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.
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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 term | Records tagged as randomized controlled trials | Records tagged as any clinical trial | All PubMed records that mention it | Check it yourself |
|---|---|---|---|---|
| Yogurt | 588 | 662 | 7,451 | PubMed search |
| Kefir | 36 | 43 | 1,425 | PubMed search |
| Kimchi | 9 | 12 | 1,196 | PubMed search |
| Sauerkraut | 5 | 5 | 297 | PubMed search |
| Kombucha | 6 | 8 | 699 | PubMed search |
| Miso | 33 | 49 | 1,038 | PubMed search |
| Tempeh | 10 | 11 | 263 | PubMed search |
| Natto | 15 | 20 | 752 | PubMed search |
| Oats | 566 | 733 | 15,066 | PubMed search |
| Barley | 266 | 369 | 23,666 | PubMed search |
| Legumes (beans, lentils, chickpeas) | 1451 | 2373 | 103,746 | PubMed search |
| Flaxseed | 339 | 406 | 5,644 | PubMed search |
| Chia seeds | 40 | 48 | 1,961 | PubMed search |
| Walnuts | 187 | 207 | 4,743 | PubMed search |
| Almonds | 223 | 245 | 4,762 | PubMed search |
| Pistachios | 44 | 53 | 1,541 | PubMed search |
| Pumpkin seeds | 13 | 17 | 669 | PubMed search |
| Avocado | 60 | 73 | 2,575 | PubMed search |
| Blueberries | 110 | 132 | 4,544 | PubMed search |
| Pomegranate | 147 | 161 | 4,597 | PubMed search |
| Citrus (includes orange juice, grapefruit) | 654 | 860 | 25,475 | PubMed search |
| Tomato (includes lycopene research) | 422 | 554 | 46,451 | PubMed search |
| Broccoli and cruciferous vegetables | 158 | 213 | 6,565 | PubMed search |
| Leafy greens (spinach, kale) | 83 | 108 | 11,725 | PubMed search |
| Beetroot and beet juice | 361 | 377 | 1,675 | PubMed search |
| Oily fish and salmon | 444 | 593 | 21,482 | PubMed search |
| Soy (includes soy products and soybean crop research) | 2185 | 2719 | 77,923 | PubMed search |
| Black tea | 128 | 151 | 3,321 | PubMed search |
| Coffee | 653 | 874 | 23,620 | PubMed search |
| Fortified foods | 279 | 317 | 3,484 | PubMed search |
| Plant sterols and stanols | 302 | 340 | 2,106 | PubMed search |
| "Functional food" (the term itself) | 346 | 379 | 24,268 | PubMed search |
| Probiotics | 3369 | 3742 | 60,556 | PubMed search |
| Prebiotics | 825 | 919 | 20,145 | PubMed search |
| "Superfood" (the term itself) | 6 | 6 | 409 | PubMed 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
- Randomized trial or observational? See Observational studies vs trials.
- Marker or outcome? A change in a blood measure is not the same as fewer heart attacks or strokes.
- Whole food, juice, powder or supplement? A result for an extract does not transfer to the food.
- What was it compared with? "Instead of" another food is a different question from "in addition to" the usual diet.
- How large, how long, how many people?
- Who paid for it? We did not check funding for every study named on this site.
- 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
References
- 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).
- 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).
- National Library of Medicine. Publication Types (MeSH). Read 2026-10-22.
- 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).
- 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).
- 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).
- 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).
- 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).
- 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).
- 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).