The sweet side of dark chocolate for chronic kidney disease patients

Clin Nutr. 2021 Jan;40(1):15-26. doi: 10.1016/j.clnu.2020.06.039. Epub 2020 Jul 14.

Abstract

Chocolate is a widely appreciated foodstuff with historical appreciation as a food from the gods. In addition to its highly palatable taste, it is a rich source of (poly)phenolics, which have several proposed salutogenic effects, including neuroprotective anti-inflammatory, anti-oxidant and cardioprotective capabilities. Despite the known benefits of this ancient foodstuff, there is a paucity of information on the effects of chocolate in the context of chronic kidney disease (CKD). This review focusses on the potential salutogenic contribution of chocolate intake, to mitigate inflammatory and oxidative burden in CKD, its potential, for cardiovascular protection and on the maintenance of diversity in gut microbiota, as well as clinical perspectives, on regular chocolate intake by CKD patients.

Keywords: Chronic kidney disease; Dark chocolate; Gut microbiota; Inflammation; Oxidative stress.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Anti-Inflammatory Agents / pharmacology
  • Antioxidants / pharmacology
  • Cacao*
  • Chocolate*
  • Eating / physiology
  • Gastrointestinal Microbiome / drug effects
  • Humans
  • Oxidation-Reduction / drug effects
  • Renal Insufficiency, Chronic / metabolism*

Substances

  • Anti-Inflammatory Agents
  • Antioxidants