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How healthy is olive oil and what is it good for?

Olive oil, and extra-virgin olive oil in particular, is well supported as protective for the heart and blood vessels, especially when used in place of butter and as part of a varied, plant-based diet.

Olive oil has been most thoroughly studied for its role in protecting the heart and blood vessels. Large studies, including the PREDIMED trial and dozens of cohort studies involving tens of thousands of participants, consistently show that a Mediterranean diet with extra-virgin olive oil as the primary fat source clearly reduces the risk of heart attack, stroke, and death from heart disease. This is the strongest evidence available regarding olive oil.

Olive oil on its own also appears to have an effect: an American study following more than 221,000 people for up to 33 years found that each additional teaspoon of olive oil per day was associated with an 8% lower risk of early death. Replacing butter with vegetable oils was also linked to 17% fewer deaths from cancer. These are observational associations, however: people who consume a lot of olive oil may also live more healthily in other ways. Nevertheless, the association is remarkably consistent.

For cholesterol, extra-virgin olive oil appears to have a modest but positive effect: it likely lowers LDL cholesterol (the 'bad' cholesterol). The certainty of this evidence is moderate, not high. There are also some indications for blood sugar regulation, but these are too weak to draw serious conclusions from.

Olive oil contains plant compounds (polyphenols) that have shown anti-inflammatory and antioxidant effects in laboratory and early clinical research. Whether those effects also translate meaningfully into the body under normal eating habits has not yet been firmly established. There are also early indications that olive oil may beneficially influence the gut microbiome, which could in turn be good for the brain, but this research is still very much in its early stages.

Important to know: the evidence is strongest for extra-virgin olive oil as part of an overall dietary pattern, together with vegetables, fruit, nuts, legumes, and fish. Treating olive oil as a standalone miracle remedy overstates what the science actually shows. Use it as a replacement for butter or saturated fats, not as an addition on top of an unhealthy diet.

The evidence
6 studies · 1 meta-analyse · ≈ 221,000 participants

Claims are based on multiple large cohort studies (>221,000 participants), the PREDIMED trial, systematic reviews, and mechanistic studies. Observational associations predominate; causal claims are strongest for the Mediterranean diet as a whole.

Last checked: August 2026 · how this was judged
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