Erectile dysfunction can burden health-related quality of life for both the affected men and their partners. In a study of 21,469 men in the U.S., both younger men (under 60) and older men (60+) most closely following a Mediterranean diet had a 22% and 12% lower risk of experiencing erectile dysfunction, respectively. Likewise, men eating an overall healthy diet (as measured by the Alternative Healthy Eating Index 2010) also were significantly less likely to experience erectile dysfunction.
JAMA Network Open. 2020 Nov 2;3(11):e2021701. doi:10.1001/jamanetworkopen.2020.21701. (Bauer SR et al.)

Randomized controlled trials are the “gold standard” of nutrition research as they can be used to establish cause and effect. In this article, researchers analyzed more than 20 randomized controlled trials to see how replacing refined grains with whole grains can impact health. They found that for adults both with and without risk factors of heart disease, substituting whole grains for refined can improve total cholesterol, LDL (“bad”) cholesterol, hemoglobin A1c (a measure of blood sugar control), and C-reactive protein (a measure of inflammation). 
Journal of the Academy of Nutrition and Dietetics. 2020 Nov;120(11):1859-1883.e31. doi: 10.1016/j.jand.2020.06.021. (Marshall S et al.)

Green tea and coffee contain healthy antioxidants, and researchers wonder if benefits of these beverages extend to people with type 2 diabetes as well. In this study, scientists followed 4,923 Japanese adults (aged 66, on average) with type 2 diabetes for about 5 years to study their beverage habits and health outcomes. Compared with drinking no green tea, drinking at least 4 cups per day was linked with a 40% lower risk of death, drinking 2-3 cups was linked with a 27% lower risk of death, and drinking smaller amounts (up to 1 cup per day) was linked with a 15% lower risk of death. Similarly, compared with never drinking coffee, drinking at least 2 cups per day was linked with a 41% lower risk of death, drinking 1 cup per day was linked with a 19% lower risk of death, and drinking smaller amounts (less than 1 cup per day) was linked with a 12% lower risk of death. Interestingly, the benefits of drinking both coffee and green tea were additive, meaning that drinking both coffee and green tea each day may be extra beneficial.
BMJ Open Diabetes Research Care. 2020 Oct;8(1):e001252. doi: 10.1136/bmjdrc-2020-001252. (Komorita Y et al.)

Prodromal Parkinson’s disease is when someone does not meet the full diagnostic criteria for having Parkinson’s disease, but they do exhibit some Parkinson’s symptoms and are at increased risk of being diagnosed with Parkinson’s down the road. In this study, researchers analyzed the diets of 17,400 adults and monitored them for signs of prodromal Parkinson’s disease. Those most closely following a Mediterranean diet were significantly less likely to have symptoms of prodromal Parkinson’s disease.
Neurology. 2020 Oct 13;95(15):e2095-e2108. doi: 10.1212/WNL.0000000000010523. Epub 2020 Aug 19. (Molsberry S et al.)

The secret to longer life just might be in your kitchen. A large study of 5,094 Italian men was conducted over a seven-year period to see how their daily diets and lifestyle habits affected mortality rates. Those most closely following the Mediterranean diet were less likely to die over the study period. Additionally, the researchers also found a significant relationship between lower death risk and eating higher amounts of vegetables, proteins, fats, starch, folic acid, and monounsaturated fats from plant-based sources (mostly from olive oil). On the other hand, animal fats and sugar were linked with a greater risk of death over the study period.
Nutrition, Metabolism, and Cardiovascular Diseases. 2020 Sept 24;30(10):1673-1678. doi.10.1016/j.numecd.2020.05.034 (Trevisan M et al.)

Over the past centuries, the yield production of wheat has dramatically increased around the globe, leaving some to wonder how the quality and gluten content of modern wheat compares to ancient varieties. This research analyzed more than 200 wheat lines from the 18th century through modern times. The results showed that modern breeds of wheat tend to have slightly higher starch and fiber levels, and lower protein content as well as lower levels of some minerals (iron, zinc, magnesium). In fact, the decreased gliadin: glutenin ratio in modern wheat indicates a decrease in celiac disease antigens in modern wheat, while the lower protein content indicates lower levels of gluten.
Nutrition Bulletin. 2020 Sept. doi:10.1111/nbu.12461. (Shewry PR et al.)

The endothelium lines the heart and blood vessels, and when not working properly, can be an indicator of atherosclerosis (dangerous buildup of fatty plaques in arteries). In this study, researchers randomly assigned 805 adults with coronary heart disease to a Mediterranean diet or a low-fat control diet and measured their endothelial function. After 1 year on their respective diets, those following a Mediterranean diet were more likely to have improved endothelial function and better homeostasis of their blood vessels, even in patients with severe endothelial dysfunction.
PLoS Medicine. 2020 Sep 9;17(9):e1003282. doi: 10.1371/journal.pmed.1003282. eCollection 2020 Sep. (Yubero-Serrano EM et al.)

Whole grain intake is still far below recommended levels worldwide, so researchers and policy makers wonder which strategies may be most useful for getting people to eat more whole grains. In this review, researchers analyzed studies about the various factors that influence whole grain consumption. They found that the main factors that are successful in increasing whole grain intake for both kids and adults are to “(i) increase the availability and the variety of foods containing [whole grains], (ii) improve their sensory appeal, (iii) reduce their purchase cost, (iv) use a familiarization period to introduce them to consumers (with a gradual increase in consumed amounts and repeated exposure), and (v) improve communication and labeling to enhance consumers’ ability to identify products with [whole grains].” The authors also note the benefits of public-private partnerships in their potential to increase whole grain consumption.
Nutrients. 2020 Aug; 12(8): 2217. Published online 2020 Jul 25. doi: 10.3390/nu12082217 (Meynier A et al.)

In this study, researchers calculated the reduced risk of heart disease associated with each serving of whole grain consumed. They were then able to model various scenarios of increasing whole grain consumption as a proportion of total grains, getting closer and closer to the recommended levels outlined in the US Dietary Guidelines. They found that if whole grain intake was increased to meet recommended levels (an increase of 2.24 servings of whole grain per day), the estimated direct medical cost savings from reduced risk of heart disease in the US was $21.9 billion annually. Further, they found that even small increases in whole grain intake can translate to substantial cost savings. A modest increase of just 0.25 servings of whole grains per day was associated with a savings of $2.4 billion annually.
Nutrients. 2020 Aug 3;12(8):E2323. doi: 10.3390/nu12082323. (Murphy MM et al.) 

While the optimal amount of protein to sustain health is subject to debate, the research is increasingly clear that protein from different sources has different impacts on health. This systematic review attempted to investigate how varied protein diets (total/animal/plant protein) impact the mortality rate. After assessing the results from 31 different studies, the researchers found that eating more total protein and plant protein are both linked to a lower risk of deaths from all causes. In particular, those who eat more plant proteins were at a lower risk of death caused by heart diseases. However, eating more animal protein did not appear to be related to lower mortality. Additionally, higher total protein intake is not associated with a lower death rate caused by cancer.
BMJ. 2020 July 22; 370. doi:10.1136/bmj.m2412 (Naghshi S et al.)

A Mediterranean diet based on vegetables, fruits, whole grains, fish, olive oil, beans, and fermented dairy is a delicious blueprint for good health. However, lifestyle elements in addition to diet can also make a difference. In a study of 92 (mostly male) firefighter recruits in New England, those who most closely follow a Mediterranean lifestyle (as defined by eating a Mediterranean diet, adequate sleep, lower screen time, lower BMI, exercising, and not smoking) were significantly less likely to have high blood pressure, and were significantly more likely to have better aerobic capacity (a measure of the ability to provide oxygen to muscles).
Journal of Occupational and Environmental Medicine. 2020 Jul;62(7): 466–471. doi: 10.1097/JOM.0000000000001868 (Lan FY et al.)

Many dietary guidelines recommend that people make at least half their grains whole, yet little has been published on the availability of whole grain options at supermarkets. In a February 2020 audit of the flour aisle at four major supermarkets in metropolitan Sydney, researchers identified 130 different flour products. Of those, only 19% were whole grain flour. The majority of products were refined wheat flour. Not surprisingly, the whole grain flours contained significantly more fiber and protein.
Nutrients. 2020 Jul 10;12(7):2058. doi: 10.3390/nu12072058. (Hughes J et al.)