A large-scale study published Monday in the journal Nature Medicine found that regular consumption of fermented foods is associated with significant improvements in mental health markers. Researchers at Stanford University followed over 12,000 participants across three years, tracking their diets and psychological well-being.

Participants who consumed at least three servings of fermented foods per week — including yogurt, kimchi, sauerkraut, and kefir — reported 28 percent lower rates of anxiety and 22 percent lower rates of depression compared to those who rarely ate fermented foods. The researchers believe the gut-brain axis plays a central role in these benefits.

Lead author Dr. Sarah Chen cautioned that the findings are correlational and more research is needed to establish direct causation. However, she noted the results are consistent with a growing body of evidence supporting the role of gut microbiome diversity in overall mental health.