DIABETES: HOW TO EAT FOR A LONG AND HEALTHY LIFE

By Alice Callahan

New York Times

(If hit podcasts, best-selling books and influencer culture are any indication, millions of people are obsessed with longevity.
But just as important as your life span is your health span, or the number of years you live in good health, said Susan B. Roberts, the senior associate dean for research at the Geisel School of Medicine at Dartmouth.

The length and quality of your life will be determined in part by your genetics, she said. But how you live your life is important, too, including how much you exercise and sleep, whether you drink excessively or smoke — and how you eat, Dr. Roberts said.

Eating for longevity isn’t an exact science, of course. It’s unrealistic, and possibly unethical, for researchers to ask people to faithfully follow various diets for decades and then see how their lives turn out, said Dr. Frank Hu, a professor of nutrition and epidemiology at the Harvard T.H. Chan School of Public Health.

But researchers can look for associations between people’s dietary habits and their long-term health, he said. Here are the best clues we have for how to eat for a long and healthy life.)

Food to live longer

Prioritize protein, especially from plants. Research suggests that those who consume more protein tend to live longer and stay stronger and healthier later in life than those who consume less.
But where you get your protein matters. Plant-based sources like legumes, nuts and whole grains seem to be especially beneficial, whereas protein from red and processed meathas been linked with shorter lives, Dr. Lars Fadnes, a professor of global public health at the University of Bergen in Norway, wrote in an email.

Protein is key to maintaining strong muscles and bones, which can help older adults stay active and avoid falls and fractures, said Denise K. Houston, a professor of gerontology and geriatric medicine at Wake Forest University School of Medicine.

Incorporate bone-strengthening nutrients.

In addition to protein, be sure to get enough calcium and vitamin D to support your bone health as you age, Dr. Roberts said.
Dairy milk, as well as fortified plant milks, orange juices and cereals, can be good sources of both nutrients. You can also find calcium in yogurt, cheese, tofu, beans and leafy green vegetables. Much of your vitamin D can come from exposure to sunlight, but foods like fish, mushrooms and eggs provide additional amounts.
It’s best to get calcium from foods if you can, Dr. Houston said. But if you’re falling short on either nutrient, talk with your doctor about whether supplements are right for you.

Pump up the polyphenols.

Fruits, vegetables, whole grains and other plant foods, like nuts and legumes, are rich in polyphenols — antioxidant and anti-inflammatory compounds that some research suggests can support healthy aging.
Coffee, for example, is a major source of polyphenols. 

Drinking as much as three to five cups per day has been linked with reduced risks for Type 2 diabetes, heart disease, some cancers, Parkinson’s disease, cognitive decline and earlier death, Dr. Hu said. Green tea may have similar benefits, he added, though the research is less robust.

Researchers have also linked other polyphenol-rich foods like berries, dark leafy green vegetables, avocados and extra virgin olive oil to health benefits, including a longer life and improved brain health.

Focus on healthy fats.

Diets that are high in unsaturated fats, found in olive oil and most other plant oils, nuts, seeds, and avocados, have been linked with lower mortality, Dr. Hu and his colleagues have found. Alternatively, diets that are rich in saturated fats, which are found in red and processed meats, seem to have the opposite effect.

Fatty fish like salmon, tuna, anchovies and sardines are rich in omega-3 fatty acids, which are associated with better brain health and a longer life, Dr. Houston said.

Limit ultraprocessed foods.

Ultraprocessed foods — which include many packaged products like hot dogs, chicken nuggets, sodas and many baked goods — are increasingly linked withgreater risks for health conditions like heart disease, Type 2 diabetes, dementia and a shortened life span.

In one study published in 2023, researchers found that processed meats and sugar-sweetened beverages like soda were strongly associated with earlier death — so those categories are important to limit for improved life expectancy, Dr. Fadnes said.

Ultraprocessed foods are often high in “fast carbohydrates,” Dr. Hu said, which are quickly digested and can lead to blood sugar spikes. Over time, those spikes may increase the risk for Type 2 diabetes and cardiovascular disease, he said. Many ultraprocessed foods are also often high in sodium, which can contribute to high blood pressure, Dr. Houston said.

Consider the big picture.

More than any one food, it’s your overall diet that matters, Dr. Hu said. He has studied several different eating patterns — including the Mediterranean diet, plant-based diets and diets based on federal guidelines for healthy eating — and has found that all of them are associated with reduced risks of earlier death.

These diets prioritize a variety of unprocessed or minimally processed foods, including plenty of vegetables, whole grains, nuts and legumes, Dr. Hu said. Beyond that, he added, there’s a lot of flexibility in how to eat for healthy aging. “One size does not fit all,” he added.

Dr. Hu, for example, has long followed what he calls a traditional Asian diet, regularly consuming tofu, seaweed and green tea. But because he recognizes the benefits of the Mediterranean diet, he also uses extra virgin olive oil. And he enjoys his coffee, too.