Evidence map›Paper›PMID 40493074›Full record

Trial reportPsychopharmacology2025

A single intake of flavanol-rich cocoa improves inhibitory executive process under cognitive fatigue during aerobic exercise in men: a randomized, double-blind, placebo-controlled crossover trial.

Hayato Tsukamoto, Sota Yoneya, Takahiro Koyama, Asuka Suzuki, I Wayan Yuuki, Kento Dora, Takeshi Hashimoto

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Psychopharmacology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Hayato TsukamotoFaculty of Sport Sciences, Waseda University, 2-579-15 Mikajima, Tokorozawa, Saitama, 359-1192, Japan. hayato.tsukamoto@aoni.waseda.jp.ORCID http://orcid.org/0000-0001-5512-0497
Sota YoneyaFaculty of Sport and Health Science, Ritsumeikan University, Shiga, Japan.
Takahiro KoyamaFaculty of Sport and Health Science, Ritsumeikan University, Shiga, Japan.
Asuka SuzukiFaculty of Sport and Health Science, Ritsumeikan University, Shiga, Japan.
I Wayan YuukiFaculty of Sport and Health Science, Ritsumeikan University, Shiga, Japan.
Kento DoraInstitute of Advanced Research for Sport and Health Science, Ritsumeikan University, Shiga, Japan.
Takeshi HashimotoFaculty of Sport and Health Science, Ritsumeikan University, Shiga, Japan.

Funding

Japan Society for the Promotion of Science 24K14465
6 · The paper itself

Abstract

rationaleAlthough cognitive fatigue commonly occurs during sports, effective strategies to improve it during exercise have not been established.

objectivesThis study determined whether high-cocoa flavanol (HCF) consumption improves reaction time and inhibitory executive function impairments during prolonged cognitive load combined with aerobic exercise.

methodsIn this randomized crossover study, 18 healthy males (22 ± 2 years) participated in both low-cocoa flavanol (LCF) and HCF trials. Double-blinded capsules (LCF 50 mg and HCF 500 mg) were consumed 1 h before a 50-min cognitive exercise dual-tasking protocol, which included a color-word Stroop task (CWST) and moderate-intensity cycling. The CWST assessed reaction time and reverse-Stroop interference score as indicators of inhibitory executive process.

resultsReaction time (LCF 774 ± 146 ms vs. HCF 731 ± 101 ms, P < 0.01) and reverse-Stroop interference score (LCF 6.2 [3.2-15.5] vs. HCF 4.6 [1.2-11.4], P < 0.01) were significantly better 1 h after HCF consumption than after LCF consumption, indicating that HCF improved both reaction time and the inhibitory executive process at rest. During the 50-min cognitive-exercise dual-tasking protocol, HCF consumption resulted in faster reaction time (LCF 712 ± 122 ms vs. HCF 685 ± 111 ms, P < 0.05) and better inhibitory executive process (LCF 8.4 ± 5.0 vs. HCF 6.6 ± 3.5, P < 0.05) compared to those following LCF consumption.

conclusionsThese findings suggest that flavanol-rich cocoa may improve reaction time and inhibitory executive process impaired by cognitive fatigue during aerobic exercise.

Indexed as

CacaoChocolateExecutive FunctionExerciseFlavonolsMental FatigueAdultCognitionCross-Over StudiesDouble-Blind MethodHumansMaleReaction TimeStroop TestYoung AdultFlavonolsAntioxidantArousalBrain-derived neurotrophic factorDecision-makingMoodPerceived exertionReaction timeSupplement

Identifiers

PMID40493074
PMCPMC12675728

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.