Highlight
– The COSMOS randomized clinical trial investigated the long-term impact of cocoa extract supplementation on incident hypertension in older adults.
– Overall, cocoa extract did not significantly reduce hypertension incidence over a median follow-up of 3.4 years.
– A notable 24% reduction in hypertension risk was observed among participants with baseline systolic blood pressure (SBP) below 120 mm Hg.
– The protective effect became apparent after two years of supplementation, highlighting a potential preventive role in normotensive individuals.