Ancient grains and several fruits and vegetables are among the top 10 superfoods to keep an eye on in 2019.

Pollock Communications and Today’s Dietitian polled dietitians for their 7th annual What’s Trending in Nutrition survey. Fermented foods held steady at No. 1, according to the 1,342 respondents, but there were also some “surprising newcomers,” including beets and blueberries.

And in what Pollock and Today’s Dietitian call “a shocking switch,” RDNs predict that a “healthy” label will begin to surpass cost and taste when it comes to consumer purchase drivers. A not-so-surprising trend dietitians report is the rise of keto as the most popular consumer diet, ousting clean eating from last year’s top spot, with intermittent fasting making its debut as No. 2.

“It’s not that ‘clean eating’ has declined in popularity,” says Jenna Bell, senior vice president of Pollock Communications. “We are still seeing the consumer push for cleaner labels and the industry continues their work to deliver it. But what’s different here is that millennial consumers are going beyond eliminating a food group, like cutting gluten, to making more drastic changes that require real lifestyle adjustments.”

Top 10 Superfoods for 2019

  1. Fermented foods, like yogurt
  2. Avocado
  3. Seeds
  4. Ancient Grains
  5. Exotic fruit, like acai, golden berries
  6. Blueberries
  7. Beets
  8. Nuts
  9. Coconut products
  10. Non-dairy milks