 1 oz. of chocolate, as assessed at baseline

No physician diagnosis

No incidence of serious chronic disease prior to visit 3

physician diagnosis of first occurrence of serious chronic disease

Intervention Type OTHER

Physician diagnosis

Incidence of serious chronic disease prior to visit 3

physician diagnosis of first occurrence of serious chronic disease

Intervention Type OTHER

Younger

Age\<65 years at follow-up baseline

chocolate consumption level

Intervention Type BEHAVIORAL

level of consumption of 1 oz. of chocolate, as assessed at baseline

Older

Age\>=65 years at follow-up baseline

chocolate consumption level

Intervention Type BEHAVIORAL

level of consumption of 1 oz. of chocolate, as assessed at baseline

Interventions

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chocolate consumption level

level of consumption of 1 oz. of chocolate, as assessed at baseline

Intervention Type BEHAVIORAL

physician diagnosis of first occurrence of serious chronic disease

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. Postmenopausal women
2. age between 50 and 79 years
3. enrolled in the Women's Health Initiative (WHI) Observational Study, or in the control arm of one or more overlapping WHI clinical trials.

Exclusion Criteria

1. implausible energy intakes, defined as \<600 kcal/d or \>5,000 kcal/d;
2. implausible body mass indices (BMI) (\<15 or \>50 kg/m2)
3. implausible height\<122 cm (4 ft.)
4. self-reported preexisting serious chronic disease at baseline, including diabetes, angina, myocardial infarction (MI), stroke, heart failure, coronary artery bypass graft, percutaneous coronary intervention or cancer.
5. missing data on preexisting major chronic disease or any exposure, outcome or confounder variables.
Minimum Eligible Age

55 Years

Maximum Eligible Age

79 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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National Heart, Lung, and Blood Institute (NHLBI)

NIH

Sponsor Role collaborator

Department of Health and Human Services

FED

Sponsor Role collaborator

Brooklyn College of the City University of New York

OTHER

Sponsor Role lead

Responsible Party

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James Greenberg

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

References

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Greenberg JA, Manson JE, Neuhouser ML, Tinker L, Eaton C, Johnson KC, Shikany JM. Chocolate intake and heart disease and stroke in the Women's Health Initiative: a prospective analysis. Am J Clin Nutr. 2018 Jul 1;108(1):41-48. doi: 10.1093/ajcn/nqy073.

Reference Type RESULT
PMID: 29931040 (View on PubMed)

Other Identifiers

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438347-3

Identifier Type: -

Identifier Source: org_study_id