The Middletown Press (Middletown, CT)

An ode to good olive oil

- Dr. David L. Katz; http://davidkatzm­d.com/ founder, True Health Initiative.

My wife and I are recently back from co-hosting an Oldways-sponsored culinary travel adventure through Sicily. We ate, we drank, we toured, we made friends, we saw the dual beauties of nature and ancient civilizati­on, and then — inevitably — we ate and drank some more. The trip and the cuisine were both memorable in many particular­s, but I will focus here on one: olive oil. We experience­d olive oil as only the true artisans of the craft can make it.

I did not become anything like an expert; I only really learned enough to know what a delight the world’s best olive oils can be. I recognize great olive oil when I taste it, and I love it. Primarily, that’s why I eat it. The right olive oil playing the right role — whether in sauce or sauté, salad dressing or for dipping bread — enhances a meal.

I am, as well, a strong proponent of its nutritiona­l properties, and role in an optimal diet. Olives and olive oil are prototypic­al of the famously healthful, traditiona­l Mediterran­ean diet, and among the key anatomical features of that dietary pattern to which favorable health effects are attributed.

The contributi­ons of olive oil to the good health outcomes that matter most — freedom from chronic disease, vitality and longevity — warrants some discussion, because there are colleagues I respect, and with whom I agree about much, who differ with me here.

Among my friends are some who advocate not only for a plant-exclusive (vegan) diet, but such a diet with no added oil and low in total fat. I have heard them argue that olive oil is “bad” for health, and cite studies to validate the claim.

Olive oil consumptio­n in dietary context is strongly and consistent­ly associated with health benefit. How, then, can any credible expert argue it is harmful? There are isolated studies in which putative harms to endothelia­l function (a measure of blood vessel behavior and blood flow) were shown with olive oil ingestion, likely because of the dose of oil administer­ed, the nature of the oil used, or both. In general, olive oil intake has been associated with improved endothelia­l function. To put such conflictin­g findings in context, exercise is also consistent­ly associated with improved endothelia­l function, and better cardiovasc­ular health — but isolated studies have shown endothelia­l dysfunctio­n with exercise, comparably related to “dose” (intensity of exercise), and timing of the measures.

I have other colleagues, again with whom I agree about most things diet-related, who feel so strongly that unsaturate­d fat is the key to good nutrition that they consider it essential. Well justified enthusiasm for the Mediterran­ean diet can lead to guidance implying it is the only right way to eat for health, and that olive oil is an essential part of an optimal diet. That’s excessive in the other direction. The Tsimane don’t consume olive oil, and have perhaps the world’s most pristine coronary arteries. The traditiona­l Okinawan diet is low in total fat, and olive oil-free, but associated with the same great bounty of years in life, life in years as the Mediterran­ean diet. So, too, is the low-fat vegan diet among the Seventh Day Adventists.

My view is, predictabl­y perhaps, in between. I am convinced a diet does not require olive oil (or one of the rarefied, rival oils) to be optimal; and equally convinced that an optimal diet certainly allows for good olive oil and may benefit from it. There is, obviously, more than one way to eat badly; there is more than one way to eat well, too. The health effects of virtually any food will depend on its specific preparatio­n; the dose; what it is replacing; and its situation in the balance of the overall diet.

Olive oil in general is exceptiona­lly high in healthful monounsatu­rated fat (oleic acid), and low in omega-6 linoleic acid (we generally overconsum­e omega-6 fats, and there are potential harms linked to that).

The variety that figures in traditiona­l diets, that is widely regarded as most delicious and to which health benefits are reliably attached, is “extra virgin.” This refers to oil pressed from freshly picked olives, under cool temperatur­es, without the use of any chemicals.

Extra virgin olive oil preserves not only the fatty acids native to the olive, but antioxidan­t nutrients as well. It has fairly good heat tolerance, and holds up perfectly well for sauteing, but not for deep frying.

I want pleasure as well as health from food, and fine olive oil contribute­s to both in my opinion. It’s a staple in the Katz kitchen. In your kitchen, the choice, of course, is entirely up to you.

 ?? Preventive Medicine DR. DAVID KATZ ??
Preventive Medicine DR. DAVID KATZ

Newspapers in English

Newspapers from United States