Evidence supporting the use of: Cocoa
For the body system: Parasympathetic Nervous System

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Synopsis

Source of validity: Scientific
Rating (out of 5): 3

Cocoa, derived from the seeds of the Theobroma cacao tree, has been investigated for its effects on the nervous system, including the parasympathetic branch. Scientific studies have shown that cocoa is rich in flavonoids, especially epicatechin, which may influence cardiovascular and autonomic nervous system function. Research indicates that consumption of cocoa flavonoids can improve endothelial function and increase vagal (parasympathetic) tone, as measured by heart rate variability (HRV) in both healthy individuals and those with cardiovascular risk factors. Higher HRV is generally associated with increased parasympathetic (rest-and-digest) activity. Additionally, cocoa’s polyphenols may reduce stress-induced cortisol release and modulate neurotransmitter systems, such as serotonin, which may further support parasympathetic activity.

However, while several studies show acute effects of cocoa on HRV and stress reduction, the long-term significance and mechanisms remain under investigation. Most evidence is based on short-term interventions or surrogate markers rather than direct clinical outcomes. Systematic reviews and meta-analyses suggest potential benefits, but more robust, long-term studies are needed to confirm these effects. In summary, there is moderate scientific evidence (rated 3 out of 5) for cocoa’s support of the parasympathetic nervous system, primarily via improvements in HRV and stress modulation.

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