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

Autor: Martínez-González MA; Department of Preventive Medicine and Public Health, University of Navarra-IDISNA, 31008 Pamplona, Spain. Electronic address: mamartinez@unav.es., Sayón-Orea C; Department of Preventive Medicine and Public Health, University of Navarra-IDISNA, 31008 Pamplona, Spain. Electronic address: msayon@unav.es., Bullón-Vela V; Department of Preventive Medicine and Public Health, University of Navarra-IDISNA, 31008 Pamplona, Spain. Electronic address: mbullon@alumni.unav.es., Bes-Rastrollo M; Department of Preventive Medicine and Public Health, University of Navarra-IDISNA, 31008 Pamplona, Spain. Electronic address: mbes@unav.es., Rodríguez-Artalejo F; Department of Preventive Medicine and Public Health, School of Medicine. Universidad Autónoma de Madrid-IdiPaz, CIBERESP and IMDEA-Food (CEI UAM+CSIC), Madrid, Spain. Electronic address: fernando.artalejo@uam.es., Yusta-Boyo MJ; Spanish Agency for Food Safety & Nutrition (AESAN), Ministry of Consumer Affairs, Madrid, Spain. Electronic address: mjyusta@aesan.gob.es., García-Solano M; Spanish Agency for Food Safety & Nutrition (AESAN), Ministry of Consumer Affairs, Madrid, Spain. Electronic address: mgarcias@aesan.gob.es.
Jazyk: angličtina
Zdroj: Clinical nutrition (Edinburgh, Scotland) [Clin Nutr] 2022 Dec; Vol. 41 (12), pp. 2659-2682. Date of Electronic Publication: 2022 Oct 10.
DOI: 10.1016/j.clnu.2022.10.001
Abstrakt: 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.
(Copyright © 2022 The Author(s). Published by Elsevier Ltd.. All rights reserved.)
Databáze: MEDLINE