
- With Mayo Clinic nutritionist
Katherine Zeratsky, R.D., L.D.
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Katherine Zeratsky, R.D., L.D.
Katherine Zeratsky, R.D., L.D.
As a specialty editor for the nutrition and healthy eating guide, Katherine Zeratsky helps you sort through the facts and figures, the fads and the hype to learn more about nutrition and diet.
A Marinette, Wis., native, Katherine is certified in dietetics by the state of Minnesota and the American Dietetic Association. She has been with Mayo Clinic since 1999.
She is active in nutrition-related curriculum and course development in wellness nutrition at Mayo Clinic in Rochester, Minn., and nutrition education related to weight management and practical applications of nutrition-related lifestyle changes.
Other areas of interest include food and nutrition for all life stages, active lifestyles and the culinary arts.
She graduated from the University of Wisconsin-Madison, served a dietetic internship at the University of Iowa Hospitals and Clinics, and worked as a registered dietitian and health risk counselor at ThedaCare of Appleton, Wis., before joining the Mayo Clinic staff.
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- Diet soda: Is it bad for you?
- Stevia: Can it help with weight control?
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Healthy diets (10)
- Canola oil: Does it contain toxins?
- Butter vs. margarine: Which is better for my heart?
- Detox diets: Do they work?
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Healthy cooking (7)
- Moldy cheese: Is it OK to eat?
- Food poisoning: How long can you safely keep leftovers?
- When the heat is on, which oil should you use?
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Healthy menus and shopping strategies (8)
- Calories in sushi: What are the low-cal options?
- Sodium nitrate in meat: Heart disease risk factor?
- What is BPA? Should I be worried about it?
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Question
Healthy chocolate: Dream or reality?
Can chocolate be good for my health?
Answer
from Katherine Zeratsky, R.D., L.D.
Healthy chocolate sounds like a dream come true, but chocolate hasn't gained the status of health food quite yet. Still, chocolate's reputation is on the rise, as a growing number of studies suggest that it can be a heart-healthy choice.
Chocolate and its main ingredient, cocoa, appear to reduce risk factors for heart disease. Flavanols in cocoa beans have antioxidant effects that reduce cell damage implicated in heart disease. Flavanols — which are more prevalent in dark chocolate than in milk chocolate or white chocolate — also help lower blood pressure and improve vascular function. In addition, some research has linked chocolate consumption to reduced risks of diabetes, stroke and heart attack. One caveat: The evidence for the health benefits of chocolate comes mostly from short-term and uncontrolled studies. More research is needed.
In the meantime, if you want to add chocolate to your diet, do so in moderation. Why? Most commercial chocolate has ingredients that add fat, sugar and calories. And too much can contribute to weight gain, a risk factor for high blood pressure, heart disease and diabetes.
Choose dark chocolate with cocoa content of 65 percent or higher. Limit yourself to around 3 ounces (85 grams) a day, which is the amount some studies have shown to be helpful. Because this amount may provide up to 450 calories, you may want to cut calories in other areas or step up the exercise to compensate.
Next questionMultigrain vs. whole grain: Which is healthier?
- Khawaja O, et al. Chocolate and coronary heart disease: A systematic review. Current Atherosclerosis Reports. 2011;13:447.
- Kaynak HE, et al. Is bitter better? The benefits of chocolate for the cardiovascular system. Current Hypertension Reports. 2011;13:401.
- Buitrago-Lopez A, et al. Chocolate consumption and cardiometabolic disorders: Systematic review and meta-analysis. BMJ: 2011;343:d4488.
- Nelson JK (expert opinion). Mayo Clinic, Rochester, Minn. Dec. 13, 2011.


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