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<dc:title>Vascular and cognitive effects of cocoa-rich chocolate in postmenopausal women: a study protocol for a randomised clinical trial</dc:title>
<dc:creator>Garcia Yu, Irene A. .</dc:creator>
<dc:creator>García Ortiz, Luis</dc:creator>
<dc:creator>Gómez Marcos, Manuel A.</dc:creator>
<dc:creator>Alonso Domínguez, Rosario</dc:creator>
<dc:creator>González Sánchez, Jesús</dc:creator>
<dc:creator>Mora Simón, Sara</dc:creator>
<dc:creator>González Manzano, Susana .</dc:creator>
<dc:creator>Rodríguez Sánchez, Emiliano</dc:creator>
<dc:creator>Maderuelo Fernández, José A.</dc:creator>
<dc:creator>Recio Rodríguez, José I.</dc:creator>
<dcterms:abstract>Introduction The intake of polyphenols has certain health&#xd;
benefits. This study will aim to assess the effect of adding&#xd;
a daily amount of chocolate high in cocoa content and&#xd;
polyphenols to the normal diet on blood pressure, vascular&#xd;
function, cognitive performance, quality of life and body&#xd;
composition in postmenopausal women.&#xd;
Methods and analysis Here we plan a randomised&#xd;
clinical trial with two parallel groups involving a&#xd;
total of 140 women between 50 and 64 years in the&#xd;
postmenopausal period, defined by amenorrhoea of at&#xd;
least 12 consecutive months. The main variable will be&#xd;
the change in blood pressure. Secondary variables will&#xd;
be changes in vascular function, quality of life, cognitive&#xd;
performance and body composition. The intervention&#xd;
group will be given chocolate containing 99% cocoa, with&#xd;
instructions to add 10 g daily to their normal diet for 6&#xd;
months. The daily nutritional contribution of this amount&#xd;
of chocolate is 59 kcal and 65.4 mg of polyphenols. There&#xd;
will be no intervention in the control group. All variables&#xd;
will be measured at the baseline visit and 3 and 6 months&#xd;
after randomisation, except cognitive performance and&#xd;
quality of life, which will only be assessed at baseline and&#xd;
at 6 months. Recruitment is scheduled to begin on 1 June&#xd;
2018, and the study will continue until 31 May 2019.&#xd;
Ethics and dissemination This study was approved&#xd;
by the Clinical Research Ethics Committee of the Health&#xd;
Area of Salamanca, Spain (‘CREC of Health Area of&#xd;
Salamanca’), in February 2018. A SPIRIT checklist is&#xd;
available for this protocol. The clinical trial has been&#xd;
registered at ClinicalTrials. gov provided by the US National&#xd;
Library of Medicine, number NCT03492983. The results&#xd;
will be disseminated through open access peer-reviewed&#xd;
journals, conference presentations, broadcast media and a&#xd;
presentation to stakeholders.</dcterms:abstract>
<dcterms:dateAccepted>2019-01-09T09:10:56Z</dcterms:dateAccepted>
<dcterms:available>2019-01-09T09:10:56Z</dcterms:available>
<dcterms:created>2019-01-09T09:10:56Z</dcterms:created>
<dcterms:issued>2018-12</dcterms:issued>
<dc:type>info:eu-repo/semantics/article</dc:type>
<dc:identifier>2044-6055</dc:identifier>
<dc:identifier>http://hdl.handle.net/10259/5046</dc:identifier>
<dc:identifier>10.1136/bmjopen-2018-024095</dc:identifier>
<dc:language>eng</dc:language>
<dc:relation>BMJ Open. 2018, V. 8, n. 12, e024095</dc:relation>
<dc:relation>http://dx.doi.org/10.1136/bmjopen-2018-024095</dc:relation>
<dc:relation>info:eu-repo/grantAgreement/JCyL/GRS 1583-B-17</dc:relation>
<dc:rights>http://creativecommons.org/licenses/by-nc/4.0/</dc:rights>
<dc:rights>info:eu-repo/semantics/openAccess</dc:rights>
<dc:rights>Attribution-NonCommercial 4.0 International</dc:rights>
<dc:publisher>BMJ</dc:publisher>
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