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Scientific evidence supports the health benefits of the traditional Mediterranean lifestyle and dietary pattern, with extra virgin olive oil as the main source of fat. Research in nutritional epidemiology has shown that olive oil, particularly its phenolic compounds, may have beneficial anti-inflammatory effects that could impact mental health disorders. Further studies are needed to understand olive oil’s potential pharmacological effects on mental health, and new research methods, such as artificial intelligence, may help advance nutritional studies in the future.
A large body of scientific evidence, covering many years, supports the health benefits of the traditional Mediterranean lifestyle and dietary pattern, with extra virgin olive oil as the principal source of fat.
Nutritional epidemiology, which explores the relationship between nutrition and health, has a long history of providing scientific evidence for implementing nutritional recommendations for public health programs and policies.
Francesco Cipriani, an epidemiologist and nutritionist and member of the Georgofili Academy in Florence — a long-standing Italian institution that publicly discusses new scientific evidence in agricultural, food and environmental science — put developments in nutritional epidemiology and olive oil research in a historical perspective.
See Also:Health News“With the first scientific studies on health and olive oil, it was thought that the protective effect found in populations that consumed more olive oil was linked to the effect of olive oil’s main compound, i.e., oleic acid,” Cipriani told Olive Oil Times.
This is because “as a monounsaturated fat, oleic acid keeps the build-up of cholesterol and related atherosclerotic plaques at bay.”
Following the proven beneficial effects of olive oil against cardiovascular diseases, “the focus of epidemiological studies shifted to other compounds of extra virgin olive oil, present in very small quantities and biologically active in preventing cellular aging and inflammation,” he explained.
Some research findings have hypothesized that certain phenolic compounds found in olive oil may have beneficial anti-inflammatory effects. Inflammation and oxidative stress are also known to play a role in the development of mental health disorders.
According to the United Kingdom’s Department of Health and Social Care, good, positive mental health is the foundation for an individual’s emotional well-being, i.e., “a positive state of mind and body, feeling safe and able to cope, with a sense of connection with people, communities and the wider environment.”
Inappropriate diet, in particular, is among some of the causes of mental disorders, such as anxiety and depression.
These conditions can lead to behavioral and emotional impairments and have a significant impact on the quality of life of many people and their communities.
An article published at the end of 2024 in the British Journal of Nutrition provided a scoping review of 49 human and animal studies, synthesizing the currently available evidence on the therapeutic effects of olive oil on mental health.
The review cited, among others, evidence of beneficial effects associated with adherence to the traditional Mediterranean diet on a series of more or less acute and, in some cases, longer-lasting mental health problems varying in severity, from anxiety, depression and eating disorders to schizophrenia and bipolar disorder, commonly known as ‘Axis I disorders.’
More specifically, the review cited four human experimental studies that demonstrated significant improvements in mental health symptoms when olive oil was added to the diet but concluded that further neurochemical studies would be needed to gain a deeper understanding of olive oil’s potential pharmacological effects on the prevention and control of mental disorders.
The studies reviewed in 2024 were based on different experimental designs, and there was a significant heterogeneity in sample size, participant characteristics, country of origin and a high variability in the daily doses of olive oil consumed by participants.
See Also:Experts Offer Tips on Adopting the Mediterranean Diet“To date, the reliability of nutritional tests on animals and humans is highly variable and, although studies are adequately conducted, they can be inaccurate due to various basic methodological issues,” Cipriani warned.
Cipriani illustrated some critical aspects associated with epidemiological research: “When choosing study designs, randomized prospective studies [i.e., longitudinal cohort studies where a group of subjects are followed over time to find out how many reach a certain health outcome of interest] are to be preferred, despite the fact that these studies are very expensive and that the results are only available over the long term.”
As an epidemiologist, Cipriani was involved in the initial phase of the European Prospective Investigation into Cancer and Nutrition (EPIC) in the 1990s. The first results have only been published recently. “EPIC is starting to look at the outcomes of many diseases, such as cardiovascular diseases, cancer and neurological problems,” he said.
Nowadays, “to go beyond the limitations of prospective studies, further strategies are being sought, such as measuring specific factors in people’s blood (biomarkers) that can indirectly indicate what they have eaten and what they have been exposed to, and testing how indices of cellular damage change as these indicators of nutritional exposure change,” Cipriani added.
However, even though “biomarkers can provide a better measurement of food consumption and shorten the time needed to conduct research, they have other limitations and cannot overcome the methodological problems of studying the relationship between nutrition and disease,” i.e., providing the most direct evidence for causality.
Commenting further on the reliability of epidemiological studies, Cipriani explained that “the body of evidence derived from gathering the results of studies which have been conducted in various countries using different methods represents a major advantage compared with the limited results provided by individual studies.”
“Special statistical procedures (meta-analysis) are applied to offer evidence of consistency of results and can also modify our previous findings,” he added. “This was recently the case for dried fruit, which has been found to have clear protective effects, and such evidence was not available 30 years ago.”
More importantly, Cipriani said artificial intelligence could provide a breakthrough for nutritional studies.
“[It may help] to speed up the pace of research in this field by gathering big data on consumers’ food purchases and nutritional preferences — including meals taken at restaurants — and then analyzing data anonymously and at an aggregated level,” he remarked, as “this would possibly contribute to reducing the already high costs of epidemiological studies which are likely to become unsustainable in the long term.”
“In fact, nutrition research is currently using rudimentary methods compared with other experimental research and still has a long way to go,” Cipriani argued.
Meanwhile, of interest is Cipriani’s consideration that “most probably, there is not just one particular substance that provides protection, but a collection of molecules and active ingredients, some still unknown to date, present in food in its entirety,” a synergy welcoming a revival of Mediterranean dietary and culinary knowledge and practices for better (mental) health and well-being.