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The CocoaClarity study: shedding light on the direct vs indirect mechanisms of action of dietary flavonoids in the human brain

Comparing the effects of acute versus chronic, flavanol-rich cocoa intake on cerebral haemodynamics, metabolism, and cognitive function in healthy young (18 to 40 year-old) and older (65 + year-old) adults

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN29176549
Enrollment
100
Registered
2024-09-16
Start date
2024-10-01
Completion date
Unknown
Last updated
2024-09-30

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Healthy volunteers Not Applicable

Interventions

Participants (n = 100
50 young and 50 older adults) will take part in a chronic, double-blind, randomized, placebo-controlled, parallel-group trial. This study aims to assess whether dietary flavonoids affect the brain - a

Sponsors

University of Birmingham
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Healthy male or female 2. Aged between 18 to 40 years old OR above 65 years old

Exclusion criteria

Exclusion criteria: 1. Consumption of more than 21 units of alcohol per week 2. A history of cardiovascular, respiratory, metabolic, liver, inflammatory, or neurological diseases, including but not limited to hypertension (blood pressure >140/90 mmHg), diabetes mellitus, asthma, elevated cholesterol, anemia, immune conditions, and smoking 3. Use of prescribed or over-the-counter medications (except for oral contraception) 4. Allergies or intolerances to any ingredients in the dietary supplement 5. Currently following a weight-reducing dietary regimen 6. Use of any dietary supplements, including fatty acids and vitamins 7. Long-term medication use or use of antibiotics in the past 3 months 8. Current infection (e.g., cold) 9. Pregnancy or plans to become pregnant (for females of reproductive age)

Design outcomes

Primary

MeasureTime frame
Prefrontal cortical concentrations of oxygenated and deoxygenated haemoglobin will be measured using broadband near-infrared spectroscopy (bNIRS) during rest and physiological stress (i.e., hypoxia simulated with 11% oxygen delivery) at the following time points: i) on day 1, before (0 hours) and 2 hours after supplementation with either low- or high-flavanol cocoa (acute effect); ii) on day 28 and day 56, before (0 hours) cocoa supplementation (chronic effect); and iii) on day 56, 2 hours after cocoa supplementation (acute within chronic effect).

Secondary

MeasureTime frame
1. Prefrontal cortical neuronal mitochondrial activity (i.e., cytochrome c oxidase activity) measured using bNIRS during rest and physiological stress (i.e., hypoxia simulated with 11% oxygen delivery) at the following time points: i) on day 1, before (0 hours) and 2 hours after supplementation with either low- or high-flavanol cocoa (acute effect); ii) on day 28 and day 56, before (0 hours) cocoa supplementation (chronic effect); and iii) on day 56, 2 hours after cocoa supplementation (acute within chronic effect). 2. Prefrontal cortical levels of oxygenated and deoxygenated haemoglobin concentrations during cognitive performance measured using bNIRS at the following time points: i) on day 1, before (0 hours) and 2 hours after supplementation with either low- or high-flavanol cocoa (acute effect); ii) on day 56, before cocoa supplementation (chronic effect); and iii) on day 56, 2 hours after cocoa supplementation (acute within chronic effect). 3. Prefrontal cortical neuronal mitochondrial activity (i.e., cytochrome c oxidase activity) during cognitive performance measured using bNIRS at the following time points: i) on day 1, before (0 hours) and 2 hours after supplementation with either low- or high-flavanol cocoa (acute effect); ii) on day 56, before cocoa supplementation (chronic effect); and iii) on day 56, 2 hours after cocoa supplementation (acute within chronic effect). 4. Executive function accuracy and reaction time (indicator of cognitive performance) will be measured using the tasks listed below at the following time points: i) on day 1, before (0 hours) and 2 hours after supplementation with either low- or high-flavanol cocoa (acute effect); ii) on day 56, before cocoa supplementation (chronic effect); and iii) on day 56, 2 hours after cocoa supplementation (acute within chronic effect). 4.1. Modified Attention Network Task measures response to cognitive load 4.2. Switch Task considers cognitive flexibility with participants responding to stimuli accor

Countries

England, United Kingdom

Contacts

Public ContactCatarina ;Jasmine Rendeiro;Yeh

;

c.rendeiro@bham.ac.uk;ixy864@student.bham.ac.uk+44 (0)121 414 7242;-

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026