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An observational study of older adults found that the Mediterranean diet may help preserve the connections between neurons in the brain, by preserving the microstructure in the white matter of the brain. This appeared to have a strong cognitive benefit - equal up to 10 years of delayed cognitive aging in those who adhered to the Mediterranean diet most closely. So if you haven't started already, try eating what the Mediterranean diet stresses: fruits, vegetables, whole grains, seeds, nuts, legumes, olive oil, some fish, and some wine. And cut back on highly processed foods, meat, and high fat foods. It's not one or two foods, but overall diet that is important. From Medscape:

Mediterranean Diet May Preserve Brain Structural Connectivity

The Mediterranean diet may help preserve structural connectivity in the brain in older adults, results of a French study hint. Greater adherence to the Mediterranean diet was associated with preserved microstructure in extensive areas of the white matter up to a decade later, the study team found. And this appeared to be related to strong cognitive benefit, equal to up to 10 years of delayed cognitive aging for those with the greatest adherence, they say....The study was published online July 16 in Alzheimer's & Dementia. The Mediterranean diet has been associated with a lower risk for Alzheimer's disease, but the underlying mechanisms have been unclear.

The new findings are based on 146 nondemented older adults in the Bordeaux Three-City study, a prospective cohort initiated in 1999-2000 to study vascular risk factors for dementia. Participants provided information on their diet in 2001-2002 (at a mean age of 73 years), underwent brain MRI an average of 9 years later (including diffusion tensor imaging)...On the basis of dietary assessment, 26% of participants had a low Mediterranean diet (MedDi) score of 0 to 3, indicating poor adherence to the diet; 47% had medium scores (4 or 5); and 27% had higher scores (6 to 8) representing the best adherence to the diet.

In adjusted analysis, there was no significant association between the MedDi score and grey matter or white matter volume. However, there was a strong association between the MedDi and diffusion tensor imaging patterns, suggesting that higher MeDi adherence was associated with a "general pattern of preserved WM [white matter] microstructure in multiple bundles," the researchers say. And preserved white matter microstructure with higher adherence to the MedDi "appeared to delay cognitive aging by up to 10 years."

"Our results suggest that the Mediterranean diet helps preserve the connections between neurons, which appear to be damaged with aging, vascular brain diseases and neurodegenerative diseases such as Alzheimer's dementia," Dr Samieri told Medscape Medical News. "In addition, the regions which appeared preserved with greater adherence to the Mediterranean diet were extended and were not specific to a particular disease, suggesting that the Mediterranean diet may have the potential to prevent not only stroke (as previously demonstrated with the PREDIMED [Prevención con Dieta Mediterránea] trial) but also multiple age-related brain pathologies," she added.

The added finding that none of the individual components of the Mediterranean diet was strongly associated with imaging results "supports our hypothesis that overall diet quality may be more important to preserve brain structure than any single food," they write.

New research finds much lower rates of endometrial cancer in women eating a Mediterranean diet. This means: fruits, vegetables, legumes, whole grains, seeds, nuts, fish, olive oil, little meat or dairy products, and moderate alcohol.

They use the term "womb cancer" in the article, but the medical term is endometrial cancer (or can be called uterine cancer). Other risk factors for endometrial cancer are being older (post-menopausal), being overweight, and taking estrogen-alone hormone replacement therapy.

From Science Daily: Eating a Mediterranean diet could cut womb cancer risk

Women who eat a Mediterranean diet could cut their risk of womb cancer (endometrial cancer) by more than half (57 per cent), according to a study published today (Wednesday) in the British Journal of Cancer. The Italian researchers looked at the diets of over 5,000 Italian women to see how closely they stuck to a Mediterranean diet and whether they went on to develop womb cancer.

The team broke the Mediterranean diet down into nine different components and measured how closely women stuck to them. The diet includes eating lots of vegetables, fruits and nuts, pulses (legumes), cereals and potatoes, fish, monounsaturated fats but little meat, milk and other dairy products and moderate alcohol intake.

Researchers found that women who adhered to the Mediterranean diet most closely by eating between seven and nine of the beneficial food groups lowered their risk of womb cancer by more than half (57 per cent).Those who stuck to six elements of the diet's components reduced their risk of womb cancer by 46 per cent and those who stuck to five reduced their risk by a third (34 per cent). But those women whose diet included fewer than five of the components did not lower their risk of womb cancer significantly.

Image result for Mediterranean dietMore support for health benefits of a Mediterranean diet. Results of a  study comparing brain health in groups of older people (in their 60s and 70s) suggest that a Mediterranean diet supplemented with olive oil or nuts may counter-act age-related cognitive decline (overall their cognitive test scores held steady). But the group assigned to the low-fat diet (the control group) worsened on cognitive tests. The Mediterranean diet emphasizes eating vegetables, fruits, legumes (beans), nuts, whole grains, seeds, olive oil, fish, moderate consumption of dairy products (mostly as cheese and yogurt), moderate wine consumption (optional), and low consumption of meat and meat products.From the Wall Street Journal:

Mediterranean Diet Boosts Brain Power, Clinical Study Finds

The Mediterranean diet, supplemented with a handful of nuts or a few tablespoons of olive oil a day, can counteract the effects of aging on the brain’s ability to function, a new clinical study suggests.

The study, published online Monday in JAMA Internal Medicine, was unusual in that it employed rigorous scientific practices to test the effect of the diet on health....Data gathered from previous observational studies suggested that adhering to a Mediterranean-type diet related to better cognitive function and a reduced risk of dementia, but observational studies have limitations, he said.

The Mediterranean diet, which has also shown benefits in cardiovascular health, emphasizes vegetables and fruits, unrefined grains and beans. It also includes fish and wine and minimal consumption of meat and full-fat dairy products.

The study involved 447 cognitively healthy participants, 55 to 80 years of age, who were divided into three groups. Two groups followed the Mediterranean diet and added either 30 grams of mixed nuts (walnuts, hazelnuts and almonds) a day, or five tablespoons of extra virgin olive oil a day. The third group, acting as a control, was advised to follow a low-fat diet. The subjects were followed for a median of just over four years.

The results showed that, compared with the control group, memory function remained stronger in the Mediterranean diet plus nuts group, while frontal (attention and executive function) and global cognition benefited in the Mediterranean diet plus olive oil group.

The diminished decline in cognitive function likely stems from the abundance of antioxidants and anti-inflammatory agents found in the supplemental foods, Dr. Ros said. Olive oil and nuts are rich in phenolic compounds that might counteract oxidative processes in the brain, leading to neurodegeneration, the study said. “If you can delay your age-related cognitive decline, you can process tasks with higher speed,” said Dr. Ros.

The research was a substudy of a larger investigation, designed by Dr. Ros, that found the Mediterranean diet, supplemented with additional olive oil or nuts, reduced the incidence of major cardiovascular events among people at high cardiovascular risk. That study, which involved nearly 7,500 participants and known by the acronym Predimed, was published in 2013.

Another piece of research that shows that eating more fish and less meat plus the Mediterranean diet is beneficial - this time it's linked to larger brain volume and "delaying age-related atrophy of the brain". Perhaps some other beneficial health-related behaviors are also occurring in these groups, but the link with better brain health and more fish, less meat, and Mediterranean diet is consistently occurring in research. From Medscape:

Mediterranean Diet Linked to Larger Brain Volume

Adherence to the Mediterranean diet (MeDi) may prevent brain atrophy in old age, new research suggests.A large cross-sectional study by investigators at Columbia University in New York linked adherence to the MeDI to larger brain volume in an elderly population, suggesting this type of diet has the potential to prevent brain atrophy and, by extension, preserve cognition in the elderly.

"Our study suggests that adhering to MeDi may prevent cognitive decline or AD [Alzheimer's disease] by maintaining the brain structure or delaying aging-related atrophy," said study investigator Yian Gu, PhD. Previous research has linked the MeDi to a reduced risk for AD and slower rates of cognitive decline in the elderly. "

The aim of the current study was to investigate the association between adherence to the MeDi and structural MRI-based measures of both brain volume and cortical thickness among elderly individuals participating in the Washington Heights-Inwood Columbia Aging Project (WHICAP).The study cohort included 674 multiethnic Medicare beneficiaries aged 65 years or older living in an uptown area of New York City andfish who had no signs of dementia.

All participants underwent high-resolution structural MRI as well as assessment of MeDi adherence based on a 61-item food-frequency questionnaire....A higher score (ranging from 0 to 9) indicated better MeDi adherence. The investigators assessed intracranial volume (ICV), total brain volume (TBV), total gray matter volume (TGMV), total white matter volume (TWMV), and cortical thickness (CT).... the investigators found that those with higher MeDi adherence scores (5 to 9) had larger TBV , TGMV, and TWMV compared with those with lower MeDI scores (0 to 4).

Among the 9 food components of MeDi, higher fish intake was associated with larger TGMV, and lower meat intake was associated with both larger TBV and TGMV . Higher fish intake was also associated with higher CT .

Participants who adhered more to a MeDI had larger brain volumes both in gray matter and white matter, said Dr Gu. She also noted that each additional higher MeDi adherence and total brain volume is equivalent to more than 1 year of aging. Dr Gu noted that most of the association was driven by higher intake of fish and lower intake of meat. Potential mechanisms, she said, include anti-inflammatory and/or antioxidative effects, as well as potential slowing of the accumulation of β-amyloid or tau.

Another study that links following the Mediterranean diet with a beneficial health effect - this time a lower risk of ischemic stroke. Unfortunately, it did not seem to lower the risk of hemorrhagic stroke.

The findings were presented at the American Stroke Association's annual meeting. From Medical Xpress:

Mediterranean diet may lower stroke risk, study finds

A Mediterranean diet may reduce your risk of one type of stroke, new research suggests. People who most closely followed the Mediterranean diet were less likely to suffer an ischemic stroke—caused by a blood clot—compared to people with the lowest adherence to the diet, the study found.

A Mediterranean diet includes plenty of fruits and vegetables, whole grains, legumes, nuts, fish, poultry and olive oil. There is limited consumption of red meat, sweets and saturated fats such as those in meat, butter and full-fat dairy products, according to the researchers.

Sherzai's team analyzed data from more than 104,000 teachers in California, averaging 52 years of age, who are taking part in a long-term study. The participants, 90 percent of who were white, were divided into five groups based on how well they followed a Mediterranean diet.

While closely following a Mediterranean diet was associated with a reduced risk of a stroke caused by a blood clot, the healthy eating plan had no effect on a person's odds for a bleeding (hemorrhagic) stroke, according to the study.

According to the researchers, prior research has shown that people who follow a Mediterranean diet have a lower risk of heart disease, mental decline and death, but there is little information about how the diet affects stroke risk.Wright noted that the study was especially rigorous, since the authors accounted for "other factors that would reduce stroke risks, such as exercise, total caloric intake,body mass index, smoking and menopausal/hormonal status."

Lasting benefits from lifestyle changes (Mediterranean diet and exercise). From Science Daily:

Mediterranean diets have lasting health benefits

The health benefits of switching to a Mediterranean style diet and upping the amount of time spent exercising for a period of just eight weeks can still be seen a year after stopping the regime, a new study has shown.

The research by Sheffield Hallam University and the University of Lincoln in the UK revealed that the diet and exercise combination leads to improved blood flow in cells in the inner lining of the blood vessels -- called the endothelial cells -- a full 12 months after completing participation in the intervention programme.

Endothelial cells line the interior of the entire vascular system of the human body -- from the large arteries to the smallest capillaries -- and improvements in their function could reduce the risk of people developing cardiovascular disease, the study said.

Researchers believe the long-term health benefits observed after such a short intervention could be due to molecular changes associated with the Mediterranean diet. Traditional Mediterranean cuisine is based on olive oil, fruit, vegetables and salad, fish, legumes, whole grain foods, wine and limited consumption of red meat.

The study focused on healthy people over the age of 50. Participants were originally assessed over an eight-week period.One group was encouraged to eat more vegetables, fruit, olive oil, tree nuts and fresh oily fish, as well as take up a moderate exercise regime, while the other just took up exercise alone.

The results showed more health improvements in the Mediterranean diet group than the exercise only group, which one year later, were still evident despite the lifestyle changes implemented during the study no longer being carefully followed.

This research review suggests that 5 servings a day of fruits and vegetables has the best health benefits. They surprisingly did not find that fruit/vegetable consumption was protective against cancer. But the authors point out that other studies of cancer and fruit/vegetable consumption have also been inconsistent, and this might be partly explained if certain fruits and vegetables only have effects on certain cancers. From Medical Daily:

An Apple A Day Keeps The Doctor Away? Actually It's 5 Apples, And They Keep Death Away

A review of the eating habits of more than 800,000 people seems to discredit the old maxim about "an apple a day." In fact, five servings of fruit and vegetables offers the best health benefits, particularly against heart disease, and reduces your chances of dying for any reason.

After calculating the odds, researchers write in the Journal of Epidemiology and Community Health that "the risk of all-cause mortality was decreased by 5 percent for each additional serving a day of fruit and vegetables." But, contrary to other reports, they found the benefits drop off after five servings, at which point, they wrote, "we observed a threshold." Previous studies have said seven fruit and vegetable servings is the optimum number.

Other studies have also made the case for fruits and vegetables as a ward against cancer. This one, led by Professor Frank B. Hu in the Harvard School of Public Health, saw no evidence for that. They did, however, find a "significant inverse association" between a fruit and veggie diet and death by heart disease. "The results support current recommendations to increase consumption to promote health and overall longevity," Hu and his colleagues wrote.

Of course, the authors admit, the studies they looked at may have been corrupted by participants lying or guessing on their diet questionnaires. But one thing this study has going for it is the massive sample size. They looked at 16 papers involving 833,234 people and 56,423 deaths. Most of those deaths — as is the case in the general population — were caused by cardiovascular disease and cancer. The people who lived longest adhered to what's called the Mediterranean diet, which favors carrots and tomatoes to steak and bacon.