Review Article

Anti-Inflammatory and Restorative Effects of Olives in Topical Application

Table 1

Randomized trials evaluating the impact of topical application of olive on wound healing.

Author, year, and locationStudy groupsInterventionVariable measured/scaleResults

Nipple sore
Oguz., 2014, Turkey [11]
OO (n = 56)All patients: put OO on one nipple and lanolin on the other one and use the same ointment for the same nipple until the end of the study or use one of the modalities for both nipples if they were satisfied with the modality
IP: 15 days
OO: fifty patients (89.2%) were more satisfied with OO
L: 6 patients (10.8%) were more satisfied with L

Eshghizade., 2016, Iran [24]OO (n = 30);
AV (n = 30);
HM (n = 30)
OO: 0.5 ml of OO 3 times a day
AV: 0.5 ml of AV extract plus 3-4 drops of their milk 3 times a day
HM: 3-4 drops of milk after each breastfeeding
Place of use: the nipple and areola
IP: 7 days
Storr scaleOO: 1.34 ± 0.55;
AV: 1.00 ± 0.52;
HM: 1.17 ± 0.53
()

Pressure ulcer
Varaei et al., 2019, Iran [8]
OO (n = 30);
SAO (n = 30);
C (n = 30);
patients admitted to ICU
OO and SAO: both received a massage once a day with 1–3 mL of OO or SAO
C: NI
IP: 1 week
Place of use: in the areas exposed to the risk of pressure ulcer
Braden’s scaleOO: 11.76 ± 2.87;
SAO: 12.20 ± 1.65;
C: 11.86 ± 1.36
()

Poursadra et al., 2019, Iran [25]OO (n = 30);
HA (n = 30);
C (n = 30);
patients admitted to ICU
OO: 15 ml of olive oil was gently applied once a day without any massage
HA: a mixture of 1 g henna and 10 ml distilled water was applied for 30 min just once
C: NI
Place of use: PU grade one
IP: 7 days
Pressure ulcer scale for healing (PUSH) toolOO: 5.44 ± 3.806;
HO: 3.39 ± 3.54;
C: 9.83 ± 2.864
();
the mean area of the ulcer on days 4 and 7 in the HO was lower than that in the OO and control groups
()

Miraj et al., 2020, Iran [26]OO (n = 36);
C (n = 36);
patients admitted to ICU
OO: 15 ml OO was rubbed gently on the wounded area once a day for 30 min without massage; the area was washed with tepid water and the skin was dried
Place of use: PU grade one
C: NI
IP: 7 days
Pressure ulcer scale for healing (PUSH) toolOO: 5.44 ± 3.806;
C: 8.83 ± 2.864
(P < 0.001)

Díaz-Valenzuela et al., 2019, Spain [27]HOFA (n = 274); OO (n = 263)OO and HOFA: solutions (2 sprays; one spray delivers 0.2 mL) were applied on at-risk skin areas every 12 hours
IP: 30 days or until pressure ulcer onset
Place of use: at-risk skin areas
PU incidencePU incidence
OO: 4.18%;
HOFA: 6.57%;
PU incidence difference:
−2.39%
(95% CI = −6.40 to 1.56%):

Bajwa et al., 2017, Spain [28]OO (n = 30)
C (n = 30)
OO: topical 15 cc premium and standard formula olive oil once a day
C: NI
Place of use: at-risk areas of patient bodies without any massaging
IP: 3 weeks
Bedsore incidenceOO: 5 patients (16%) had developed bedsore after an average of 18.73 ± 5.36 days
C: 12 patients (40%) had developed bedsore after an average of 15.46 ± 7.40 days ()

Chronic ulcers
Vitsos et al., 2019, Greece [9]
Ceratothoa oestroides OO
(n = 40);
pilot study
Ointment was applied once daily
IP: 3 months
Bates–Jensen wound assessment tool (BWAT)C. oestroides decreased of 36% in score of ulcers (); the decrease being significant from the first month ()

Diabetic wounds
Nasiri et al., 2015, Iran [6]
OO (n = 17);
C (n = 17)
OO: applied olive oil topically to the wound area once a day for four weeks
C : NI
Wagner systemOO: 391.33 ± 15.05;
C: 348.00 ± 43.08
()

Karimi et al., 2015, Iran [29]In total, the research units were 45 people and were divided into three groups: OO, H, and C
)the exact number of each group is not mentioned(
OO: once a day, the wound was covered with gauze soaked in olive oil (4 cc)
H: they used honey once a day on the wound
C: NI
IP: 1 month
Wagner systemThe mean score of wound healing was
OO: 371.5;
H: 330.5;
C: 268.0;
()

Incisional wounds
(perineal ulcer)
Amani et al., 2015, Iran [30]
OO (n = 45);
CCGP (n = 45)
OO: twice a day, first for 12 hours after delivery and then for 10 days after delivery
CCGP: for 20 minutes, first for 12 hours after delivery and then up to 10 days if necessary
REEDA scaleOO: 0/2 ± 0/5;
CCGP: 0/47 ± 0/97
()

Kaviani et al., 2019, Iran [31]Olive leaf (n = 30);
placebo (n = 30);
C: (n = 30)
Olive leaf: olive leaf extract ointment was used (3 times a day for 10 days);
Placebo: placebo was used (3 times a day for 10 days);
C: betadine solution was used (3 times a day for 10 days)
REEDA scaleOlive leaf: 0;
placebo: 0.43 ± 0.56;
C: 0.63 ± 0.76;
()

Behmanesh et al., 2012, Iran [4]OO (n = 30);
C (n = 30)
OO: for the first time, 24 hours after delivery and then for ten days after delivery, they used a sitting bath of olive oil (10 drops of OO in 5 liters of water) for 10 minutes twice a day;
C: in the same way but they used distilled water instead of OO
REEDA scaleOO: 0/30 ± 0/46;
C: 2/10 ± 1/77
()

Diaper dermatitis
(contact dermatitis)
Sharifi‐Heris et al., 2018, Iran [7]
Olive ointment 1.5% (n = 37); calendula ointment 1.5% (n = 39)Olive and calendula: both were treated with the respective topical after diaper changing per day
IP: 7 days
Scale point sixThere is no significant difference between the two groups on the third (), fifth (), and seventh ()

Atopic dermatitis
(eczema)
Verallo-Rowell et al., 2008, Philippines [32]
VCO (n = 26);
VOO (n = 26)
VCO and VOO:
5 cc twice daily at two noninfected sites
IP: 4 weeks
SCORAD severity index of atopic dermatitis (O–SSI) scoringVCO: 22.6 ± 3.6; VOO: 26.7 ± 5.7 ()

Panahi et al., 2020, Iran [33]Olivederma (n = 19);
betamethasone (n = 16);
AD patients
Olivederma: received topical olivederma 2 times a day
Betamethasone: received topical betamethasone 2 times a day
IP: 6 weeks
SCORAD severity index of atopic dermatitis (O–SSI) scoringOlivederma: 50.5 ± 10.7
Betamethasone: 23.9 ± 13.3
()
Percentage of recovery
Olivederma: 64.5%
Betamethasone: 13.5%
()

Psoriasis
Acosta et al., 2016, Spain [34]
Alyvium
(n = 15);
placebo
(n = 15)
Alyvium: two capsules (which contains 500 mg of an olive polyphenolic extract, 200 μg vitamin A, 0.35 mg riboflavin, and 12.5 μg of biotin per capsule) a day
Placebo: two capsules a day of maltodextrins
IP: 12 weeks
Psoriasis area and severity index;
PASI
Alyvium: 3.0 ± 1.47;
Placebo: 3.27 ± 2.57
()

OO: olive oil; PU: pressure ulcer; HA: henna oil; CCGP: cold compress with gel pack; ARR: absolute risk reduction; MD: mean difference; HOFA: hyperoxygenated fatty acids; IP: intervention period; VOO: virgin olive oil; VCO: virgin coconut oil; AE: atopic eczema; SCORAD: SCORing atopic dermatitis; SA: sweet almond; HM: human milk; AV: aloe vera; H: honey; NI: no intervention; GA: gestational age; C: control; DR: diaper dermatitis.