1. Biochemical Components and Neurobiological Impact
Chocolate contains more than 300–500 known chemicals, some of which also act on brain cells and modulate mood
[1]. Of these 300 to 500 chemicals in chocolate, some play an important role in humans, influencing neurocognitive functions.
The main psychoactive components of chocolate are
[2][3] as follows.
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Carbohydrates, which have known behavioral effects.
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Flavanols, which are ubiquitous in the plant kingdom. In foods normally consumed in the diet, high levels of flavonoids can be found in green and black tea, grapes, red wine, apples, and especially in cocoa and cocoa-containing products. In fact, cocoa is particularly rich in flavonoids and contains a distinct complement of flavanols (a subclass of flavonoids), flavan-3-ols, mainly present in the form of epicatechin and catechin
[4], and their derivatives in high concentrations
[5]. Flavan-3-ols are the building blocks for polymeric procyanidin type B-2.
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Methylxanthines (MX), such as caffeine and its highly fat-soluble derivative and metabolite theobromine, which have peak plasma levels 60–120 min after ingestion.
Like caffeine, theobromine binds to adenosine receptors, exhibiting its psychoactive potential similar to that of caffeine. However, these two MX have distinct functional binding properties.
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Biogenic amines, such as serotonin, tryptophan, phenylethylamine, tyrosine, tryptamine, and tyramine, have a concentration that increases during fermentation and decreases during roasting and alkalinization.
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Anandamide, an endogenous ligand for the cannabinoid receptor that is found in low quantities, such as 0.5 mg g−1, salsolinol, and tetrahydro-b-carboline.
2. Chocolate and Brain Functions
In order to exert effects in the brain, flavanols cross the BBB by a process that is not only time-dependent but also stereoselective, which, thus, favors the passage of epicatechin more than catechin, as has been demonstrated in two cell lines, one of rat and one of human origin
[6]; the permeability is proportional to the degree of lipophilicity and inversely proportional to the degree of polarity.
In humans, the main polyphenols increase cerebral blood flow (CBF) and are derived from nutrients such as cocoa, wine, grape seeds, berries, tea, tomatoes, and soy
[7].
Optimal brain function requires an adequate CBF that promotes the correct and constant supply of oxygen and glucose to neurons and the excretion of deposited waste products. Increasing CBF is also a potential tool for enhancing brain function. Flavanols and their metabolites have the ability to reach and accumulate in the brain regions mainly involved in learning processes and memory, and are therefore thought to exert a direct brain action on cognitive function and neuroprotection
[3]. After chronic administration of chocolate, high concentrations of tangeretin were found in the striatum nucleus, hypothalamus, and hippocampus of the rat
[8].
The neurobiological impact of flavanols on the brain in the areas of learning, memory, cognitive function, and mood is thought to occur mainly in two ways. The effects of flavonoids on the brain are mediated by their function of neuroprotecting vulnerable neurons in particular, improving neuronal function and stimulating regeneration (neurogenesis)
[9] by interacting with intracellular neuronal signaling pathways that control neuronal survival and differentiation, long-term potentiation (LTP), and memory.
First, flavonoids interact with a number of cellular signaling pathways by activating gene expression and protein synthesis for the maintenance of LTP, and the stabilization of long-term memories
[10] are critical for neurogenesis, synaptic growth, and survival of neurons, mainly in the brain hippocampus and subventricular area related to learning and memory
[11][12].
Secondly, flavonoids induce vasodilation through nitric oxide at both cardiovascular and peripheral levels through the production of nitric oxide (NO), a key regulator of vascular function, which acts as a signaling molecule by inhibiting the action of adhesion molecules in atheromatous plaque that cause inflammation
[13], and, most importantly, promote and improve the function of the vascular endothelium by acting, with dilating action, on the smooth muscle tissue of blood vessels
[14]. This effect on the vascular system with endothelium-dependent vasodilation, contributes to the maintenance of normal blood flow and improvement of blood pressure; it also induces a reduction in platelet aggregation
[15][16][17][18][19][20]. This. in turn. results in increased CBF and blood perfusion throughout the central and peripheral nervous system
[21], allowing better oxygen and glucose delivery to neurons and removal of waste metabolites in the nervous systems
[22]. Among flavanols, epicatechin has the greatest ability to increase nitric oxide (NO) bioavailability, leading to improvements in vascular tone and blood pressure regulation
[23]. These vascular changes occurring at the peripheral level may also extend to cerebral perfusion, leading to optimized cerebrovascular integration during neuronal activation phases, a mechanism considered crucial for the functional and structural integrity of the brain and for promoting adult neurogenesis in the hippocampus
[24].
Administration of cocoa flavonoids, therefore, also stimulates angiogenesis in the hippocampus
[25][26], as demonstrated by administering epicatechin, given to mice at a dose of 500 mg g
−1 (daily supply of 2.5 mg). Combining epicatechin with exercise also improved the consolidation of spatial memory and the density of dendritic spines in the dentate gyrus of the hippocampus. In the same study, epicatechin treatment was shown to increase learning-associated gene expression in the hippocampus, while it did not appear to influence neurogenesis in the adult hippocampus
[26].
Thus, flavonoids could also exert their neurocognitive effects both directly and indirectly by interacting with the cellular network and molecular system deputed to memory acquisition, storage, retrieval, and learning
[9], also through long-term potentiation, synaptic plasticity
[27], enhanced neuronal connection, and communication.
Epidemiological studies suggest that regular flavonoid intake may be associated with better cognitive function
[28], to decreased risk of dementia and cognitive decline
[29][30][31], better cognitive development over a 10-year period
[32], and improved dose-dependent cognitive performance in physiological aging
[33].
3. Chocolate and Mood
A lot of data from the literature support the hypothesis of the influence of theobromine and caffeine on mood and cognitive function
[34][35][36][37], but the impact and mechanism by which flavanols affect mood remains unclear.
It is commonly believed that eating chocolate improves mood and rapidly induces a sense of well-being in people
[37]. An initial rapid effect of chocolate on emotional comfort appears to be related to the ability of the carbohydrates it contains, to promote such positive feelings through the release of several gut and brain peptides
[38].
In rats, the intake of cocoa-extracted polyphenols, while significantly reducing the duration of immobility in a forced swimming test, had no effect on locomotor activity in the open field, confirming its specific antidepressant effect
[39]. The most likely basis for this effect may be attributable to endorphin release
[40]. Indeed, sweet food intake is increased by opioid agonists and decreased by opioid antagonists
[41][42]. The effect of chocolate is also exerted through interaction with neurotransmitters such as dopamine (tyrosine contained in chocolate is the precursor to dopamine), serotonin, and endorphins, which contribute to appetite, reward, and mood regulation. The dopaminergic system contributes to the desire to consume chocolate, probably by acting mainly non-specifically towards food. After carbohydrate ingestion, only when the protein component of the meal is less than 2% does it induce an increase in serotonin concentrations in the brain
[38]. It should be noted that chocolate contains 5% of its caloric content in the form of protein, which would cancel out any effect of serotonin. Moreover, manipulations of tryptophan, the precursor of serotonin, also cause physiological changes that are too slow to explain the mood effects described during or immediately after eating chocolate
[43]. Another area where chocolate might act could be in the area of opioids, which are known to play a role in the palatability of preferred foods
[44], releasing endorphins during food intake, and, thus, justifying the increase in pleasure during food intake
[45]. The mood effects of cocoa may also be partly due to opioids released in response to the ingestion of sweets and other pleasantly palatable foods
[46][47]. The increase in central opioidergic activity, in turn, stimulates the immediate release of beta-endorphin in the hypothalamus, which exerts an analgesic effect. Bad mood stimulates consumption of comfort foods such as chocolate in two different ways
[48]. The former is called craving and is associated with an impulsive desire for chocolate, and its compulsive consumption occurs especially when under high emotional stress, showing a clear link between the perception of a negative mood and the intense desire to consume chocolate
[49]. The association between chocolate craving and consumption under emotional stress was demonstrated in a study in which subjects had to listen to music that induced a happy or sad mood. Chocolate consumption was increased by listening to sad music
[48].
The second modality to be considered is the palatability of the food. The pleasure induced by palatable food is regulated by endogenous opioids that stimulate food intake in rats. The pleasure induced by palatable foods is regulated by endogenous opioids that stimulate their intake in rats. In humans, however, the critical factor in satisfying chocolate craving appears to be taste and mouthfeel
[50]. Females, mainly in the perimenstrual period, seems more sensitive to chocolate. The response to satiety seems to vary by gender
[51].
It is more conceivable that an important role in liking or craving chocolate is due more to the composite sensory properties of chocolate than to its role in appetite and satiety
[52]. During the consumption of chocolate, different brain areas are also activated depending on the motivation to eat chocolate, based on positive/appetitive stimuli or associated with negative/adverse stimuli. Modulation of brain activity has been observed in chemosensory cortical areas such as the insula, prefrontal regions, and caudomedial and caudolateral orbitofrontal cortex, with overlapping and co-activation under contrasting motivational conditions
[53]. The ability to activate images of appetizing foods involved in food motivation and hedonism in a fronto–striatal–amygdala–midbrain network appears to be dependent on individual variability in reward sensitivity. If this same neuronal circuit is stimulated in the animal, it may result in the cancellation of the sense of satiety and cause overeating of highly palatable foods
[54].
The smell of chocolate itself is sufficient to modulate brain activity recorded on the electroencephalography (EEG). The smell of chocolate induces a significant reduction in theta activity compared to any other stimulus. Theta activity is considered to be closely related to attentional level, cognitive load in general, and, in this specific case, to olfactory perception, so a reduction in theta activity could be indicative of a reduced level of attention and an increased propensity to distraction
[55]. In addition to olfaction, the sight of chocolate also evokes activations in the brain and especially in the medial orbitofrontal cortex and ventral striatum, particularly in subjects who crave chocolate compared to those who do not: the combination of an image of chocolate with chocolate in the mouth evoked greater brain activation than the sight of the sum of the different components in the medial orbitofrontal cortex and cingulate cortex
[56].
The motivation for chocolate preference appears to be primarily, if not entirely, sensory. The origin of the liking of its sensory properties is unclear; it could be innate or acquired based on the sweetness, texture, and aroma characteristics of chocolate, or it could depend on the interaction between a person’s state and the post-gastronomic effects of chocolate. Surprisingly, there is little evidence of a relationship between chocolate addiction and chocolate liking
[50]. However, chocolate consumption fails to activate the key structure for drug addiction, the nucleus accumbens
[57][58][59].
The effect of chocolate on mood may be attributed to the affinity for adenosine and benzodiazepine (GABAa) receptors of polyphenolic compounds, which means that their ingestion may have a soothing effect
[60]. Some polyphenolic compounds indeed have anxiolytic properties
[61]. A small randomized controlled pilot study in humans with chronic fatigue reported a reduction in anxiety-related symptoms after eating polyphenol-rich chocolate, compared to polyphenol-poor chocolate
[62].
Pase et al.
[63] investigated the acute and subchronic effects of polyphenol supplementation on mood and cognitive performance in a randomized, placebo-controlled, double-blind study. Thirty days of treatment with a high dose of cocoa polyphenols reduced self-rated anxiety and contentment. No significant effect on cognitive performance was recorded with either the high or low dose in either the acute or chronic phase.
The optimal dosage of cocoa polyphenols needed to improve cognitive function and mood remains unclear.
4. Chocolate, Sleep and Circadian Rhythms
Our modern society functions at a hectic pace of activity 24/7, which leads individuals to sacrifice sleep hours and disregard daily sleep–wake rhythms. As experienced daily by shift workers, jet-lagged travelers, or those with so-called social jet-lag syndrome, disturbed sleep–wake rhythms create a conflict, a temporal mismatch between the circadian system and temporal signals derived from the cyclical environmental changes, such as the light–dark cycle,
[64] or a desynchronization
[65]. This condition, if prolonged over time, leads to chronic sleep disorders (CSD) that result in deficits to health and psychophysical well-being. The most frequent symptoms belong to the neurobehavioral sphere and are often associated with mood changes such as a tendency to depression and impairment of cognitive functions, especially executive functions, as well as cardio- and cerebrovascular disorders, stroke, hypertension, obesity, and diabetes
[66]. CSD are a socio-economic and public health issue due to their high prevalence in the general and working population, their impact on health, and work output given the higher incidence of absenteeism, and increased rates of errors and accidents at work
[67]. In addition, CSD often have a bidirectional relationship with stress
[68].
Due to this complex interaction between external Zeitgeber and internal circadian rhythms, the greatest beneficial effects of entrainment on circadian function are seen when food intake coincides with the activity phase
[69][70], whereas an inhibitory effect occurs when food is taken during the rest phase
[71][72] (
Figure 1).
Figure 1. Schematic illustration of chrononutrition with chocolate for breakfast and components of chocolate with the main mechanisms of action in both the central nervous system and peripheral organs and their actions.
Furthermore, to maintain a coordinated and synchronized circadian function, food intake must be phased with the light–dark cycle. The main effect seems to be due to a direct synchronization action on brain oscillators and central and peripheral clocks
[73][74].
Under normal light and dark (LD) conditions, programmed food intake does not shift the SCN phase
[75][76]. Other studies indicate that SCN is inhibited during food anticipation and fasting as observed with c-Fos, a major early gene that is activated by external signals
[77][78][79] or electrophysiological recordings, whereas the ventral SCN is activated both after re-feeding and with light
[80].
Recent results indicate that the SCN may also respond to palatable food construed as hedonic information, via dopaminergic projections from the ventral tegmental area
[81]. The rapid achievement of synchronization with limited daily chocolate intake may also be partly due to the increase in arousal induced by chocolate intake as a hedonic effect.
When planned for breakfast, an appetizing food, such as chocolate, can influence activation in the SCN, at the level of the dorsomedial region
[82]. This rhythmic pattern in the dorsal SCN may promote faster re-entrainment
[83] when bounded by a time window in which chocolate was administered during the active phase, whereas chocolate did not promote re-entrainment when administered during the resting phase.
Scheduled feeding has been shown to be a strong entrainment signal for circadian rhythm; especially when food intake is in phase with the period of activity. This exerts beneficial effects on the circadian system by favoring its synchronization and activation of the metabolism
[84][85], as demonstrated in experimental studies on shift-worker models. Time-limited access to food accelerates resynchronization in a jet-lag model, prevents circadian desynchronization in a shift-work model, and induces positive effects in metabolism
[86][87]. In contrast, food scheduled in the sleep–rest phase slows circadian synchronization and metabolism and alters behavior
[86][87][88].
Recently, Oishi et al.
[89] confirmed the positive action of cocoa on sleep disturbance induced by psychophysiological stress in mice using EEG. Cocoa intake attenuated the alteration of circadian sleep–wake rhythms. The EEG revealed that cocoa significantly improved both the increase in the level of alertness during the first half of the light period and the increase in NREM sleep during the first half of the dark period in mice with CSD. Under non-CSD conditions, cocoa does not appear to influence either the rhythms of run-rest activity or sleep–wake cycles. It is hypothesized that this positive action may be attributable to high concentrations of flavonoids in cocoa (epicatechin, catechin, and procyanidins), which improve blood flow and have antioxidant and neuroprotective properties. Indeed, in experimental animals, sleep deprivation and CSDs in general have been shown to increase oxidative stress levels in specific brain regions such as the hypothalamus, hippocampus, and thalamus
[90].
Flavanols acting on endothelial function could also play a role in insomnia, as it is just endothelial dysfunction that appears to be responsible for some insomnia-related symptoms and the association between insomnia and cardiovascular disease
[91]. Cocoa flavanols, by facilitating nitric oxide production, improve vascular endothelial function due to their vasodilatory effect
[25]. CBF also appears to play an important role in sleep regulation
[92] as well as cognitive and emotional processes, although it is not known how cerebral blood flow varies during alternating sleep–wake cycles
[93]. Flavanol-rich cocoa significantly increases cerebral blood flow in humans
[25][94] and attenuates the CSD-induced disturbance of circadian activity rhythm, sleep–wake cycles, cognitive functions by improving cerebral endothelial cell function, and blood flow, as demonstrated by Grassi et al.
[23].
In addition, another pathway through which cocoa has a protective effect on the synchronous maintenance of the sleep–wake rhythm in subjects with CSD is the modulated neurotransmission of serotonin
[95][96]. In fact, regular cocoa consumption has been shown to increase serotonin concentrations in the brain
[97].
Acute administration of flavanol-rich chocolate can counteract the negative effects of total sleep deprivation both on working memory performance in healthy young people
[23] and on endothelial and arterial function and, thus, on blood pressure (
Figure 1). Natural cocoa seems to be an ideal nutrient for ameliorating stress-induced psychophysiological sleep disturbance without distorting behavioral or sleep regulation under normal conditions.