Belgians make great chocolate, so it's fitting that
a group of Belgian researchers wanted to see if it had
a beneficial effect on divers as a pre-dive snack. It's
theorized that chocolate benefits cardiovascular health
because the cocoa bean is rich in a plant nutrient called
flavonoids, which help protect plants from environmental
toxins and repair damage. When humans eat
flavonoid-rich foods, we also benefit from this "antioxidant"
power because it helps the body's cells resist damage
caused by free radicals, which are formed by normal
body processes (like breathing) and environmental
toxins (like cigarette smoke). If your body doesn't have
enough oxidants to balance out the free radicals, it can
cause plaque to form on the artery walls.
The Belgian researchers were specifically looking
at dark chocolate, and its post-dive effect on the endothelium,
the inner lining of blood vessels, which helps
regulate blood coagulation. The polyphenols in dark
chocolate can improve cardiovascular health by stimulating
nitric oxide, which stimulates blood dilation, and
thus lowers blood pressure. For divers, nitric oxide
hinders bubble formation, which means dark chocolate
may help with off-gassing and the prevention of decompression
sickness.
The researchers divided 42 male scuba divers into
a control group and a chocolate group. Each group went down to 108 feet in a diving pool, warmed to 91
degrees, for 20 minutes; 90 minutes before their dive,
the chocolate group ate 30 grams of dark chocolate (86
percent cocoa). The control group had a significant
decrease in blood-flow dilation after the dive, while the
chocolate group had an increase. Nitric oxide levels
stayed the same in the control group, while it increased
in the chocolate group.
The researchers concluded that eating dark chocolate
before the dive prevented post-dive dysfunction of
the endothelium because the antioxidants in chocolate
probably scavenge free radicals and, therefore, reduce
diving-induced oxidative stress. "A small intake of dark
chocolate rich in polyphenols as part of nutrition reduces
arterial hypertension and promotes nitric oxide formation,"
they summarized.
For the best dose, they recommend eating 38 to 125
grams of dark chocolate a day, which you can stuff in
your carry-on as you head off to your next dive trip.
"The Effect of Pre-Dive Ingestion of Dark Chocolate on
Endothelial Function After a Scuba Dive," by S. Theunissen,
C. Balestra, A. Boutros, D. De Bels, F. Guerrero and P.
Germonpré, Diving and Hyperbaric Medicine, Volume 45,
No. 1, pages 4-9.