Meta-analysis2025

Effect of the Mediterranean diet supplemented with olive oil versus the Mediterranean diet supplemented with mixed nuts on blood pressure and serum lipid indexes among adults: a systematic review and meta-analysis of randomized controlled trials

Pourrajab B, Mirdar Harijani A, Asghari P, Shidfar F

Nutrition, metabolism, and cardiovascular diseases : NMCD · 1 citation

Review labels

Funding not disclosed

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
Meta-analysis (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function
Intake measured by
Not stated

Who paid for it

Funding
Funding not disclosed

Publication

Published
2025-06-18 · Nutr Metab Cardiovasc Dis · vol. 35 · issue 11 · p. 104166
Publisher
Elsevier BV
Cited
2 citations · more than 53% of similar papers · 0.5× the field average
References
68 works
Access
Paywalled
Research areas
Nuts composition and effects · Nutritional Studies and Diet · Edible Oils Quality and Analysis
Keywords
Mediterranean diet, Dyslipidemia, Meta-analysis, Blood pressure, Olive oil, Medicine, Lipid profile, Internal medicine, Blood lipids, Food science, Disease, Biology, Cholesterol
MeSH
humans, nuts, hypertension, lipids, treatment outcome, risk assessment, risk reduction behavior, diet, mediterranean, blood pressure, dietary supplements, adult, aged, middle aged, female, male, dyslipidemias, randomized controlled trials as topic, biomarkers, olive oil, diet, healthy

4 authors

From IR

  • Behnaz PourrajabNational Nutrition and Food Technology Research Institute; Shahid Beheshti University of Medical Sciences
  • Artemiss Mirdar HarijaniIran University of Medical Sciences
  • Parastoo AsghariMashhad University of Medical Sciences
  • Farzad Shidfar · correspondingIran University of Medical Sciences

Abstract

Background and aim

Hypertension and dyslipidemia are major risk factors for cardiovascular disease (CVD). This systematic review and meta-analysis compared the effects of two Mediterranean (MED) dietary patterns-one supplemented with olive oil and the other with mixed nuts-on blood pressure and lipid profile.

Methods and results

Relevant studies published until April 24, 2024, were thoroughly searched in online databases, including PubMed/Medline, Scopus, Clarivate Analytics' Web of Science, Cochrane Central Register of Controlled Trials, and Google Scholar. The analysis included 21 trials with 25 effect sizes, calculated as standardized mean differences with 95 % confidence intervals (CI). The findings indicated that the MED diet supplemented with olive oil has no significant effect on lipid indices and diastolic blood pressure (DBP) when contrasted with the MED diet supplemented with mixed nuts. However, the olive oil group had slightly higher systolic blood pressure levels than the mixed nuts group, with a significant p-value of <0.001.

Conclusions

Evidence indicates no significant difference in serum lipid profile and DBP between the MED diet supplemented with olive oil and that with mixed nuts in participants at risk of CVD. However, mixed nuts significantly reduce SBP compared to olive oil. More studies on diverse populations are needed.

Abstract via Europe PMC. Copyright remains with the authors or publisher.

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