Cohort study2025Industry fundedOpen access

Funded in part by Novo Nordisk, Novo Nordisk Fonden, Novo Nordisk Fonden (Novo Nordisk Foundation)

Optimal dietary patterns for healthy aging

Tessier AJ, Wang F, Korat AA, Eliassen AH, Chavarro J, Grodstein F, Li J, Liang L, Willett WC, Sun Q, Stampfer MJ, Hu FB, Guasch-Ferré M

Nature medicine · 168 citations

Review labels

Food frequency questionnaireIndustry fundedNo stated lifestyle adjustment

Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

How it was studied

Design
Cohort study (indexed by PubMed)
Studied in
People
Main outcome
Clinical events such as disease or death
Intake measured by
Food frequency questionnaire

Who paid for it

Funding
Industry funded
Government
U.S. Department of Health and Human Services
Government
U.S. Department of Agriculture
Government
Government of Canada
Company
Novo Nordisk
Company
Novo Nordisk Fonden
Government
National Institutes of Health
Government
Canadian Institutes of Health Research
Government
National Institute on Aging
Government
National Heart, Lung, and Blood Institute
Government
National Cancer Institute
Government
National Institute of Diabetes and Digestive and Kidney Diseases
Government
National Center for Advancing Translational Sciences
Government
U.S. Department of Health & Human Services | National Institutes of Health
Government
Gouvernement du Canada | Canadian Institutes of Health Research
Company
Novo Nordisk Fonden (Novo Nordisk Foundation)
Government
U.S. Department of Health & Human Services | National Institutes of Health (NIH)
Government
NCI NIH HHS
Government
NIDDK NIH HHS
Government
NHLBI NIH HHS
Government
NCATS NIH HHS
Government
NIA NIH HHS
Grants
National Cancer Institute (U01 CA167552); National Center for Advancing Translational Sciences (1K12TR004384); National Cancer Institute (P01 CA087969); National Heart, Lung, and Blood Institute (R01-HL034594); National Cancer Institute (UM1 CA186107); U.S. Department of Health and Human Services (UM1 CA186107); National Heart, Lung, and Blood Institute (R01 HL035464); National Center for Advancing Translational Sciences (K12 TR004384); U.S. Department of Health and Human Services (U01 CA167552); National Heart, Lung, and Blood Institute (R01-HL-088521); U.S. Department of Agriculture (58–8050-3-003); National Institutes of Health (3u01ca167552-09s1); National Institutes of Health (5r01hl035464-33); Canadian Institutes of Health Research (P01 CA87969); National Institute of Diabetes and Digestive and Kidney Diseases (U01 CA167552); Novo Nordisk Fonden (NNF23SA 0084103); U.S. Department of Health and Human Services (P01 CA87969); National Institutes of Health (3um1ca186107-03s1); National Center for Advancing Translational Sciences (UM1 CA186107); U.S. Department of Health and Human Services (R01 HL35464); National Institute of Diabetes and Digestive and Kidney Diseases (R00DK122128); National Institutes of Health (2p01ca087969-06); Canadian Institutes of Health Research (UM1 CA186107); Novo Nordisk (NNF23SA0084103); National Institutes of Health (U01-CA167552); National Institutes of Health (R01‐HL‐088521); National Institutes of Health (1K12TR004384); National Institutes of Health (P01 CA 87969); National Institutes of Health (R01 HL034594); National Institutes of Health (HL034594); National Institutes of Health (R01HL35464); National Institutes of Health (UM1‐CA‐186107); National Institutes of Health (CA-167552); National Institutes of Health (CA186107); National Institutes of Health (CA 87969); National Institutes of Health (HL088521); National Institutes of Health (HL35464); National Institute on Aging (R01 AG087356); National Institute of Diabetes and Digestive and Kidney Diseases (HL034594)

Based on 21 listed funder(s) and full-text disclosure statement.

Publication

Published
2025-03-24 · Nat Med · vol. 31 · issue 5 · pp. 1644–1652
Publisher
Nature Portfolio
Cited
208 citations · more than 100% of similar papers · 184.6× the field average
Impact
Top 10% most cited in its field
References
63 works
Access
Open access (hybrid journal) · CC-BY-NC-ND
Research areas
Nutritional Studies and Diet · Diet and metabolism studies · Agriculture Sustainability and Environmental Impact
Keywords
Healthy aging, Gerontology, Medicine, Biology
MeSH
humans, diet, longitudinal studies, feeding behavior, aging, adult, aged, middle aged, female, male, surveys and questionnaires, healthy aging, diet, healthy

13 authors

From US, CA, DK

  • Anne‐Julie Tessier · correspondingHarvard University; Montreal Heart Institute; Université du Québec; Université de Montréal
  • Fenglei WangHarvard University
  • Andres Ardisson KoratTufts University
  • A. Heather EliassenBrigham and Women's Hospital; Harvard University
  • Jorge E. ChavarroBrigham and Women's Hospital; Harvard University
  • Francine GrodsteinRush University Medical Center

Abstract

As the global population ages, it is critical to identify diets that, beyond preventing noncommunicable diseases, optimally promote healthy aging. Here, using longitudinal questionnaire data from the Nurses' Health Study (1986-2016) and the Health Professionals Follow-Up Study (1986-2016), we examined the association of long-term adherence to eight dietary patterns and ultraprocessed food consumption with healthy aging, as assessed according to measures of cognitive, physical and mental health, as well as living to 70 years of age free of chronic diseases. After up to 30 years of follow-up, 9,771 (9.3%) of 105,015 participants (66% women, mean age = 53 years (s.d. = 8)) achieved healthy aging. For each dietary pattern, higher adherence was associated with greater odds of healthy aging and its domains. The odds ratios for the highest quintile versus the lowest ranged from 1.45 (95% confidence interval (CI) = 1.35-1.57; healthful plant-based diet) to 1.86 (95% CI = 1.71-2.01; Alternative Healthy Eating Index). When the age threshold for healthy aging was shifted to 75 years, the Alternative Healthy Eating Index diet showed the strongest association with healthy aging, with an odds ratio of 2.24 (95% CI = 2.01-2.50). Higher intakes of fruits, vegetables, whole grains, unsaturated fats, nuts, legumes and low-fat dairy products were linked to greater odds of healthy aging, whereas higher intakes of trans fats, sodium, sugary beverages and red or processed meats (or both) were inversely associated. Our findings suggest that dietary patterns rich in plant-based foods, with moderate inclusion of healthy animal-based foods, may enhance overall healthy aging, guiding future dietary guidelines.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY-NC-ND).

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