Maintaining healthy physical function is important to help seniors live comfortably and independently as they age. To see if diet relates to physical function, researchers analyzed the eating patterns and physical function of 1,630 seniors (ages 60+) in Spain. Those most closely following a Mediterranean Diet (as measured by MEDAS, the Mediterranean Diet Adherence Screener) were 33% less likely to have problems with agility, 31% less likely to have problems with mobility, and 40% less likely to have decreased overall physical function. Note that when eating patterns were analyzed by MDS (the Mediterranean Diet Score, which is less thorough then MEDAS, as it covers fewer foods and doesn’t have specific cut-off points for each food group), the relationship was only statistically significant for physical functioning.
The Journals of Gerontology. 2018 Mar 2;73(3):333-339. (Struijk EA et al.)

While the health benefits of the Mediterranean diet are well-known, the precise mechanisms behind these benefits are unclear. In this review, researchers identified 5 mechanisms which may explain the benefits of the Mediterranean diet. Due to the high consumption of healthy fats and fiber, the Mediterranean diet improves cholesterol and decreases the risk of cardiovascular disease. The Mediterranean diet is naturally high in antioxidants, which can help decrease the inflammation associated with heart disease, cancer, and dementia. The Mediterranean diet is also naturally lower in calories but higher in vitamins and minerals than the typical western diet, which may lower the production of hormones and growth factors that are involved in the development of cancer. The emphasis of plant proteins over animal proteins in the Mediterranean diet may help explain why this diet is associated with a lower risk of type 2 diabetes. Finally, researchers found that the high fiber content of the Mediterranean diet promotes the growth and diversity of good bacteria in the gut.
Journals of Gerontology: Biological Sciences. 2018 Mar 2;73(3):318-326. doi: 10.1093/gerona/glx227. (Tosti, V. et al)

To get a better understanding of how the Mediterranean diet relates to brain health, researchers analyzed existing randomized controlled trials (the “gold standard” of nutrition research, where participants are randomly assigned to one diet or another, so that researchers can look for causal relationships). Thus far only 5 randomized controlled trials on the Mediterranean diet and cognition have been published, with mostly insignificant results. However, the researchers did note that the most well-designed studies (using PREDIMED data) are the studies that found a protective effect on dementia risk and cognition, indicating that the Mediterranean diet might hold promise in these areas. More research is needed.
American Journal of Clinical Nutrition. 2018 Mar 1;107(3):389-404. (Radd-Vagenas S et al.)

From Mediterranean to vegetarian, many of the world’s healthiest diets actually have more similarities than differences, so it’s not surprising to find that both these diets can be an effective path to weight loss. In this study, researchers randomly assigned 118 overweight adults who normally eat meat to either a lower calorie Mediterranean diet or a lower calorie vegetarian diet for 3 months. After a two-week assessment, the participants then switched to the other diet for 3 months. Participants lost about 4 pounds during each diet, and both diets were also effective at decreasing body fat. The only significant difference between the diets was that the vegetarian was slightly more effective in lowering bad (LDL) cholesterol, while the Mediterranean diet was slightly more effective in lowering triglycerides (a type of fat in the blood).
Circulation. 2018 Feb 26. (Sofi F et al.) [Epub ahead of print]

Lifestyle habits, like diet, are an important part of a cancer-protective strategy. To see if diet relates to prostate cancer risk, researchers analyzed the eating habits of 754 men with prostate cancer, and 1,277 controls without prostate cancer. Those most closely following a Mediterranean diet were 34% less likely to have an aggressive form of prostate cancer than those not following a Mediterranean diet. A Western diet (filled with fast food, sweets, and red meat) and a prudent diet (filled with low fat dairy, juice, produce, and whole grains) were not found to be linked to prostate cancer risk.
Journal of Urology. 2018 Feb;199(2):430-437. (Castello A et al.)

The link between whole grains and colorectal cancer prevention is well established, but researchers wonder how this relationship plays out in patients who have already been diagnosed with colon cancer. In this study, researchers analyzed the eating habits and health status of 1,024 patients with stage III colon cancer. After 7 years, patients eating 3 or more servings of refined grains per day had a significantly higher risk of cancer reoccurrence or death from any cause. Replacing 1 serving of refined grains with 1 serving of whole grains daily was linked with a 23% lower risk of cancer reoccurrence or death from any cause. Eating 3 or more servings of whole grains daily trended towards lower risk as well, but the relationship was not statistically significant.
JNCI Cancer Spectrum. 2018 Feb;2(2):pky017. (Brown JC et al.)

Japan is famous for the long lifespan of its people, and the traditional diet is thought to play a role. In this review, researchers outline the healthful elements of traditional Japanese diets, including the variety of seasonal vegetables and seafood, umami flavors, cooking methods that incorporate water, modest portion sizes, and social and familial connections. They conclude that “Japanese traditional diet practices (Washoku), which prominently include the flavoring of foods with umami taste, can be characterized as a healthy diet in the same way that the DASH diet or the Mediterranean diet is so classified.”
Nutrients. 2018 Feb 3;10(2). pii: E173. (Gabriel AS et al.)

IVF, or in vitro fertilization (manually combining eggs and sperm in a lab, before transferring into the woman’s uterus) is a common treatment for couples struggling to have children, but researchers wonder whether diet might also play a role. In a study of 244 (non-obese) women in Greece who had their first in-vitro fertilization treatment, those most closely following a Mediterranean diet were significantly more likely to become pregnant and have a live birth than those not following a Mediterranean diet, but these results were only significant in women younger than 35. In fact, in women younger than 35, every 5-point increase in the Mediterranean Diet Score (0-55 scale) was linked with a nearly 3 times greater likelihood of getting pregnant and having a baby with IVF.
Human Reproduction. 2018 Jan 30. (Karayiannis D et al.) [Epub ahead of print]

The infrastructure for wheat breeding & milling is largely set up to favor refined flour, rather than whole grain flour. In this article, researchers from Washington State University define new quality targets for wheat breeders that take into account fermentation, the bran and germ of the grain, protein strength, and flavor. They also note that different wheats are recommended for different products (pastry, breads, or noodles), and make recommendations for testing breeding lines on the farm to ensure that the new variety will work for farmers, millers, bakers, and consumers alike.
Agroecology and Sustainable Food Systems. 2018 January 29. (Jones SS et al.) [Epub]

Stroke survivors are twice as likely to develop dementia compared to the general population. To see how diet relates to brain health in stroke survivors, researchers analyzed the eating patterns and brain function of 106 stroke survivors for more than 4 years. Those most closely following a “MIND diet” had a slower rate of cognitive decline than those who don’t follow a MIND diet. The MIND diet is a hybrid Mediterranean-DASH diet that emphasizes foods associated with brain health, including whole grains, green leafy vegetables, berries, nuts, olive oil, and fish. The Mediterranean diet is well-known for its brain benefits, so it’s not surprising that this new diet inspired by the Mediterranean diet is also showing promise for brain health. 
Presentation at the American Heart Association Meeting. Los Angeles, California. January 25, 2018. 

From Sardinia, Italy, to Nicoya, Costa Rice some of the longest-lived people in the world enjoy a diet filled with whole grains. To better understand this relationship, researchers analyzed data from 19 cohort studies encompassing more than one million participants. They found that each one-ounce daily serving of whole grains was associated with a 14% lower risk of death from heart disease, a 3% lower risk of death from cancer, and a 9% lower risk of total mortality.
European Journal of Clinical Nutrition. 2018 Jan;72(1):57-65. (Zhang B et al.)

Damage to the blood vessels in the eye (diabetic retinopathy) is a serious complication of diabetes that can lead to blurriness and blindness if untreated. In this study, researchers analyzed the eating patterns and eye health of 357 patients in Singapore with type 2 diabetes. Eating just one additional serving of fish per week is linked with a 9% lower likelihood of severe diabetic retinopathy. In patients without retinopathy, those eating more fish were more likely to have wider vascular caliber, an eye vessel measurement that can indicate a lower risk of chronic disease.
Scientific Reports. 2018 Jan 15;8(1):730. doi: 10.1038/s41598-017-18930-6. (Chua J et al.)