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The use of the term ‘Mediterranean diet’ in a long-term, large-scale study that found no link between diet and reduced dementia risk has come under criticism across the olive oil world.
The Olive Wellness Institute, a prominent olive oil science organization, said the study’s conclusions “should be interpreted with extreme caution.”
In the study, Swedish researchers found that participants following a modified Mediterranean diet, where the main dietary fat is comprised of olive oil and vegetable oil due to low olive oil consumption in Sweden, saw no reduced dementia risk either.
See Also:Researchers Review Benefits of Mediterranean Diet to Reduce ObesityTraditionally, extra virgin olive oil is the main dietary fat in the Mediterranean diet.
The institute did not criticize the methods or merits of the research but questioned whether a plant-based diet where extra virgin olive oil is not the main dietary fat should be referred to as a “Mediterranean diet.”
The institute added that the omission of other main components of the Mediterranean diet, including soffritto, an olive oil-based sauce, and the grouping of legumes with other vegetables, further modified the diet.
“Our concern with this approach is that by using a locally devised score as a surrogate for the Mediterranean diet, the authors have excluded principal sources of the anti-inflammatory and antioxidant polyphenols found in extra virgin olive oil, culinary herbs and spices, and legumes,” the institute said.
As a result, the institute’s experts said using the term ‘modified Mediterranean diet’ was misleading. They emphasized the role of extra virgin olive oil in the diet’s well-studied health benefits.
“Like studies that use the Mediterranean diet score or other versions of a Mediterranean diet that do not include extra virgin olive oil, this study shows no improvement in health,” the institute said.
It added that extra virgin olive oil has a different fatty acid profile and contains different phenolic compounds – including hydroxytyrosol, oleocanthal and oleuropein – than other vegetable or seed oils.
These polyphenols resulted in a European Food Safety Authority-certified health claim that says, “polyphenols protect against lipid peroxidation at a minimal dose of 5 milligrams per kilogram per day which is equivalent to 23 grams of extra virgin olive oil.”
“The same health benefits are not associated with olive oil that is not extra virgin, nor with vegetable or seed oils,” the institute added.
Several recent studies have demonstrated the benefit of following the Mediterranean diet on cognition and brain function, especially in older adults.
A 2021 study published in Clinical Nutrition found that participants experienced “small-to-moderate” improvements in several cognitive domains after following the Mediterranean diet for three years compared with a control group. Improvements included spatial, visual and verbal memory improvements and attention span.
In a 2022 study from Harvard University, researchers found that following a green Mediterranean diet low in red meat intake protected the brain from attenuated age-related brain atrophy.
“One could consider that the lack of impact on dementia identified in this study could be due to the lack of extra virgin olive oil in the modified Mediterranean diet used,” the institute said.
“Furthermore, and as noted by the authors of the study, the assessment of self-reported dietary intake does present certain limitations due to human recall bias factors, and future studies should aim to include objective biomarkers of dietary intake such as plasma polyphenols or nutrigenomics,” the institute added.
The Olive Wellness Institute concluded its response by urging people curious to learn more about the impacts of following the Mediterranean diet to consider all the evidence on the subject instead of focusing on any single study.