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. 2024 Dec 4;387:e078386. doi: 10.1136/bmj-2023-078386

Table 2.

Age standardized baseline characteristics according to milk chocolate* intake at baseline. Values are mean (SD) unless stated otherwise

Frequency of milk chocolate intake
NHS NHSII HPFS
0 or <1 serving/month 1 serving/month to <1 serving/week 1-4 servings/week ≥5 servings/week 0 or <1 serving/month 1 serving/month to <1 serving/week 1-4 servings/week ≥5 servings/week Never or <1 serving/month 1 serving/month to <1 serving/week 1-4 servings/week ≥5 servings/week
No of participants 19 327 11 269 7688 1116 20 822 20 380 14 901 2084 5520 4611 3457 479
Milk chocolate (servings/week) 0 (0) 0.5 (0) 1.7 (1) 7.5 (3.9) 0 (0) 0.5 (0) 1.7 (1.0) 7.2 (3.6) 0 (0) 0.5 (0) 1.7 (1.0) 7.3 (3.5)
Dark chocolate (servings/week) 0.4 (1.6) 0.4 (1.1) 0.7 (1.4) 1.3 (2.7) 0.7 (1.9) 0.7 (1.6) 1.0 (1.8) 1.9 (3) 0.5 (1.7) 0.6 (1.6) 1.0 (1.6) 2.2 (3.4)
Total chocolate† (servings/week) 0.4 (1.6) 0.9 (1.1) 2.4 (1.8) 8.9 (4.8) 0.7 (1.9) 1.2 (1.6) 2.7 (2.1) 9.1 (4.7) 0.5 (1.7) 1.1 (1.6) 2.7 (2.0) 9.6 (5.3)
Age (years) 71.3 (6.6) 69.2 (6.6) 69.7 (6.9) 70.5 (7.3) 52.8 (4.6) 52.1 (4.7) 51.9 (4.6) 52 (4.6) 68.8 (7.5) 68.0 (7.4) 67.9 (7.5) 68.5 (7.8)
White (% (No)) 97.7 (18 884) 97.6 (11004) 98.4 (7562) 98.4 (1098) 95.6 (19 912) 96.3 (19 620) 97.3 (14 497) 98.0 (2043) 95.3 (5262) 96.2 (4437) 96.3 (3328) 97.1 (465)
Current smoking (% (No)) 5.8 (1114) 6.2 (701) 7.6 (586) 10.5 (117) 5.8 (1210) 6.4 (1312) 6.7 (991) 7.5 (156) 2.8 (155) 2.9 (134) 3.4 (117) 6.3 (30)
Alcohol intake (g/day) 7.7 (12.1) 6.2 (10.4) 5.2 (9.2) 4.4 (8.6) 7.9 (11.9) 6.5 (9.9) 5.5 (8.9) 4.3 (7.8) 15.7 (18.0) 13.6 (15.7) 12.4 (15.1) 10.7 (15.1)
Median (SD) physical activity (MET-h/week) 23.9 (27.9) 21.2 (24.4) 20.8 (25.3) 20.3 (25.4) 26.1 (31.8) 22.4 (27.0) 21.8 (27.8) 20.8 (26.5) 42.2 (35.1) 42 (34.6) 41.8 (35.7) 41.1 (35.1)
BMI 25.7 (4.9) 26.5 (5.0) 26.6 (5.1) 26.2 (5.3) 26.2 (5.6) 27.1 (6.0) 27.6 (6.4) 27.7 (6.5) 25.6 (3.5) 26.2 (3.6) 26.3 (3.6) 26.2 (3.2)
Family history of diabetes (% (No)) 22.3 (4304) 23.2 (2616) 23.8 (1828) 21.9 (244) 14.3 (2986) 15.0 (3051) 14.7 (2196) 13.9 (290) 17.6 (973) 17.9 (827) 17.5 (604) 16.5 (79)
Multivitamin use (% (No)) 73.5 (14 215) 72.8 (8202) 71.1 (5470) 69.9 (780) 59.8 (12 447) 58.9 (11 997) 57.0 (8487) 57.7 (1203) 69.8 (3853) 68.6 (3162) 68.3 (2362) 67.1 (321)
Use of any postmenopausal hormone (% (No)) 75.1 (14 521) 75.0 (8457) 74.7 (5742) 75.7 (845) 41.1 (8559) 41.0 (8349) 40.4 (6015) 41.8 (872)
Use of oral contraceptives (% (No)) 12.2 (2537) 12.5 (2544) 13.5 (2016) 13.8 (287)
Baseline hypertension (% (No)) 56.4 (10 909) 58.0 (6534) 56.9 (4378) 59.9 (668) 25.4 (5296) 27.3 (5560) 27.8 (4135) 27.8 (578) 45.8 (2530) 45.6 (2104) 45.0 (1557) 47.7 (228)
Baseline hypocholesterolemia (% (No)) 66.7 (12 889) 69.6 (7844) 69.8 (5369) 71.6 (799) 40.4 (8406) 42.4 (8645) 43.0 (6412) 46.3 (964) 56.4 (3111) 57.2 (2638) 58.3 (2016) 56.8 (272)
Total energy intake (kcal/day) 1564 (501) 1696 (520) 1849 (548) 2099 (568) 1674 (529) 1806 (535) 1961 (557) 2211 (572) 1880 (579) 2041 (603) 2244 (646) 2560 (679)
AHEI 62.1 (12.5) 59.2 (11.8) 57.1 (11.6) 54.4 (11.4) 65.7 (12.8) 62.0 (12.3) 59.3 (12.2) 56.5 (12.1) 64.9 (12.2) 62.1 (11.6) 59.9 (11.3) 57.0 (11.2)
Red or processed meats (servings/day) 0.7 (0.5) 0.8 (0.5) 0.8 (0.6) 0.9 (0.6) 0.7 (0.6) 0.9 (0.6) 1.0 (0.6) 1.0 (0.6) 0.9 (0.7) 1.1 (0.7) 1.2 (0.8) 1.2 (0.8)
Fruit and vegetables (servings/day) 5.1 (2.7) 4.9 (2.5) 4.9 (2.5) 4.6 (2.5) 5.5 (3.2) 5.2 (2.8) 5.0 (2.7) 4.7 (2.6) 6.1 (2.5) 5.8 (2.3) 5.9 (2.3) 5.6 (2.2)
Whole grain (servings/day) 1.3 (1.0) 1.3 (1.0) 1.3 (1.0) 1.2 (1.0) 1.2 (1.0) 1.2 (0.9) 1.2 (0.9) 1.2 (1.0) 0.7 (0.7) 0.7 (0.6) 0.7 (0.6) 0.7 (0.6)
Sugar sweetened beverages (servings/day) 0.1 (0.4) 0.2 (0.4) 0.2 (0.5) 0.3 (0.7) 0.2 (0.5) 0.2 (0.6) 0.3 (0.7) 0.3 (0.8) 0.1 (0.4) 0.2 (0.4) 0.2 (0.5) 0.3 (0.5)
Tea (servings/day) 0.4 (0.8) 0.4 (0.8) 0.4 (0.8) 0.5 (0.9) 0.9 (1.3) 0.8 (1.2) 0.9 (1.2) 0.9 (1.3) 0.6 (1.0) 0.5 (0.9) 0.5 (0.9) 0.5 (0.9)
Coffee (servings/day) 1.2 (1.3) 1.2 (1.3) 1.1 (1.3) 1.1 (1.4) 1.3 (1.3) 1.3 (1.4) 1.1 (1.4) 1.0 (1.4) 1.6 (1.5) 1.6 (1.5) 1.6 (1.5) 1.4 (1.6)
Sweets and desserts (servings/day) 0.8 (0.9) 1.1 (1.0) 1.6 (1.2) 2.9 (1.6) 0.5 (0.6) 0.8 (0.6) 1.2 (0.8) 2.4 (1.3) 0.7 (0.9) 1.1 (0.9) 1.6 (1.1) 3.0 (1.7)
Saturated fat (% energy) 9.3 (2.8) 10.2 (2.6) 11 (2.5) 13.5 (2.8) 9.7 (2.7) 10.4 (2.4) 11.1 (2.3) 13.4 (2.5) 9.1 (2.7) 10.0 (2.5) 10.8 (2.3) 12.9 (2.4)
Added sugar (g/day) 34.8 (20.4) 40.5 (19.8) 45.5 (20.2) 57 (20.4) 38.2 (24.3) 43.8 (23.3) 50.0 (23.8) 61.9 (23.2) 40.2 (24.8) 47.4 (22.9) 55.2 (24.5) 68.2 (25.5)
Cereal fiber (g/day) 6.7 (3.3) 6.4 (2.9) 6.1 (2.6) 5.3 (2.6) 7.1 (3.7) 7.0 (3.1) 6.6 (3) 5.8 (2.7) 7.6 (3.9) 7.2 (3.3) 6.9 (3.1) 6.0 (2.7)
Epicatechin (mg/day) 10.5 (7.7) 9.5 (6.5) 9.6 (6.2) 11.0 (7.1) 13 (9.6) 11.4 (7.7) 11.5 (7.4) 13.3 (8.4) 12.9 (9.1) 11.7 (7.4) 11.8 (7.1) 14.2 (8.3)
Total flavonoids (mg/day) 382.4 (305.2) 349.3 (275.6) 334.1 (254.9) 343.8 (259.4) 453.4 (379.4) 395.1 (314.0) 377.3 (301.0) 379.6 (284.0) 426.4 (300.7) 376.9 (241.8) 362.4 (245.2) 369.3 (212.3)

1 kcal=4.18 kJ=0.00418 MJ.

AHEI=Alternate Healthy Eating Index; BMI=body mass index; NHS=Nurses’ Health Study; NHSII=Nurses’ Health Study II; HPFS=Health Professionals Follow-up Study; MET-h=metabolic equivalent tasks per hour; SD=standard deviation.

*

Baseline years were 2006 for NHS, 2007 for NHSII, and 2006 for HPFS.

Cumulative averages of total chocolate intake in 1980-2006 (NHS), 1991-2007 (NHSII), and 1986-2006 (HPFS).