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CompletedNCT03453073Updated Nov 6, 2020

Chocolate and CVD Risk in Postmenopausal Women

An observational study in Cardiovascular Disease, Heart Disease and Stroke, sponsored by Brooklyn College of the City University of New York. Completed. Open to female participants aged 55 Years to 79 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2020-11-06.

Sponsored by Brooklyn College of the City University of New York · Observational

Study type
Observational
Model
Ecologic or community
Time perspective
Prospective
Enrollment
83,310
Ages
55 Years to 79 Years
Sex
Female
01

Study summary

The investigators will conduct an epidemiological analysis of data from the Women's Health Initiative to investigate the prospective association between chocolate intake and the risk of heart disease and stroke.

Read the detailed description

BACKGROUND: Three recent meta-analyses found significant prospective inverse associations between chocolate intake and cardiovascular disease risk. Evidence from these meta-analyses suggests that such inverse associations may only apply to elderly individuals or those with preexisting major chronic disease.

OBJECTIVE: The investigators will assess the association between habitual chocolate intake and subsequent incident coronary heart disease (CHD) and stroke, and the potential effect of modification by age.

DESIGN: The investigators will conduct multivariable Cox regression analyses using data from 83,310 postmenopausal women free of baseline preexisting major chronic disease in the prospective Women's Health Initiative cohort. Chocolate intake was assessed using a food frequency questionnaire. Physician adjudicated events or deaths were ascertained up to September 30, 2013.

02

Conditions studied

  • Cardiovascular Disease
  • Heart Disease
  • Stroke

Keywords

  • Coronary heart disease
  • stroke
  • chocolate consumption
  • postmenopausal women
  • nutrition
  • dietary intake
  • epidemiology
03

Who can participate

Ages eligible
55 Years to 79 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

community residents

Inclusion criteria

  1. Postmenopausal women
  2. age between 50 and 79 years
  3. enrolled in the Women's Health Initiative (WHI) Observational Study, or in the control arm of one or more overlapping WHI clinical trials.

Exclusion criteria

Exclusion Criteria:

  1. implausible energy intakes, defined as \<600 kcal/d or >5,000 kcal/d;
  2. implausible body mass indices (BMI) (\<15 or >50 kg/m2)
  3. implausible height\<122 cm (4 ft.)
  4. self-reported preexisting serious chronic disease at baseline, including diabetes, angina, myocardial infarction (MI), stroke, heart failure, coronary artery bypass graft, percutaneous coronary intervention or cancer.
  5. missing data on preexisting major chronic disease or any exposure, outcome or confounder variables.
04

Study design

Observational model
Ecologic or community
Time perspective
Prospective
Enrollment
83,310 participants (actual)
Patient registry
No

Groups and cohorts

  • chocolate consumption level referent

    women who ate 1 oz. (28.35 g) of chocolate \<1 time/month

    Behavioral: chocolate consumption level

  • chocolate consumption level 2

    women who ate 1 oz. (28.35 g) of chocolate between 1 and \<1.5 times/month

    Behavioral: chocolate consumption level

  • chocolate consumption level 3

    women who ate 1 oz. (28.35 g) of chocolate between 1.5 and \<3.5 times/month,

    Behavioral: chocolate consumption level

  • chocolate consumption level 4

    women who ate 1 oz. (28.35 g) of chocolate between 3.5 times/month and \<3 times/week

    Behavioral: chocolate consumption level

  • chocolate consumption level 5

    women who ate 1 oz. (28.35 g) of chocolate \>3 times/week

    Behavioral: chocolate consumption level

  • No physician diagnosis

    No incidence of serious chronic disease prior to visit 3

    Other: physician diagnosis of first occurrence of serious chronic disease

  • Physician diagnosis

    Incidence of serious chronic disease prior to visit 3

    Other: physician diagnosis of first occurrence of serious chronic disease

  • Younger

    Age\<65 years at follow-up baseline

    Behavioral: chocolate consumption level

  • Older

    Age\>=65 years at follow-up baseline

    Behavioral: chocolate consumption level

Interventions

  • Behavioralchocolate consumption level

    level of consumption of 1 oz. of chocolate, as assessed at baseline

  • Otherphysician diagnosis of first occurrence of serious chronic disease
05

What researchers measure

Primary outcomes

  1. incidence of heart disease

    physician adjudicated first occurrence of, or death due to, heart disease

    Time frame: between the baseline survey (1993-8) & September 30, 2013, average 13.4 years

  2. incidence of stroke

    physician adjudicated first occurrence of, or death due to, stroke

    Time frame: between the baseline survey (1993-8) & September 30, 2013, average 13.4 years

  3. incidence of heart disease or stroke

    physician adjudicated first occurrence of, or death due to, heart disease or stroke

    Time frame: between the baseline survey (1993-8) & September 30, 2013, average 13.4 years

  4. change in chocolate intake

    change in chocolate intake between visit 1 and 3

    Time frame: time between the baseline and visit 3, average 3 years

  5. change in dietary energy intake

    change in dietary energy intake between visit 1 and 3

    Time frame: time between the baseline and year 3, average 3 years

  6. change in dietary fat intake

    change in dietary fat intake between visit 1 and 3

    Time frame: time between the baseline and year 3, average 3 years

  7. change in BMI

    change in BMI between visit 1 and 3

    Time frame: time between the baseline and year 3, average 3 years

06

Study locations

No study locations are listed for this record.

07

References and documents

Publications

  • Greenberg JA, Manson JE, Neuhouser ML, Tinker L, Eaton C, Johnson KC, Shikany JM. Chocolate intake and heart disease and stroke in the Women's Health Initiative: a prospective analysis. Am J Clin Nutr. 2018 Jul 1;108(1):41-48. doi: 10.1093/ajcn/nqy073. PubMed 29931040 ↗

Individual participant data

Plan to share: No

08

Registry details

Key details

Study ID
NCT03453073
Lead sponsor
Brooklyn College of the City University of New York
Collaborators
National Heart, Lung, and Blood Institute (NHLBI), Department of Health and Human Services
Responsible party
James Greenberg (Associate Professor, Brooklyn College of the City University of New York) — Principal investigator
First posted
Mar 5, 2018
Start date
Dec 15, 2014
Primary completion
Apr 30, 2018
Completion
Jul 1, 2018
Last update
Nov 6, 2020

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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