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The Study

Fermented foods consumption, all-cause, and cause-specific mortality: a meta-analysis of prospective cohort studies

In simple terms

This study looked at lots of people over many years and found that those who ate more yogurt, cheese, or chocolate tended to live longer. But it doesn't prove that eating those foods made them live longer — maybe they also exercised more or ate healthier overall.

60%

Analysis score

60/ 85

Maximum 85 for a systematic review with meta-analysis.

Where the score came from

Reporting75
Methodology0
Publication100
Statistical100
Study type (basis of the score)
Systematic Review with Meta-Analysis
Level 2a - Systematic review of cohort studies
What’s the bottom line?

This study looked at whether eating foods like yogurt, cheese, and chocolate—made by fermentation—might help people live longer.

Where does this study sit?

Reviews of RCTs (Meta-analyses)

Max 100

Randomized Trials

Max 90

Reviews of Cohort Studies

Max 85

Cohort Studies

Max 72

Reviews of Case-Control Studies

Max 63

Case-Control Studies

Max 58

Cross-Sectional & Case Series

Max 50

Expert Opinion

Max 5
StrongerWeaker
Reviews of Cohort Studies
Level 2a
60

60 / 100

Quality score

Systematic reviews and meta-analyses of cohort studies. They sit above a single cohort study but below a single randomized trial, because the underlying evidence is still observational.

Cannot establish causation

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Key takeaways

Summary

Based on the study abstract and findings.

  1. 1These are small but consistent reductions in risk that, if applied to millions of people, could mean thousands fewer deaths each year.
  2. 2People who ate more fermented milk (like yogurt) had a 6% lower risk of dying from any cause, 7% lower risk of heart disease death, and 6% lower risk of cancer death.
  3. 3Cheese eaters had a 3% lower risk of dying from any cause.
  4. 4Chocolate eaters had a 10% lower risk of dying from any cause and 16% lower risk of heart disease death.
  5. 5Miso and bread showed no benefit.

Score breakdown, methodology, conflicts of interest, evidence analysis & raw study data

Publication

Journal

Frontiers in Nutrition

Year

2026

Authors

Antonia Matalas, D. Panagiotakos, Anthony Fardet, I. Savary-Auzeloux, Christophe Chassard, S. Pracer, Guy Vergères, Diana Paveljšek

Open Access
1 citations
Analysis v6

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