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Mediterranean diet links to autoimmune disease risk were inconsistent

A review found associations for multiple sclerosis and Sjögren's syndrome, but no statistically significant links for several other autoimmune diseases; certainty was low throughout.

By 100HP editorialAbstract-based explanation checked

Based on the published abstract. The full paper may contain additional methods, results and limitations.

The 30-second takeaway

Higher Mediterranean diet adherence was associated with lower multiple sclerosis risk and lower odds of Sjögren's syndrome. The review found no statistically significant associations for rheumatoid arthritis, lupus, Crohn's disease or ulcerative colitis. Evidence certainty was low for every outcome, so these results neither establish prevention by the diet nor prove the other diseases are unaffected.

Keep in mind

This abstract-based account lacks participant characteristics, follow-up lengths and details of dietary measurement. Low certainty limits confidence in both the favorable associations and the statistically nonsignificant findings.

THE NUMBERS, WITH CONTEXT

What researchers found

Risk ratio 0.91 (95% confidence interval 0.85-0.98)

Multiple sclerosis risk

Higher versus lower Mediterranean diet adherence: risk was 0.91 times the comparison group's risk. Follow-up duration was not reported.

Nutrition, 2026 · Original source ↓

Reading the relative risk

The estimate compares multiple sclerosis risk between dietary adherence groups. The abstract provides no baseline absolute risks, so it cannot show the difference in people's absolute chances of developing the disease.

Quality and certainty differ

The authors rated the studies highly for quality but judged certainty low for every outcome. Favorable associations for some diseases and statistically nonsignificant findings for others do not establish broad autoimmune disease prevention.

CHECK THE ORIGINAL

The original publication

Efficacy of Mediterranean Diet for the primary prevention of autoimmune diseases: A systematic review and meta-analysis featured in the Italian National Guidelines "La Dieta Mediterranea".

Gianfredi V, Baldini L, Deledda A et al.
Nutrition · 2026

PubMed ID
41308432
Record checked

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