Ultraviolet radiation (UV) imposes significant negative consequences upon excessive exposure. It is a common misconception in darker skin types that there is no need for photoprotection, hence studies have been done on other adjuncts of photoprotection. Cocoa is naturally-occurring antioxidant rich in flavanols that absorbs UV radiation and scavenge reactive oxygen species.

The study aimed to determine the UVB photoprotective activity through minimal erythema dose determination of 100% cocoa powder versus chocolate flavored powder drink.

This study was a randomized, double-blind controlled trial, wherein sixty (60) Filipino subjects aged 18 years old to 59 years old with Fitzpatrick skin type IV-IV were equally divided into two groups using computer generated randomization. Group I received 100% cocoa powder, one (1) tablespoon dissolved in hot water daily for 12 weeks, while Group II received chocolate flavored drink powder, one (1) tablespoon dissolved in hot water daily for 12 weeks. Minimal erythema dose (MED) were assessed for both groups at baseline, week 6 and week 12. Laboratory testing for fasting blood sugar (FBS), blood urea nitrogen (BUN), creatinine, SGPT and SGOT was done baseline and at week 12.

In the 100% cocoa powder group, the mean MED increased from baseline to week 6 at an average of 5.5% (p-value 0.64) which were not statistically significant, while from baseline to week 12 an statistically significant increase in mean MED was noted at 21% (p-value < 0.01). These results showed that there is significant photoprotective activity of 100% cocoa powder for intake of 12 weeks as compared to 6 weeks. In the chocolate flavored powder drink, MED remained unchanged. No significant adverse clinical symptoms and laboratory test changes were seen in this study.

Intake of 100% cocoa powder for 12 weeks have significant photoprotective activity compared to baseline among Filipinos with Fitzpatrick skin type IV-V. While chocolate flavored drink powder has no such effect.