Study on the effects of cocoa flavanols on cognitive function in elderly subjects

ISRCTN ISRCTN68970511
DOI https://doi.org/10.1186/ISRCTN68970511
Secondary identifying numbers N/A
Submission date
06/08/2014
Registration date
12/08/2014
Last edited
04/03/2015
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
Human epidemiological studies suggest that an antioxidant called flavonoid may have beneficial effects on cognitive function (i.e. thinking, remembering, judging, and problem-solving) in elderly people. It is thought that one class of flavonoid, the flavanols, which are found in tea, grapes, red wine, apples and cocoa products may be able to prevent, to at least some degree, a decline in cognitive function. This study looks at the effect of drinking flavanol-rich cocoa drinks on the cognitive function in older people.

Who can participate?
Adults aged at least 60 with no evidence of a decline in cognitive function.

What does the study involve?
Participants are randomly allocated to one of three groups. Group 1 are given a cocoa drink containing 993 mg of cocoa flavanols. Group 2 are given a cocoa drink containing 520 mg of cocoa flavanols. Group 3 are given a cocoa drink containing 48 mg of cocoa flavanols.

What are the possible benefits and risks of participating?
There are no direct benefits to taking part in the trial. There are no risks in taking part in the trial either, as the products have been used in previous studies and are well-tolerated.

Where is the study run from?
A number of community centers in the L'Aquila district, central Italy.

When is the study starting and how long is it expected to run for?
December 2006 to July 2008.

Who is funding the study?
Mars Incorporated (USA)

Who is the main contact?
Giovambattista Desideri
giovambattista.desideri@cc.univaq.it

Contact information

Prof Giovambattista Desideri
Scientific

Viale S. Salvatore, delta 6 Medicina
Coppito - L'Aquila
67100
Italy

Email giovambattista.desideri@cc.univaq.it

Study information

Study designSingle-center double-blind randomized controlled parallel-arm study
Primary study designInterventional
Secondary study designRandomised parallel trial
Study setting(s)Other
Study typeQuality of life
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleEvaluation of the effects of short term (eight weeks) flavanol-rich product consumption on cognitive function in elderly subjects: Cocoa, Cognition and Aging (CoCoA) Study
Study objectivesThe CocoA study was designed to test the hypothesis that the regular dietary inclusion of a beverage containing cocoa flavanols would be effective in improving cognitive performance in elderly subjects with no evidence of cognitive dysfunction
Ethics approval(s)Ethics Committee of Public Health Agency of L'Aquila (Italy), 07/12/2005, ref. 35/2005.
Health condition(s) or problem(s) studiedAge-related changes of cognitive performance
InterventionParticipants were randomized to consume daily for 8 weeks a drink containing 993 mg, 520 mg or 48 mg of cocoa flavanols
Intervention typeOther
Primary outcome measureMain outcome measures examined were changes in cognitive function following 8 weeks of regular cocoa flavanol consumption. Cognitive testing was performed using a combination of four well validated standardized tests: Mini Mental State Examination, Trail Making Test A and B and verbal fluency test. As predefined procedure, an integrated measure of overall cognitive function - composite cognitive z-score - was also constructed for each participant
Secondary outcome measuresSecondary outcome measures examined included:
1. Changes in blood pressure
2. Metabolic parameters
3. Plasma isoprostanes and markers of lipid peroxidation
These were assessed at 8 week together with neuropsychological evaluation
Overall study start date04/12/2006
Completion date30/07/2008

Eligibility

Participant type(s)Patient
Age groupSenior
SexBoth
Target number of participants90 individuals randomized to three dietary interventions with a ratio 1:1:1
Key inclusion criteriaSubjects aged 60 years or more who reported themselves as unconcerned about their own memory functions and having no clinically significant co-existing medical conditions.
Key exclusion criteria1. Clinically significant co-existing medical conditions, including:
1.1. Known cardiovascular disease
1.2. Cerebrovascular events
1.3. Obesity or weight change ±10% body weight within the last 6 months before entering
1.4. Thyroid disorders
1.5. Inflammatory diseases
1.6. Neurological disorders
1.7. Dementia
1.8. Depression
2. Current smokers
3. Habitual users of antioxidant supplements
4. Habitual consumers of chocolate or other cocoa products
5. Individuals prescribed medications known to have antioxidant properties or to interfere with cognitive functions
Date of first enrolment04/12/2006
Date of final enrolment30/07/2008

Locations

Countries of recruitment

  • Italy

Study participating centre

Viale S. Salvatore, delta 6 Medicina
Coppito - L'Aquila
67100
Italy

Sponsor information

Mars, Incorporated (USA)
Industry

6885 Elm Street
McLean
22101
United States of America

ROR logo "ROR" https://ror.org/028vrr082

Funders

Funder type

Industry

Mars
Private sector organisation / For-profit companies (industry)
Alternative name(s)
Mars Incorporated, Mars, Incorporated
Location
United States of America

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/03/2015 Yes No