Traditional Nighttime Drink Improves Blood Flow to the Lower Extremities
Written by Susan Parker | Updated on May 28, 2025
Reviewed by Susan Parker
Key Takeaways
Cocoa improves circulation
Scientific evidence supports cocoa's benefits
Not all chocolate works
Frequently Asked Questions
Key Takeaways
Cocoa improves circulation
Scientific evidence supports cocoa's benefits
Not all chocolate works
Frequently Asked Questions
What if a simple and delicious item like chocolate held the key to relieving leg pain and enhancing circulation? Peripheral arterial disease (PAD) impacts millions, causing discomfort during short walks due to limited blood flow. Traditional therapies often involve drugs or surgery, but researchers have uncovered a surprising natural alternative—cocoa. Recent studies from Northwestern University suggest that a daily intake of cocoa could help PAD patients walk longer distances with reduced discomfort. Could enjoying this sweet treat be the solution your arteries have been seeking? The scientific basis behind it is intriguing...
Cocoa Enhances Blood Flow – The flavonoid epicatechin in dark chocolate has been proven to dilate blood vessels, boosting oxygen delivery to the legs.
Scientific Research Backs Cocoa’s Advantages – Studies indicate that PAD patients who consumed high-cacao dark chocolate or cocoa beverages walked significantly farther without pain compared to those given low-cacao alternatives.
Not All Chocolates Are Equal – Only dark chocolate or cocoa with high cacao content (85% or more) offers vascular benefits, while milk chocolate has no discernible impact.
If you're above 40, you're susceptible to peripheral arterial disease, or PAD.
PAD involves arteries in the legs narrowing, leading to leg pain during walking that diminishes with rest.
While PAD has no cure, physicians may recommend aspirin or other blood-thinning medications to enhance blood circulation. If arteries become blocked, surgery is often advised. I'm thrilled to share how scientists uncovered a natural remedy in an unexpected source that benefits many patients.
When scientists at Northwestern University Feinberg School of Medicine explored safer, natural options, they focused on consuming cocoa. If this seems unconventional, keep reading...
Cocoa contains numerous bioactive flavonoids, including epicatechin. Prior research has demonstrated that this specific plant compound has favorable effects on blood vessels, widening constricted vessels and enhancing blood flow.
In 2014, researchers published the initial scientific proof that cocoa could aid PAD patients. In this study, twenty patients with an average age of 69 were tested on a treadmill to measure how far and for how long they could walk without pain.
Half of the volunteers were given 40 grams of dark chocolate with a cacao content exceeding 85%—almost pure dark chocolate—while the others consumed the same amount of milk chocolate with less than 35% cacao.
Two hours later, they were retested on the treadmill. The milk chocolate group showed no improvement, whereas individuals in the dark chocolate group could walk an average of 11% farther and for 15% longer duration.
In a more recent Feinberg study, 44 patients aged 60 were randomly assigned to drink three cups of cocoa daily or an equal amount of a placebo drink. The cocoa was natural, unprocessed, and contained a daily total of 75mg of epicatechin.
These patients also underwent leg MRI scans to assess blood flow, and some volunteers consented to a calf muscle biopsy to evaluate energy production.
After six months, the placebo group experienced a decline of 26.5 yards in walk distance, while those consuming cocoa could walk an additional 46.5 yards. These outcomes are remarkable for a treatment as straightforward, safe, and delightful as hot cocoa.
Compared to the placebo, the cocoa consumers also saw a 20% improvement in calf blood flow and a 14% rise in capillary density—the small vessels that supply oxygen to tissues.
Furthermore, the cocoa group exhibited a 98% enhancement in mitochondrial activity, a gauge of cellular energy production.
Lead researcher Dr. Mary McDermott stated, "The improvement from chocolate was significant and meaningful. The epicatechins aid in vessel dilation, enabling enhanced oxygen delivery to tissues." Dr. McDermott published the research in the journal Circulation Research in February 2020.
In an accompanying commentary in the same journal, Dr. Naomi Hamburg, formerly chair of the American Heart Association's Peripheral Vascular Disease Council, noted, "Taken collectively, the preliminary study by McDermott and colleagues offers compelling evidence supporting a potential benefit of epicatechin-rich cocoa on walking ability and safeguarding against worsening calf muscle blood flow, skeletal muscle damage, and mitochondrial dysfunction. "Perhaps one day, we'll recommend increased chocolate consumption to our PAD patients." Given these results, why wait? Particularly if you're experiencing leg discomfort while walking or sleeping, and suspect circulation problems or are at risk. I'm all in for safe, cost-effective, natural treatments like this that offer numerous benefits and no harm.
But remember, not every hot cocoa will suffice. You can create your own using dark chocolate or other cacao-rich chocolates, the source of epicatechin, from which cocoa is derived. My delightful recipe includes 12 ounces of whole milk, 1.5 tablespoons of 100% cocoa powder, sugar to taste (minimal, such as one teaspoon), and four drops of vanilla extract. Heat slowly over low or medium heat, stirring often until dissolved and hot. Avoid scalding the milk. Do not confuse "hot chocolate" powders with 100% dark chocolate cocoa powder.
Peripheral arterial disease (PAD) disrupts blood circulation, leading to painful walking and increased risks. While conventional treatments focus on drugs and surgery, researchers have found that cocoa, especially dark chocolate rich in epicatechin, may enhance blood flow and alleviate symptoms. Clinical studies indicate that PAD patients who consumed high-cacao chocolate or drank cocoa daily saw substantial enhancements in walking distance and muscle health. With its natural benefits and safety, cocoa offers a promising dietary inclusion for those grappling with poor circulation—just ensure you select the right type!
PAD is a condition where leg arteries narrow, reducing blood flow and causing pain and mobility challenges.
Cocoa features flavonoids like epicatechin that widen blood vessels, boost circulation, and enhance muscle oxygen levels.
Only dark chocolate with 85% cacao or higher or pure cocoa powder provides the vascular benefits linked to better circulation.
Clinical studies used about 75 mg of epicatechin daily, achievable through three servings of high-cacao cocoa or dark chocolate.
No, commercial hot chocolate mixes typically contain low cacao levels and high sugar content, lacking the same health advantages.
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