Dark chocolate (70% cocoa) reduces craving in smokers with severe cardiovascular comorbidities without interference in anthropometric measures

ABSTRACT Objective: Analyze craving in smokers with cardiovascular comorbidities submitted to a nutritional approach. Methods: Two groups were randomized and submitted to clinical intervention (n = 32): Group 1 (G1, n = 15): ingested 40 g of chocolate containing 70% cocoa/day and behavioral interv...

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Hlavní autoři: Arthur da Silva Gomes, Marcela Melquíades Melo, Thayzis de Paula Silva, Arise G. de Siqueira Galil, Nathércia Percegoni, Sheila C. P. Dutra Luquetti, André Bastos Netto, Vilma Aparecida da Silva Fonseca, Aline Silva de Aguiar
Médium: Článek
Jazyk:English
Vydáno: Universidade Federal do Rio de Janeiro 2023-11-01
Edice:Jornal Brasileiro de Psiquiatria
Témata:
On-line přístup:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0047-20852023000400221&tlng=en
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author Arthur da Silva Gomes
Marcela Melquíades Melo
Thayzis de Paula Silva
Arise G. de Siqueira Galil
Nathércia Percegoni
Sheila C. P. Dutra Luquetti
André Bastos Netto
Vilma Aparecida da Silva Fonseca
Aline Silva de Aguiar
author_facet Arthur da Silva Gomes
Marcela Melquíades Melo
Thayzis de Paula Silva
Arise G. de Siqueira Galil
Nathércia Percegoni
Sheila C. P. Dutra Luquetti
André Bastos Netto
Vilma Aparecida da Silva Fonseca
Aline Silva de Aguiar
author_sort Arthur da Silva Gomes
collection DOAJ
description ABSTRACT Objective: Analyze craving in smokers with cardiovascular comorbidities submitted to a nutritional approach. Methods: Two groups were randomized and submitted to clinical intervention (n = 32): Group 1 (G1, n = 15): ingested 40 g of chocolate containing 70% cocoa/day and behavioral intervention for smoking cessation for one month; Group 2 (G2, n = 17): control group, only behavioral intervention. Questionnaire of Smoking Urges-Brief (QSU-Brief) - Brazil version measured total craving and its factors. Anthropometric measurements verified the nutritional interference of the procedure and the serum assessment verified the interference of inflammatory processes related to smoking. The study was registered on the Brazilian Registry of Clinical Trials (ReBEC): RBR-83jr3. Results: After one month, compared to the initial evaluation, the G1 reduced the craving evaluated by the QSU-Brief and its Factors 1 and 2. Total QSU-Brief: 44.27 ± 15.82 x 27.00 ± 18.03 (p = 0.008); Factor 1: 21.90 ± 7.70 x 12.90 ± 8.87 (p = 0.006); Factor 2: 11.90 ± 6.30 x 7.00 ± 6.63 (0.007). G2 showed a reduction in total QSU-Brief and Factor 1, but not in Factor 2. QSU-Brief total 28.17 ± 17.24 x 19.52 ± 9.50 (p = 0.049); Factor 1: 14.47 ± 8.74 x 9.23 ± 6.11 (p = 0.046). Serum levels of cortisol, leptin, serotonin, C-Reactive Protein (CRP) and insulin did not show differences (p > 0.05). No anthropometric differences were found. Conclusion: The results demonstrate that daily consumption of chocolate for one month (70%) reduced craving in smokers at the beginning of treatment. Chocolate potentiated the well-known effect of behavioral counseling on Factor 1 (pleasurable drug effects) and also interfered with factor 2 (unpleasant withdrawal effects).
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spelling doaj.art-8901cfeca132444488882d62e9bce6a12023-11-21T07:42:37ZengUniversidade Federal do Rio de JaneiroJornal Brasileiro de Psiquiatria1982-02082023-11-0172422122710.1590/0047-2085000000431Dark chocolate (70% cocoa) reduces craving in smokers with severe cardiovascular comorbidities without interference in anthropometric measuresArthur da Silva Gomeshttps://orcid.org/0000-0001-6018-3636Marcela Melquíades Melohttps://orcid.org/0000-0003-1139-2217Thayzis de Paula Silvahttps://orcid.org/0000-0003-3625-1795Arise G. de Siqueira Galilhttps://orcid.org/0000-0001-6161-5963Nathércia Percegonihttps://orcid.org/0000-0002-4332-7770Sheila C. P. Dutra Luquettihttps://orcid.org/0000-0002-2257-5337André Bastos Nettohttps://orcid.org/0000-0002-2711-1881Vilma Aparecida da Silva Fonsecahttps://orcid.org/0000-0001-7382-3081Aline Silva de Aguiarhttps://orcid.org/0000-0003-4903-2495ABSTRACT Objective: Analyze craving in smokers with cardiovascular comorbidities submitted to a nutritional approach. Methods: Two groups were randomized and submitted to clinical intervention (n = 32): Group 1 (G1, n = 15): ingested 40 g of chocolate containing 70% cocoa/day and behavioral intervention for smoking cessation for one month; Group 2 (G2, n = 17): control group, only behavioral intervention. Questionnaire of Smoking Urges-Brief (QSU-Brief) - Brazil version measured total craving and its factors. Anthropometric measurements verified the nutritional interference of the procedure and the serum assessment verified the interference of inflammatory processes related to smoking. The study was registered on the Brazilian Registry of Clinical Trials (ReBEC): RBR-83jr3. Results: After one month, compared to the initial evaluation, the G1 reduced the craving evaluated by the QSU-Brief and its Factors 1 and 2. Total QSU-Brief: 44.27 ± 15.82 x 27.00 ± 18.03 (p = 0.008); Factor 1: 21.90 ± 7.70 x 12.90 ± 8.87 (p = 0.006); Factor 2: 11.90 ± 6.30 x 7.00 ± 6.63 (0.007). G2 showed a reduction in total QSU-Brief and Factor 1, but not in Factor 2. QSU-Brief total 28.17 ± 17.24 x 19.52 ± 9.50 (p = 0.049); Factor 1: 14.47 ± 8.74 x 9.23 ± 6.11 (p = 0.046). Serum levels of cortisol, leptin, serotonin, C-Reactive Protein (CRP) and insulin did not show differences (p > 0.05). No anthropometric differences were found. Conclusion: The results demonstrate that daily consumption of chocolate for one month (70%) reduced craving in smokers at the beginning of treatment. Chocolate potentiated the well-known effect of behavioral counseling on Factor 1 (pleasurable drug effects) and also interfered with factor 2 (unpleasant withdrawal effects).http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0047-20852023000400221&tlng=enSmokingfoodchocolatecravingcomorbidity
spellingShingle Arthur da Silva Gomes
Marcela Melquíades Melo
Thayzis de Paula Silva
Arise G. de Siqueira Galil
Nathércia Percegoni
Sheila C. P. Dutra Luquetti
André Bastos Netto
Vilma Aparecida da Silva Fonseca
Aline Silva de Aguiar
Dark chocolate (70% cocoa) reduces craving in smokers with severe cardiovascular comorbidities without interference in anthropometric measures
Jornal Brasileiro de Psiquiatria
Smoking
food
chocolate
craving
comorbidity
title Dark chocolate (70% cocoa) reduces craving in smokers with severe cardiovascular comorbidities without interference in anthropometric measures
title_full Dark chocolate (70% cocoa) reduces craving in smokers with severe cardiovascular comorbidities without interference in anthropometric measures
title_fullStr Dark chocolate (70% cocoa) reduces craving in smokers with severe cardiovascular comorbidities without interference in anthropometric measures
title_full_unstemmed Dark chocolate (70% cocoa) reduces craving in smokers with severe cardiovascular comorbidities without interference in anthropometric measures
title_short Dark chocolate (70% cocoa) reduces craving in smokers with severe cardiovascular comorbidities without interference in anthropometric measures
title_sort dark chocolate 70 cocoa reduces craving in smokers with severe cardiovascular comorbidities without interference in anthropometric measures
topic Smoking
food
chocolate
craving
comorbidity
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0047-20852023000400221&tlng=en
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