The Cardiovascular Benefits of Resistance Training and Dark Chocolate in Female Adults
NCT ID: NCT06908941
Last Updated: 2025-04-04
Study Results
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Basic Information
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COMPLETED
NA
31 participants
INTERVENTIONAL
2023-09-01
2024-07-31
Brief Summary
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Detailed Description
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Dark chocolate, rich in flavanols, may support vascular health by reducing arterial stiffness and blood pressure across menstrual phases. This study examined the effects of 85% dark chocolate on nitric oxide (NO) levels and vascular function during high-intensity resistance exercise in healthy women across the early follicular and mid-luteal phases.
Methods:
Thirty-one healthy women (aged 20-30 years) with regular menstrual cycles completed a randomized, crossover study (conducted at National Chung Cheng University, Sep-Dec 2023). Participants consumed either 85% dark chocolate or milk chocolate (1g/kg body weight) before high-intensity resistance exercise during the early follicular (days 2-5) and mid-luteal (days 18-24) phases of two menstrual cycles. Finger-toe pulse wave velocity (ftPWV), arterial stiffness, blood pressure, and plasma NO levels were measured at rest, 2 hours after chocolate consumption (baseline), immediately post-exercise (T0), and at 60 (T60) and 120 (T120) minutes post-exercise.
Conditions
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Study Design
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RANDOMIZED
CROSSOVER
PREVENTION
DOUBLE
Study Groups
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Early Follicular
Participants consumed either 85% dark chocolate or milk chocolate (1g/kg body weight) before high-intensity resistance exercise during the early follicular (days 2-5) phases of two menstrual cycles.
dark chocolate
Participants consumed 85% dark chocolate (1g/kg body weight) before high-intensity resistance exercise during the early follicular (days 2-5) and mid-luteal (days 18-24) phases of two menstrual cycles. Finger-toe pulse wave velocity (ftPWV), arterial stiffness, blood pressure, and plasma NO levels were measured at rest, 2 hours after chocolate consumption (baseline), immediately post-exercise (T0), and at 60 (T60) and 120 (T120) minutes post-exercise.
milk chocolate
Participants consumed milk chocolate (1g/kg body weight) before high-intensity resistance exercise during the early follicular (days 2-5) and mid-luteal (days 18-24) phases of two menstrual cycles. Finger-toe pulse wave velocity (ftPWV), arterial stiffness, blood pressure, and plasma NO levels were measured at rest, 2 hours after chocolate consumption (baseline), immediately post-exercise (T0), and at 60 (T60) and 120 (T120) minutes post-exercise.
high-intensity resistance exercise
Participants performed high-intensity resistance exercise during the early follicular (days 2-5) and mid-luteal (days 18-24) phases of two menstrual cycles.
Mid-Luteal
Participants consumed either 85% dark chocolate or milk chocolate (1g/kg body weight) before high-intensity resistance exercise during the mid-luteal (days 18-24) phases of two menstrual cycles.
dark chocolate
Participants consumed 85% dark chocolate (1g/kg body weight) before high-intensity resistance exercise during the early follicular (days 2-5) and mid-luteal (days 18-24) phases of two menstrual cycles. Finger-toe pulse wave velocity (ftPWV), arterial stiffness, blood pressure, and plasma NO levels were measured at rest, 2 hours after chocolate consumption (baseline), immediately post-exercise (T0), and at 60 (T60) and 120 (T120) minutes post-exercise.
milk chocolate
Participants consumed milk chocolate (1g/kg body weight) before high-intensity resistance exercise during the early follicular (days 2-5) and mid-luteal (days 18-24) phases of two menstrual cycles. Finger-toe pulse wave velocity (ftPWV), arterial stiffness, blood pressure, and plasma NO levels were measured at rest, 2 hours after chocolate consumption (baseline), immediately post-exercise (T0), and at 60 (T60) and 120 (T120) minutes post-exercise.
high-intensity resistance exercise
Participants performed high-intensity resistance exercise during the early follicular (days 2-5) and mid-luteal (days 18-24) phases of two menstrual cycles.
Interventions
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dark chocolate
Participants consumed 85% dark chocolate (1g/kg body weight) before high-intensity resistance exercise during the early follicular (days 2-5) and mid-luteal (days 18-24) phases of two menstrual cycles. Finger-toe pulse wave velocity (ftPWV), arterial stiffness, blood pressure, and plasma NO levels were measured at rest, 2 hours after chocolate consumption (baseline), immediately post-exercise (T0), and at 60 (T60) and 120 (T120) minutes post-exercise.
milk chocolate
Participants consumed milk chocolate (1g/kg body weight) before high-intensity resistance exercise during the early follicular (days 2-5) and mid-luteal (days 18-24) phases of two menstrual cycles. Finger-toe pulse wave velocity (ftPWV), arterial stiffness, blood pressure, and plasma NO levels were measured at rest, 2 hours after chocolate consumption (baseline), immediately post-exercise (T0), and at 60 (T60) and 120 (T120) minutes post-exercise.
high-intensity resistance exercise
Participants performed high-intensity resistance exercise during the early follicular (days 2-5) and mid-luteal (days 18-24) phases of two menstrual cycles.
Eligibility Criteria
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Inclusion Criteria
* aged 20-30 years, from a local university campus,
* had a regular menstrual cycles in the past three months.
Exclusion Criteria
* (2) pregnancy or lactation in the past year,
* (3) history of cardiovascular or uterine surgery in the past six months,
* (4) use of contraceptives or other female hormone medications,
* (5) smoking or alcohol consumption habits,
* (6) hypertension (blood pressure \> 140/90 mmHg), chronic diseases, heart disease, or other cardiovascular conditions, (7) allergy to cocoa products, nuts, or fruits.
20 Years
30 Years
FEMALE
Yes
Sponsors
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National Cheng Kung University
OTHER
Responsible Party
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Cheng-Shiun He, PhD
Professor
Principal Investigators
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Cheng-Shiun He Professor
Role: PRINCIPAL_INVESTIGATOR
National Chung Cheng University
Locations
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National Chung Cheng University
Chiayi County, Taiwan, , Taiwan
Countries
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References
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Gaynor-Metzinger SHA, Triplett NT, Meucci M, Fasczewski KS, Flinchum DH, Collier SR. Central arterial stiffness, wave reflection, and heart rate variability following 4-week high-intensity resistance training intervention in young active women. Eur J Appl Physiol. 2022 Oct;122(10):2283-2293. doi: 10.1007/s00421-022-05003-4. Epub 2022 Jul 19.
Wang CW, Fang SH, Yu TA, Chen LY, Wang CK, Wang SC, He CS. The Cardiovascular Benefits of Dark Chocolate Supplementation before High-Intensity Resistance Exercise in the Early Follicular and Mid-Luteal Phases of the Menstrual Cycle. Sports Med Open. 2025 Apr 18;11(1):39. doi: 10.1186/s40798-025-00850-9.
Study Documents
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Document Type: Informed Consent Form
National Chung Cheng University Human Research Ethics Center
View DocumentRelated Links
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National Chung Cheng University Human Research Ethics Center
Other Identifiers
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CCUREC111122101
Identifier Type: -
Identifier Source: org_study_id
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