Evidence map›Paper›PMID 26076989›Full record

Trial reportThe American journal of cardiology2015

Chocolate Consumption and Risk of Atrial Fibrillation (from the Physicians' Health Study).

Owais Khawaja, Andrew B Petrone, Yousuf Kanjwal, John M Gaziano, Luc Djoussé

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The American journal of cardiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
1.7field-weighted citation impact, top 15% of its field
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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Dietary interventions in the management of atrial fibrillation.Frontiers in cardiovascular medicine · 2024
    Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Review
  6. Chocolate, "Food of the Gods": History, Science, and Human Health.International journal of environmental research and public health · 2019
    Review
  7. Article
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

5 authors at 4 institutions in 1 country.

Owais KhawajaDepartment of Cardiology, Mercy St. Vincent Medical Center, Toledo, Ohio. Electronic address: oajaz@yahoo.com.
Andrew B PetroneDivision of Aging, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
Yousuf KanjwalDepartment of Cardiology, Mercy St. Vincent Medical Center, Toledo, Ohio.
John M GazianoDivision of Aging, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts; Massachusetts Veterans Epidemiology and Research Information Center (MAVERIC), Boston Veterans Affairs Healthcare System, Boston, Massachusetts; Division of Preventive Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts; Geriatric Research, Education, and Clinical Center (GRECC), Boston Veterans Affairs Healthcare System, Boston, Massachusetts.
Luc DjousséDivision of Aging, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts; Massachusetts Veterans Epidemiology and Research Information Center (MAVERIC), Boston Veterans Affairs Healthcare System, Boston, Massachusetts; Geriatric Research, Education, and Clinical Center (GRECC), Boston Veterans Affairs Healthcare System, Boston, Massachusetts.
Mercy St. Vincent Medical Center · USBrigham and Women's Hospital · USGeriatric Research Education and Clinical Center · USHarvard University · US

Funding

Physicians' Health Study II: Prevention Trial of VitaminsR01CA097193 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI GAZIANO, J. MICHAEL · 2002 to 2011
$15.7M
RANDOMIZED TRIAL OF ASPIRIN AND MORTALITYR01CA040360 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI BURING, JULIE E · 1985 to 2002
$775k
Red Blood Cell Omega-3 Fatty Acids and Coronary Artery DiseaseR21HL088081 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI DJOUSSE, LUC · 2009 to 2010
$484k
TRIAL OF ASPIRIN AND BETA-CAROTENE IN U S MD'SR01HL034595 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI BURING, JULIE E · 1985 to 1991
–
NCI NIH HHS CA-097193NCI NIH HHS CA-34944NCI NIH HHS CA-40360NCI NIH HHS R01 CA034944NCI NIH HHS R01 CA040360NCI NIH HHS R01 CA097193NHLBI NIH HHS HL-26490NHLBI NIH HHS HL-34595NHLBI NIH HHS R01 HL026490NHLBI NIH HHS R01 HL034595NHLBI NIH HHS R21 HL088081
6 · The paper itself

Abstract

Chocolate consumption has been shown to protect against various cardiovascular end points; however, little is known about the association between chocolate consumption and incident atrial fibrillation (AF). Therefore, we prospectively examined the association between chocolate consumption and incident AF in a cohort of 18,819 US male physicians. Chocolate consumption was ascertained from 1999 to 2002 through a self-administered food frequency questionnaire. Incident AF was ascertained through yearly follow-up questionnaires. Cox regression was used to estimate relative risks of AF. The average age at baseline was 66 years (±9.1). During a mean follow-up of 9.0 years (±3.0), 2,092 cases of AF occurred. Using <1 per month of chocolate consumption as the reference group, multivariable adjusted hazard ratios (95% confidence interval) for AF were 1.04 (0.93 to 1.18), 1.10 (0.96 to 1.25), 1.14 (0.99 to 1.31), and 1.05 (0.89 to 1.25) for chocolate intake of 1 to 3 per month and 1, 2 to 4, and ≥5 per week (p for trend 0.25), respectively. In a secondary analysis, there was no evidence of effect modification by adiposity (p interaction = 0.71) or age (p interaction = 0.26). In conclusion, our data did not support an association between chocolate consumption and risk of AF in US male physicians.

Indexed as

CacaoDietAgedAspirinAtrial Fibrillationbeta CaroteneCohort StudiesHumansIncidenceMaleMiddle AgedNeoplasmsPhysiciansPlatelet Aggregation InhibitorsProportional Hazards ModelsRisk FactorsAspirinbeta CarotenePlatelet Aggregation InhibitorsVitamins

Identifiers

PMID26076989
PMCPMC4522217
OpenAlexW1577099960

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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 Socratic graph.