Hostname: page-component-669899f699-g7b4s Total loading time: 0 Render date: 2025-05-01T05:47:31.912Z Has data issue: false hasContentIssue false

The role of olive oil and its constituents in mental health: a scoping review

Published online by Cambridge University Press:  19 December 2024

Vanessa Eedy*
Affiliation:
Canadian College of Naturopathic Medicine, 1255 Sheppard Ave E, Toronto, ON M2K 1E2, Canada
Monique Aucoin
Affiliation:
Canadian College of Naturopathic Medicine, 1255 Sheppard Ave E, Toronto, ON M2K 1E2, Canada University of Guelph, 50 Stone Rd E, Guelph, ON N1G 2W1, Canada
*
Corresponding author: Vanessa Eedy; Email: [email protected]

Abstract

Mounting evidence suggests that the Mediterranean diet has a beneficial effect on mental health. It has been hypothesised that this effect is mediated by a variety of foods, nutrients and constituents; however, there is a need for research elucidating which of these components contribute to the therapeutic effect. This scoping review sought to systematically search for and synthesise the research on olive oil and its constituents and their impact on mental health, including the presence or absence of a mental illness or the severity or progression of symptoms. PubMed and OVID MEDLINE databases were searched. The following article types were eligible for inclusion: human experimental and observational studies, animal and preclinical studies. Abstracts were screened in duplicate, and data were extracted using a piloted template. Data were analysed qualitatively to assess trends and gaps for further study. The PubMed and OVID MEDLINE search yielded 544 and 152 results, respectively. After full-text screening, forty-nine studies were eligible for inclusion, including seventeen human experimental, eighteen observational and fourteen animal studies. Of these, thirteen human and four animal studies used olive oil as a comparator. Observational studies reported inconsistent results, specifically five reporting higher rates of mental illness, eight reporting lower and five reporting no association with higher olive oil intake. All human experimental studies and nine of ten animal studies that assess olive oil as an intervention reported an improvement of anxiety or depression symptoms. Olive oil may benefit mental health outcomes. However, more experimental research is needed.

Type
Scoping Review
Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of The Nutrition Society

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

References

Caron, J & Liu, A (2010) A descriptive study of the prevalence of psychological distress and mental disorders in the Canadian population: comparison between low-income and non-low-income populations. Chronic Dis Can 30, 8494.Google ScholarPubMed
Lang, JJ, Alam, S, Cahill, LE, et al. (2018) Global Burden of Disease Study trends for Canada from 1990 to 2016. Can Med Assoc J 190, E1296E1304.CrossRefGoogle Scholar
Palay, J, Taillieu, TL, Afifi, TO, et al. (2019) Prevalence of mental disorders and suicidality in Canadian provinces. Can J Psychiatry 64, 761769.CrossRefGoogle ScholarPubMed
Defar, S, Abraham, Y, Reta, Y, et al. (2023) Health related quality of life among people with mental illness: the role of socio-clinical characteristics and level of functional disability. Front Public Health 11, 1134032.CrossRefGoogle ScholarPubMed
Serra-Majem, L, Roman, B & Estruch, R (2006) Scientific evidence of interventions using the Mediterranean diet: a systematic review. Nutr Rev 64, S27S47.CrossRefGoogle ScholarPubMed
Sofi, F, Cesari, F, Abbate, R, et al. (2008) Adherence to Mediterranean diet and health status: meta-analysis. BMJ 337, a1344.CrossRefGoogle ScholarPubMed
Molendijk, M, Molero, P, Ortuño Sánchez-Pedreño, F, et al. (2018) Diet quality and depression risk: a systematic review and dose-response meta-analysis of prospective studies. J Affect Disord 226, 346354.CrossRefGoogle Scholar
Psaltopoulou, T, Sergentanis, TN, Panagiotakos, DB, et al. (2013) Mediterranean diet, stroke, cognitive impairment, and depression: a meta-analysis. Ann Neurol 74, 580591.CrossRefGoogle ScholarPubMed
Firth, J, Marx, W, Dash, S, et al. (2019) The effects of dietary improvement on symptoms of depression and anxiety: a meta-analysis of randomized controlled trials. Psychosom Med 81, 265280.CrossRefGoogle ScholarPubMed
Madani, S, Ahmadi, A, Shoaei-Jouneghani, F, et al. (2022) The relationship between the Mediterranean diet and Axis I disorders: a systematic review of observational studies. Food Sci Nutr 10, 32413258.CrossRefGoogle ScholarPubMed
Haris Omar, S (2010) Oleuropein in olive and its pharmacological effects. Sci Pharm 78, 133154.CrossRefGoogle Scholar
Martínez-González, MA, Sayón-Orea, C, Bullón-Vela, V, et al. (2022) Effect of olive oil consumption on cardiovascular disease, cancer, type 2 diabetes, and all-cause mortality: a systematic review and meta-analysis. Clin Nutr 41, 26592682.CrossRefGoogle ScholarPubMed
González-Rodríguez, M, Ait Edjoudi, D, Cordero-Barreal, A, et al. (2023) Oleocanthal, an antioxidant phenolic compound in Extra Virgin Olive Oil (EVOO): a comprehensive systematic review of its potential in inflammation and cancer. Antioxidants 12, 2112.CrossRefGoogle ScholarPubMed
Papakonstantinou, A, Koumarianou, P, Rigakou, A, et al. (2022) New affordable methods for large-scale isolation of major olive secoiridoids and systematic comparative study of their antiproliferative/cytotoxic effect on multiple cancer cell lines of different cancer origins. Int J Mol Sci 24, 3.CrossRefGoogle ScholarPubMed
Derakhshandeh-Rishehri, S, Kazemi, A, Shim, SR, et al. (2023) Effect of olive oil phenols on oxidative stress biomarkers: a systematic review and dose–response meta-analysis of randomized clinical trials. Food Sci Nutr 11, 23932402.CrossRefGoogle ScholarPubMed
Santangelo, C, Varì, R, Scazzocchio, B, et al. (2017) Anti-inflammatory activity of extra virgin olive oil polyphenols: which role in the prevention and treatment of immune-mediated inflammatory diseases? Endocr Metab Immune Disord - Drug Targets 18, 3650.CrossRefGoogle Scholar
Marx, W, Lane, M, Hockey, M, et al. (2021) Diet and depression: exploring the biological mechanisms of action. Mol Psychiatry 26, 134150.CrossRefGoogle ScholarPubMed
Gates, A, Johnson, C & Hartling, L (2018) Technology-assisted title and abstract screening for systematic reviews: a retrospective evaluation of the Abstrackr machine learning tool. Syst Rev 7, 45.CrossRefGoogle ScholarPubMed
Foshati, S, Ghanizadeh, A & Akhlaghi, M (2022) Extra-virgin olive oil improves depression symptoms without affecting salivary cortisol and brain-derived neurotrophic factor in patients with major depression: a double-blind randomized controlled trial. J Acad Nutr Diet 122, 284297.e1.CrossRefGoogle ScholarPubMed
Rus, A, Molina, F, Ramos, MM, et al. (2017) Extra virgin olive oil improves oxidative stress, functional capacity, and health-related psychological status in patients with fibromyalgia: a preliminary study. Biol Res Nurs 19, 106115.CrossRefGoogle ScholarPubMed
de Sousa Canheta, AB, de Souza, JD & Silveira, EA (2021) Traditional Brazilian diet and extra virgin olive oil reduce symptoms of anxiety and depression in individuals with severe obesity: randomized clinical trial. Clin Nutr 40, 404411.CrossRefGoogle Scholar
Mitsukura, Y, Sumali, B, Nara, R, et al. (2021) Evaluation of olive oil effects on human stress response by measuring cerebral blood flow. Food Sci Nutr 9, 18511859.CrossRefGoogle ScholarPubMed
Vučković, M, Radić, J, Gelemanović, A, et al. (2021) Associations between depression, nutritional status and Mediterranean Diet in Dalmatian kidney transplant recipients. Nutrients 13, 4479.CrossRefGoogle ScholarPubMed
Daley, C, Patterson, A, Sibbritt, D, et al. (2015) Unsaturated fat intakes and mental health outcomes in young women from the Australian Longitudinal Study on Women’s Health. Public Health Nutr 18, 546553.CrossRefGoogle Scholar
Li, D, Tong, Y & Li, Y (2020) Associations between dietary oleic acid and linoleic acid and depressive symptoms in perimenopausal women: the study of women’s health across the nation. Nutr Burbank Los Angel Cty Calif 71, 110602.Google ScholarPubMed
Pagliai, G, Sofi, F, Vannetti, F, et al. (2018) Mediterranean Diet, food consumption and risk of late-life depression: the Mugello study. J Nutr Health Aging 22, 569574.CrossRefGoogle ScholarPubMed
Bertoli, S, Spadafranca, A, Bes-Rastrollo, M, et al. (2015) Adherence to the Mediterranean diet is inversely related to binge eating disorder in patients seeking a weight loss program. Clin Nutr Edinb Scotl 34, 107114.Google Scholar
Cocchi, M & Tonello, L (2010) Bio molecular considerations in major depression and ischemic cardiovascular disease. Cent Nerv Syst Agents Med Chem 10, 97107.CrossRefGoogle ScholarPubMed
Kim, SW, Jhon, M, Kim, JM, et al. (2016) Relationship between erythrocyte fatty acid composition and psychopathology in the Vienna n-3 study. PloS One 11, e0151417.CrossRefGoogle Scholar
Virkkunen, ME, Horrobin, DF, Jenkins, DK, et al. (1987) Plasma phospholipid essential fatty acids and prostaglandins in alcoholic, habitually violent, and impulsive offenders. Biol Psychiatry 22, 10871096.CrossRefGoogle ScholarPubMed
Assies, J, Lok, A, Bockting, CL, et al. (2004) Fatty acids and homocysteine levels in patients with recurrent depression: an explorative pilot study. Prostaglandins Leukot Essent Fatty Acids 70, 349356.CrossRefGoogle ScholarPubMed
Assies, J, Lieverse, R, Vreken, P, et al. (2001) Significantly reduced docosahexaenoic and docosapentaenoic acid concentrations in erythrocyte membranes from schizophrenic patients compared with a carefully matched control group. Biol Psychiatry 49, 510522.CrossRefGoogle ScholarPubMed
Kim, SW, Schäfer, MR, Klier, CM, et al. (2014) Relationship between membrane fatty acids and cognitive symptoms and information processing in individuals at ultra-high risk for psychosis. Schizophr Res 158, 3944.CrossRefGoogle ScholarPubMed
Sumich, AL, Matsudaira, T, Heasman, B, et al. (2013) Fatty acid correlates of temperament in adolescent boys with attention deficit hyperactivity disorder. Prostaglandins Leukot Essent Fatty Acids 88, 431436.CrossRefGoogle ScholarPubMed
Leone, A, Martínez-González, , Lahortiga-Ramos, F, et al. (2018) Adherence to the Mediterranean dietary pattern and incidence of anorexia and bulimia nervosa in women: the SUN cohort. Nutr Burbank Los Angel Cty Calif 54, 1925.Google Scholar
Kyrozis, A, Psaltopoulou, T, Stathopoulos, P, et al. (2009) Dietary lipids and geriatric depression scale score among elders: the EPIC-Greece cohort. J Psychiatr Res 43, 763769.CrossRefGoogle ScholarPubMed
Elstgeest, LEM, Visser, M, Penninx, BWJH, et al. (2019) Bidirectional associations between food groups and depressive symptoms: longitudinal findings from the Invecchiare in Chianti (InCHIANTI) study. Br J Nutr 121, 439450.CrossRefGoogle ScholarPubMed
Sánchez-Villegas, A, Verberne, L, De Irala, J, et al. (2011) Dietary fat intake and the risk of depression: the SUN Project. PloS One 6, e16268.CrossRefGoogle ScholarPubMed
Wolfe, AR, Ogbonna, EM, Lim, S, et al. (2009) Dietary linoleic and oleic fatty acids in relation to severe depressed mood: 10 years follow-up of a national cohort. Prog Neuropsychopharmacol Biol Psychiatry 33, 972977.CrossRefGoogle ScholarPubMed
Ford, PA, Jaceldo-Siegl, K, Lee, JW, et al. (2013) Intake of Mediterranean foods associated with positive affect and low negative affect. J Psychosom Res 74, 142148.CrossRefGoogle ScholarPubMed
Kokras, N, Poulogiannopoulou, E, Sotiropoulos, MG, et al. (2020) Behavioral and neurochemical effects of extra virgin olive oil total phenolic content and sideritis extract in female mice. Mol Basel Switz 25, 5000.Google ScholarPubMed
Pitozzi, V, Jacomelli, M, Zaid, M, et al. (2010) Effects of dietary extra-virgin olive oil on behaviour and brain biochemical parameters in ageing rats. Br J Nutr 103, 16741683.CrossRefGoogle ScholarPubMed
Xu, AN & Nie, F (2021) Brain-derived neurotrophic factor enhances the therapeutic effect of oleuropein in the lipopolysaccharide-induced models of depression. Folia Neuropathol 59, 249262.CrossRefGoogle ScholarPubMed
Nakajima, S, Fukasawa, K, Gotoh, M, et al. (2020) Saturated fatty acid is a principal cause of anxiety-like behavior in diet-induced obese rats in relation to serum lysophosphatidyl choline level. Int J Obes 2005 44, 727738.Google ScholarPubMed
Badr, AM, Attia, HA & Al-Rasheed, N (2020) Oleuropein reverses repeated corticosterone-induced depressive-like behavior in mice: evidence of modulating effect on biogenic amines. Sci Rep 10, 3336.CrossRefGoogle ScholarPubMed
Perveen, T, Hashmi, BM, Haider, S, et al. (2013) Role of monoaminergic system in the etiology of olive oil induced antidepressant and anxiolytic effects in rats. ISRN Pharmacol 2013, 615685.CrossRefGoogle ScholarPubMed
Lee, B, Shim, I, Lee, H, et al. (2018) Effect of oleuropein on cognitive deficits and changes in hippocampal brain-derived neurotrophic factor and cytokine expression in a rat model of post-traumatic stress disorder. J Nat Med 72, 4456.CrossRefGoogle Scholar
Hryhorczuk, C, Décarie-Spain, L, Sharma, S, et al. (2017) Saturated high-fat feeding independent of obesity alters hypothalamus-pituitary-adrenal axis function but not anxiety-like behaviour. Psychoneuroendocrinology 83, 142149.CrossRefGoogle Scholar
Murotomi, K, Umeno, A, Yasunaga, M, et al. (2015) Oleuropein-rich diet attenuates hyperglycemia and impaired glucose tolerance in type 2 diabetes model mouse. J Agric Food Chem 63, 67156722.CrossRefGoogle ScholarPubMed
Mikami, T, Kim, J, Park, J, et al. (2021) Olive leaf extract prevents obesity, cognitive decline, and depression and improves exercise capacity in mice. Sci Rep 11, 12495.CrossRefGoogle ScholarPubMed
Gertsik, L, Poland, RE, Bresee, C, et al. (2012) n-3 fatty acid augmentation of citalopram treatment for patients with major depressive disorder. J Clin Psychopharmacol 32, 6164.CrossRefGoogle ScholarPubMed
Aasebø, W, Svensson, M, Jenssen, T, et al. (2019) Marine n-3 polyunsaturated fatty acid supplementation and quality of life after kidney transplant. Transplant Proc 51, 466469.CrossRefGoogle ScholarPubMed
Park, Y, Park, YS, Kim, SH, et al. (2015) Supplementation of n-3 polyunsaturated fatty acids for major depressive disorder: a randomized, double-blind, 12-week, placebo-controlled trial in Korea. Ann Nutr Metab 66, 141148.CrossRefGoogle ScholarPubMed
Stoll, AL, Severus, WE, Freeman, MP, et al. (1999) n-3 fatty acids in bipolar disorder: a preliminary double-blind, placebo-controlled trial. Arch Gen Psychiatry 56, 407412.CrossRefGoogle ScholarPubMed
Stevens, L, Zhang, W, Peck, L, et al. (2003) EFA supplementation in children with inattention, hyperactivity, and other disruptive behaviors. Lipids 38, 10071021.CrossRefGoogle ScholarPubMed
Silvers, KM, Woolley, CC, Hamilton, FC, et al. (2005) Randomised double-blind placebo-controlled trial of fish oil in the treatment of depression. Prostaglandins Leukot Essent Fatty Acids 72, 211218.CrossRefGoogle ScholarPubMed
Pawełczyk, T, Grancow-Grabka, M, Kotlicka-Antczak, M, et al. (2016) A randomized controlled study of the efficacy of six-month supplementation with concentrated fish oil rich in n-3 polyunsaturated fatty acids in first episode schizophrenia. J Psychiatr Res 73, 3444.CrossRefGoogle Scholar
Gracious, BL, Chirieac, MC, Costescu, S, et al. (2010) placebo-controlled trial of flax oil in pediatric bipolar disorder. Bipolar Disord 12, 142154.CrossRefGoogle ScholarPubMed
Gabbay, V, Babb, JS, Klein, RG, et al. (2012) A double-blind, placebo-controlled trial of ω-3 fatty acids in Tourette’s disorder. Pediatrics 129, e14931500.CrossRefGoogle ScholarPubMed
Bradbury, J, Myers, SP, Meyer, B, et al. (2017) Chronic psychological stress was not ameliorated by n-3 Eicosapentaenoic Acid (EPA). Front Pharmacol 8, 551.CrossRefGoogle ScholarPubMed
Sousa, TMD & Santos, LCD (2023) Effect of antenatal n-3 supplementation on maternal depressive symptoms from pregnancy to 6 months postpartum: a randomized double-blind placebo-controlled trial. Nutr Neurosci 26, 551559.CrossRefGoogle Scholar
Fontani, G, Corradeschi, F, Felici, A, et al. (2005) Cognitive and physiological effects of n-3 polyunsaturated fatty acid supplementation in healthy subjects. Eur J Clin Invest 35, 691699.CrossRefGoogle ScholarPubMed
Meyer, BJ, Grenyer, BFS, Crowe, T, et al. (2013) Improvement of major depression is associated with increased erythrocyte DHA. Lipids 48, 863868.CrossRefGoogle ScholarPubMed
Tung, TH, Tung, YT, Lin, IH, et al. (2019) Fish oil, but not olive oil, ameliorates depressive-like behavior and gut microbiota dysbiosis in rats under chronic mild stress. Biomolecules 9, 516.CrossRefGoogle Scholar
Cutuli, D, Landolfo, E, Nobili, A, et al. (2020) Behavioral, neuromorphological, and neurobiochemical effects induced by n-3 fatty acids following basal forebrain cholinergic depletion in aged mice. Alzheimers Res Ther 12, 150.CrossRefGoogle ScholarPubMed
Cutuli, D, Landolfo, E, Decandia, D, et al. (2020) Neuroprotective role of dietary supplementation with n-3 fatty acids in the presence of basal forebrain cholinergic neurons degeneration in aged mice. Int J Mol Sci 21, 1741.CrossRefGoogle ScholarPubMed
Chen, WQ, Zhang, YZ, Yuan, L, et al. (2014) Neurobehavioral evaluation of adolescent male rats following repeated exposure to chlorpyrifos. Neurosci Lett 570, 7680.CrossRefGoogle ScholarPubMed
Guasch-Ferré, M, Hu, FB, Martínez-González, MA, et al. (2014) Olive oil intake and risk of cardiovascular disease and mortality in the PREDIMED Study. BMC Med 12, 78.CrossRefGoogle ScholarPubMed
Servili, M & Montedoro, G (2002) Contribution of phenolic compounds to virgin olive oil quality. Eur J Lipid Sci Technol 104, 602613.3.0.CO;2-X>CrossRefGoogle Scholar
Efentakis, P, Iliodromitis, E, Mikros, E, et al. (2015) Effects of the olive tree leaf constituents on myocardial oxidative damage and atherosclerosis. Planta Med 81, 648654.Google ScholarPubMed
Fernández-Prior, Á, Bermúdez-Oria, A, Millán-Linares, MDC, et al. (2021) Anti-inflammatory and antioxidant activity of hydroxytyrosol and 3,4-dihydroxyphenyglycol purified from table olive effluents. Foods 10, 227.CrossRefGoogle ScholarPubMed
Wolters, M, Von Der Haar, A, Baalmann, AK, et al. (2021) Effects of n-3 polyunsaturated fatty acid supplementation in the prevention and treatment of depressive disorders—a systematic review and meta-analysis. Nutrients 13, 1070.CrossRefGoogle ScholarPubMed
Appleton, KM, Voyias, PD, Sallis, HM, et al. (2021) n-3 fatty acids for depression in adults. Cochrane Database Syst Rev issue 11, CD004692.Google ScholarPubMed
Logan, AC (2005) n-3 and depression research: hold the olive oil. Prostaglandins Leukot Essent Fatty Acids 72, 441.CrossRefGoogle Scholar