A groundbreaking new study from Harvard T.H. Chan School of Public Health, the University of Copenhagen, and the University of Montreal confirms what many experts have long suspected: what you eat today has a major impact on how well you age. The 30-year study, which analyzed the diets of more than 105,000 adults, found that those who prioritized plant-based foods, with a moderate intake of healthy animal-based foods and limited ultra-processed foods, were significantly more likely to reach age 70 free of major chronic diseases while maintaining cognitive, physical, and mental health.
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“Studies have previously investigated dietary patterns in the context of specific diseases or how long people live,” said Frank Hu, Fredrick J. Stare Professor of Nutrition and Epidemiology and chair of the Department of Nutrition at Harvard T.H. Chan School. “Ours takes a multifaceted view, asking, how does diet impact people’s ability to live independently and enjoy a good quality of life as they age?”
The best diets for longevity
To better understand the connection between diet and aging, researchers analyzed eight well-established dietary patterns. The Alternative Healthy Eating Index (AHEI) was developed to prevent chronic disease and emphasizes fruits, vegetables, whole grains, nuts, legumes, and healthy fats while limiting red meat, refined grains, and sugar.
The Alternative Mediterranean Diet (aMED) follows the Mediterranean model, prioritizing olive oil, nuts, whole grains, and moderate fish intake. The Dietary Approaches to Stop Hypertension (DASH) diet is known for lowering blood pressure and focuses on fruits, vegetables, and low-fat dairy.
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The Mediterranean-DASH Diet for Neurodegenerative Delay (MIND) is a hybrid of the Mediterranean and DASH diets, specifically designed to support brain health. The Healthful Plant-Based Diet Index (hPDI) emphasizes whole plant foods while avoiding processed plant-based junk foods.
The Planetary Health Diet Index (PHDI) takes both environmental and human health into account by focusing on plant-based foods while minimizing animal products. Additionally, the Empirically Inflammatory Dietary Pattern (EDIP) and Empirical Dietary Index for Hyperinsulinemia (EDIH) assess how diet influences inflammation and insulin resistance, respectively.
Each of these diets prioritizes plant-based whole foods but with different emphases; some allow for moderate amounts of animal-based foods, while others, like the PHDI and hPDI, lean almost entirely plant-based. Across the board, higher adherence to any of these diets correlated with better health outcomes.
The downside of ultra-processed foods
The study also reinforced what many health experts have been warning about for years: ultra-processed foods are the enemy of longevity. Highly processed products—including processed meats, sugary drinks, and artificial additives—were linked to a lower likelihood of healthy aging.
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“Our findings suggest that dietary patterns rich in plant-based foods, with moderate inclusion of healthy animal-based foods, may promote overall healthy aging and help shape future dietary guidelines,” said Marta Guasch-Ferré, associate professor in the Department of Public Health at the University of Copenhagen and adjunct associate professor of nutrition at Harvard T.H. Chan School.
The key to aging well? More plants, less processed food
Among all the diets analyzed, the AHEI diet had the strongest correlation with longevity. Participants in the highest quintile of the AHEI score were 86 percent more likely to reach age 70 in good health and had a 2.2 times higher chance of aging healthfully to 75 than those with the lowest scores.
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If you want to increase your odds of aging well, incorporating more plant-based foods into your diet is a good place to start. That could mean swapping out processed snacks for whole foods, adding more fiber-rich grains to your meals, or adopting a more Mediterranean-style eating pattern.
Anne-Julie Tessier, assistant professor in the Department of Nutrition at the University of Montreal and a researcher at the Montreal Heart Institute, summed up the takeaway of the study: “Our findings also show that there is no one-size-fits-all diet. Healthy diets can be adapted to fit individual needs and preferences.”
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