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Uncovering Longevity Secrets: What Part of Italy Has the Most Centenarians?

3 min read

Sardinia has nearly 10 times more centenarians per capita than the U.S. and is a designated Blue Zone. So, what part of Italy has the most centenarians and what are their secrets to a long, healthy life?

Quick Summary

The island of Sardinia, particularly the mountainous provinces of Nuoro and Ogliastra, is the part of Italy with the world's highest concentration of male centenarians and is a designated Blue Zone.

Key Points

  • The Location: The mountainous interior of Sardinia, especially the provinces of Ogliastra and Nuoro, has the highest concentration of male centenarians in the world.

  • Unique Ratio: Sardinia has a nearly 1-to-1 male-to-female centenarian ratio, unlike most of the Western world where women significantly outlive men.

  • Diet is Key: The diet is largely plant-based, featuring whole-grain bread, beans, garden vegetables, pecorino cheese, and moderate amounts of Cannonau red wine.

  • Natural Movement: Daily, low-intensity physical activity like shepherding and walking on steep terrain is integrated into their lifestyle, rather than formal exercise.

  • Community First: Strong family values, respect for elders, and daily social engagement are crucial factors that reduce stress and promote well-being.

  • Genetic Advantage: A unique genetic heritage, including the M26 marker, may provide a predisposition to longevity when combined with a healthy lifestyle.

In This Article

The quest for a long and healthy life often leads researchers to unique pockets of the world where people live exceptionally long lives. These areas, known as Blue Zones, share common lifestyle characteristics that contribute to their residents' longevity. One of the most famous of these is on an island in the Mediterranean.

The Heart of Longevity: Sardinia's Blue Zone

The answer to the question lies on the island of Sardinia. Specifically, the mountainous interior regions, such as the provinces of Ogliastra and Nuoro, boast an extraordinary concentration of centenarians. This area was one of the first Blue Zones to be identified, drawing scientific attention due to its unusually high number of residents living to 100 and beyond. One of the most remarkable statistics from the Sardinian Blue Zone is the near 1:1 ratio of male to female centenarians, a stark contrast to the 5:1 female-to-male ratio typically seen in other developed nations.

Pillars of the Sardinian Lifestyle

The exceptional longevity in Sardinia isn't attributed to a single factor but rather a combination of genetics, diet, and a traditional way of life that has remained largely unchanged for centuries.

The Sardinian Diet: Wholesome and Plant-Forward

The traditional Sardinian diet is a cornerstone of their longevity. It's a peasant-style, plant-based diet focused on whole grains, beans, garden vegetables, and fruits.

  • Whole Grains: Staples include whole-grain flatbreads like 'pane carasau,' which have a low glycemic index.
  • Legumes: Fava beans and chickpeas are primary sources of protein and fiber.
  • Dairy: They consume pecorino cheese from grass-fed sheep and goat's milk, which are high in omega-3 fatty acids and may offer protection against age-related inflammatory diseases.
  • Meat in Moderation: Meat is typically reserved for Sundays or special occasions.
  • Cannonau Wine: Sardinians moderately drink Cannonau wine, a local red wine particularly rich in antioxidants and artery-scrubbing flavonoids, often two to three times higher than other wines.

Daily Natural Movement

Unlike structured gym workouts, physical activity is woven into the fabric of daily life in the Sardinian mountains. The pastoral lifestyle of many residents, particularly shepherds, involves walking five or more miles a day over rugged, steep terrain. This constant, low-intensity movement strengthens cardiovascular health, muscles, and bones without the strain of high-impact exercise. Daily tasks like gardening, chopping wood, and walking through villages keep residents naturally active well into their 90s.

The Power of Community and Family

Sardinian culture places a profound emphasis on family and community. Elders are not isolated but are celebrated and integrated into family life, often living with their children and grandchildren. They are respected for their wisdom and play an active role in the household, providing childcare and passing down traditions. This strong social fabric provides a powerful buffer against stress, depression, and loneliness. Men in the Blue Zone are known for their sardonic sense of humor and gather daily to laugh with friends, which is believed to reduce stress and lower the risk of cardiovascular disease.

Sardinia vs. Other Longevity Hotspots: A Comparison

While all Blue Zones share common traits, there are distinct differences. A comparison between Sardinia and Okinawa, Japan, highlights these variations.

Feature Sardinia, Italy Okinawa, Japan
Primary Diet Plant-based, goat's milk, pecorino cheese, flatbread. Plant-based, sweet potatoes, soy products, turmeric.
Key Protein Fava beans, legumes, some sheep/goat products. Tofu, fish, some pork.
Primary Activity Shepherding, walking on hilly terrain, daily chores. Gardening, martial arts, traditional dance.
Social Factor Strong family-centric culture, respect for elders. 'Moai' social support groups, sense of purpose ('ikigai').

The Genetic Component

While lifestyle is critical, genetics also play a role. Due to its geographic isolation, the Sardinian population has a unique gene pool. Some researchers have pointed to the M26 marker, a rare genetic variant common among the men in this region, as a potential contributor to their longevity. This genetic predisposition, combined with a healthy lifestyle, creates the perfect conditions for a long life.

Conclusion: Lessons from Italy's Island of Centenarians

The Sardinian Blue Zone offers a powerful blueprint for healthy aging. The combination of a whole-food, plant-centric diet, constant natural movement, and a deep-seated reverence for family and community creates an environment where people don't just live longer, they live better. By adopting elements of this lifestyle—prioritizing family, taking daily walks, and eating more whole foods—we can all take steps toward a longer, healthier life. For more on the original Blue Zones, visit Blue Zones®.

Frequently Asked Questions

A Blue Zone is a region in the world where people are claimed to live longer than average. The concept was first identified by researchers Gianni Pes and Michel Poulain, and later popularized by Dan Buettner. Sardinia, Italy was the first identified Blue Zone.

Their diet consists mainly of whole-grain bread ('pane carasau'), fava beans, chickpeas, garden vegetables, fruits, pecorino cheese from grass-fed sheep, and goat's milk. They drink Cannonau wine moderately and reserve meat for special occasions.

Yes, in the Blue Zone region of Sardinia, the ratio of male to female centenarians is almost 1:1. This is unique, as in most other developed countries, female centenarians outnumber males by a ratio of up to 5 or 6 to 1.

They don't typically go to a gym. Their exercise is naturally built into their day through activities like shepherding (which can involve walking 5+ miles a day), farming, gardening, and walking through their hilly villages.

While it shares many principles with the Mediterranean diet, the traditional Sardinian diet has some key differences. It features more goat's milk and sheep's cheese and less fish compared to other coastal Mediterranean regions.

Cannonau is a red wine made from Grenache grapes grown in Sardinia. It is known to have two to three times the amount of flavonoids, a type of antioxidant, as other red wines, which is thought to contribute to heart health.

Family is extremely important. Elders are highly respected and live with their families, not in retirement homes. This strong social support system is believed to lower stress and depression, contributing significantly to a longer, healthier life.

While genetics play a role, adopting key principles of the Sardinian lifestyle can promote health and longevity. This includes eating a more plant-based diet, incorporating more natural movement into your day, and strengthening social and family connections.

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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.