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Cognitive & brain health effects of cocoa flavanols

More than a decade ago, we began researching the potential effects of cocoa flavanol intake on brain health

Close up of multiple images of a healthy human brain scan in a neurology clinic

Changes in cognitive performance as part of the normal process of aging have been well described in the scientific literature. While some of our cognitive abilities, including procedural memory or our vocabulary, are little affected by normal aging, most of us will experience some degree of gradual decline in memory, learning agility, mental processing speed and other cognitive functions. These changes observed during normal cognitive aging are influenced by genetics, as well as environmental, social, and life-style factors, and by the individual's general health status.

The impact of cocoa flavanols on cognitive function

There is increasing evidence that cognitive aging can be slowed, halted or even partially reversed by adopting lifestyle choices that lower disease risk–notably, enough sleep, the mitigation of stress, physical and mental exercise, and a healthy diet.

Based on our initial research demonstrating that cocoa flavanol intake positively impacts blood vessel function, perfusion and oxygen delivery to tissues, more than a decade ago we initiated research aimed at investigating the potential effects of cocoa flavanol intake on brain health and cognitive function. In collaboration with academic research teams, we demonstrated at that time that cocoa flavanol intake mediates increases in cerebral blood flow and perfusion in certain regions of the human brain.


Our collaborative research program into cocoa flavanols

Building on these early findings, we undertook various collaborative projects with multiple research groups to further study the role of flavanols and procyanidins in the context of cognition and cognitive aging. During the course of these investigations, we used a broad set of scientific tools, testing methods and imaging technologies. We investigated brain perfusion using arterial spin, labeling-based, magnetic resonance imaging and studied aspects of brain function by high-resolution functional magnetic resonance imaging (fMRI). We also deployed a broad selection of standard and novel cognitive test batteries.

This work eventually led to a collaboration with researchers at Columbia University, New York and Harvard’s Brigham and Women’s Hospital to conduct a large-scale and long-term dietary intervention trial focused on cocoa flavanols and cognitive aging, which represents an ancillary study embedded in COSMOS. The outcomes of this study will become available in 2021.

Taken together, our research so far has been able to demonstrate meaningful cocoa flavanol intake-related benefits, such as improvements in cognitive performance and memory–including word recall, visual memory and episodic memory.

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