Comparison of chocolate to cacao-free white chocolate in Parkinson's disease: A single-dose, investigator-blinded, placebo-controlled, crossover trial

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Martin Wolz - , TUD Dresden University of Technology (Author)
  • Christine Schleiffer - , TUD Dresden University of Technology (Author)
  • Lisa Klingelhöfer - , Department of Neurology (Author)
  • Christine Schneider - , TUD Dresden University of Technology (Author)
  • Florian Proft - , University of Würzburg (Author)
  • Uta Schwanebeck - , TUD Dresden University of Technology (Author)
  • Heinz Reichmann - , Department of Neurology (Author)
  • Peter Riederer - , University of Würzburg (Author)
  • Alexander Storch - , TUD Dresden University of Technology, German Center for Neurodegenerative Diseases (DZNE) - Partner Site Dresden (Author)

Abstract

A previous questionnaire study suggests an increased chocolate consumption in Parkinson's disease (PD). The cacao ingredient contains caffeine analogues and biogenic amines, such as β-phenylethylamine, with assumed antiparkinsonian effects. We thus tested the effects of 200 g of chocolate containing 80 % of cacao on UPDRS motor score after 1 and 3 h in 26 subjects with moderate non-fluctuating PD in a mono-center, single-dose, investigator-blinded crossover study using cacao-free white chocolate as placebo comparator. At 1 h after chocolate intake, mean UPDRS motor scores were mildly decreased compared to baseline in both treatments with significant results only for dark chocolate [- 1.3 (95 % CI 0.18-2.52, RMANOVAF = 4.783, p = 0.013, Bonferroni p = 0.021 for 1 h values)]. A 2 × 2-cross-over analysis revealed no significant differences between both treatments [-0.54 ± 0.47 (95 % CI-1.50 to 0.42), p = 0.258]. Similar results were obtained at 3 h after intake. β-phen-ylethylamine blood levels were unaltered. Together, chocolate did not show significant improvement over white cacao-free chocolate in PD motor function.

Details

Original languageEnglish
Pages (from-to)2447-2451
Number of pages5
JournalJournal of Neurology
Volume259
Issue number11
Publication statusPublished - Nov 2012
Peer-reviewedYes

External IDs

Scopus 84868194050
PubMed 22584952

Keywords

ASJC Scopus subject areas

Keywords

  • Biogenic amines, Chocolate, Investigator-blind randomized clinical trial, Parkinson's disease, Pharmacological effects