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. 2017 Dec 14;2017(12):CD009789. doi: 10.1002/14651858.CD009789.pub2

Peschek 2014.

Methods Randomised controlled trial (cross‐over design)
Separated by a 21‐day washout
Participants Setting: laboratory, USA
n = 8 well‐trained male runners and triathletes age range 18 to 44 years
Inclusion/exclusion criteria
Inclusion criteria ‐ currently training for at least 6 or more hours per week
Exclusion criteria ‐ lower body extremity injury in the past 6 months and/or were currently taking chronic or daily doses of anti‐inflammatory medication or nutritional supplements. Participants who had a history of a recent illness were also excluded from the study.
Interventions Intervention
240 mL serving of carbohydrate protein beverage plus natural cocoa (350 mg flavanols)
Placebo
Placebo cocoa‐based (processed with alkali) carbohydrate protein beverage (0 mg of flavanols)
Duration
Beverage consumed 1 and 2 hours into recovery after downhill running and primary and secondary outcomes measured for up to 2 days after exercise
Outcomes PRIMARY
Delayed onset muscle soreness at the legs (10‐point visual analogue scale: 0 is "no pain at all" and 10 is "unbearable pain")
SECONDARY
Muscle tenderness using a force algometer (Wagner Pain Test Model FPK Algometer)
Muscle function ‐ Quadricep Extension
Performance ‐ 5 km running time trial
Exercise type Downhill running protocol at a ‐10% grade for 30 minutes at a speed equal to 70% of VO2 max
Sources of funding Chocolate milk was provided by Darigold Co.
Notes Drinks were 240 mL per serving and consumed 1 hour post‐exercise and 2 hours post‐exercise.
Authors were contacted on 18 February 2016 to request data for delayed onset muscle soreness, maximal voluntary isometric contraction and 5 km time trial but did not respond
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Randomised using a computer program
Allocation concealment (selection bias) Low risk Unmarked bottles
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Single‐blind design thus personnel were not blinded
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Participants were blinded
Incomplete outcome data (attrition bias) 
 All outcomes Low risk All participants completed the study without any adverse effects
Selective reporting (reporting bias) High risk All outcomes reported at all time points
Adverse effects of antioxidant supplementation were not reported
Other bias Low risk Participants were instructed to consume a similar diet during the period of testing and replicate diet during both trials. Participants were instructed to refrain from taking anti‐inflammatory medication.