Benefits
Cardiovascular markers: measured, no significant effect
Cardiovascular markers are what this extract has actually been tested on in people, and the result was null. In a randomized placebo-controlled trial of 500 mg per day for 8 weeks in 74 overweight and obese adults, olive leaf extract produced no statistically significant change versus placebo in blood lipids, oxidized LDL, blood pressure, glucose, insulin or liver function.
Blood pressure: measured, did not change
Blood pressure was a measured outcome in the trial cited on this page, and it did not move: there was no statistically significant difference between the extract and placebo over 8 weeks. Other olive leaf preparations are still being studied for blood pressure within the normal range, but no effect was seen with this extract at the dose and duration tested.
Antioxidant compound, metabolic markers unchanged
Oleuropein is an antioxidant compound in laboratory testing. In the human trial cited on this page, glucose, insulin, blood lipids and oxidized LDL were all measured and none of them differed significantly from placebo, so a metabolic benefit has not been shown in people taking this extract.
Mechanism of action
Oleuropein activity
Oleuropein and its metabolite hydroxytyrosol are studied for effects on blood-vessel function and antioxidant defense. This is a proposed mechanism rather than a measured human outcome, and the trial cited on this page found no significant change in blood pressure or in any other cardiovascular marker it recorded.
Nitric-oxide support
Olive polyphenols are proposed to influence the nitric-oxide signaling that keeps blood vessels relaxed and flexible. Nitric oxide was not among the outcomes reported in the trial cited on this page, and the vascular outcomes that were measured did not change.
Clinical trials
Randomized, placebo-controlled trial of 500 mg per day of olive leaf extract for 8 weeks, with blood lipids assessed at 4 and 8 weeks. 77 participants enrolled and 74 completed. (Stevens et al. 2021, European Journal of Nutrition)
Overweight and obese but otherwise healthy adults; 77 enrolled, 74 completed.
The trial was null. Olive leaf extract did not significantly affect blood lipid levels after 4 weeks or after 8 weeks compared with placebo (all p greater than 0.05), and there were no statistically significant differences in oxidized LDL, blood pressure, glucose, insulin or liver function either.