Greener Diet, Younger Brain: Mediterranean Diet Slows Brain Aging

Summary: Recent research indicates that a green Mediterranean diet can slow down brain aging.

A new study found weight loss related to this diet reduced the aging of participants’ brains. The participants’ brain age appeared almost nine months younger for every 1% reduction in body weight.

These findings underscore the significant impact of dietary habits on brain health.

Key Facts:

  1. The study demonstrated that a 1% reduction in body weight led to a nearly 9-month decrease in brain age.
  2. This was a sub-study of the larger DIRECT-PLUS trial, involving 102 individuals who met the criteria for obesity.
  3. The research highlighted a green Mediterranean diet, high in dietary polyphenols and low in red/processed meat, as a beneficial lifestyle change.

Source: Ben-Gurion University of the Negev

Switching to a Green Mediterranean Diet positively affects brain health, according to new research from Ben-Gurion University of the Negev. Weight loss attenuated brain aging in a sub-study of the DIRECT-PLUS trial.

DIRECT PLUS was a large-scale, long-term clinical trial over 18 months among 300 participants.

The sub-study was conducted by Prof. Galia Avidan of the Department of Psychology and Dr. Gidon Levakov, a former graduate student at the Department of Cognitive and Brain Sciences.

Their findings were published recently in eLife.

The larger study was led by Prof. Iris Shai of Ben-Gurion University of the Negev, an adjunct Professor from the Harvard School of Public Health and an honorary professor at the University of Leipzig, Germany, along with her former graduate student Dr. Alon Kaplan, and colleagues from Harvard and Leipzig Universities.

This shows Mediterranean diet foods including tomatoes and olive oil.
The findings show that lifestyle interventions which promote weight loss can have a beneficial impact on the aging trajectory of the brain seen with obesity. Credit: Neuroscience News

Obesity is linked with the brain aging faster than would normally be expected. Researchers can capture this process by calculating a person’s ‘brain age’ – how old their brain appears on detailed scans, regardless of chronological age.

This approach also helps to check how certain factors, such as lifestyle, can influence brain aging over relatively short time scales.

Levakov, Kaplan, Shai and Avidan studied 102 individuals who met the criteria for obesity. The participants received a brain scan at the beginning and the end of the program; more tests and measurements were also conducted at these times to capture other biological processes affected by obesity, such as liver health.

They used the brain scans taken at the start and end of the study to examine the impact of the lifestyle intervention on the aging trajectory.

The results revealed that a reduction in body weight of 1% led to the participants’ brain age being almost 9 months younger than the expected brain age after 18 months. This attenuated aging was associated with changes in other biological measures, such as decreased liver fat and liver enzymes.

Increases in liver fat and production of specific liver enzymes were previously shown to negatively affect brain health in Alzheimer’s disease.

“Our study highlights the importance of a healthy lifestyle, including lower consumption of processed food, sweets, and beverages, in maintaining brain health,” says Dr. Levakov.

 “We were encouraged to find that even a weight loss of 1% was sufficient to affect brain health and lead to a 9-month reduction in brain age,” says Prof. Avidan.

The findings show that lifestyle interventions which promote weight loss can have a beneficial impact on the aging trajectory of the brain seen with obesity.

The next steps will include figuring out whether slowing down obesity-driven brain aging results in better clinical outcomes for patients. In addition, the study shows a potential strategy to evaluate the success of lifestyle changes on brain health.

With global rates of obesity rising, identifying interventions that have a positive impact on brain health could have important clinical, educational, and social impacts.

The DIRECT-PLUS trial research team was the first to introduce the concept of the green-Mediterranean, high polyphenols diet.

This modified Mediterranean diet is distinct from the traditional Mediterranean diet because of its more abundant dietary polyphenols (phytochemicals, secondary metabolites of plant compounds that offer various health benefits) and lower red/processed meat.

On top of a daily intake of walnuts (28 grams), the green-Mediterranean dieters consumed 3-4 cups of green tea and 1 cup of Wolffia-globosa (Mankai) plant green shake of duckweed per day over 18 months.

The aquatic green plant Mankai is high in bioavailable iron, B12, 200 kinds of polyphenols and protein, and is therefore a good substitute for meat.

Additional researchers included: Anat Yaskolka Meir, Ehud Rinott, Gal Tsaban, Hila Zelicha, and Prof. Ilan Shelef of BGU, as well as Matthias Blüher, Uta Ceglarek, Michael Stumvoll of the University of Leipzig.

Funding: This work was funded by grants from the Deutsche Forschungsgemeinschaft (DFG, German Research Foundation) – Project number 209933838- SFB 1052; the Rosetrees Trust (grant A2623); Israel Ministry of Health grant 87472511; Israel Ministry of Science and Technology grant 3-13604; and the California Walnuts Commission.

None of the funding providers took part in any stage of the design, conduct, or analysis of the study, and they had no access to the study results before publication.

About this diet and brain aging research

Author: Ehud Zion Waldoks
Source: Ben-Gurion University of the Negev
Contact: Ehud Zion Waldoks – Ben-Gurion University of the Negev
Image: The image is credited to Neuroscience News

Original Research: Open access.
The effect of weight loss following 18 months of lifestyle intervention on brain age assessed with resting-state functional connectivity” by Galia Avidan et al. eLife


The effect of weight loss following 18 months of lifestyle intervention on brain age assessed with resting-state functional connectivity


Obesity negatively impacts multiple bodily systems, including the central nervous system. Retrospective studies that estimated chronological age from neuroimaging have found accelerated brain aging in obesity, but it is unclear how this estimation would be affected by weight loss following a lifestyle intervention.


In a sub-study of 102 participants of the Dietary Intervention Randomized Controlled Trial Polyphenols Unprocessed Study (DIRECT-PLUS) trial, we tested the effect of weight loss following 18 months of lifestyle intervention on predicted brain age based on magnetic resonance imaging (MRI)-assessed resting-state functional connectivity (RSFC). We further examined how dynamics in multiple health factors, including anthropometric measurements, blood biomarkers, and fat deposition, can account for changes in brain age.


To establish our method, we first demonstrated that our model could successfully predict chronological age from RSFC in three cohorts (n=291;358;102). We then found that among the DIRECT-PLUS participants, 1% of body weight loss resulted in an 8.9 months’ attenuation of brain age. Attenuation of brain age was significantly associated with improved liver biomarkers, decreased liver fat, and visceral and deep subcutaneous adipose tissues after 18 months of intervention. Finally, we showed that lower consumption of processed food, sweets and beverages were associated with attenuated brain age.


Successful weight loss following lifestyle intervention might have a beneficial effect on the trajectory of brain aging.


The German Research Foundation (DFG), German Research Foundation – project number 209933838 – SFB 1052; B11, Israel Ministry of Health grant 87472511 (to I Shai); Israel Ministry of Science and Technology grant 3-13604 (to I Shai); and the California Walnuts Commission 09933838 SFB 105 (to I Shai).

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