Across all areas of health and nutrition, extra virgin olive oil (EVOO) is most well-known for its heart health benefits.1, 2 Whether you are observing trends within big databases or introducing EVOO as an intervention – it’s time to spread the word that EVOO is great for long term heart health! To make things nice and simple, here are 5 key reasons why we recommend EVOO for heart health.
1. EVOO can lower “bad” (LDL) cholesterol
Many high-quality trials and reviews have shown that EVOO can significantly decrease LDL cholesterol in those with slightly or severely elevated cholesterol levels.1, 3 This has been attributed to EVOOs abundance on healthy monounsaturated fats and cardioprotective bio-active compounds like hydroxytyrosol and oleuropein.1, 4 Additionally, the same research has shown simultaneous increases in HDL cholesterol, commonly known as “good” or “protective” cholesterol – helping you maintain or work towards ideal cholesterol levels that look after your blood vessels.1, 5 Having as little as 15ml of EVOO per day can still have positive impacts on cholesterol,6 creating a more realistic steppingstone towards the recommended 2-3 tbsp/day for those who are new to cooking with EVOO.
Key takeaway: Due to EVOOs healthy fats and cardioprotective bio-active compounds, consuming EVOO daily can decrease LDL cholesterol and increase HDL cholesterol.
2. EVOO can lower blood pressure
High blood pressure is a common risk factor for cardiovascular disease (CVD) however it can be lowered through lifestyle changes like improving your diet.7 Consuming a Mediterranean-style diet with EVOO as the main source of dietary fat, has been shown to significantly lower both systolic and diastolic blood pressure over time.7, 8 In addition to the clear physiological benefits, these studies typically result in lower dropout rates within EVOO enriched diet groups – suggesting that cooking with plenty of fresh and tasty EVOO could be a more sustainable, long term solution to reducing blood pressure.8
Key takeaway: Including EVOO as a key source of dietary fat is a sustainable method of lowering blood pressure.
3. EVOO is full of anti-inflammatory compounds
Between the healthy fats and the wide range of bio-active compounds that make up good quality EVOO, it is no surprise that EVOO has anti-inflammatory properties.9 CVD is caused by a number of mechanisms which damage blood vessel walls, one of which is inflammation.9 Whilst many plant foods such as colourful fruits, vegetables and legumes have anti-inflammatory properties, there is a large body of evidence that has shown significantly lower incidences of chronic inflammatory diseases like CVD in regions that consume high amounts of EVOO.9
Key takeaway: EVOO is full of anti-inflammatory compounds – potentially explaining why EVOO is associated with a lower risk of inflammatory diseases like CVD.
4. EVOO looks after your blood vessels
Aside from big observational studies that showcase lower incidence of CVD and better blood vessel biomarkers,2 there are a few randomised control trials (RCTs) that have taken a closer look at EVOOs impact. A common cause of life-threatening heart related events is the hardening of arteries through fatty plaques forming within blood vessel walls. This is due to risk factors such as high LDL/oxidised-LDL cholesterol levels.10 Whilst human studies are limited, many RCTs have shown positive impacts on antioxidant levels and decreases in oxidized-LDL cholesterol levels after consuming 25ml of good quality EVOO with food – looking after your blood vessels whilst you enjoy a tasty Mediterranean inspired meal!10, 11
Key takeaway: Good quality EVOO, rich in bio-active compounds has been shown to boost your antioxidant levels after eating, supporting blood vessel health.
5. EVOO makes other heart healthy foods more delicious!
Not only does EVOO directly support heart health, but it is also a useful tool for making vegetables, legumes and whole grains taste delicious. When vegetables and other whole foods are cooked in EVOO, the nutrients and flavours of the oil infuse with the dish whilst also providing a medium for sweet, complex and umami flavours to form over time.12 Whilst taste is subjective, eating patterns high in EVOO and plant foods that are associated with a lower risk of CVD, like the Mediterranean diet, have shown high long-term adherence rates due to many factors, one of which is taste!8, 13
Key takeaway: Good dietary advice is built on evidence that not only considers health but also quality of life. EVOO has been shown to add flavour and nutrients to other plant foods that support heart health, contributing to long-term adherence to eating patterns that are associated with a lower risk of CVD.
Published 08/07/2025
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- Ghobadi S, Hassanzadeh-Rostami Z, Mohammadian F, Nikfetrat A, Ghasemifard N, Raeisi Dehkordi H, et al. Comparison of blood lipid-lowering effects of olive oil and other plant oils: A systematic review and meta-analysis of 27 randomized placebo-controlled clinical trials. Crit Rev Food Sci Nutr. 2018:1-15.
- Guasch-Ferré M, Hu FB, Martínez-González MA, Fitó M, Bulló M, Estruch R, et al. Olive oil intake and risk of cardiovascular disease and mortality in the PREDIMED Study. BMC Med. 2014;12:78.
- Violante B, Gerbaudo L, Borretta G, Tassone F. Effects of extra virgin olive oil supplementation at two different low doses on lipid profile in mild hypercholesterolemic subjects: a randomised clinical trial. Journal of endocrinological investigation. 2009;32(10):794-6.
- Santangelo C, Vari R, Scazzocchio B, De Sanctis P, Giovannini C, D'Archivio M, et al. Anti-inflammatory Activity of Extra Virgin Olive Oil Polyphenols: Which Role in the Prevention and Treatment of Immune-Mediated Inflammatory Diseases? Endocrine, metabolic & immune disorders drug targets. 2018;18(1):36-50.
- Farras M, Castaner O, Martin-Pelaez S, Hernaez A, Schroder H, Subirana I, et al. Complementary phenol-enriched olive oil improves HDL characteristics in hypercholesterolemic subjects. A randomized, double-blind, crossover, controlled trial. The VOHF study. Mol Nutr Food Res. 2015;59(9):1758-70.
- Kontogianni MD, Vlassopoulos A, Gatzieva A, Farmaki A-E, Katsiougiannis S, Panagiotakos DB, et al. Flaxseed oil does not affect inflammatory markers and lipid profile compared to olive oil, in young, healthy, normal weight adults. Metabolism. 2013;62(5):686-93.
- Toledo E, Hu FB, Estruch R, Buil-Cosiales P, Corella D, Salas-Salvadó J, et al. Effect of the Mediterranean diet on blood pressure in the PREDIMED trial: results from a randomized controlled trial. BMC medicine. 2013;11(1):207.
- Doménech M, Roman P, Lapetra J, García de la Corte FJ, Sala-Vila A, de la Torre R, et al. Mediterranean diet reduces 24-hour ambulatory blood pressure, blood glucose, and lipids: one-year randomized, clinical trial. Hypertension. 2014;64(1):69-76.
- Sanchez-Rodriguez E, Biel-Glesson S, Fernandez-Navarro JR, Calleja MA, Espejo-Calvo JA, Gil-Extremera B, et al. Effects of Virgin Olive Oils Differing in Their Bioactive Compound Contents on Biomarkers of Oxidative Stress and Inflammation in Healthy Adults: A Randomized Double-Blind Controlled Trial. Nutrients. 2019;11(3).
- Hong CG, Florida E, Li H, Parel PM, Mehta NN, Sorokin AV. Oxidized low-density lipoprotein associates with cardiovascular disease by a vicious cycle of atherosclerosis and inflammation: A systematic review and meta-analysis. Frontiers in cardiovascular medicine. 2022;9:1023651.
- Weinbrenner T, Fito M, de la Torre R, Saez GT, Rijken P, Tormos C, et al. Olive oils high in phenolic compounds modulate oxidative/antioxidative status in men. The Journal of nutrition. 2004;134(9):2314-21.
- Ramírez-Anaya JP, Samaniego-Sánchez C, Castañeda-Saucedo M, Villalón-Mir M, de la Serrana H. Phenols and the antioxidant capacity of Mediterranean vegetables prepared with extra virgin olive oil using different domestic cooking techniques. Food chemistry. 2015;188:430-8.
- Parletta N, Zarnowiecki D, Cho J, Wilson A, Bogomolova S, Villani A, et al. A Mediterranean-style dietary intervention supplemented with fish oil improves diet quality and mental health in people with depression: A randomized controlled trial (HELFIMED). Nutritional Neuroscience. 2017:1-14.