Journal

Nuts and Chocolate (in Moderation) Are Good for Your Heart

November 15, 2022

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The likelihood that a brownie with nuts would be good for your heart might seem slim, at best. After all, brownies are an indulgence notoriously high in both sugar and fat. However, evidence suggests that both cocoa (dark chocolate) and tree nuts can actually help to prevent coronary heart disease (CHD), which remains the leading cause of death in the United States.2 

This could be good news coming into the holiday season! 

chocolate and nuts

Nuts and dark chocolate (in moderation) are good for your heart.

Clinical studies confirm that eating tree nuts and peanuts reduces the risk of developing CHD and the mortality associated with it.2 Research also suggests that the dietary components in cocoa and cocoa-derived products have beneficial cardiovascular properties.3 Let’s digest why: 
chocolate

What Makes Nuts Good for Heart Health? 

Most tree nuts and peanuts are rich in unsaturated fatty acids and contain substantial amounts of monounsaturated fatty acids (MUFAs). Walnuts are especially rich in alpha-linolenic acid (ALA), which is an omega-3 fatty acid, and linoleic acid, which is an omega-6 fatty acid. Both of these lower the risk of cardiovascular disease and help to protect your heart. 
cholesterol

Nuts Help to Lower LDL Cholesterol

Nuts may also reduce the risk of CHD by lowering total and LDL cholesterol, an unexpected bonus based on their favorable fatty-acid profiles. They appear to contain bioactive compounds with cholesterol-lowering properties.4 Lowered LDL levels aid in heart health by5: 

  • Reducing inflammation 
  • Decreasing oxidative stress 
  • Improving endothelial function 
  • Decreasing the risk of type 2 diabetes (in women) 
  • Reducing the risk of weight gain

And emerging evidence suggests that frequent nut consumption may have beneficial effects on CHD risk beyond lowering cholesterol.6 

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Cocoa is Rich in Both History and Flavonoids 

The first use of the cacao tree fruit as a food is unknown. Speculation is that the Incas created a drink from dried cocoa seeds. However, hard evidence to support this speculation is lacking. 

It is known that the Mayans, and later the Aztecs, considered cocoa a drink of their gods and reserved it for rituals and celebrations by royalty and high priests. Spanish conquistadors learned to appreciate chocolate and introduced it to Europe. As is now obvious no matter where in the world you go, chocolate has never waned in popularity. 

 Cocoa is not only rich in history, but also in flavonoids, which are dietary antioxidants that can help to protect against CHD. In fact, cocoa contains the highest flavonoid content by weight of any food.7  

Flavonoids and CHD Risk: The Evidence 

High cocoa and chocolate consumption has been associated with a reduced risk of CHD in several population studies.8 And this is likely due to cocoa’s high levels of flavonoids. 

In fact, flavonoids found in cocoa may protect against CHD by9: 

  • Reducing the susceptibility of LDL cholesterol to oxidation 
  • Reducing platelet stickiness 
  • Reducing inflammation 
  • Improving endothelial function
  • Lowering blood pressure
  • Increasing HDL
  • Decreasing insulin resistance 

Study on Cocoa Flavanols

In a randomized controlled double-blind trial, a group of 22 healthy young men (younger than 35 years of age) and 20 healthy older adult men (50 to 80 years of age) received either a drink infused with cocoa flavanols (CF) or a nutritionally equal drink without flavanols twice daily. The research team found that older adult men who consumed the CF-infused drink experienced less age-related stiffening of arteries and a decrease in blood pressure. And both the young and older adult men in this intervention group displayed decreased diastolic blood pressure and increased endothelial function overall.10  

Although cocoa clearly has the ability to create positive cardiovascular effects, it should still be consumed with discretion. Whereas pure cocoa is relatively low in sugar and fat, chocolate candy bars tend to have excess sugars and fats added, canceling out some of cocoa’s beneficial effects.11 

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Enjoy Nuts and Chocolate This Holiday Season 

While maintaining a healthy weight and diet is so important for the heart health journey, so is taking pleasure in life! Knowing what you now know about nuts and chocolate, enjoy some healthy and indulgent snacks this holiday season (in moderation). 

Wishing you all happy holidays, friends! 

BE  YOUR OWN BEST HEALTH ADVOCATE


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BE  YOUR OWN BEST HEALTH ADVOCATE


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ARTICLE RESOURCES
  1. Benjamin EJ, Virani SS, Callaway CW, et al. Heart disease and stroke statistics — 2018 update: a report from the American Heart Association. Circulation. 2018;137(12):e67-e492.doi: 10.1161/CIR.0000000000000558.
  2. Mayhew AJ, de Souza RJ, Meyre D, Anand SS, Mente A. A systematic review and meta-analysis of nut consumption and incident risk of CVA and all-cause mortality. Br J Nutr. 2016;115(2):212-225. doi: 10.1017/S0007114515004316.
  3. Sarriá B, Martínez-López S, Sierra-Cinos JL, et al. Effects of bioactive constituents in functional cocoa products on cardiovascular health in humans. Food Chem. 2015;174:214-218. doi: 10.1016/j.foodchem.2014.11.004.
  4. Kim Y, Keogh JB, Clifton PM. Benefits of nut consumption on insulin resistance and cardiovascular risk factors: multiple potential mechanisms of actions.  2017;9(11):1271. doi: 10.3390/nu9111271.
  5. Jackson CL, Hu FB. Long-term associations of nut consumption with body weight and obesity. Am J Clin Nutr. 2014;100(Suppl 1):408S-411S. doi: 10.3945/ajcn.113.071332.
  6. Ros E. Nuts and CVD. Brit J Nutr. 2015;113(Suppl 2):S111-S120. doi: 10.1017/S0007114514003924.
  7. Khan N, Khymenets O, Urpi-Sardà M, et al. Cocoa polyphenols and inflammatory markers of cardiovascular disease.  2014;6(2):844-880. doi: 10.3390/nu6020844.
  8. Jumar A, Schmieder Cocoa flavanol cardiovascular effects beyond blood pressure reduction. J Clin Hypertens (Greenwich). 2016;18(4):352-358. doi: 10.1111/jch.12715.
  9. Panche AN, Diwan AD, Chandra SR. Flavonoids: an overview. J Nutr 2016;5:e47. doi: 10.1017/jns.2016.41.
  10. Heiss C, Sansone R, Karimi H, et al. Impact of cocoa flavanol intake on age-dependent vascular stiffness in healthy men: a randomized, controlled, double-masked trial. Age (Dordr). 2015;37(3):9794. doi: 10.1007/s11357-015-9794-9.
  11. Eating almonds and dark chocolate lowers bad cholesterol. American Heart Association Web site. https://www.heart.org/en/news/2018/05/01/eating-almonds-and-dark-chocolate-lowers-bad-cholesterol. Published November 29, 2017
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