Olive tree: benefits, dosage, contraindications

Mis à jour le

Olea europaea is a species of tree or shrub in the Oleaceae family, widespread across Africa, Asia and the Mediterranean region of Europe, a variety of which has been domesticated and cultivated as the olive tree. The olive has been cultivated since ancient times for its oil, used in food but also in medicine and cosmetics. Its leaves, opposite, evergreen and lanceolate, are ash-green on the upper side and a silky silvery white on the underside. The flowers, white in color, are clustered in the leaf axils and give rise to a fruit, better known as the olive, which is an ellipsoidal drupe that is green and turns black at maturity. The leaves and fruits are the parts used therapeutically and must contain at least 16% oleuropein to guarantee 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 consumption of an olive leaf extract, oleuropein and the conjugated metabolites of hydroxytyrosol are found in the plasma. These represent 96% of the olive's phenolic metabolites in plasma. In olive leaves, the polyphenol oleuropein is considered active and is present at levels of 264 mg per 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 helps prevent heart disease by protecting membranes from lipid oxidation and by improving lipid metabolism, and hydroxytyrosol, its derivative, which protects against atherosclerosis and helps prevent diabetic neuropathy. Research has also identified other compounds, such as oleocanthal, which has 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.

Scientific name(s)

Olea europaea

Family or group: 

Plants

Active ingredients:

Oleic acid

Oleuropein

Hydroxytyrosol


Indications

Scoring methodology

EFSA approval.

Several randomized, double-blind, controlled clinical trials (> 2), including a significant number of patients (>100), with consistently positive conclusions for the indication.
Several randomized, double-blind, controlled clinical trials (> 2), including a significant number of patients (>100), with positive conclusions for the indication.
One or more randomized studies, or several cohorts or epidemiological studies, with positive conclusions for the indication.
Clinical studies exist but are uncontrolled, with conclusions that may be positive or conflicting.
No clinical studies to date that can demonstrate the indication.


Oxidative stress
✪✪✪✪✪

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

Posologie

posologieOral: leaf, fruit

posologie500 - 1000 mg

formulationoil, standardized extract


Dyslipidemia
✪✪✪✪✪

Increasing olive oil consumption instead of saturated fats may reduce total cholesterol. However, any reduction in low-density lipoprotein (LDL) cholesterol is small. Moreover, a meta-analysis of clinical research showed that olive oil is less effective than other oils at reducing total cholesterol and LDL cholesterol.nnOverall, olive leaf extracts and olive oil may be beneficial in dyslipidemia, particularly with elevated LDL-C, in combination with an appropriate diet and/or cholesterol-lowering treatment.nn

Posologie

posologieBy mouth: leaf, fruit

posologie400 - 900 mg

formulationolive leaf extract, oil


Type 2 diabetes
✪✪✪✪✪

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

Posologie

posologieOral: leaf, fruit

posologie400 - 900 mg

formulationolive leaf extract, oil


Cardiovascular diseases
✪✪✪✪✪

Olive oil rich in oleic acid reduces the risk of coronary heart disease. Overall, there is low to moderate quality evidence that olive oil provides a modest benefit for the primary prevention of cardiovascular disease (CVD). However, the majority of positive findings come from observational research; evidence from clinical research is less certain. The evidence regarding olive oil for the secondary prevention of cardiovascular disease is unclear, as clinical research is limited or inconsistent. Research has shown that a high 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 with lower dietary intake. In addition, exclusive use of olive oil is associated with a 90% reduction in the risk of developing CVD compared to the absence of olive oil in the diet. Olive oil consumption is associated with reductions in cardiovascular disease risk factors, including decreases in blood pressure and cholesterol.

Posologie

posologieOral: leaf, fruit

posologie23 - 54 g

formulationoil


Atherosclerosis
✪✪✪✪✪

The phenolic compounds in olive oil, such as hydroxytyrosol, are responsible for its antioxidant properties. Hydroxytyrosol not only scavenges radicals, but also stimulates synthesis and increases the activity of endogenous antioxidant enzymes. It limits LDL lipid peroxidation, which has beneficial effects in the prevention of atherosclerosis. nnAccording to a double-blind randomized study, the consumption of hydroxytyrosol and punicalagin (extracted from pomegranates) for 8 weeks could help reduce atherosclerotic markers. nn105 people aged 45 to 65 years consumed daily 9.9 mg of hydroxytyrosol, combined with 195 mg of punicalagin. This supplementation showed anti-atherogenic effects, resulting in a decrease in blood pressure as well as a decrease in circulating oxidized LDL cholesterol levels.nn

Posologie

posologieOral route: leaf, fruit

posologie20 g

formulationoil, standardized extract


Synergies


Water retention
✪✪✪✪

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

Posologie

posologieBy mouth: leaf, fruit

posologie630 - 1375 mg

formulationdry extract


Properties


Antihypertensive

full-leaffull-leaffull-leaffull-leaf

A human study compared the effect of an olive extract and captopril (a drug for hypertension) in patients with stage I hypertension. Administration of the extract produced a reduction in systolic and diastolic blood pressure comparable to that observed with the reference drug.nnIt is thought that the hypotensive action is probably not due exclusively to the single molecule oleuropeoside. This effect may be related to a vasodilatory action produced by the olive leaf extract. The macerate most effective for hypertension, the coronary arteries and other arteries is the glycerol-alcoholic macerate of the leaves.

Usages associés

High blood pressure, metabolic syndrome

Cholesterol-lowering

full-leaffull-leaffull-leaffull-leaf

A study explored the cholesterol-lowering effects of olive leaf extract in rats fed a high-cholesterol 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 for reducing atherogenic indices, i.e., risk factors related to atherosclerosis.nnResearch suggests that compounds such as oleuropein, present in olive leaves, may play a key role due 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.nn

Usages associés

Dyslipidemia, metabolic syndrome

Cardiovascular

full-leaffull-leaffull-leaffull-leaf

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

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 injury following cardiac ischemia, injuries mainly generated by free radicals. New studies show that oleuropein could prevent ethanol-induced damage to the gastric mucosa in rats by increasing the activity of antioxidant defense enzymes (SOD, catalase, GPx) as well as decreasing lipid peroxidation.

Usages associés

Dyslipidemia, Cardiovascular diseases, Oxidative stress

Anti-inflammatory

full-leaffull-leaffull-leafempty-leaf

Olive oil may have anti-inflammatory effects by decreasing concentrations of pro-inflammatory omega-6 fatty acids and increasing concentrations of anti-inflammatory omega-3 fatty acids. Metabolites of oleic acid, a monounsaturated omega-9 fatty acid in olive oil, appear to competitively inhibit the production of inflammatory prostaglandins and leukotrienes from omega-6 fatty acids. Metabolites of oleic acid may also suppress the production of inflammatory cytokines. Olive oil also contains oleocanthal, which may be responsible for some of olive oil's anti-inflammatory effects. This compound shares certain pharmacological properties with nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen. Oleocanthal inhibits both cyclooxygenase (COX) 1 and 2. However, it does not inhibit lipoxygenase. Extra virgin olive oil provides approximately 200 mcg of oleocanthal per ml of oil. It is thought that about 60% to 90% of oleocanthal is absorbed after ingestion.

Usages associés

Cardiovascular diseases, Metabolic syndrome

Vascular effect

full-leaffull-leaffull-leafempty-leaf

The extract of olive leaves is a direct peripheral vasodilator, particularly of peripheral arterioles. Oleanolic acid has anti-atherosclerotic and antioxidant effects demonstrated in in vivo studies. Leaf extracts have also been found to be antiarrhythmic.

Usages associés

Atherosclerosis

Hypoglycemic

full-leaffull-leafempty-leafempty-leaf

In humans, the effects of olive leaf extract on the insulin response are likely due to improvements in pancreatic beta-cell function and a reduction in inflammatory 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...). It is also active in certain viral conditions. This effect is mainly attributable to iridoids (oleuropeoside, ligustroside, hydroxytyrosol) and triterpenes (oleanolic acid).


Safe dosage

Adults aged 18 years and older: 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 per day. Daily dose: 6-30 g. - Dried leaves in powder form: Single dose: 275 mg 3-5 times per day or 200-300 mg 2 to 3 times per day. Daily dose: 630-1375 mg.


Interactions

Médicaments

Antiplatelet agents/Anticoagulants: moderate interaction

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

Antidiabetic: moderate interaction

Theoretically, concomitant use of olive could enhance blood sugar–lowering effects. Monitor blood glucose closely.

Antihypertensive: moderate interaction

Theoretically, concomitant use of olive may enhance the blood pressure–lowering effect. Some antihypertensive medications include Captopril, enalapril, Losartan, valsartan, Diltiazem, Amlodipine...


Precautions

Pregnant women: use with caution

Insufficient reliable information; avoid using amounts higher than those normally found in foods.

Breastfeeding woman: use with caution

Insufficient reliable information; avoid using amounts greater than those commonly found in foods. nn

Heart disorders: use with caution

Patients with heart disease or kidney failure should consult a physician before taking olive leaves.nn

Renal insufficiency: use with caution

Patients with heart disease or kidney failure should consult a physician before taking olive leaves.nn