Scientific name: Olea europaea L.1 (olive tree)

Other common names: Extra virgin olive oil, EVOO, virgin olive oil, pure olive oil, light olive oil, refined olive oil

Description: Olive oil is a natural liquid fat made by pressing the oil out of fresh olives, the ripened fruit of the olive tree.2,3 When the pits are removed, olives contain 20 to 30 percent oil.3 Olive oil originally came from the Mediterranean region, but it is now made and used around the world.3–5 Its color, which can range from clear yellow to dark golden or even slightly green, will depend on the type of olives and refinement processes used.3 Olive oil is a healthy fat that is rich in antioxidants and beneficial for cardiovascular health.4–6 

There are four different types of olive oil:

  1. Extra virgin olive oil is the least processed, highest quality, with the richest taste and is considered to be the healthiest type of olive oil.3,7,8 
  2. Virgin olive oil is similar to extra virgin but is slightly more processed and, therefore, lower in quality.7
  3. Pure olive oil (also labeled as “olive oil”) is usually a mix of virgin and refined olive oils (mostly refined), and has a lighter taste.3,7
  4. Light or refined olive oil is not lower in fat or calories, but it is lighter in taste because of the higher percentage of refined oils and more processing than pure or virgin olive oils.7

In addition to cooking, olive oil is also used in cosmetics, soap, medicine, and as fuel for traditional oil lamps.5 

Nutrients: Olive oil is high in monounsaturated fats and contains moderate amounts of vitamins E and K. According to the United States Department of Agriculture (USDA)’s FoodData Central, a one-tablespoon (15 mL) serving of olive oil contains:9,10

  • Calories: 119
  • Fat: 14.0 g (2.31 g saturated, 10.38 g monounsaturated, 1.36 g polyunsaturated)
  • Protein: 0 g
  • Carbohydrates: 0 g
  • Fiber: 0 g
  • Sugar: 0 g
  • Cholesterol: 0 mg
  • Sodium: 0.27 mg (0.01% Daily Value)
  • Calcium: 0.135 mg (0.01% DV)
  • Potassium: 0.135 mg (0% DV) 
  • Vitamin E: 1.94 mg (12.93% DV)
  • Vitamin K: 8.13 mcg (6.78% DV)

Geographic origin: The exact origin of the olive fruit itself is not known but it is thought to have come from either Syria or sub-Saharan Africa more than 6,000 years ago.11 Some sources say that the production of olive oil was documented no earlier than 2500 BCE,12 while others say there is evidence of 8,000-year-old olive oil remains in Israel.13 What researchers do know is that olive oil was a staple ingredient in the diets of the ancient Romans, Greeks, and many others in the Mediterranean region.11,14 

Today, the main producers of olive oil worldwide are Spain, Italy, Tunisia, Greece, and France.11,15 California produces almost all American-made olive oils.16 

History of use as medicine: Olive oil has been considered a sacred commodity since ancient times.17 It is referenced in the bible as the oil used for anointing,18 and it was seen as a symbol of wealth, joy, and health in Jewish culture.18 The ancient Greek physician Hippocrates called olive oil “the great healer,” and the Greek poet Homer referred to it in The Iliad as “liquid gold.”17 The Hippocratic Corpus, consisting of 60 medical treatises,19 referenced olive oil for treating wounds and skin diseases, gynecological problems, headaches, and body pains; as a contraceptive; and as an emetic to treat mild poisoning.20–22 Ancient Greek and Roman athletes rubbed olive oil on their bodies to help warm and relax their muscles to prevent injuries.17,23 

While olive oil has been a staple of Mediterranean cuisine for thousands of years, it has gained popularity in the United States only in the past two decades.24 In the 1950s, the American physiologist Ancel Keys conducted the Seven Countries Study, which was the first major study to investigate diet and lifestyle along with other risk factors for cardiovascular disease across various populations-–in this case the US, Finland, the Netherlands, Greece, Italy, Yugoslavia, and Japan—over a fifty-year period.25 One of the primary findings, published in 1986, showed that diets using olive oil as the primary source of fat were associated with lower rates of coronary heart disease deaths.26

Despite these findings, throughout the early 1990s, the USDA recommended that Americans consume a diet low in fat, and oils – including olive oil – were to be used “sparingly.”27 In 1994, the World Health Organization, Harvard School of Public Health, and a nonprofit called the Oldways Preservation and Exchange Trust created the Mediterranean Diet Pyramid, which emphasized the use of olive oil as the primary source of dietary fat.24 These new recommendations, combined with millions of dollars of marketing by the olive oil industry and increasing research into its health benefits, led to the current popularity of including olive oil as a healthy part of one’s diet.24

Current uses and scientific literature review: In both human and animal studies, olive oil has been shown to have many potential health benefits, especially when compared to other fat sources including butter or other oils (e.g. corn, canola, soybean). Following is a brief summary of the scientific literature. Please refer to the list of peer-reviewed articles at the end of this article for more details.

Cardiovascular Health:
Olive oil is often recommended as a heart-healthy fat source, and there is a tremendous amount of literature examining its protective effects for cardiovascular health. However, the ways in which it benefits the cardiovascular system are yet to be determined.28,29 Furthermore, there is a lack of consistency across studies, with some showing no significant benefits30,31 or even potential adverse effects from overconsumption,32 which causes additional uncertainty about exactly how, and how much, olive oil contributes to heart health.33–35 Despite the abundance of literature already available, more research is still needed.33,36,37 

The reported cardiovascular benefits of olive oil include antioxidant effects,29,37–40 anti-inflammation,29,33,36–38,40,41 reductions in LDL (bad) cholesterol,30,42–46 increases in HDL (good) cholesterol (although most studies did not report this outcome),47 improvements in endothelial function (a marker of cardiovascular health),29,39,41 vasodilation (widening of the blood vessels),40 lipid metabolism,39,44,48 anti-atherogenesis (plaque formation in the arteries),58,66,69,72,75 and anti-thrombosis (blood clots in veins or arteries).29 Olive oil consumption has been associated with the prevention of high blood pressure,38,42,49 stroke,38,50 heart attack,38 cardiovascular diseases,51–53 and all-cause mortality.51,52,54,55 

The compounds responsible for these effects may include the many polyphenols (such as hydroxytyrosol)56 and unsaturated fatty acids (primarily oleic acid) the oil contains.29,38,45,47,49 

It is important to note that the greatest health benefits come from extra virgin olive oil or polyphenol-enriched virgin olive oils, rather than refined or mixed olive oils.

Brain Health:
Numerous studies show that olive oil consumption improves cognitive function,57–60 prevents cognitive decline,57,61,62 and slows or delays the progress of Alzheimer’s disease.61–64 These cognitive benefits may be related to the polyphenols in olive oil called secoiridoid oleuropein61 and hydroxytyrosol.65 Olive oil consumption also reduces the levels of a substance in the brain called amyloid beta, which  is associated with the development of Alzheimer’s disease62,64 and improves synaptic functions (messaging between the brain and nerves).59 

There is some evidence, although it is by no means conclusive, linking olive oil consumption to reduced symptoms of depression and anxiety, specifically in patients with severe cases of depression66,67 or obesity68 and in older adults.69 

Cancer Prevention and Treatment:
Studies have been conducted in laboratory settings, in animals, and in humans to identify the effects of both olive oil and its components on cancer and the mechanisms by which it can prevent or treat the disease. 

Olive oil appears to be most beneficial for colorectal,70–76 breast,71,77–79 prostate,71 and bladder cancers.80 The elements that may be responsible for these benefits are polyphenols called secoiridoids,81,82 including oleuropein71,72,77,78 and its metabolite (an end product of chemical processing in the body) hydroxytyrosol,71,72,75,76,83 and oleocanthal.72,79,83 These compounds may prevent or treat various types of cancers by regulating a range of cell-signaling pathways that reduce the growth and spread of cancer cells and induce cancer cell death72,75,77,80,82–84 without harming healthy cells,82 changing gene expression without altering DNA (epigenetic modulation),70,74,83 breaking down epidermal growth factor receptors (EGFR, an important protein for cell growth and proliferation),76 altering the gut microbiome,73,85 and generally enhancing the effectiveness of chemotherapeutic drugs.79,80 Further research in humans is needed to confirm these benefits and their specific mechanisms of action.74

Diabetes Management:
Olive oil consumption may be linked to the prevention and treatment of both type 1 and type 2 diabetes.86–89 It has exhibited blood sugar lowering effects,87,90–93 glucose regulation,94 improved insulin sensitivity,94 and enhanced pancreatic function,94 all of which can help diabetic patients manage their symptoms and even prevent the onset of diabetes among individuals diagnosed with pre-diabetes.88 The same compounds in olive oil that have been credited with other health benefits – specifically, oleic acid, hydroxytyrosol, and oleuropein – are also likely responsible for diabetes symptom management.89 

Gut Health:
Many of olive oil’s health benefits may be related to its ability to positively alter the gut microbiome (microorganisms, such as bacteria, living in the gut), which is associated with reduced inflammation and enhanced immunity and antioxidant activity.95–100 As such, olive oil consumption can also reduce symptoms of gastrointestinal disorders including inflammatory bowel disease (IBD).101–103 

Potential negative effects: There are very few known risks or side effects of consuming olive oil.104 Cooking with spoiled olive oil will affect the taste of your food but will not produce any physical side effects.104 Even though it is a fat and high in calories, olive oil consumption is not associated with weight gain.105 An allergy to olives is very rare, and allergic reactions to olive oil are even rarer.106 If applied topically to the skin, olive oil may cause acne or eczema.107

Purchasing and storage tips: When choosing which olive oil to buy, there are some important factors to consider.

  1. Extra virgin olive oil is the best option for flavor and quality,108,109 but it has a lower smoke point than refined varieties and is therefore not suitable for cooking at higher heats.2 
  2. Reputable olive oil brands will use a dark-colored glass or metal container, because light exposure can cause it to spoil.108 Do not purchase olive oil in clear or plastic bottles. 
  3. Beware of fake extra virgin olive oil110 (labeled as olive oil but containing a mixture of seed oils and/or low-quality olive oil). To avoid accidentally purchasing a fake, which may contain allergens, chemicals, and fewer health benefits, make sure the oil is labeled “extra virgin.” When possible, go to a specialty store where you can taste the oils before buying – if the oil tastes good, it likely is good.109 Look for a third-party certification seal109 such as PDO (European origin), DOP (Italian origin), or COOC Certified Extra Virgin (Californian origin). “Best by” or “use by” dates on olive oil are arbitrary. Look for a “harvest” or “pressed on” date109 within 18 months of the current date. Any mention of the level of free fatty acids (FFA) is a good sign that the oil is high-quality.109 Low prices are usually a clear indicator of poor quality, but that does not mean that all expensive options are legitimate.

Olive oil should always be stored in a cool, dark place. Do not store it near the stove, above the oven, or next to any windows that receive direct sunlight.111 Once opened, it should be consumed within six months.111 Unopened, a properly-stored bottle of olive oil will last up to two years past the harvest date.111

Good quality extra virgin olive oil should smell earthy, like a garden,109,111 taste grassy with a peppery finish, and leave your mouth feeling clean.108,109,111 When olive oil has spoiled or is not of high quality, it may be flavorless or taste rancid and will leave a waxy feeling in your mouth.108

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Note: It is important to note that many peer-reviewed studies may be biased because of industry-funded research to promote product sales, and a conflict of interest is not always disclosed (see information on sponsored research from biologist and nutritionist Marion Nestle here). In this article, we have done our best to avoid including any industry-funded studies. As discussed on page 158 of the Food as Medicine Report, more government funding is needed for food as medicine initiatives. 

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References

1. Jimenez-Lopez C, Carpena M, Lourenço-Lopes C, et al. Bioactive Compounds and Quality of Extra Virgin Olive Oil. Foods. 2020;9(8):1014. doi:10.3390/foods9081014

2. Olive oil | BBC Good Food. Accessed January 12, 2024. https://www.bbcgoodfood.com/glossary/olive-oil-glossary

3. Olive oil | Facts, Types, Production, & Uses | Britannica. Accessed January 12, 2024. https://www.britannica.com/topic/olive-oil

4. What Is Olive Oil? Nutrition, Benefits, Beauty Uses, and More. Accessed January 5, 2024. https://www.everydayhealth.com/diet-nutrition/diet/olive-oil-nutrition-benefits-beauty-uses-top-sellers-more/

5. Olive oil: Health benefits, nutritional information. Accessed January 5, 2024. https://www.medicalnewstoday.com/articles/266258

6. Is Olive Oil Good For You? Health. Accessed January 5, 2024. https://www.health.com/olive-oil-benefits-7511620

7. Karadsheh S. Olive Oil 101: Everything You Need to Know. The Mediterranean Dish. Published January 12, 2022. Accessed January 12, 2024. https://www.themediterraneandish.com/olive-oil-guide/

8. Why Extra Virgin Olive Oil Is the Healthiest Fat on Earth. Healthline. Published December 20, 2019. Accessed January 5, 2024. https://www.healthline.com/nutrition/extra-virgin-olive-oil

9. FoodData Central. Accessed January 12, 2024. https://fdc.nal.usda.gov/fdc-app.html#/food-details/748608/nutrients

10. FoodData Central. Accessed January 12, 2024. https://fdc.nal.usda.gov/fdc-app.html#/food-details/171413/nutrients

11. Vossen P. Olive Oil: History, Production, and Characteristics of the World’s Classic Oils. HortScience. 2007;42(5):1093-1100. doi:10.21273/HORTSCI.42.5.1093

12. Religion, Science, and History Blend in the Story of Making Olive Oil. ThoughtCo. Accessed January 18, 2024. https://www.thoughtco.com/ancient-history-of-making-olive-oil-4047748

13. 8,000-year Old Olive Oil Found in Galilee, Earliest Known in World – Archaeology – Haaretz.com. Accessed January 18, 2024. https://www.haaretz.com/archaeology/2014-12-17/ty-article/.premium/8-000-year-old-olive-oil-found-in-galilee/0000017f-e09f-d7b2-a77f-e39fbbbd0000

14. Ancient Roman vacationers consumed gobs of olive oil and fish, volcano victims reveal. Accessed January 18, 2024. https://www.science.org/content/article/ancient-roman-vacationers-consumed-gobs-olive-oil-and-fish-volcano-victims-reveal

15. Olive Oil Production by Country 2024. Accessed January 18, 2024. https://worldpopulationreview.com/country-rankings/olive-oil-production-by-country

16. Californians Navigate a Challenging Harvest with Unwavering Commitment to Quality. Olive Oil Times. Published May 17, 2023. Accessed January 18, 2024. https://www.oliveoiltimes.com/production/californians-navigate-a-challenging-harvest-with-unwavering-commitment-to-quality/119972

17. Clodoveo ML, Camposeo S, De Gennaro B, Pascuzzi S, Roselli L. In the ancient world, virgin olive oil was called “liquid gold” by Homer and “the great healer” by Hippocrates. Why has this mythic image been forgotten? Food Res Int. 2014;62:1062-1068. doi:10.1016/j.foodres.2014.05.034

18. Spiritual Significance Of Olive Oil::St. Augustine Catholic Chaplaincy Akoka::Our Trichoto dorido. Accessed January 24, 2024. https://staugustineakoka.org/reflection-details/?id=89&brief=Spiritual%20Significance%20Of%20Olive%20Oil

19. Hippocrates: The “Greek Miracle” in Medicine. Accessed August 23, 2021. https://www.ucl.ac.uk/~ucgajpd/medicina%20antiqua/sa_hippint.html

20. Olive Oil in Medicine. Accessed January 24, 2024. https://www.elidiaoliveoil.com/elidia_en.php?cat=olive-oil-in-medicine

21. History of Olive Oil. Accessed January 24, 2024. https://www.oliveoilandbeyond.com/History-of-Olive-Oil-s/1860.htm

22. AENAON EXTRA VIRGIN OLIVE OIL GREECE – The olive oil in the Hippocratic. Published January 24, 2024. Accessed January 24, 2024. https://www.karoumpalis.gr/the-olive-oil-in-the-hippocratic/?lang=en

23. Olive Oil in Sports. Accessed January 24, 2024. https://www.elidiaoliveoil.com/elidia_en.php?cat=olive-oil-in-sports

24. Giller M. The Multimillion-Dollar Junkets That Introduced Americans to Olive Oil. TASTE. Published July 23, 2019. Accessed January 24, 2024. https://tastecooking.com/olive-oil-came-america/

25. Maggi S. THE MEDITERRANEAN DIET: NEW EVIDENCE IN THE LIFELONG APPROACH TO HEALTHY DIET. Innov Aging. 2017;1(Suppl 1):1083. doi:10.1093/geroni/igx004.3974

26. Keys A, Menotti A, Karvonen MJ, et al. The diet and 15-year death rate in the seven countries study. Am J Epidemiol. 1986;124(6):903-915. doi:10.1093/oxfordjournals.aje.a114480

27. How The Food Pyramid Has Changed Over Time. Accessed January 24, 2024. https://www.tastingtable.com/1023664/how-the-food-pyramid-has-changed-over-time/

28. Marcelino G, Hiane PA, Freitas K de C, et al. Effects of Olive Oil and Its Minor Components on Cardiovascular Diseases, Inflammation, and Gut Microbiota. Nutrients. 2019;11(8):1826. doi:10.3390/nu11081826

29. Lu Y, Zhao J, Xin Q, et al. Protective effects of oleic acid and polyphenols in extra virgin olive oil on cardiovascular diseases. Food Sci Hum Wellness. 2024;13(2):529-540. doi:10.26599/FSHW.2022.9250047

30. Schwingshackl L, Krause M, Schmucker C, Hoffmann G, Rücker G, Meerpohl JJ. Impact of different types of olive oil on cardiovascular risk factors: A systematic review and network meta-analysis. Nutr Metab Cardiovasc Dis. 2019;29(10):1030-1039. doi:10.1016/j.numecd.2019.07.001

31. Sarapis K, George ES, Marx W, et al. Extra virgin olive oil improves HDL lipid fraction but not HDL-mediated cholesterol efflux capacity: a double-blind, randomised, controlled, cross-over study (OLIVAUS). Br J Nutr. 2023;130(4):641-650. doi:10.1017/S0007114522003634

32. Tomé-Carneiro J, Crespo MC, López de las Hazas MC, Visioli F, Dávalos A. Olive oil consumption and its repercussions on lipid metabolism. Nutr Rev. 2020;78(11):952-968. doi:10.1093/nutrit/nuaa014

33. Wongwarawipat T, Papageorgiou N, Bertsias D, Siasos G, Tousoulis D. Olive Oil-related Anti-inflammatory Effects on Atherosclerosis: Potential Clinical Implications. Endocr Metab Immune Disord – Drug TargetsFormerly Curr Drug Targets – Immune Endocr Metab Disord. 2018;18(1):51-62. doi:10.2174/1871530317666171116103618

34. Tarabanis C, Long C, Scolaro B, Heffron SP. Reviewing the cardiovascular and other health effects of olive oil: Limitations and future directions of current supplement formulations. Nutr Metab Cardiovasc Dis NMCD. 2023;33(12):2326-2333. doi:10.1016/j.numecd.2023.08.014

35. George ES, Marshall S, Mayr HL, et al. The effect of high-polyphenol extra virgin olive oil on cardiovascular risk factors: A systematic review and meta-analysis. Crit Rev Food Sci Nutr. 2019;59(17):2772-2795. doi:10.1080/10408398.2018.1470491

36. Souza PAL de, Marcadenti A, Portal VL. Effects of Olive Oil Phenolic Compounds on Inflammation in the Prevention and Treatment of Coronary Artery Disease. Nutrients. 2017;9(10):1087. doi:10.3390/nu9101087

37. Tejada S, Pinya S, del Mar  Bibiloni M, A. Tur J, Pons A, Sureda A. Cardioprotective Effects of the Polyphenol Hydroxytyrosol from Olive Oil. Curr Drug Targets. 2017;18(13):1477-1486. doi:10.2174/1389450117666161005150650

38. Riolo R, De Rosa R, Simonetta I, Tuttolomondo A. Olive Oil in the Mediterranean Diet and Its Biochemical and Molecular Effects on Cardiovascular Health through an Analysis of Genetics and Epigenetics. Int J Mol Sci. 2022;23(24):16002. doi:10.3390/ijms232416002

39. Pedret A, Fernández-Castillejo S, Valls RM, et al. Cardiovascular Benefits of Phenol-Enriched Virgin Olive Oils: New Insights from the Virgin Olive Oil and HDL Functionality (VOHF) Study. Mol Nutr Food Res. 2018;62(16):1800456. doi:10.1002/mnfr.201800456

40. Nocella C, Cammisotto V, Fianchini L, et al. Extra Virgin Olive Oil and Cardiovascular Diseases: Benefits for Human Health. Endocr Metab Immune Disord Drug Targets. 2018;18(1):4-13. doi:10.2174/1871530317666171114121533

41. Schwingshackl L, Christoph M, Hoffmann G. Effects of Olive Oil on Markers of Inflammation and Endothelial Function—A Systematic Review and Meta-Analysis. Nutrients. 2015;7(9):7651-7675. doi:10.3390/nu7095356

42. Hohmann CD, Cramer H, Michalsen A, et al. Effects of high phenolic olive oil on cardiovascular risk factors: A systematic review and meta-analysis. Phytomedicine. 2015;22(6):631-640. doi:10.1016/j.phymed.2015.03.019

43. Farràs M, Canyelles M, Fitó M, Escolà-Gil JC. Effects of Virgin Olive Oil and Phenol-Enriched Virgin Olive Oils on Lipoprotein Atherogenicity. Nutrients. 2020;12(3):601. doi:10.3390/nu12030601

44. Berrougui H, Ikhlef S, Khalil A. Extra Virgin Olive Oil Polyphenols Promote Cholesterol Efflux and Improve HDL Functionality. Evid Based Complement Alternat Med. 2015;2015:e208062. doi:10.1155/2015/208062

45. Hernáez Á, Remaley AT, Farràs M, et al. Olive Oil Polyphenols Decrease LDL Concentrations and LDL Atherogenicity in Men in a Randomized Controlled Trial1, 2, 3. J Nutr. 2015;145(8):1692-1697. doi:10.3945/jn.115.211557

46. Violi F, Loffredo L, Pignatelli P, et al. Extra virgin olive oil use is associated with improved post-prandial blood glucose and LDL cholesterol in healthy subjects. Nutr Diabetes. 2015;5(7):e172-e172. doi:10.1038/nutd.2015.23

47. Hernáez Á, Fernández-Castillejo S, Farràs M, et al. Olive Oil Polyphenols Enhance High-Density Lipoprotein Function in Humans. Arterioscler Thromb Vasc Biol. 2014;34(9):2115-2119. doi:10.1161/ATVBAHA.114.303374

48. Zupo R, Castellana F, Crupi P, et al. Olive Oil Polyphenols Improve HDL Cholesterol and Promote Maintenance of Lipid Metabolism: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Metabolites. 2023;13(12):1187. doi:10.3390/metabo13121187

49. Massaro M, Scoditti E, Carluccio MA, et al. Effects of Olive Oil on Blood Pressure: Epidemiological, Clinical, and Mechanistic Evidence. Nutrients. 2020;12(6):1548. doi:10.3390/nu12061548

50. Martínez-González MA, Dominguez LJ, Delgado-Rodríguez M. Olive oil consumption and risk of CHD and/or stroke: a meta-analysis of case–control, cohort and intervention studies. Br J Nutr. 2014;112(2):248-259. doi:10.1017/S0007114514000713

51. Guasch-Ferré M, Hu FB, Martínez-González MA, et al. Olive oil intake and risk of cardiovascular disease and mortality in the PREDIMED Study. BMC Med. 2014;12:78. doi:10.1186/1741-7015-12-78

52. Katsiki N, Pérez-Martínez P, Lopez-Miranda J. Olive Oil Intake and Cardiovascular Disease Prevention: “Seek and You Shall Find.” Curr Cardiol Rep. 2021;23(6):64. doi:10.1007/s11886-021-01496-1

53. Guasch -Ferré Marta, Liu G, Li Y, et al. Olive Oil Consumption and Cardiovascular Risk in U.S. Adults. J Am Coll Cardiol. 2020;75(15):1729-1739. doi:10.1016/j.jacc.2020.02.036

54. Xia M, Zhong Y, Peng Y, Qian C. Olive oil consumption and risk of cardiovascular disease and all-cause mortality: A meta-analysis of prospective cohort studies. Front Nutr. 2022;9:1041203. doi:10.3389/fnut.2022.1041203

55. Estruch R, Ros E, Salas-Salvadó J, et al. Primary Prevention of Cardiovascular Disease with a Mediterranean Diet Supplemented with Extra-Virgin Olive Oil or Nuts. N Engl J Med. 2018;378(25):e34. doi:10.1056/NEJMoa1800389

56. Lammi C, Bellumori M, Cecchi L, et al. Extra Virgin Olive Oil Phenol Extracts Exert Hypocholesterolemic Effects through the Modulation of the LDLR Pathway: In Vitro and Cellular Mechanism of Action Elucidation. Nutrients. 2020;12(6):1723. doi:10.3390/nu12061723

57. Fazlollahi A, Motlagh Asghari K, Aslan C, et al. The effects of olive oil consumption on cognitive performance: a systematic review. Front Nutr. 2023;10:1218538. doi:10.3389/fnut.2023.1218538

58. Tsolaki M, Lazarou E, Kozori M, et al. A Randomized Clinical Trial of Greek High Phenolic Early Harvest Extra Virgin Olive Oil in Mild Cognitive Impairment: The MICOIL Pilot Study. J Alzheimers Dis. 2020;78(2):801-817. doi:10.3233/JAD-200405

59. Lauretti E, Nenov M, Dincer O, Iuliano L, Praticò D. Extra virgin olive oil improves synaptic activity, short-term plasticity, memory, and neuropathology in a tauopathy model. Aging Cell. 2020;19(1):e13076. doi:10.1111/acel.13076

60. Mazza E, Fava A, Ferro Y, et al. Effect of the replacement of dietary vegetable oils with a low dose of extravirgin olive oil in the Mediterranean Diet on cognitive functions in the elderly. J Transl Med. 2018;16(1):10. doi:10.1186/s12967-018-1386-x

61. Klimova B, Kuca K. Alzheimer’s Disease and Chinese Medicine as a Useful Alternative Intervention Tool: A Mini-Review. Curr Alzheimer Res. 2017;14(6):680-685. doi:10.2174/1567205014666170117103656

62. Kaddoumi A, Denney TS, Deshpande G, et al. Extra-Virgin Olive Oil Enhances the Blood-Brain Barrier Function in Mild Cognitive Impairment: A Randomized Controlled Trial. Nutrients. 2022;14(23):5102. doi:10.3390/nu14235102

63. Román GC, Jackson RE, Reis J, Román AN, Toledo JB, Toledo E. Extra-virgin olive oil for potential prevention of Alzheimer disease. Rev Neurol (Paris). 2019;175(10):705-723. doi:10.1016/j.neurol.2019.07.017

64. Tzekaki EE, Tsolaki M, Pantazaki AA, et al. Administration of the extra virgin olive oil (EVOO) in mild cognitive impairment (MCI) patients as a therapy for preventing the progress to AD. Hell J Nucl Med. 2019;22 Suppl 2:181.

65. Rodríguez-Morató J, Xicota L, Fitó M, Farré M, Dierssen M, De la Torre R. Potential Role of Olive Oil Phenolic Compounds in the Prevention of Neurodegenerative Diseases. Molecules. 2015;20(3):4655-4680. doi:10.3390/molecules20034655

66. Foshati S, Ghanizadeh A, Akhlaghi M. Extra-Virgin Olive Oil Improves Depression Symptoms Without Affecting Salivary Cortisol and Brain-Derived Neurotrophic Factor in Patients With Major Depression: A Double-Blind Randomized Controlled Trial. J Acad Nutr Diet. 2022;122(2):284-297.e1. doi:10.1016/j.jand.2021.07.016

67. Sánchez-Villegas A, Cabrera-Suárez B, Molero P, et al. Preventing the recurrence of depression with a Mediterranean diet supplemented with extra-virgin olive oil. The PREDI-DEP trial: study protocol. BMC Psychiatry. 2019;19(1):63. doi:10.1186/s12888-019-2036-4

68. Canheta AB de S, Santos AS e A de C, Souza JD de, Silveira EA. Traditional Brazilian diet and extra virgin olive oil reduce symptoms of anxiety and depression in individuals with severe obesity: Randomized clinical trial. Clin Nutr. 2021;40(2):404-411. doi:10.1016/j.clnu.2020.05.046

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