Meta-analysis2022

Effect of olive oil consumption on cardiovascular disease, cancer, type 2 diabetes, and all-cause mortality: A systematic review and meta-analysis

Martínez-González MA, Sayón-Orea C, Bullón-Vela V, Bes-Rastrollo M, Rodríguez-Artalejo F, Yusta-Boyo MJ, García-Solano M

Clinical nutrition (Edinburgh, Scotland) · 68 citations

How it was studied

Design
Meta-analysis (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
Harvard T.H. Chan School of Public Health
University or hospital
Universidad de Navarra
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
Instituto de Salud Carlos III
University or hospital
Center for International Business Education and Research, University of Illinois at Urbana-Champaign
Government
CIBER

Based on 7 listed funder(s).

Publication

Published
2022-10-10 · Clin Nutr · vol. 41 · issue 12 · pp. 2659–2682
Publisher
Elsevier BV
Cited
104 citations · more than 97% of similar papers · 5.3× the field average
Impact
Top 10% most cited in its field
References
71 works
Access
Open access (hybrid journal) · CC-BY
Research areas
Nutritional Studies and Diet · Edible Oils Quality and Analysis · Sodium Intake and Health
Keywords
Medicine, Meta-analysis, Type 2 diabetes, Disease, Olive oil, Cancer, Intensive care medicine, Diabetes mellitus, Environmental health, Internal medicine, Endocrinology, Food science
MeSH
humans, neoplasms, cardiovascular diseases, diabetes mellitus, type 2, prospective studies, olive oil

7 authors

From ES

  • Miguel Ángel Martínez‐González · correspondingNavarre Institute of Health Research; Universidad de Navarra
  • Carmen Sayón-Orea · correspondingNavarre Institute of Health Research; Universidad de Navarra
  • Vanessa Bullón‐Vela · correspondingNavarre Institute of Health Research; Universidad de Navarra
  • Maira Bes‐Rastrollo · correspondingNavarre Institute of Health Research; Universidad de Navarra
  • Fernando Rodríguez‐Artalejo · correspondingMadrid Institute for Advanced Studies; IMDEA Food; Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública; Universidad Autónoma de Madrid
  • María José Yusta-Boyo · corresponding

Abstract

Background

Some large prospective studies on olive oil consumption and risk of chronic disease suggested protective effects.

Objective

We conducted an outcome-wide systematic review and meta-analysis of prospective cohort studies and randomized controlled trials (RCT) assessing the association between olive oil consumption and the primary risk of 4 different outcomes: cardiovascular disease (CVD), cancer, type 2 diabetes (T2D) or all-cause mortality through January 2022.

Methods

Thirty-six studies were included in the systematic review and twenty-seven studies (24 prospective cohorts and 3 different reports from one RCT) were assessed in 4 quantitative random-effects meta-analyses. They included a total of 806,203 participants with 49,223 CVD events; 1,285,064 participants with 58,892 incident cases of cancer; 680,239 participants with 13,389 incident cases of T2D; and 733,420 participants with 174,081 deaths. Olive oil consumption was most frequently measured with validated food frequency questionnaires. Studies follow-up ranged between 3.7 and 28 years.

Results

A 16% reduced risk of CVD (relative risk [RR]: 0.84; 95% confidence interval [CI]: 0.76 to 0.94), standardized for every additional olive oil consumption of 25 g/d was found. No significant association with cancer risk was observed (RR: 0.94; 95% CI: 0.86 to 1.03, per 25 g/d). Olive oil consumption was associated with a 22% lower relative risk of T2D (RR: 0.78; 95% CI: 0.69 to 0.87, per 25 g/d) without evidence of heterogeneity. Similarly, it was inversely associated with all-cause mortality (RR: 0.89; 95% CI: 0.85 to 0.93, per 25 g/d). Only the results for T2D were homogeneous. Specific sources of heterogeneity for the other 3 outcomes were not always apparent.

Conclusions

Prospective studies supported a beneficial association of olive oil consumption with CVD, T2D and all-cause mortality, but they did not show any association with cancer risk.

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

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