People who don't eat meat may be less likely than meat eaters to reach the age of 100, according to a recent study. But before you reconsider your plant-based diet, there's more to these findings than meets the eye.
The research tracked over 5,000 Chinese adults aged 80 and older who participated in the Chinese Longitudinal Healthy Longevity Survey, a nationally representative
study that began in 1998. By 2018, those following diets that don't contain meat were less likely to become centenarians compared with meat eaters.On the surface, this appears to contradict decades of research showing
that plant-based diets are good for your health. Vegetarian diets, for example,
have been consistently linked to lower risks of heart disease and stroke, type 2 diabetes, and obesity. These benefits come partly from higher fiber
intake and lower saturated fat consumption.
So what's going on? Before drawing any firm conclusions,
there are several important factors to consider.
Your body's needs change as you age
This study focused on adults aged 80 and older, whose
nutritional needs differ markedly from those of younger people. As we age,
physiological changes alter both how much we eat and what nutrients we
need. Energy expenditure drops,
while muscle mass, bone density, and appetite often decline. These shifts increase the
risk of malnutrition and frailty.
Most evidence for the health benefits of diets that exclude
meat comes from studies of younger adults rather than frail older populations.
Some research suggests older non-meat eaters face a higher risk of fractures due to lower calcium and protein intake.
In later life,
nutritional priorities shift. Rather than focusing on preventing long-term
diseases, the goal becomes maintaining muscle mass, preventing weight loss, and
ensuring every mouthful delivers plenty of nutrients.
The study's findings may, therefore, reflect the nutritional challenges
of advanced age, rather than any inherent problems with plant-based diets.
Crucially, this doesn't diminish the well-established health benefits of these
diets for younger and healthier adults.
Here's a crucial detail:
the lower likelihood of reaching 100 among non-meat eaters was only observed in
underweight participants. No such association was found in older adults of
healthy weight.
Being underweight in older age is already strongly linked with increased
risks of frailty and death. Body weight therefore appears to be a key factor
in explaining these findings.
It's also worth remembering that this was an observational study,
meaning it shows associations rather than cause and effect. Just because two
things occur together doesn't mean one causes the other.
The findings also align with the so-called "obesity paradox" in aging, where a
slightly higher body weight is often associated with better survival in later
life.
Notably, the reduced likelihood of reaching 100 observed among non-meat
eaters was not evident in those who included fish, dairy, or eggs in their
diets. These foods provide nutrients that are essential for maintaining muscle
and bone health, including high-quality protein, vitamin B12, calcium, and vitamin D.
Older adults following these diets were just as likely to live to 100 as
meat eaters. The researchers suggested that including modest amounts of
animal-source foods may help prevent undernutrition and loss of lean muscle
mass in very old age, compared with strictly plant-based diets.
What this means for healthy ageing
Rather than focusing on whether one diet is universally
better than another, the key message is that nutrition should be tailored to
your stage of life. Energy needs decline with age (due to decreased resting
energy expenditure), but some nutrient requirements increase.
Older adults still require adequate protein, vitamin B12,
calcium, and vitamin D – especially to preserve muscle mass and prevent
frailty. In older adulthood, preventing malnutrition and weight loss often
becomes more important than long-term chronic disease prevention.
Plant-based diets can
still be healthy choices, but they may require careful planning and, in some
cases, supplementation to ensure nutritional adequacy, particularly in later life.
The bottom line is that our nutritional needs at 90 may look very
different from those at 50, and dietary advice should reflect these changes
across the lifespan. What works for you now might need adjusting as you age –
and that's perfectly normal.

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