Skip to main content
Top
Published in: Journal of the International Society of Sports Nutrition 1/2017

Open Access 01-12-2017 | Research article

Acute cocoa Flavanols intake has minimal effects on exercise-induced oxidative stress and nitric oxide production in healthy cyclists: a randomized controlled trial

Authors: Lieselot Decroix, Cajsa Tonoli, Danusa Dias Soares, Amandine Descat, Marie-José Drittij-Reijnders, Antje R. Weseler, Aalt Bast, Wilhelm Stahl, Elsa Heyman, Romain Meeusen

Published in: Journal of the International Society of Sports Nutrition | Issue 1/2017

Login to get access

Abstract

Background

Cocoa flavanols (CF) can stimulate vasodilation by improved nitric oxide (NO) synthesis and have antioxidant and anti-inflammatory capacities. This study aimed to examine whether acute CF intake can affect exercise-induced changes in antioxidant capacity, oxidative stress, inflammation and NO production, as well as exercise performance and recovery in well-trained cyclists.

Methods

Twelve well-trained male cyclists (mean ± SD age, VO2max: 30 ± 3 years, 63.0 ± 3.5 ml/kg/min) participated in this randomized, double-blind, cross over study. On 2 separate occasions, subjects performed two 30-min time trials 1.5 (TT1) and 3 (TT2) hours after CF (900 mg CF) or placebo (PL, 13 mg CF) intake, interposed by passive rest. Lactate, glucose, heartrate, rating of perceived exertion (RPE) and power output were measured during the TTs. Blood was drawn at baseline, before and after each TT and analyzed for epicatechin serum concentrations, trolox equivalent antioxidative capacity (TEAC), uric acid (UA), malonaldehyde (MDA), L-arginine/ADMA, citrulline, interleukin (IL)-1, IL-6 and tumor necrosis factor (TNF)-α plasma concentrations. Relative changes in blood markers and pacing strategy during TT were analysed by repeated measured ANOVA. TT performance was compared between PL and CF by paired t-test.

Results

Epicatechin concentrations were increased by CF intake. Exercise-induced increase in TEAC/UA was improved by CF intake (F(1) = 5.57; p = .038) (post-TT1: PL: 113.34 ± 3.9%, CF: 117.64 ± 3.96%, post-TT2: PL: 108.59 ± 3.95%, CF: 123.72 ± 7.4% to baseline), while exercise-induced increases in MDA, IL-1 and IL-6 were not affected by CF intake. TNF-α was unaltered by exercise and by CF. Exercise-induced decreases in L-arginine/ADMA and increases in citrulline were not affected by CF intake. TT1 and TT2 performance and exercise-induced physiological changes were unaffected by CF intake.

Conclusion

Acute CF intake increased total antioxidant capacity in rest and during exercise, but did not affect exercise-induced lipid peroxidation, inflammation, nor NO production in healthy athletes. Acute CF intake did not improve TT performance and recovery.

Trial registration

ISRCTN32875, 21-11-2016, retrospectively registered.
Literature
1.
go back to reference Wiswedel I, Hirsch D, Kropf S, Gruening M, Pfister E, Schewe T, et al. Flavanol-rich cocoa drink lowers plasma F2-isoprostane concentrations in humans. Free Radic Biol Med. 2004;37:411–21.CrossRefPubMed Wiswedel I, Hirsch D, Kropf S, Gruening M, Pfister E, Schewe T, et al. Flavanol-rich cocoa drink lowers plasma F2-isoprostane concentrations in humans. Free Radic Biol Med. 2004;37:411–21.CrossRefPubMed
3.
go back to reference Davison G, Callister R, Williamson G, Cooper K a, Gleeson M. The effect of acute pre-exercise dark chocolate consumption on plasma antioxidant status, oxidative stress and immunoendocrine responses to prolonged exercise. Eur J Nutr. 2012;51:69–79.CrossRefPubMed Davison G, Callister R, Williamson G, Cooper K a, Gleeson M. The effect of acute pre-exercise dark chocolate consumption on plasma antioxidant status, oxidative stress and immunoendocrine responses to prolonged exercise. Eur J Nutr. 2012;51:69–79.CrossRefPubMed
4.
go back to reference Peschek K, Pritchett R, Bergman E, Pritchett K. The effects of acute post exercise consumption of two cocoa-based beverages with varying flavanol content on indices of muscle recovery following downhill treadmill running. Nutrients. 2014;6:50–62.CrossRef Peschek K, Pritchett R, Bergman E, Pritchett K. The effects of acute post exercise consumption of two cocoa-based beverages with varying flavanol content on indices of muscle recovery following downhill treadmill running. Nutrients. 2014;6:50–62.CrossRef
5.
go back to reference Patel RK, Brouner J, Spendiff O. Dark chocolate supplementation reduces the oxygen cost of moderate intensity cycling. J Int Soc Sports Nutr. 2015;12:7–14.CrossRef Patel RK, Brouner J, Spendiff O. Dark chocolate supplementation reduces the oxygen cost of moderate intensity cycling. J Int Soc Sports Nutr. 2015;12:7–14.CrossRef
6.
go back to reference Allgrove J, Farrell E, Gleeson M, Williamson G, Cooper K. Regular dark chocolate consumption’s reduction of oxidative stress and increase of free-fatty-acid mobilization in response to prolonged cycling. Int J Sport Nutr Exerc Metab. 2011;21:113–23.CrossRefPubMed Allgrove J, Farrell E, Gleeson M, Williamson G, Cooper K. Regular dark chocolate consumption’s reduction of oxidative stress and increase of free-fatty-acid mobilization in response to prolonged cycling. Int J Sport Nutr Exerc Metab. 2011;21:113–23.CrossRefPubMed
7.
go back to reference Stellingwerff T, Godin J-P, Chou CJ, Grathwohl D, Ross AB, Cooper K a, et al. The effects of acute dark chocolate consumption on carbohydrate metabolism and performance during rest and exercise. Appl Physiol Nutr Metab. 2014;39:173–82.CrossRefPubMed Stellingwerff T, Godin J-P, Chou CJ, Grathwohl D, Ross AB, Cooper K a, et al. The effects of acute dark chocolate consumption on carbohydrate metabolism and performance during rest and exercise. Appl Physiol Nutr Metab. 2014;39:173–82.CrossRefPubMed
9.
go back to reference Bentley DJ, Dank S, Coupland R, Midgley A, Spence I. Acute antioxidant supplementation improves endurance performance in trained athletes. Res Sports Med. 2012;20:1–12.PubMed Bentley DJ, Dank S, Coupland R, Midgley A, Spence I. Acute antioxidant supplementation improves endurance performance in trained athletes. Res Sports Med. 2012;20:1–12.PubMed
10.
go back to reference Gomez-Cabrera MC, Salvador-Pascual A, Cabo H, Ferrando B, Viña J. Redox modulation of mitochondriogenesis in exercise. Doesantioxidantsupplementation blunt thebenefits of exercise training? Free Radic Biol Med. 2015;86:37–46. Gomez-Cabrera MC, Salvador-Pascual A, Cabo H, Ferrando B, Viña J. Redox modulation of mitochondriogenesis in exercise. Doesantioxidantsupplementation blunt thebenefits of exercise training? Free Radic Biol Med. 2015;86:37–46.
11.
12.
go back to reference Braakhuis AJ, Hopkins WG. Impact of dietary antioxidants on sport performance: a review. Sports Med. 2015;45:939–55.CrossRefPubMed Braakhuis AJ, Hopkins WG. Impact of dietary antioxidants on sport performance: a review. Sports Med. 2015;45:939–55.CrossRefPubMed
13.
go back to reference Selmi C, Cocchi C a, Lanfredini M, Keen CL, Gershwin ME. Chocolate at heart: the anti-inflammatory impact of cocoa flavanols. Mol Nutr Food Res. 2008;52:1340–8.CrossRefPubMed Selmi C, Cocchi C a, Lanfredini M, Keen CL, Gershwin ME. Chocolate at heart: the anti-inflammatory impact of cocoa flavanols. Mol Nutr Food Res. 2008;52:1340–8.CrossRefPubMed
14.
go back to reference Malaguti M, Angeloni C, Hrelia S. Polyphenols in exercise performance and prevention of exercise-induced muscle damage. Oxidative Med Cell Longev. 2013;2013:825928.CrossRef Malaguti M, Angeloni C, Hrelia S. Polyphenols in exercise performance and prevention of exercise-induced muscle damage. Oxidative Med Cell Longev. 2013;2013:825928.CrossRef
15.
go back to reference Corti R, Flammer AJ, Hollenberg NK, Lüscher TF. Cocoa and cardiovascular health. Circulation. 2009;119:1433–41.CrossRefPubMed Corti R, Flammer AJ, Hollenberg NK, Lüscher TF. Cocoa and cardiovascular health. Circulation. 2009;119:1433–41.CrossRefPubMed
16.
go back to reference Schnorr O, Brossette T, Momma TY, Kleinbongard P, Keen CL, Schroeter H, et al. Cocoa flavanols lower vascular arginase activity in human endothelial cells in vitro and in erythrocytes in vivo. Arch Biochem Biophys. 2008;476:211–5.CrossRefPubMed Schnorr O, Brossette T, Momma TY, Kleinbongard P, Keen CL, Schroeter H, et al. Cocoa flavanols lower vascular arginase activity in human endothelial cells in vitro and in erythrocytes in vivo. Arch Biochem Biophys. 2008;476:211–5.CrossRefPubMed
17.
go back to reference Karim M, McCormick K, Kappagoda CT. Effects of cocoa extracts on endothelium-dependent relaxation. J Nutr. 2000;130:2105S–8S.PubMed Karim M, McCormick K, Kappagoda CT. Effects of cocoa extracts on endothelium-dependent relaxation. J Nutr. 2000;130:2105S–8S.PubMed
18.
go back to reference Heiss C, Kleinbongard P, Dejam A, Perré S, Schroeter H, Sies H, et al. Acute consumption of flavanol-rich cocoa and the reversal of endothelial dysfunction in smokers. J Am Coll Cardiol. 2005;46:1276–83.CrossRefPubMed Heiss C, Kleinbongard P, Dejam A, Perré S, Schroeter H, Sies H, et al. Acute consumption of flavanol-rich cocoa and the reversal of endothelial dysfunction in smokers. J Am Coll Cardiol. 2005;46:1276–83.CrossRefPubMed
19.
go back to reference Balzer J, Rassaf T, Heiss C, Kleinbongard P, Lauer T, Merx M, et al. Sustained benefits in vascular function through flavanol-containing cocoa in medicated diabetic patients a double-masked, randomized, controlled trial. J Am Coll Cardiol. 2008;51:2141–9.CrossRefPubMed Balzer J, Rassaf T, Heiss C, Kleinbongard P, Lauer T, Merx M, et al. Sustained benefits in vascular function through flavanol-containing cocoa in medicated diabetic patients a double-masked, randomized, controlled trial. J Am Coll Cardiol. 2008;51:2141–9.CrossRefPubMed
20.
go back to reference Schewe T, Steffen Y, Sies H. How do dietary flavanols improve vascular function? A position paper. Arch Biochem Biophys. 2008;476:102–6.CrossRefPubMed Schewe T, Steffen Y, Sies H. How do dietary flavanols improve vascular function? A position paper. Arch Biochem Biophys. 2008;476:102–6.CrossRefPubMed
21.
go back to reference Bescós R, Sureda A, Tur J a, Pons A. The effect of nitric-oxide-related supplements on human performance. Sport Med. 2012;42:99–117.CrossRef Bescós R, Sureda A, Tur J a, Pons A. The effect of nitric-oxide-related supplements on human performance. Sport Med. 2012;42:99–117.CrossRef
22.
go back to reference Nosarev AV, Smagliy LV, Anfinogenova Y, Popov SV, Kapilevich LV. Exercise and NO production: relevance and implications in the cardiopulmonary system. Front Cell Dev Biol. 2014;2:73.PubMed Nosarev AV, Smagliy LV, Anfinogenova Y, Popov SV, Kapilevich LV. Exercise and NO production: relevance and implications in the cardiopulmonary system. Front Cell Dev Biol. 2014;2:73.PubMed
23.
go back to reference Green DJ, Maiorana A, O’Driscoll G, Taylor R. Effect of exercise training on endothelium-derived nitric oxide function in humans. J Physiol. 2004;561:1–25.CrossRefPubMedPubMedCentral Green DJ, Maiorana A, O’Driscoll G, Taylor R. Effect of exercise training on endothelium-derived nitric oxide function in humans. J Physiol. 2004;561:1–25.CrossRefPubMedPubMedCentral
24.
go back to reference Depauw K, Roelands B, Cheung SS, B De G, Rietjens G, Meeusen R. Guidelines to classify subject groups in sport-science research. Int J Sports Physiol Perform. 2013:111–22. Depauw K, Roelands B, Cheung SS, B De G, Rietjens G, Meeusen R. Guidelines to classify subject groups in sport-science research. Int J Sports Physiol Perform. 2013:111–22.
25.
go back to reference Schramm DD, Karim M, Schrader HR, Holt RR, Kirkpatrick NJ, Polagruto J a, et al. Food effects on the absorption and pharmacokinetics of cocoa flavanols. Life Sci. 2003;73:857–69.CrossRefPubMed Schramm DD, Karim M, Schrader HR, Holt RR, Kirkpatrick NJ, Polagruto J a, et al. Food effects on the absorption and pharmacokinetics of cocoa flavanols. Life Sci. 2003;73:857–69.CrossRefPubMed
26.
go back to reference Dill BD, Costill D. Calculation of percentage changes in volumes of blood, plasma, and red cells in dehydration. J Appl Physiol. 1974;37:247–8.PubMed Dill BD, Costill D. Calculation of percentage changes in volumes of blood, plasma, and red cells in dehydration. J Appl Physiol. 1974;37:247–8.PubMed
27.
go back to reference Warden B, Smith L, Beecher G, Balentine D, Clevidence B, Warden A. Human nutrition and metabolism Catechins are bioavailable in men and women drinking black tea throughout the day. J Nutr. 2001;131:1731–7.PubMed Warden B, Smith L, Beecher G, Balentine D, Clevidence B, Warden A. Human nutrition and metabolism Catechins are bioavailable in men and women drinking black tea throughout the day. J Nutr. 2001;131:1731–7.PubMed
28.
go back to reference Fischer M, Gransier TJM, Beckers LMG, Bekers O, Bast A, Haenen G. Determination of the antioxidant capacity in blood. Clin Chem Lab Med. 2005;43:735–40.CrossRefPubMed Fischer M, Gransier TJM, Beckers LMG, Bekers O, Bast A, Haenen G. Determination of the antioxidant capacity in blood. Clin Chem Lab Med. 2005;43:735–40.CrossRefPubMed
29.
go back to reference Weseler AR, Ruijters EJB, Drittij-Reijnders M-J, Reesink KD, Haenen GRMM, Bast A. Pleiotropic benefit of Monomeric and Oligomeric Flavanols on vascular health - a randomized controlled clinical pilot study. PLoS One. 2011;6:e28460.CrossRefPubMedPubMedCentral Weseler AR, Ruijters EJB, Drittij-Reijnders M-J, Reesink KD, Haenen GRMM, Bast A. Pleiotropic benefit of Monomeric and Oligomeric Flavanols on vascular health - a randomized controlled clinical pilot study. PLoS One. 2011;6:e28460.CrossRefPubMedPubMedCentral
30.
go back to reference Schroeter H, Heiss C, Balzer J, Kleinbongard P, Keen CL, Hollenberg NK, et al. (−)-Epicatechin mediates beneficial effects of flavanol-rich cocoa on vascular function in humans. Proc Natl Acad Sci U S A. 2006;103:1024–9.CrossRefPubMedPubMedCentral Schroeter H, Heiss C, Balzer J, Kleinbongard P, Keen CL, Hollenberg NK, et al. (−)-Epicatechin mediates beneficial effects of flavanol-rich cocoa on vascular function in humans. Proc Natl Acad Sci U S A. 2006;103:1024–9.CrossRefPubMedPubMedCentral
31.
go back to reference Willoughby DS, Boucher T, Reid J, Skelton G, Clark M. Effects of 7 days of arginine-alpha-ketoglutarate supplementation on blood flow, plasma L-arginine, nitric oxide metabolites, and asymmetric dimethyl arginine after resistance exercise. Int J Sport Nutr Exerc Metab. 2011;21:291–9.CrossRefPubMed Willoughby DS, Boucher T, Reid J, Skelton G, Clark M. Effects of 7 days of arginine-alpha-ketoglutarate supplementation on blood flow, plasma L-arginine, nitric oxide metabolites, and asymmetric dimethyl arginine after resistance exercise. Int J Sport Nutr Exerc Metab. 2011;21:291–9.CrossRefPubMed
32.
go back to reference Koppo K, Taes YE, Pottier A, Boone J, Bouckaert J, Derave W. Dietary arginine supplementation speeds pulmonary v??o2 kinetics during cycle exercise. Med Sci Sports Exerc. 2009;41:1626–32.CrossRefPubMed Koppo K, Taes YE, Pottier A, Boone J, Bouckaert J, Derave W. Dietary arginine supplementation speeds pulmonary v??o2 kinetics during cycle exercise. Med Sci Sports Exerc. 2009;41:1626–32.CrossRefPubMed
33.
go back to reference Sibal L, Agarwal SC, Home PD, Boger RH. The role of asymmetric Dimethylarginine (ADMA) in endothelial dysfunction and cardiovascular disease. Curr Cardiol Rev. 2010;6:82–90.CrossRefPubMedPubMedCentral Sibal L, Agarwal SC, Home PD, Boger RH. The role of asymmetric Dimethylarginine (ADMA) in endothelial dysfunction and cardiovascular disease. Curr Cardiol Rev. 2010;6:82–90.CrossRefPubMedPubMedCentral
34.
go back to reference Brinkmann S, Wörner E, Buijs N, Richir M, Cynober L, van Leeuwen P, et al. The Arginine/ADMA ratio is related to the prevention of atherosclerotic plaques in Hypercholesterolemic rabbits when giving a combined therapy with Atorvastatine and Arginine. Int J Mol Sci. 2015;16:12230–42.CrossRefPubMedPubMedCentral Brinkmann S, Wörner E, Buijs N, Richir M, Cynober L, van Leeuwen P, et al. The Arginine/ADMA ratio is related to the prevention of atherosclerotic plaques in Hypercholesterolemic rabbits when giving a combined therapy with Atorvastatine and Arginine. Int J Mol Sci. 2015;16:12230–42.CrossRefPubMedPubMedCentral
35.
go back to reference Newsholme P, Homem De Bittencourt PI, O’ Hagan C, De Vito G, Murphy C, Krause MS. Exercise and possible molecular mechanisms of protection from vascular disease and diabetes: the central role of ROS and nitric oxide. Clin Sci (Lond). 2010;118:341–9.CrossRef Newsholme P, Homem De Bittencourt PI, O’ Hagan C, De Vito G, Murphy C, Krause MS. Exercise and possible molecular mechanisms of protection from vascular disease and diabetes: the central role of ROS and nitric oxide. Clin Sci (Lond). 2010;118:341–9.CrossRef
36.
go back to reference Taub P, Ramirez-Sanchez I, Patel M, Higginbotham E, Moreno-Ulloa A, Román-Pintos L, Phillips P, Perkins G, Ceballos G, Villarreal F. Beneficial effects of dark chocolate on exercise capacity in sedentary subjects: underlying mechanisms. A double blind, randomized, placebo controlled trial. Food Fuct. 2016;7(9):3686–93.CrossRef Taub P, Ramirez-Sanchez I, Patel M, Higginbotham E, Moreno-Ulloa A, Román-Pintos L, Phillips P, Perkins G, Ceballos G, Villarreal F. Beneficial effects of dark chocolate on exercise capacity in sedentary subjects: underlying mechanisms. A double blind, randomized, placebo controlled trial. Food Fuct. 2016;7(9):3686–93.CrossRef
37.
go back to reference Ghiselli A, Serafini M, Natella F, Scaccini C. Total antioxidant capacity as a tool to assess redox status: critical view and experimental data. Free Radic Biol Med. 2000;29:1106–14.CrossRefPubMed Ghiselli A, Serafini M, Natella F, Scaccini C. Total antioxidant capacity as a tool to assess redox status: critical view and experimental data. Free Radic Biol Med. 2000;29:1106–14.CrossRefPubMed
38.
go back to reference Jówko E, Długołęcka B, Makaruk B, Cieśliński I. The effect of green tea extract supplementation on exercise-induced oxidative stress parameters in male sprinters. Eur J Nutr. 2015;54(5):783–91. Jówko E, Długołęcka B, Makaruk B, Cieśliński I. The effect of green tea extract supplementation on exercise-induced oxidative stress parameters in male sprinters. Eur J Nutr. 2015;54(5):783–91.
39.
go back to reference Morillas-Ruiz JM, Villegas García J a, López FJ, Vidal-Guevara ML, Zafrilla P. Effects of polyphenolic antioxidants on exercise-induced oxidative stress. Clin Nutr. 2006;25:444–53.CrossRefPubMed Morillas-Ruiz JM, Villegas García J a, López FJ, Vidal-Guevara ML, Zafrilla P. Effects of polyphenolic antioxidants on exercise-induced oxidative stress. Clin Nutr. 2006;25:444–53.CrossRefPubMed
40.
go back to reference Ertek S, Cicero A. Impact of physical activity on inflammation: effects on cardiovascular disease risk and other inflammatory conditions. Arch Med Sci. 2012;8:794–804.CrossRefPubMedPubMedCentral Ertek S, Cicero A. Impact of physical activity on inflammation: effects on cardiovascular disease risk and other inflammatory conditions. Arch Med Sci. 2012;8:794–804.CrossRefPubMedPubMedCentral
41.
go back to reference Becker K, Geisler S, Ueberall F, Fuchs D, Gostner JM. Immunomodulatory properties of cacao extracts - potential consequences for medical applications. Front Pharmacol. 2013;4:154.CrossRefPubMedPubMedCentral Becker K, Geisler S, Ueberall F, Fuchs D, Gostner JM. Immunomodulatory properties of cacao extracts - potential consequences for medical applications. Front Pharmacol. 2013;4:154.CrossRefPubMedPubMedCentral
42.
go back to reference Parsaeyan N, Mozaffari-Khosravi H, Absalan A, Mozayan MR. Beneficial effects of cocoa on lipid peroxidation and inflammatory markers in type 2 diabetic patients and investigation of probable interactions of cocoa active ingredients with prostaglandin synthase-2 (PTGS-2/COX-2) using virtual analysis. J Diabetes Metab Disord. 2014;13:30.CrossRefPubMedPubMedCentral Parsaeyan N, Mozaffari-Khosravi H, Absalan A, Mozayan MR. Beneficial effects of cocoa on lipid peroxidation and inflammatory markers in type 2 diabetic patients and investigation of probable interactions of cocoa active ingredients with prostaglandin synthase-2 (PTGS-2/COX-2) using virtual analysis. J Diabetes Metab Disord. 2014;13:30.CrossRefPubMedPubMedCentral
Metadata
Title
Acute cocoa Flavanols intake has minimal effects on exercise-induced oxidative stress and nitric oxide production in healthy cyclists: a randomized controlled trial
Authors
Lieselot Decroix
Cajsa Tonoli
Danusa Dias Soares
Amandine Descat
Marie-José Drittij-Reijnders
Antje R. Weseler
Aalt Bast
Wilhelm Stahl
Elsa Heyman
Romain Meeusen
Publication date
01-12-2017
Publisher
BioMed Central
DOI
https://doi.org/10.1186/s12970-017-0186-7

Other articles of this Issue 1/2017

Journal of the International Society of Sports Nutrition 1/2017 Go to the issue