Department of Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang 43400, Malaysia.
School of Nutrition and Dietetics, Faculty of Health Sciences, Universiti Sultan Zainal Abidin, Kuala Terengganu 21300, Malaysia.
Nutrients. 2020 Nov 30;12(12):3695. doi: 10.3390/nu12123695.
Obesity remains a major public health problem due to its increasing prevalence. Natural products have become common as adjunct therapeutic agents for treating obesity and preventing metabolic diseases. Cocoa and its products are commonly consumed worldwide. Dark chocolate, a rich source of polyphenols, has received attention lately for its beneficial role in the management of obesity; however, conflicting results are still being reported. This scoping review aims to provide a comprehensive understanding of the existing literature on the relationship and effects of cocoa and dark chocolate intake among obese adults. We searched multiple databases for research investigating the consumption of cocoa and/or dark chocolate in managing obesity among adults. This review includes epidemiological and human studies that were published in English over the last 10 years. Our review of the current literature indicates that epidemiological and human trials with obese adults have shown inconsistent results, which may be due to the different populations of subjects, and different types of cocoa products and doses used for intervention. Studies among obese adults are mainly focusing on obese individuals with comorbidities, as such more studies are needed to elucidate the role of cocoa polyphenols in weight control and preventing the risk of chronic diseases among obese individuals without comorbidities as well as healthy individuals. Careful adjustment of confounding factors would be required. The effects of cocoa and dark chocolate intake on obese adults were discussed, and further research is warranted to identify the gaps.
肥胖症由于其发病率的不断增加，仍然是一个主要的公共卫生问题。由于其作为治疗肥胖症和预防代谢性疾病的辅助治疗药物的普遍应用，天然产物已成为常见的研究对象。可可及其制品在全球范围内广泛消费。黑巧克力是多酚的丰富来源，最近因其在肥胖症管理中的有益作用而受到关注；然而，仍有相互矛盾的结果报告。本范围性综述旨在全面了解现有关于肥胖成年人中可可和黑巧克力摄入的关系和影响的文献。我们在多个数据库中搜索了研究可可和/或黑巧克力在成年人肥胖症管理中的作用的研究。本综述包括在过去 10 年中以英文发表的关于成年人可可和/或黑巧克力消费的流行病学和人体研究。我们对当前文献的综述表明，对肥胖成年人进行的流行病学和人体试验结果不一致，这可能是由于研究对象的不同人群、干预中使用的可可产品类型和剂量不同。肥胖成年人的研究主要集中在伴有合并症的肥胖个体，因此需要更多的研究来阐明可可多酚在控制体重和预防无合并症肥胖个体以及健康个体患慢性病风险方面的作用。需要仔细调整混杂因素。讨论了可可和黑巧克力摄入对肥胖成年人的影响，并需要进一步研究以确定差距。
