Systematic review2025Open access

Exploring the Benefits of Extra Virgin Olive Oil on Cardiovascular Health Enhancement and Disease Prevention: A Systematic Review

Ussia S, Ritorto G, Mollace R, Serra M, Tavernese A, Altomare C, Muscoli C, Fini M, Barillà F, Indolfi C, Perrone Filardi P, Mollace V, Macrì R

Nutrients · 10 citations

How it was studied

Design
Systematic review (indexed by PubMed)
Studied in
People
Main outcome
Clinical events such as disease or death
Intake measured by
Not stated

Who paid for it

Funding
Independent funding
Government
Ministero dell’Istruzione, dell’Università e della Ricerca
Government
European Regional Development Fund
Government
PON-MIUR 03PE000_78_2
Government
PON-MIUR 03PE000_78_1
Government
SAP01-2023-000077-Bando A Cascata Rome Technopole Spoke 1 e Spoke 6-PRODIGI.
Government
PRIR Calabria Asse 1/Azione 1.5.1/FESR (Progetto AgrInfra Calabria
Grants
Ministero dell’Istruzione, dell’Università e della Ricerca (03PE000_78_2); Ministero dell’Istruzione, dell’Università e della Ricerca (CUP B83C22002820006); European Regional Development Fund (CUP B83C22002820006); Ministero dell’Istruzione, dell’Università e della Ricerca (PON-MIUR 03PE000_78_1); Ministero dell’Istruzione, dell’Università e della Ricerca (03PE000_78_1); Ministero dell’Istruzione, dell’Università e della Ricerca (PON-MIUR 03PE000_78_2)

Based on 6 listed funder(s) and full-text disclosure statement.

Publication

Published
2025-05-28 · Nutrients · vol. 17 · issue 11 · p. 1843
Publisher
Multidisciplinary Digital Publishing Institute
Cited
27 citations · more than 79% of similar papers · 1.7× the field average
References
55 works
Access
Open access (journal) · CC-BY
Research areas
Edible Oils Quality and Analysis · Nutritional Studies and Diet · Fatty Acid Research and Health
Keywords
Olive oil, Health benefits, Disease, Medicine, Disease prevention, Traditional medicine, Cardiovascular health, Systematic review, Biotechnology, MEDLINE, Environmental health, Food science, Biology, Internal medicine
MeSH
humans, cardiovascular diseases, phenylethyl alcohol, diet, mediterranean, olive oil

13 authors

From IT

  • Sara UssiaMagna Graecia University
  • Giovanna RitortoMagna Graecia University
  • Rocco Mollace · correspondingUniversity of Rome Tor Vergata; Magna Graecia University
  • Maria Serra · correspondingMagna Graecia University
  • Annamaria TaverneseUniversità Campus Bio-Medico
  • Carmen AltomareMagna Graecia University

Abstract

Introduction: Olive oil's health benefits are widely known and extensively documented; its advantages are widespread, covering numerous areas of human health. Clinical and experimental data indicate that a Mediterranean Diet (MedDiet) with Extra Virgin Olive Oil (EVOO) lowers the risk of illnesses associated with oxidative stress, chronic inflammation, and weakened immunity, including cancer and cardiovascular disease (CVD). The European Food Safety Authority (EFSA) confirms that olive oil's polyphenols help protect blood lipids against oxidative damage; thus, EVOO, crucial in the MedDiet, could be a functional food component. Olive oils must contain at least 5 mg of Hydroxytyrosol (HYTY) and its derivatives (oleuropein and Tyrosol (TY)) per 20 g to qualify for the EFSA-approved health claim. To provide a summary of clinical study results, this systematic review assessed the impact of Virgin olive oil (VOO) consumption on cardiovascular risk and disease prevention. Methods: The systematic review's studies were collected from PubMed, Cochrane, Web of Science, and Scopus following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement and the Population Intervention Comparison Outcome Population (PICO) framework. Results: Seventeen clinical studies were identified, which highlighted the association between VOO consumption (including EVOO) and a reduced risk of cardiovascular disease. Particularly, improvements in biomarkers involved in cardiometabolic pathways and subsequent cardiovascular events were recorded. The beneficial effect was attributed to the polyphenols contained in EVOO. Indeed, EVOO supplementation as part of the Mediterranean diet could improve patients' quality of life in secondary prevention by demonstrating a positive correlation with the cardioprotective role of polyphenols. Discussion: A balanced diet with VOO represents a simple yet potent method to counteract metabolic dysfunctions associated with CVD. Despite these results, further multicenter clinical studies with a wider range of patients are required to confirm and better understand EVOO's effects on the prevention of cardiovascular risk.

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

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