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CompletedNCT01651793Updated Jun 25, 2018Results posted

Effect of Phytochemicals From Theobroma Cacao on Mental Energy

An interventional study of Caffeinated cocoa and Cocoa in Mental Fatigue, sponsored by University of Georgia. Completed at 1 site in United States. Open to participants aged 18 Years to 34 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-06-25.

Sponsored by University of Georgia · Not applicable, Interventional, and Basic science

Phase
Not applicable
Study type
Interventional
Enrollment
24
Allocation
Randomized
Ages
18 Years to 34 Years
Sex
All
01

Study summary

The purpose of this study is to determine which substances in cocoa produces changes in mental energy. This is a double blind study. The primary outcome measures are performance on tasks of sustained attention (serial subtract, continuous performance test and Bakan task) at pre and 90, 120 and 160 minutes post intervention, energy and fatigue symptoms (profile of mood state), and ratings of motivation to perform cognitive tasks. The assigned interventions are the following:

Read the detailed description

Only one prior study has examined the acute influence of cocoa on mental energy. The purpose of this research is to replicate the previous observations and extend research in four ways: 1) start to determine which substance in cocoa responsible for the effect by including several comparison groups, 2) focus on individuals with average or below average symptoms of mental energy and who are not high consumers of fruits, vegetables and other products containing high amounts of flavonoids in order to learn whether people with low energy accrue a greater benefit, and 3) include additional measures of mental energy plausibly influenced by cocoa to better understand the health consequences of cocoa.

02

Conditions studied

  • Mental Fatigue

Keywords

  • cacao
  • theobromine
  • flavanols
  • caffeine
  • sustained attention
  • vigilance
  • vigor
  • vitality
  • energy
  • fatigue
03

In context

Fatigue

1,860 studies on the registry are indexed under Fatigue; 376 are open to participants now.

This study's enrollment of 24 is below the median of 54 across 1,440 interventional studies indexed under Fatigue.

Browse Fatigue studies →

Lead sponsor

University of Georgia is the lead sponsor of 72 studies on the registry; 16 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 34 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Women and men ages 18-34
  • Lower than average feelings of energy (score of \< 13 on Profile of Mood States Vigor scale)

Exclusion criteria

Exclusion Criteria:

  • Pregnant
  • GI tract disorder
  • Psychoactive medication use
  • Daily consumption of > 200 mg caffeine
  • Body mass index > 30
  • Cigarette smoker
  • Allergy to cocoa, chocolate or caffeine
  • Frequent consumption of cocoa, chocolate-based products or fruits and vegetable containing flavonoids
05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Double (Participant, Investigator)
Enrollment
24 participants (actual)

Study arms

  • Active comparator
    Caffeinated cocoa

    High flavanol, high theobromine, high caffeine, single dose administration in hot water vehicle

    Other: Caffeinated cocoa

  • Active comparator
    Cocoa

    High flavanol, high theobromine, low caffeine, single dose administration in hot water vehicle

    Other: Cocoa

  • Active comparator
    Caffeine

    Low flavanol, low theobromine, high caffeine, single dose administration in hot water vehicle

    Other: Caffeine

  • Placebo comparator
    Placebo

    No flavanol, no theobromine, no caffeine, single dose administration in hot water vehicle

    Other: Placebo

Interventions

  • OtherCaffeinated cocoa

    70 mg caffeine, 179 mg theobromine, 499 mg flavanols, and 1 packet of Truvia sweetener

  • OtherCocoa

    21 mg caffeine, 179 mg theobromine, 499 mg flavanols, and 1 packet of Truvia sweetener

  • OtherCaffeine

    473 ml brewed water containing 66 mg caffeine, caramel coloring and one packet Truvia sweetener

  • OtherPlacebo

    473 ml of brewed water, caramel coloring and one packet Truvia sweetener

06

What researchers measure

Primary outcomes

  1. Correct Responses on Serial 7 Subtraction Task

    Participants subtract the number 7 from a three digit number and quickly and accurately as possible for 60 seconds. The total number of accurate responses is scored. The higher the score the better performance. The range of scores is from a minimum score of 0 to a theoretical maximum score of 120.

    Time frame: Pre and 30, 60 and 120 minutes post intervention

  2. Performance on Bakan Task

    Performance on Bakan Task at baseline, post-test 1, post-test 2, and post-test 3 Bakan test presents numbers on a computer screen. Participant presses one button whenever the number 6 appears and a different button whenever three odd and different numbers in a row occurs such as 7 5 9. The number of times the participant does this correctly the better the performance. The scores range from 0 to 10 because the sequence of three odd and different numbers occurs a total of 10 times.

    Time frame: baseline, post 60, post 90, post 120

Secondary outcomes

  1. Vigor Symptoms (Profile of Mood State)

    Vigor subscale scores from the Profile of Mood States.The higher the score the greater the feelings of energy. The scores range from a minimum of 0 to a maximum of 20.

    Time frame: Pre and 90, 120 and 160 minutes post intervention

07

Results

Posted Jun 25, 2018
Limitations and caveats
Recruitment targeted those reporting low consumption of fruits and vegetables and other foods containing flavonols; not all participants were medication-free; the potential role of sensory aspects of cocoa were not examined.

Participant flow

Potential participants were recruited from (i) large university classes, (ii) announcements on buses, bulletin boards, and electronic listservs, and (iii) through word of mouth. Potential participants were invited to complete screening questionnaires (medical history, diet, mood) administered online using Zoomerang \>http://www.zoomerang.com/\<.

Participant flow — Overall Study
MilestoneCaffeinated Cocoa, Cocoa, Caffeine, PlaceboCocoa, Caffeine, Placebo, Caffeinated CocoaCaffeine, Placebo, Caffeinated Cocoa, CocoaPlacebo, Caffeinated Cocoa, Cocoa, Caffeine
Started6666
Completed6665
Not completed0001

Outcome measures

PrimaryCorrect Responses on Serial 7 Subtraction Task

Participants subtract the number 7 from a three digit number and quickly and accurately as possible for 60 seconds. The total number of accurate responses is scored. The higher the score the better performance. The range of scores is from a minimum score of 0 to a theoretical maximum score of 120.

Time frame:
Pre and 30, 60 and 120 minutes post intervention
Reported as:
Mean · Correct responses
Correct Responses on Serial 7 Subtraction Task
Correct responsesPre-testPost-test 1Post-test 2Post-test 3
Subtract 7 Correct - Placebo40.91 ± 5.5642.57 ± 3.5143.04 ± 2.3142.13 ± 3.67
Subtract 7 Correct - Caffeine41.83 ± 3.5641.35 ± 3.7343.22 ± 2.9242.74 ± 3.03
Subtract 7 Correct - Cocoa42.57 ± 2.5242.61 ± 3.8642.78 ± 3.0642.61 ± 3.81
Subtract 7 Correct - Caffeine + Cocoa42.17 ± 3.2442.26 ± 2.4742.96 ± 2.3343.14 ± 2.88
Statistical analysis
  • Pre-test · ANCOVA · p = 0.05 (P value reference to the beverage x time interaction effect)
PrimaryPerformance on Bakan Task

Performance on Bakan Task at baseline, post-test 1, post-test 2, and post-test 3 Bakan test presents numbers on a computer screen. Participant presses one button whenever the number 6 appears and a different button whenever three odd and different numbers in a row occurs such as 7 5 9. The number of times the participant does this correctly the better the performance. The scores range from 0 to 10 because the sequence of three odd and different numbers occurs a total of 10 times.

Time frame:
baseline, post 60, post 90, post 120
Reported as:
Mean · units on a scale
Performance on Bakan Task
units on a scalePre-testPost-test 1Post-test 2Post-test 3
Bakan Primary Correct - Placebo6.35 ± 1.536.00 ± 1.575.96 ± 2.016.09 ± 1.95
Bakan Primary Correct - Caffeine6.35 ± 1.506.57 ± 1.786.87 ± 1.396.13 ± 1.36
Bakan Primary Correct - Cocoa6.43 ± 1.596.52 ± 1.446.30 ± 1.115.78 ± 1.70
Bakan Primary Correct - Caffeine + Cocoa5.83 ± 1.596.13 ± 1.776.35 ± 1.776.61 ± 1.47
SecondaryVigor Symptoms (Profile of Mood State)

Vigor subscale scores from the Profile of Mood States.The higher the score the greater the feelings of energy. The scores range from a minimum of 0 to a maximum of 20.

Time frame:
Pre and 90, 120 and 160 minutes post intervention
Reported as:
Mean · units on a scale
Vigor Symptoms (Profile of Mood State)
units on a scalePre-testPost-test 1Post-test 2Post-test 3
POMS Vigor - Placebo3.78 ± 4.363.57 ± 4.003.52 ± 3.443.65 ± 3.68
POMS Vigor - Caffeine3.91 ± 3.663.91 ± 3.994.00 ± 3.924.26 ± 3.29
POMS Vigor - Cocoa3.65 ± 4.013.74 ± 3.454.00 ± 3.843.70 ± 3.30
POMS Vigor - Caffeinated Cocoa4.09 ± 4.434.48 ± 4.284.04 ± 4.034.17 ± 3.87

Adverse events

Collected over The study personnel monitored participants through study completion, an average of 4 weeks, for adverse events. No adverse events were reported to study personnel.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Caffeinated Cocoa—0/23 (0%)0/23 (0%)
Cocoa—0/23 (0%)0/23 (0%)
Cafeine—0/23 (0%)0/23 (0%)
Placebo—0/23 (0%)0/23 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)All Completed Participants
Mean20 ± 2
Sex: Female, Male
Sex: Female, Male(Participants)All Completed Participants
Female17
Male6
Race (NIH/OMB)
Race (NIH/OMB)(Participants)All Completed Participants
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American6
White15
More than one race2
Unknown or Not Reported0
Region of Enrollment
Region of Enrollment(Participants)All Completed Participants
United States23
Amount of sleep on a typical night in the past month (hrs)
Amount of sleep on a typical night in the past month (hrs)(hours)All Completed Participants
Mean7.4 ± 1.1
Height
Height(cm)All Completed Participants
Mean168.28 ± 1.19
Weight
Weight(kg)All Completed Participants
Mean67.05 ± 14.87
08

Study locations

1 site
  • University of Georgia
    Athens, Georgia 30602, United States
09

References and documents

Individual participant data

Plan to share: Yes — IPD will be kept securely at the University of Georgia for several years and can be accessed upon request by contacting Dr. Pat O'Connor (poconnor@uga.edu).

No publications or documents are linked to this record.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 25, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01651793
Lead sponsor
University of Georgia
Collaborators
The Hershey Company
Responsible party
Patrick O'Connor (Professor of Kinesiology, University of Georgia) — Principal investigator
First posted
Jul 27, 2012
Start date
Jul 2012
Primary completion
Jun 2014
Completion
Jun 2014
Results posted
Jun 25, 2018
Last update
Jun 25, 2018

Study contacts

Patrick O'Connor, PhD
principal investigator · University of Georgia

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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