Medical Science Educator

, Volume 29, Issue 1, pp 61–66 | Cite as

Food Is Medicine: Using a 4-Week Cooking Program of Plant-Based, Olive oil Recipes to Improve Diet and Nutrition Knowledge in Medical Students

  • Mary M. FlynnEmail author
  • Paul George
  • Fred Jay Schiffman
Short Communication


Diet can be used to treat chronic diseases, yet nutrition education is not sufficiently included in most medical school curriculum. Providing practical nutrition information that could lead to improvements in clinical measures could improve patient outcomes and physician clinical skills; it might also improve the diet and eating behavior of the medical student. This study used a 4-week cooking program of plant-based recipes that included extra virgin olive oil to provide medical students with practical cooking skills and nutrition education. The results indicate that the program can improve both the diet and eating behavior of the student and their nutrition knowledge.


Medical students Food insecurity Nutrition education 


Funding Information

This study was partially funded by the Baxt Family Resiliency Program.

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

This study was approved the The Miriam Hospital IRB and all participants signed informed consent. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.


  1. 1.
    Aspry KE, Van Horn L, Carson JAS, et al. Medical nutrition education, training, and competencies to advance guideline-based diet counseling by physicians: a science advisory from the American Heart Association. Circulation. 2018;137(23):e821–41.CrossRefGoogle Scholar
  2. 2.
    Ramirez-Anaya Jdel P, Samaniego-Sanchez C, Castaneda-Saucedo MC, Villalon-Mir M, de la Serrana HL. Phenols and the antioxidant capacity of Mediterranean vegetables prepared with extra virgin olive oil using different domestic cooking techniques. Food Chem. 2015;188:430–8.CrossRefGoogle Scholar
  3. 3.
    Flynn M, Schiff AR. Economical healthy diets (2012): included lean animal protein costs more than using extra virgin olive oil. J Hunger Environ Nutr. 2015;10:467–82.Google Scholar
  4. 4.
    Bes-Rastrollo M, Sanchez-Villegas A, de la Fuente C, de Irala J, Martinez JA, Martinez-Gonzalez MA. Olive oil consumption and weight change: the SUN prospective cohort study. Lipids. 2006;41(3):249–56.CrossRefGoogle Scholar
  5. 5.
    Decker DFM. Food insecurity and chronic disease: addressing food access as a healthcare issue. R I Med J. 2018:28–30.Google Scholar
  6. 6.
    Flynn MM, Schiff AR. A six-week cooking program of plant-based recipes improves food security, body weight, and food purchases for food pantry clients. J Hunger Environ Nutr. 2013;73–84.Google Scholar
  7. 7.
    Madigan C, Ryan M, Owens D, Collins P, Tomkin GH. Dietary unsaturated fatty acids in type 2 diabetes: higher levels of postprandial lipoprotein on a linoleic acid-rich sunflower oil diet compared with an oleic acid-rich olive oil diet. Diabetes Care. 2000;23(10):1472–7.CrossRefGoogle Scholar
  8. 8.
    Ryan M, McInerney D, Owens D, Collins P, Johnson A, Tomkin GH. Diabetes and the Mediterranean diet: a beneficial effect of oleic acid on insulin sensitivity, adipocyte glucose transport and endothelium-dependent vasoreactivity. QJM. 2000;93(2):85–91.CrossRefGoogle Scholar
  9. 9.
    Ferrara LA, Raimondi AS, d’Episcopo L, Guida L, Dello Russo A, Marotta T. Olive oil and reduced need for antihypertensive medications. Arch Intern Med. 2000;160(6):837–42.CrossRefGoogle Scholar
  10. 10.
    Fito M, Cladellas M, de la Torre R, et al. Antioxidant effect of virgin olive oil in patients with stable coronary heart disease: a randomized, crossover, controlled, clinical trial. Atherosclerosis. 2005;181(1):149–58.CrossRefGoogle Scholar
  11. 11.
    Nagyova A, Haban P, Klvanova J, Kadrabova J. Effects of dietary extra virgin olive oil on serum lipid resistance to oxidation and fatty acid composition in elderly lipidemic patients. Bratisl Lek Listy. 2003;104(7–8):218–21.Google Scholar
  12. 12.
    Beauchamp GK, Keast RS, Morel D, et al. Phytochemistry: ibuprofen-like activity in extra-virgin olive oil. Nature. 2005;437(7055):45–6.CrossRefGoogle Scholar
  13. 13.
    Covas MI, Nyyssonen K, Poulsen HE, et al. The effect of polyphenols in olive oil on heart disease risk factors: a randomized trial. Ann Intern Med. 2006;145(5):333–41.CrossRefGoogle Scholar
  14. 14.
    Marrugat J, Covas MI, Fito M, et al. Effects of differing phenolic content in dietary olive oils on lipids and LDL oxidation--a randomized controlled trial. Eur J Nutr. 2004;43(3):140–7.CrossRefGoogle Scholar
  15. 15.
    Oliveras-Lopez MJ, Molina JJ, Mir MV, Rey EF, Martin F, de la Serrana HL. Extra virgin olive oil (EVOO) consumption and antioxidant status in healthy institutionalized elderly humans. Arch Gerontol Geriatr. 2013;57(2):234–42.Google Scholar
  16. 16.
    Rickman JCBC, Barrett DM. Nutritional comparison of fresh, frozen, and canned fruits and vegetables II. Vitamin A and carotenoids, vitamin C, minerals and fiber. J Sci Food Agric. 2007;87:1185–96.CrossRefGoogle Scholar
  17. 17.
    Rickman JCBD, Bruhn CM. Nutritional comparison of fresh, frozen and canned fruits and vegetables. Part 1. Vitamins C and B and phenolic compounds. J Sci Food Agric. 2007;87:930–44.CrossRefGoogle Scholar
  18. 18.
    Tapiero H, Townsend DM, Tew KD. The role of carotenoids in the prevention of human pathologies. Biomed Pharmacother. 2004;58(2):100–10.CrossRefGoogle Scholar
  19. 19.
    Brown MJ, Ferruzzi MG, Nguyen ML, Cooper DA, Eldridge AL, Schwartz SJ, et al. Carotenoid bioavailability is higher from salads ingested with full-fat than with fat-reduced salad dressings as measured with electrochemical detection. Am J Clin Nutr. 2004;80(2):396–403.CrossRefGoogle Scholar
  20. 20.
    Fielding JM, Rowley KG, Cooper P. K OD. Increases in plasma lycopene concentration after consumption of tomatoes cooked with olive oil. Asia Pac J Clin Nutr. 2005;14(2):131–6.Google Scholar
  21. 21.
    Calculating Ideal Body Weight. Available at: Accessed 1 Nov 2018.
  22. 22.
    Drewnowski A. The cost of US foods as related to their nutritive value. Am J Clin Nutr. Nov 2010;92(5):1181–8.CrossRefGoogle Scholar
  23. 23.
    Agnoli C, Baroni L, Bertini I, et al. Position paper on vegetarian diets from the working group of the Italian Society of Human Nutrition. Nutr Metab Cardiovasc Dis. 2017;27(12):1037–52.CrossRefGoogle Scholar
  24. 24.
    Craig WJ. Health effects of vegan diets. Am J Clin Nutr. May 2009;89(5):1627S–33S.CrossRefGoogle Scholar
  25. 25.
    Losasso C, Eckert EM, Mastrorilli E, Villiger J, Mancin M, Patuzzi I, et al. Assessing the influence of vegan, vegetarian and omnivore oriented westernized dietary styles on human gut microbiota: a cross sectional study. Front Microbiol. 2018;9:317.CrossRefGoogle Scholar
  26. 26.
    Gunther AL, Remer T, Kroke A, Buyken AE. Early protein intake and later obesity risk: which protein sources at which time points throughout infancy and childhood are important for body mass index and body fat percentage at 7 y of age? Am J Clin Nutr. 2007;86(6):1765–72.CrossRefGoogle Scholar
  27. 27.
    Koppes LL, Boon N, Nooyens AC, van Mechelen W, Saris WH. Macronutrient distribution over a period of 23 years in relation to energy intake and body fatness. Br J Nutr. 2009;101(1):108–15.CrossRefGoogle Scholar
  28. 28.
    Vinknes KJ, de Vogel S, Elshorbagy AK, et al. Dietary intake of protein is positively associated with percent body fat in middle-aged and older adults. J Nutr. 2011;141(3):440–446Google Scholar
  29. 29.
    Murtaugh MA, Herrick JS, Sweeney C, Baumgartner KB, Guiliano AR, Byers T, et al. Diet composition and risk of overweight and obesity in women living in the southwestern United States. J Am Diet Assoc. Aug 2007;107(8):1311–21.CrossRefGoogle Scholar
  30. 30.
    Raatz SK, Conrad Z, Johnson LK, Picklo MJ, Jahns L. Relationship of the reported intakes of fat and fatty acids to body weight in US adults. Nutrients. 2017;9(5):438–51.Google Scholar
  31. 31.
    Shay CM, Van Horn L, Stamler J, et al. Food and nutrient intakes and their associations with lower BMI in middle-aged US adults: the International Study of Macro-/Micronutrients and Blood Pressure (INTERMAP). Am J Clin Nutr. 2012;96(3):483–491.Google Scholar
  32. 32.
    Panagiotakos DB, Chrysohoou C, Pitsavos C, Stefanadis C. Association between the prevalence of obesity and adherence to the Mediterranean diet: the ATTICA study. Nutrition. 2006;22(5):449–56.CrossRefGoogle Scholar

Copyright information

© International Association of Medical Science Educators 2019

Authors and Affiliations

  1. 1.The Miriam HospitalProvidenceUSA
  2. 2.Medical Education, Family Medicine and Medical ScienceThe Warren Alpert Medical School of Brown UniversityProvidenceUSA
  3. 3.Lifespan Cancer InstituteThe Miriam HospitalProvidenceUSA

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