Cohort study2022

Olive oil consumption is associated with a lower risk of cardiovascular disease and stroke

Donat-Vargas C, Sandoval-Insausti H, Peñalvo JL, Moreno Iribas MC, Amiano P, Bes-Rastrollo M, Molina-Montes E, Moreno-Franco B, Agudo A, Mayo CL, Laclaustra M, De La Fuente Arrillaga C, Chirlaque Lopez MD, Sánchez MJ, Martínez-Gonzalez MA, Pilar GC

Clinical nutrition (Edinburgh, Scotland) · 25 citations

Review labels

Food frequency questionnaireNo stated lifestyle adjustment

Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

How it was studied

Design
Cohort study (indexed by PubMed)
Studied in
People
Main outcome
Clinical events such as disease or death
Intake measured by
Food frequency questionnaire

Who paid for it

Funding
Independent funding
University or hospital
Centro de Investigación Biomédica en Red Enfermedades Cardiovasculares
University or hospital
Centro de Investigación Biomédica en Red-Fisiopatología de la Obesidad y Nutrición
Government
Plan Nacional sobre Drogas
Government
Instituto de Salud Carlos III
Grants
Plan Nacional sobre Drogas (2020/021); Instituto de Salud Carlos III (PI20/00564); Centro de Investigación Biomédica en Red Enfermedades Cardiovasculares (PIE16/00022); Instituto de Salud Carlos III (PIE16/00022); Instituto de Salud Carlos III (20/144); Instituto de Salud Carlos III (2020/021); Plan Nacional sobre Drogas (PI20/00564); Instituto de Salud Carlos III (17/1709)

Based on 4 listed funder(s).

Publication

Published
2021-11-15 · Clin Nutr · vol. 41 · issue 1 · pp. 122–130
Publisher
Elsevier BV
Cited
53 citations · more than 94% of similar papers · 3.6× the field average
Impact
Top 10% most cited in its field
References
34 works
Access
Open access (hybrid journal) · CC-BY-NC-ND
Research areas
Edible Oils Quality and Analysis · Nutritional Studies and Diet · Fatty Acid Research and Health
Keywords
Medicine, Stroke (engine), Subclinical infection, Olive oil, Coronary heart disease, Oil consumption, Lower risk, Internal medicine, Food science, Confidence interval
MeSH
humans, cardiovascular diseases, coronary disease, diet, cohort studies, eating, middle aged, spain, female, male, atherosclerosis, stroke, olive oil, heart disease risk factors

16 authors

From ES, SE, US, BE

  • Carolina Donat‐Vargas · correspondingMadrid Institute for Advanced Studies; Karolinska Institutet; IMDEA Food; Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública; Universidad Autónoma de Madrid
  • Helena Sandoval‐Insausti · correspondingHarvard University; Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública; Universidad Autónoma de Madrid
  • José Luis Peñalvo · correspondingInstituut voor Tropische Geneeskunde
  • Maria Concepción Moreno Iribas · correspondingSpanish Clinical Research Network; Navarre Institute of Health Research
  • Pilar Amiano · correspondingBasque Government; Ministry of Health; Biogipuzkoa Health Research Institute; Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública
  • Maira Bes‐Rastrollo · correspondingSpanish Biomedical Research Centre in Physiopathology of Obesity and Nutrition; Navarre Institute of Health Research; Universidad de Navarra

Abstract

Background & aims

The specific association of olive oil consumption with coronary heart disease (CHD) or stroke has not been totally established.

Objective

to examine whether olive oil consumption is associated with subclinical atherosclerosis, the risk of total cardiovascular disease (CVD), CHD, and stroke.

Methods

Three cohorts were included: AWHS (2318 men), SUN Project (18,266 men and women), and EPIC-Spain (39,393 men and women). Olive oil consumption was measured at baseline using validated questionnaires.

Results

In the AWHS, 747 participants had a positive coronary artery calcium score (CACS>0), and the OR (95% CI) was 0.89 (0.72, 1.10) in those with virgin olive oil consumption ≥30 g/day (v. <10 g/day). In the SUN Project (follow-up 10.8 years) 261 total CVD cases occurred, and the HR was 0.57 (0.34, 0.96) for consumptions ≥30 g/day (v. <10 g/day). In the EPIC-Spain (follow-up 22.8 years) 1300 CHD cases and 938 stroke cases occurred; the HRs for stroke according, 0 to <10 (ref), 10 to <20, 20 to <30, and ≥30 g/day of olive oil consumption, were 0.84 (0.70, 1.02), 0.80 (0.66, 0.96), 0.89 (0.74, 1.07). A weaker association was observed for CHD. The association was stronger among those consuming virgin olive oil, instead of common (refined).

Conclusions

Olive oil is associated with lower risk of CVD and stroke. The maximum benefit could be obtained with a consumption between 20 and 30 g/day. The association could be stronger for virgin olive oil and might operate from the early stages of the disease.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY-NC-ND).

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