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Research & Evidence

How strong is the research on functional foods? A snapshot of PubMed record counts by food, what the counts miss, three trial examples and a checklist for judging a food claim.

Content last updated . This page has not been medically reviewed.

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Quick answer
The strength of the evidence is different for each food. For many foods most of what exists is observational (people are watched, not assigned what to eat), and the trials that exist are often small, short, or measure blood markers rather than illness. This page shows how much has been published for each food on this site, then explains why that number is not the same as proof. Nothing here is advice about what to eat.

Evidence snapshot

The table counts PubMed records that mention each food or term, taken on 2026-10-22 through the NCBI E-utilities service. A count shows how much has been published, not whether a food works. The searches are word searches in titles and abstracts, so they can also catch records that are not about eating the food, such as work on juice, extracts or supplements. [1]
Food or termRecords tagged as randomized controlled trialsRecords tagged as any clinical trialAll PubMed records that mention itCheck it yourself
Yogurt5886627,451PubMed search
Kefir36431,425PubMed search
Kimchi9121,196PubMed search
Sauerkraut55297PubMed search
Kombucha68699PubMed search
Miso33491,038PubMed search
Tempeh1011263PubMed search
Natto1520752PubMed search
Oats56673315,066PubMed search
Barley26636923,666PubMed search
Legumes (beans, lentils, chickpeas)14512373103,746PubMed search
Flaxseed3394065,644PubMed search
Chia seeds40481,961PubMed search
Walnuts1872074,743PubMed search
Almonds2232454,762PubMed search
Pistachios44531,541PubMed search
Pumpkin seeds1317669PubMed search
Avocado60732,575PubMed search
Blueberries1101324,544PubMed search
Pomegranate1471614,597PubMed search
Citrus (includes orange juice, grapefruit)65486025,475PubMed search
Tomato (includes lycopene research)42255446,451PubMed search
Broccoli and cruciferous vegetables1582136,565PubMed search
Leafy greens (spinach, kale)8310811,725PubMed search
Beetroot and beet juice3613771,675PubMed search
Oily fish and salmon44459321,482PubMed search
Soy (includes soy products and soybean crop research)2185271977,923PubMed search
Black tea1281513,321PubMed search
Coffee65387423,620PubMed search
Fortified foods2793173,484PubMed search
Plant sterols and stanols3023402,106PubMed search
"Functional food" (the term itself)34637924,268PubMed search
Probiotics3369374260,556PubMed search
Prebiotics82591920,145PubMed search
"Superfood" (the term itself)66409PubMed search

Counted 2026-10-22 using NCBI E-utilities. Counts include studies of extracts, blends and non-health topics, and a trial can find no effect. A higher count means more human research has been indexed, not that something works.

For a plainer walk through this table, see Research by food.

What the counts do and do not tell you

  • Large counts can include work that is not about eating the food. The soy, legume, tomato and citrus searches are broad word searches (the tomato search also includes lycopene, for example), so they are not counts of food trials. [1]
  • Fermented foods have far fewer trials than the probiotic capsule literature. In the snapshot, the probiotic search has 3,369 records in the randomized-trial column, yogurt 588, kefir 36, kimchi 9 and kombucha 6. Many probiotic trials test capsules, not food. [1]
  • Words like "superfood" are search topics in their own right. The snapshot finds 6 randomized-trial records for the term. A review of human trials of foods described as superfoods found 113 trials across 17 foods, but "only limited evidence" for effects on metabolic syndrome measures, because results were inconsistent or trials were few. [2]
  • A trial tag is not a quality mark. PubMed's own definition of a randomized controlled trial is a study in which treatments are "selected by a random process"; it does not say the trial was large, blinded or well run. [3]

Three examples of what food trials look like

These are examples of designs, not recommendations.

A trial of an eating pattern, with a funder to note. In the CORDIOPREV randomized trial, 1,002 people with coronary heart disease ate either a Mediterranean or a low-fat diet. The main outcome occurred in 87 of 502 people on the Mediterranean diet and 111 of 500 on the low-fat diet, and the benefit was clearer in men than in women. The investigators who judged outcomes were masked, but the participants were not, and the funders included foundations focused on olive oil. [4] It tests a whole pattern, not one food.

A trial that had to be withdrawn and re-analyzed. The PREDIMED trial assigned 7,447 people at high cardiovascular risk to a Mediterranean diet with olive oil, a Mediterranean diet with nuts, or advice to eat less fat. The authors later found that some people had not been randomized as planned, withdrew the 2013 report, and published revised estimates. [5] A Cochrane review later described the result for deaths as showing little or no effect, with a lower number of strokes. [6]

A trial with a null result. In the MIND diet trial, 604 older adults with a family history of dementia followed the MIND diet or a control diet, both with mild calorie restriction, for 3 years. Thinking scores and brain scans did not differ significantly between the groups. [7] The authors noted that observational studies had suggested protective benefits while trial data were limited. [7]

How to judge a food claim

  1. Randomized trial or observational? See Observational studies vs trials.
  2. Marker or outcome? A change in a blood measure is not the same as fewer heart attacks or strokes.
  3. Whole food, juice, powder or supplement? A result for an extract does not transfer to the food.
  4. What was it compared with? "Instead of" another food is a different question from "in addition to" the usual diet.
  5. How large, how long, how many people?
  6. Who paid for it? We did not check funding for every study named on this site.
  7. Who is reporting it? A study of press releases from 20 UK universities found 40% contained exaggerated advice, and that exaggeration in news was strongly linked to exaggeration in the press release. [8]

For headline examples, see How to read nutrition research headlines. For what meta-analyses can and cannot add, see Human trials and meta-analyses of foods. Claims are checked on Food claim checks.

Frequently asked questions

Does a higher PubMed count mean a food is better?

No. It only means more has been published, and the search may include farm, chemistry or supplement research. [1]

Are randomized trials always better than observational studies for food?

Not always. Randomized trials can show cause and effect, but diet trials are hard to run for long periods because people find it hard to keep to an assigned diet. [9] Observational studies can follow people for years, but diet is usually self-reported and subject to bias. [9] Each design answers a different part of the question.

Why do headlines about foods keep changing?

A review of nutritional epidemiology found that the results of many studies have not been replicated in later studies, citing measurement error, confounding and multiple testing among the reasons. [10]

Is there good evidence for any "superfood"?

A systematic review of human trials of 17 foods called superfoods found only limited evidence for effects on metabolic syndrome measures, and no generally accepted definition of the word. [2] That review did not look at other possible benefits.

Where can I read what the research says about one food?

Each food has its own page, for example oats and walnuts. The full list is on the Functional Foods A to Z directory.

More details: evidence, limits and cautions

The details behind this page: cautions, limits of the evidence and where sources disagree. Open any note to read it.

Who should ask a professional
Research on a food in a group of study volunteers does not tell a person what is right for them. People who take medicines such as warfarin, who have kidney disease, food allergies or are pregnant should ask a clinician, pharmacist or dietitian before changing what they eat. See Functional food safety.
References
  1. Alternative Medicine site evidence snapshot of PubMed record counts for 35 foods and food terms, retrieved from PubMed through NCBI E-utilities, National Library of Medicine, 2026-10-22. Read 2026-10-22 (our own data file).
  2. van den Driessche JJ, Plat J, Mensink RP. Effects of superfoods on risk factors of metabolic syndrome: a systematic review of human intervention trials. Food Funct 2018. PMID 29557436. Read 2026-10-22 (abstract).
  3. National Library of Medicine. Publication Types (MeSH). Read 2026-10-22.
  4. Delgado-Lista J et al. Long-term secondary prevention of cardiovascular disease with a Mediterranean diet and a low-fat diet (CORDIOPREV): a randomised controlled trial. Lancet 2022. PMID 35525255. Read 2026-10-22 (abstract).
  5. Estruch R et al. Primary prevention of cardiovascular disease with a Mediterranean diet supplemented with extra-virgin olive oil or nuts. N Engl J Med 2018 (republished, revised analysis). PMID 29897866. Read 2026-10-22 (abstract).
  6. Rees K et al. Mediterranean-style diet for the primary and secondary prevention of cardiovascular disease. Cochrane Database Syst Rev 2019. PMID 30864165. Read 2026-10-22 (abstract).
  7. Barnes LL et al. Trial of the MIND diet for prevention of cognitive decline in older persons. N Engl J Med 2023. PMID 37466280. Read 2026-10-22 (abstract).
  8. Sumner P et al. The association between exaggeration in health related science news and academic press releases: retrospective observational study. BMJ 2014. PMID 25498121. Read 2026-10-22 (abstract).
  9. Sullivan VK, Rebholz CM. Nutritional epidemiology and dietary assessment for patients with kidney disease: a primer. Am J Kidney Dis 2023. PMID 36610612. Read 2026-10-22 (abstract).
  10. Kamangar F, Karimi P. The state of nutritional epidemiology: why we are still unsure of what we should eat? Arch Iran Med 2013. PMID 23906255. Read 2026-10-22 (abstract).
Education, not medical advice. This page is for general information. It does not diagnose or treat any condition and is not a substitute for care from a qualified health professional. Natural does not automatically mean safe. Ask a clinician or pharmacist before changing your care, especially if you take medication, are pregnant or breastfeeding, or have a health condition.