Effects of Extra Virgin Olive Oil and Apples Enriched-Dark Chocolate on Endothelial Progenitor Cells in Patients with Cardiovascular Risk Factors: A Randomized Cross-Over Trial

Background: Endothelial dysfunction has been associated to cardiovascular outcomes in patients with cardiovascular risk factors. Circulating endothelial progenitor cells (EPCs) play an important physiological role for their reparative potential of vascular integrity, but are numerically reduced and...

Full description

Bibliographic Details
Main Authors: Francesca Felice, Alessandra Francini, Valentina Domenici, Mario Cifelli, Ester Belardinelli, Luca Sebastiani, Claudio Cantini, Rossella Di Stefano
Format: Article
Language:English
Published: MDPI AG 2019-04-01
Series:Antioxidants
Subjects:
Online Access:https://www.mdpi.com/2076-3921/8/4/88
_version_ 1797757532991651840
author Francesca Felice
Alessandra Francini
Valentina Domenici
Mario Cifelli
Ester Belardinelli
Luca Sebastiani
Claudio Cantini
Rossella Di Stefano
author_facet Francesca Felice
Alessandra Francini
Valentina Domenici
Mario Cifelli
Ester Belardinelli
Luca Sebastiani
Claudio Cantini
Rossella Di Stefano
author_sort Francesca Felice
collection DOAJ
description Background: Endothelial dysfunction has been associated to cardiovascular outcomes in patients with cardiovascular risk factors. Circulating endothelial progenitor cells (EPCs) play an important physiological role for their reparative potential of vascular integrity, but are numerically reduced and functionally impaired in patients with cardiovascular risks. This study assesses the effects of Extra Virgin Olive Oil (EVOO) and apple-enriched dark chocolate intake on the blood levels of EPCs. Methods: Thirty volunteers with cardiovascular risk factors, enrolled in a randomised, crossover, four-weeks trial, received a solid dark chocolate bar (40 g/day) containing 10% EVOO or 2.5% dry apples. Urine samples were analyzed for endogenous metabolites. Circulating EPCs levels, clinical data and anthropometric examinations were collected. Results: 26 volunteers (M/F:14/12, 51 ± 9 years of age) completed the study. Comparison of pre-post intervention revealed a significant increase in EPCs levels associated with EVOO-dark chocolate consumption. Most biochemical parameters were not significantly modified by both chocolates. Conclusions: This study shows that a daily consumption of a non fattening dose of dark chocolate enriched with EVOO improves blood levels of EPCs, a well known surrogate biologic marker for endothelial function.
first_indexed 2024-03-12T18:17:09Z
format Article
id doaj.art-6e700e1d3a994744a56b2a8f88cacd58
institution Directory Open Access Journal
issn 2076-3921
language English
last_indexed 2024-03-12T18:17:09Z
publishDate 2019-04-01
publisher MDPI AG
record_format Article
series Antioxidants
spelling doaj.art-6e700e1d3a994744a56b2a8f88cacd582023-08-02T09:03:59ZengMDPI AGAntioxidants2076-39212019-04-01848810.3390/antiox8040088antiox8040088Effects of Extra Virgin Olive Oil and Apples Enriched-Dark Chocolate on Endothelial Progenitor Cells in Patients with Cardiovascular Risk Factors: A Randomized Cross-Over TrialFrancesca Felice0Alessandra Francini1Valentina Domenici2Mario Cifelli3Ester Belardinelli4Luca Sebastiani5Claudio Cantini6Rossella Di Stefano7Cardiovascular Research Laboratory, Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, 56100 Pisa, ItalyBioLabs, Institute of Life Sciences, Scuola Superiore Sant’Anna, 56127 Pisa, ItalyDepartment of Chemistry and Industrial Chemistry, University of Pisa, 56100 Pisa, ItalyDepartment of Chemistry and Industrial Chemistry, University of Pisa, 56100 Pisa, ItalyCardiovascular Research Laboratory, Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, 56100 Pisa, ItalyBioLabs, Institute of Life Sciences, Scuola Superiore Sant’Anna, 56127 Pisa, ItalyTrees and Timber Institute, IVALSA-CNR, Sesto Fiorentino, 50019 Florence, ItalyCardiovascular Research Laboratory, Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, 56100 Pisa, ItalyBackground: Endothelial dysfunction has been associated to cardiovascular outcomes in patients with cardiovascular risk factors. Circulating endothelial progenitor cells (EPCs) play an important physiological role for their reparative potential of vascular integrity, but are numerically reduced and functionally impaired in patients with cardiovascular risks. This study assesses the effects of Extra Virgin Olive Oil (EVOO) and apple-enriched dark chocolate intake on the blood levels of EPCs. Methods: Thirty volunteers with cardiovascular risk factors, enrolled in a randomised, crossover, four-weeks trial, received a solid dark chocolate bar (40 g/day) containing 10% EVOO or 2.5% dry apples. Urine samples were analyzed for endogenous metabolites. Circulating EPCs levels, clinical data and anthropometric examinations were collected. Results: 26 volunteers (M/F:14/12, 51 ± 9 years of age) completed the study. Comparison of pre-post intervention revealed a significant increase in EPCs levels associated with EVOO-dark chocolate consumption. Most biochemical parameters were not significantly modified by both chocolates. Conclusions: This study shows that a daily consumption of a non fattening dose of dark chocolate enriched with EVOO improves blood levels of EPCs, a well known surrogate biologic marker for endothelial function.https://www.mdpi.com/2076-3921/8/4/88dark chocolateendothelial progenitor cellscardiovascular risk factorsmetabolism
spellingShingle Francesca Felice
Alessandra Francini
Valentina Domenici
Mario Cifelli
Ester Belardinelli
Luca Sebastiani
Claudio Cantini
Rossella Di Stefano
Effects of Extra Virgin Olive Oil and Apples Enriched-Dark Chocolate on Endothelial Progenitor Cells in Patients with Cardiovascular Risk Factors: A Randomized Cross-Over Trial
Antioxidants
dark chocolate
endothelial progenitor cells
cardiovascular risk factors
metabolism
title Effects of Extra Virgin Olive Oil and Apples Enriched-Dark Chocolate on Endothelial Progenitor Cells in Patients with Cardiovascular Risk Factors: A Randomized Cross-Over Trial
title_full Effects of Extra Virgin Olive Oil and Apples Enriched-Dark Chocolate on Endothelial Progenitor Cells in Patients with Cardiovascular Risk Factors: A Randomized Cross-Over Trial
title_fullStr Effects of Extra Virgin Olive Oil and Apples Enriched-Dark Chocolate on Endothelial Progenitor Cells in Patients with Cardiovascular Risk Factors: A Randomized Cross-Over Trial
title_full_unstemmed Effects of Extra Virgin Olive Oil and Apples Enriched-Dark Chocolate on Endothelial Progenitor Cells in Patients with Cardiovascular Risk Factors: A Randomized Cross-Over Trial
title_short Effects of Extra Virgin Olive Oil and Apples Enriched-Dark Chocolate on Endothelial Progenitor Cells in Patients with Cardiovascular Risk Factors: A Randomized Cross-Over Trial
title_sort effects of extra virgin olive oil and apples enriched dark chocolate on endothelial progenitor cells in patients with cardiovascular risk factors a randomized cross over trial
topic dark chocolate
endothelial progenitor cells
cardiovascular risk factors
metabolism
url https://www.mdpi.com/2076-3921/8/4/88
work_keys_str_mv AT francescafelice effectsofextravirginoliveoilandapplesenricheddarkchocolateonendothelialprogenitorcellsinpatientswithcardiovascularriskfactorsarandomizedcrossovertrial
AT alessandrafrancini effectsofextravirginoliveoilandapplesenricheddarkchocolateonendothelialprogenitorcellsinpatientswithcardiovascularriskfactorsarandomizedcrossovertrial
AT valentinadomenici effectsofextravirginoliveoilandapplesenricheddarkchocolateonendothelialprogenitorcellsinpatientswithcardiovascularriskfactorsarandomizedcrossovertrial
AT mariocifelli effectsofextravirginoliveoilandapplesenricheddarkchocolateonendothelialprogenitorcellsinpatientswithcardiovascularriskfactorsarandomizedcrossovertrial
AT esterbelardinelli effectsofextravirginoliveoilandapplesenricheddarkchocolateonendothelialprogenitorcellsinpatientswithcardiovascularriskfactorsarandomizedcrossovertrial
AT lucasebastiani effectsofextravirginoliveoilandapplesenricheddarkchocolateonendothelialprogenitorcellsinpatientswithcardiovascularriskfactorsarandomizedcrossovertrial
AT claudiocantini effectsofextravirginoliveoilandapplesenricheddarkchocolateonendothelialprogenitorcellsinpatientswithcardiovascularriskfactorsarandomizedcrossovertrial
AT rosselladistefano effectsofextravirginoliveoilandapplesenricheddarkchocolateonendothelialprogenitorcellsinpatientswithcardiovascularriskfactorsarandomizedcrossovertrial