Olive tree: benefits, dosage, contraindications

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Olea europaea is a species of trees or shrubs of the Oleaceae family widespread across Africa, Asia, and Mediterranean Europe, with a variety having been domesticated and cultivated to become the olive tree. Throughout history, the olive tree has been cultivated for its oil, used in food, medicine, and cosmetics. Its leaves, opposite, evergreen, and lance-shaped, are ash green on the top and silky silver-white underneath. The white flowers are arranged in a cluster at the leaf axils and give rise to a fruit, commonly known as an olive, which is an ellipsoidal drupe that turns black when ripe. The leaves and fruits are the therapeutic parts and must contain at least 16% oleuropein to ensure their effect. The leaves and buds contain triterpenes (oleanolic acid, ursolic acid...), polyphenols (Oleuropein, hydroxytyrosol), mannitol, choline, and trace elements (manganese, zinc). The fruits contain oleic acid (omega 9). After consuming an olive leaf extract, oleuropein and the conjugated metabolites of hydroxytyrosol are found in the plasma. They represent 96% of the phenolic metabolites of olive in the plasma. In olive leaves, the polyphenol oleuropein is considered active and is found at levels of 264 mg/gram of dry leaf. Extracts must contain at least 16% oleuropein. The effects of virgin olive oil are mainly attributed to the presence of particular polyphenols; oleuropein which prevents heart diseases by protecting the membrane from lipid oxidation and improving lipid metabolism and hydroxytyrosol its derivative which protects against atherosclerosis and prevents diabetic neuropathy. Research has highlighted other compounds, such as oleocanthal which possesses anti-inflammatory activity. The leaf extract has highly protective effects against LDL oxidation and is also an antihypertensive. It may also be beneficial for glucose metabolism and skin health.

Other name(s) 

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Scientific name(s)

Olea europaea

Family or group: 

Plants

Active ingredients:

Oleic acid

Oleuropein

Hydroxytyrosol


Indications

Rating methodology

EFSA approval.

Several clinical trials (> 2) randomized controlled with double blind, including a significant number of patients (>100) with consistently positive outcomes for the indication.
Several clinical trials (> 2) randomized controlled with double blind, and including a significant number of patients (>100) with positive outcomes for the indication.
One or more randomized studies or multiple cohorts or epidemiological studies with positive outcomes for the indication.
Clinical studies exist but are uncontrolled, with conclusions that may be positive or contradictory.
Lack of clinical studies to date that can demonstrate the indication.


Oxidative Stress
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Olive oil and its leaves help improve oxidative parameters in the blood, particularly thanks to oleuropein. The claim can only be used for olive oil containing at least 5 mg of hydroxytyrosol and its derivatives (e.g., oleuropein complex and tyrosol) per 20 g of olive oil.

Posologie

posologieOral route: leaf, fruit

posologie500 - 1000 mg

formulationoil, standardized extract


Dyslipidemia
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Increasing the consumption of olive oil instead of saturated fats can reduce total cholesterol levels. However, any reduction in low-density lipoprotein (LDL) cholesterol is modest. Additionally, a meta-analysis of clinical research has shown that olive oil is less effective than other oils for reducing total cholesterol and LDL cholesterol. Overall, olive leaf extracts and olive oil can be beneficial in dyslipidemia cases, particularly with elevated LDL-C, in conjunction with an appropriate diet and/or cholesterol treatment.

Posologie

posologieOral route: leaf, fruit

posologie400 - 900 mg

formulationolive leaf extract, oil


Type 2 Diabetes
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Population research has shown that consuming the largest amount of olive oil over roughly 6 to 22 years is associated with a 16% reduction in the risk of developing type 2 diabetes compared to the smallest amount. This inverse association persists for doses up to 15-20 g per day. A meta-analysis of clinical research also shows that consuming olive oil for 2 weeks to 4 years reduces HbA1c and fasting blood glucose compared to control in diabetic patients. The effect of olive oil on HbA1c is similar to the effects of fish oil and polyunsaturated fatty acid oils, and slightly superior to the effects of a low-fat diet. Olive leaf extract is also indicated for insulin resistance, in conjunction with an appropriate diet and/or antidiabetic treatment.

Posologie

posologieOral route: leaf, fruit

posologie400 - 900 mg

formulationolive leaf extract, oil


Cardiovascular Diseases
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Olive oil rich in oleic acid reduces the risk of coronary heart disease. Overall, there is low to moderate evidence that olive oil offers a modest benefit for the primary prevention of cardiovascular diseases (CVD). However, most positive results come from observational research; evidence from clinical research is less certain. Evidence concerning olive oil for secondary prevention of cardiovascular diseases is unclear, as clinical research is limited or inconsistent. Research has shown that a substantial dietary intake of olive oil (54 g/day; about 4 tablespoons) is associated with an 82% reduction in the risk of a first myocardial infarction compared to lower dietary intake. Furthermore, the exclusive use of olive oil is associated with a 90% reduction in the risk of developing CVD compared to no olive oil in the diet. Olive oil consumption is associated with a reduction in cardiovascular disease risk factors, including a decrease in blood pressure and cholesterol.

Posologie

posologieOral route: leaf, fruit

posologie23 - 54 g

formulationoil


Atherosclerosis
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Phenolic compounds in olive oil, like hydroxytyrosol, are responsible for its antioxidant properties. Hydroxytyrosol not only scavenges radicals but also stimulates the synthesis and increases the activity of endogenous antioxidant enzymes. It limits the peroxidation of LDL lipids, which has beneficial effects in preventing atherosclerosis. According to a double-blind randomized study, consumption of hydroxytyrosol and punicalagin (extracted from pomegranates) over 8 weeks could help reduce atherosclerotic markers. 105 people aged 45 to 65 consumed daily 9.9 mg of hydroxytyrosol, combined with 195 mg of punicalagin. This supplementation showed anti-atherogenic effects, resulting in a lowering of blood pressure as well as a decrease in circulating oxidized LDL cholesterol levels.

Posologie

posologieOral route: leaf, fruit

posologie20 g

formulationoil, standardized extract


Synergies


Water Retention
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The EMA indicates that olive leaves are used to promote renal elimination of water, in mild cases of water retention.

Posologie

posologieOral route: leaf, fruit

posologie630 - 1375 mg

formulationdry extract


Properties


Hypotensive

full-leaffull-leaffull-leaffull-leaf

A human study compared the effect of an olive extract to captopril (an antihypertensive medication) in patients with stage I hypertension. Administration of the extract led to a reduction in systolic and diastolic blood pressure comparable to that observed with the reference medication. The hypotensive action is thought not to be due exclusively to the single molecule of oleuropein. This effect may be related to a vasodilatory effect achieved by the olive leaf extract. The most effective macerate on arterial hypertension, coronaries, and arteries is the glycerol-alcoholic macerate of the leaves.

Usages associés

Hypertension, Metabolic syndrome

Hypocholesterolemic

full-leaffull-leaffull-leaffull-leaf

A study explored the hypocholesterolemic effects of olive leaf extract on rats fed a cholesterol-rich diet. The experiment showed that olive leaf extract significantly reduced total cholesterol and LDL-cholesterol levels in the rats' serum, without notably affecting HDL-cholesterol and triglyceride levels. These results suggest that olive leaf extract could be beneficial in reducing atherogenic indices, i.e., risk factors related to atherosclerosis. Research suggests that compounds such as oleuropein, present in olive leaves, may play a key role thanks to their antioxidant and anti-inflammatory properties. These properties could contribute to cholesterol reduction by inhibiting the oxidation of low-density lipoproteins (LDL), a process involved in the development of atherosclerosis.

Usages associés

Dyslipidemia, Metabolic syndrome

Cardiovascular

full-leaffull-leaffull-leaffull-leaf

People use olive oil to prevent cardiovascular diseases and atherogenesis as it appears to reduce certain cardiac risk factors. The phenolic compounds present in olive oil seem to have antioxidant, vasodilatory, and antiplatelet properties. The compounds act as free radical scavengers, inhibiting platelet aggregation and thromboxane release. Olive oil appears to increase the resistance of low-density lipoprotein (LDL) cholesterol to oxidation and thereby may decrease its contribution to atherogenesis. It also seems to improve endothelial tissue function in patients with hypercholesterolemia. Olive oil might lower blood pressure and decrease postprandial activity of coagulation factor VII. Preliminary research suggests olive oil might reduce aortic wall thickness in hypertensive animals; however, this occurs to a lesser extent than with fish oils. Olive oil also seems to modestly reduce cardiomyocyte death, which increases in left ventricular hypertrophy.

Usages associés

Cardiovascular diseases

Antioxidant

full-leaffull-leaffull-leafempty-leaf

According to laboratory research, olive leaf extract has antioxidant effects thanks to oleuropein. Studies have shown the protective role of olive extracts in preventing reperfusion injuries following cardiac ischemia, mainly generated by free radicals. New studies show that oleuropein might prevent ethanol-induced gastric mucosal damage in rats by increasing the activity of anti-radical defense enzymes (SOD, catalase, GPx) and decreasing lipid peroxidation.

Usages associés

Dyslipidemia, Cardiovascular diseases, Oxidative stress

Anti-inflammatory

full-leaffull-leaffull-leafempty-leaf

Olive oil could have anti-inflammatory effects by decreasing pro-inflammatory omega-6 fatty acid concentrations and increasing anti-inflammatory omega-3 fatty acid concentrations. The metabolites of oleic acid, a monounsaturated omega-9 fatty acid in olive oil, seem to competitively inhibit the production of inflammatory prostaglandins and leukotrienes from omega-6 fatty acids. The metabolites of oleic acid might also suppress inflammatory cytokine production. Olive oil also contains oleocanthal, which might be responsible for some of the anti-inflammatory effects of olive oil. This compound shares some pharmacological properties with non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen. Oleocanthal inhibits both cyclooxygenase (COX) 1 and 2. However, it does not inhibit lipoxygenase. Extra virgin olive oil provides about 200 mcg of oleocanthal/ml of olive oil. About 60% to 90% of oleocanthal is thought to be absorbed after ingestion.

Usages associés

Cardiovascular diseases, Metabolic syndrome

Vascular effect

full-leaffull-leaffull-leafempty-leaf

Olive leaf extract is a direct vasodilator at the peripheral level, especially at the level of the peripheral arterioles. Oleanolic acid has demonstrated anti-atherosclerotic and antioxidant effects in vivo studies. As well, the leaf extracts have proven to be anti-arrhythmic.

Usages associés

Atherosclerosis

Hypoglycemic

full-leaffull-leafempty-leafempty-leaf

In humans, the effects of olive leaf extract on insulin response are likely due to improvements in pancreatic beta-cell function and reduction in inflammation mediators.

Usages associés

Type 2 Diabetes, Metabolic syndrome

Antibacterial

full-leafempty-leafempty-leafempty-leaf

Olive leaf extract is active in vitro against certain germs (Staphylococcus, Streptococcus, Haemophilus, Pseudomonas, etc.). It is also active in certain viral infections. This effect is mainly linked to iridoids (oleuropein, ligustroside, hydroxytyrosol) and triterpenes (oleanolic acid).


Safety dosage

Adult from 18 years: 400 mg - 1375 mg

- Herbal tea: 10 g of fresh leaves or 5 g of dried leaves in 150 ml of water as a decoction twice a day (morning and evening). - Crushed dried leaves for infusion: single dose: 6-10 g up to 3 times a day. Daily dose: 6-30 g. - Dried leaf powder: Single dose: 275 mg 3-5 times a day or 200-300 mg 2 to 3 times a day. Daily dose: 630-1375 mg.


Interactions

Médicaments

Antiplatelet agents/Anticoagulant: moderate interaction

In vitro evidence and preliminary human research suggest that olive oil has antiplatelet effects. Theoretically, concurrent use of olive oil and anticoagulants or antiplatelets may increase the risk of bleeding in some people. Some of these drugs include aspirin, heparin, warfarin, etc...

Antidiabetic: moderate interaction

Theoretically, concurrent use of olive could enhance blood glucose-lowering effects. Monitor blood glucose closely.

Antihypertensive: moderate interaction

Theoretically, concurrent use of olive may enhance the antihypertensive effect. Some antihypertensive medications include Captopril, enalapril, Losartan, valsartan, Diltiazem, Amlodipine...


Precautions

Pregnant woman: use with caution

Insufficient reliable information, avoid using quantities higher than those typically found in foods.

Breastfeeding woman: use with caution

Insufficient reliable information, avoid using quantities higher than those typically found in foods.

Heart disorders: use with caution

Patients with heart disease or renal impairment should consult a physician before taking olive leaves.

Renal impairment: use with caution

Patients with heart disease or renal impairment should consult a physician before taking olive leaves.