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What diet do most centenarians eat? Insights from the world's 'Blue Zones'

4 min read

According to a systematic review published in 2024, centenarians and near-centenarians consume a diverse diet, on average getting between 57% and 65% of their energy from carbohydrates, 12% to 32% from protein, and 27% to 31% from fat. In general, the longevity-boosting diet observed in regions with high concentrations of centenarians, known as 'Blue Zones,' is predominantly plant-based and rich in whole foods. The answer to what diet do most centenarians eat points towards a pattern of unprocessed foods, high fiber, and specific healthy eating habits.

Quick Summary

Most centenarians follow a largely plant-based, whole-food diet featuring high amounts of beans, vegetables, and whole grains, along with daily doses of nuts. Portion control, minimal meat, low sugar, and regular hydration are also critical habits shared by the world's longest-living populations.

Key Points

  • Mostly Plant-Based: Centenarians primarily eat vegetables, fruits, whole grains, and legumes, with animal products reserved for special occasions.

  • Lots of Beans: Legumes are a cornerstone of their diet, providing fiber and protein that help reduce mortality risks.

  • Snack on Nuts: A regular intake of nuts is linked to a longer lifespan in multiple studies.

  • Mindful Portions: The 80% rule, or "Hara hachi bu," is used in some Blue Zones to prevent overeating.

  • Minimal Processed Foods: Refined sugars, processed snacks, and fast food are largely avoided, replaced by whole, single-ingredient foods.

  • Natural Movement: A physically active lifestyle, often involving walking and gardening, complements their diet.

  • Regional Variations: While sharing core principles, each Blue Zone has unique dietary staples, from Okinawan sweet potatoes to Sardinian minestrone.

  • Lifestyle Connection: Diet is one of several factors, alongside stress management, strong social ties, and a sense of purpose, that contribute to longevity.

In This Article

A Whole-Foods, Plant-Slant Approach

Research into the world's 'Blue Zones'—regions with the highest concentration of centenarians, including Okinawa (Japan), Sardinia (Italy), Nicoya (Costa Rica), Ikaria (Greece), and Loma Linda (USA)—reveals a consistent dietary pattern. While local variations exist, the common theme is a diet built on whole, unprocessed, plant-based foods. This means centenarians get the vast majority of their calories from fruits, vegetables, whole grains, legumes, and nuts.

The Importance of Legumes and Whole Grains

In nearly every Blue Zone, beans and other legumes are a dietary cornerstone, consumed at least daily. This is not surprising, as research has long shown a link between high fiber intake, often supplied by legumes and whole grains, and lower mortality rates. For instance, a 2004 study on different long-lived populations found that for every 20-gram increase in daily legume intake, there was a 7–8% reduction in the hazard of death. Whole grains, such as oats, barley, and whole wheat, also play a significant role, providing sustained energy, fiber, and nutrients that help lower the risk of chronic diseases like heart disease and certain cancers.

Nuts: A Daily Handful for Longevity

Regular nut consumption is another consistent habit among centenarians. Studies suggest that individuals who eat nuts regularly live an average of two to three years longer than those who don't. In Loma Linda, where many residents are Seventh-day Adventists, various types of nuts are a common snack, while Ikarians and Sardinians favor almonds.

Moderation in Animal Products and Sweets

While the diet is not strictly vegan, centenarians eat animal products very sparingly. Meat, often from lean sources or used for flavor, is consumed only a few times a month and in small, 3–4 ounce portions. Fish intake is also modest in many Blue Zones. Processed foods, refined sugars, and sugary drinks are limited or completely avoided. In contrast to the high sugar intake typical in many Western diets, centenarians consume only a fraction of the added sugar.

Comparison of Centenarian Dietary Patterns by Blue Zone

Dietary Feature Okinawa, Japan Sardinia, Italy Nicoya, Costa Rica Ikaria, Greece Loma Linda, USA
Staple Foods Sweet potatoes, tofu, miso soup, brown rice, seaweed, bitter melon. Whole-grain bread, legumes, garden vegetables, goat's milk cheese, olive oil. The "three sisters": beans, corn, squash, plus papayas, yams, and bananas. Vegetables, beans, potatoes, wild greens, olive oil, goat's milk. Vegan diet with leafy greens, nuts, legumes, and whole grains.
Protein Source Mostly plant-based, with occasional pork or fish. Primarily legumes; modest intake of sheep's milk cheese and meat on occasion. Legumes (black beans), small amounts of meat, fish, and poultry. Mostly plant-based; moderate amounts of fish, little meat. Almost entirely vegan; legumes and nuts are main protein sources.
Key Fats Healthy fats from plant sources like soy. Extra virgin olive oil, omega-3s from grass-fed sheep's milk cheese. Plant-based fats from staples like avocado. Extra virgin olive oil is a daily staple. Nuts and seeds are primary sources of healthy fats.
Caloric Control "Hara hachi bu" (eat until 80% full). No specific cultural mantra, but portion control is part of the lifestyle. Practice mindful eating and consume a small, early dinner. Mindful eating and afternoon naps help regulate appetite. The 80% rule is followed to avoid overeating.
Unique Traits High intake of antioxidants from herbs and vegetables like turmeric and bitter melon. Moderate, regular consumption of antioxidant-rich Cannonau red wine. Mineral-rich well water contains high levels of calcium and magnesium. Drink antioxidant-rich herbal teas like sage and rosemary daily. Abstinence from alcohol, tobacco, and caffeine; observance of a weekly day of rest (Sabbath).

Lifestyle Habits Accompanying the Diet

Beyond the specific foods they eat, centenarians also share similar eating patterns and lifestyle habits. They tend to eat their smallest meal in the late afternoon or early evening, a habit that is naturally calorie-restricting and allows the body a longer overnight fast. The practice of mindful eating is common, and social connections often reinforce these healthy eating habits. For example, in Okinawa, the practice of moai, or social support groups, extends to sharing meals. Daily, natural physical activity, such as walking, gardening, and household chores, complements their diet and is a foundational aspect of their healthy lives.

The Longevity Power of a High-Fiber Diet

At the heart of the centenarian diet is a focus on fiber-rich foods, which have been shown to support longevity in multiple ways. Fiber feeds the beneficial bacteria in the gut microbiome, which produces short-chain fatty acids (SCFAs) that reduce inflammation and support the intestinal lining. A healthy gut microbiome, in turn, is linked to better overall health and a reduced risk of chronic diseases such as heart disease, type 2 diabetes, and certain cancers. By promoting gut health, fiber helps combat systemic inflammation, a key driver of age-related decline.

Conclusion: A Simple Path to Longevity

What do most centenarians eat? The answer is a simple, whole-foods, plant-based diet that emphasizes vegetables, whole grains, and legumes, and includes a daily handful of nuts. Their eating patterns are characterized by moderation, mindful consumption, and a minimal intake of meat, dairy, and processed sugars. While the specific regional flavors vary—from the sweet potatoes of Okinawa to the beans and corn of Nicoya—the underlying principles are remarkably consistent. By adopting these whole-food, plant-slanted principles and incorporating habits like portion control and daily physical activity, individuals can significantly boost their chances of a long and healthy life.

Frequently Asked Questions

The Blue Zones are five regions identified as having the highest concentration of centenarians (people aged 100 or older) and healthy, long-lived populations. These regions are Okinawa (Japan), Sardinia (Italy), Nicoya (Costa Rica), Ikaria (Greece), and Loma Linda (California).

Centenarians in Blue Zones eat meat and dairy very sparingly, if at all. When consumed, meat is typically used to flavor dishes, not as the main focus, and is eaten only a few times per month. The diet is predominantly plant-based.

The '80% rule,' or 'Hara hachi bu,' is a Confucian mantra used by Okinawans that reminds them to stop eating when they feel about 80% full. This practice is a form of mindful eating that helps prevent overeating and manage weight.

Beans and legumes are one of the most important components of the centenarian diet, forming the cornerstone of meals in nearly all Blue Zones. They are a rich source of protein, fiber, and nutrients that help reduce the risk of chronic diseases and boost longevity.

Yes, moderate and regular alcohol consumption is common in some Blue Zones, though Loma Linda is an exception due to its Seventh-day Adventist population. In Sardinia, for example, people drink moderate amounts of antioxidant-rich red wine, often with friends and food.

While the traditional diet is naturally restrictive in terms of processed foods, refined sugars, and excessive meat and dairy, it is not considered overly restrictive to those who follow it. It emphasizes local, seasonal, and whole foods, allowing for a rich and diverse palate.

For centenarians, physical activity is a natural and integrated part of daily life, not a structured gym routine. Activities like walking, gardening, and manual chores keep them active and contribute to overall health and longevity.

Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice. Always consult a qualified healthcare provider regarding personal health decisions.