Foods
This section has one short article for each of the common foods and drinks in the Bag of foods, ordered from the food most strongly linked with longer life to the one most strongly linked with shorter life. Each article reports what the largest available review found about the food and all-cause mortality (death from any cause), what was compared, how strong the evidence is, and its main limitations. The same ranking appears as a chart at Foods ranked for longevity.
The largest single review across food groups pooled prospective studies (studies that follow people forward in time) of 12 food groups [1]. More whole grains, vegetables, fruit, nuts and fish went with lower all-cause mortality, and more red meat and processed meat with higher. The authors estimated that eating the risk-lowering foods at their best-studied amounts was associated with a 56% lower risk of death, and eating the risk-raising foods at the highest amounts with about a 2-fold higher risk [1]. Single foods show the same pattern. Each extra 28 grams of nuts a day went with 22% lower all-cause mortality in a meta-analysis (a study that pools the results of earlier studies) of prospective studies [2], while greater intake of ultra-processed foods, industrial products made largely from refined ingredients and additives, went with 21% higher all-cause mortality in an umbrella review (a review of meta-analyses) [3].
Some long-held beliefs did not survive closer analysis. For alcohol, a meta-analysis that adjusted for biases such as former drinkers being counted as non-drinkers found no significant reduction in all-cause mortality for low-volume drinking, and higher risk at higher intakes [4]. Most of the evidence in this section is observational: it compares people who already eat differently, and people with healthier diets also differ in smoking, activity and income in ways that statistical adjustment cannot fully remove. Where the evidence for a food comes from a single cohort (one group of people followed over time), where reviews disagree, or where no pooled figure exists, the article labels it limited or mixed, and the ranking places the food near the middle rather than at its single reported figure. Whole diets are covered under dietary patterns.
The articles, from better to worse: nuts, leafy greens, coffee, olive oil, chili peppers, cruciferous vegetables, tea, fish, soy foods, berries, yogurt, fruit, whole grains, legumes, mushrooms, cheese, vegetables, poultry, chocolate, butter, dairy overall, eggs, fried foods, fruit juice, milk, potatoes, sweets and added sugar, white rice, avocado, citrus fruit, diet drinks, sugary drinks, refined grains, salt added at the table, red meat, alcohol, ultra-processed foods, processed meat.
Articles
- Nuts · Nuts are energy-dense seeds such as almonds, walnuts and peanuts; each extra 28 g a day is linked to 22% lower all-cause mortality across 15 studies.
- Leafy greens · Leafy greens are vegetables eaten mainly for their leaves, such as spinach, kale and lettuce; higher intake is linked to 22% lower all-cause mortality.
- Coffee · Coffee is a brewed drink made from roasted coffee beans; strong evidence links moderate intake with lower all-cause mortality.
- Olive oil · Olive oil is the fat pressed from olives; strong evidence links higher intake with lower all-cause and cardiovascular mortality.
- Chili peppers · Chili peppers are hot peppers whose heat comes from capsaicin; across 4 cohorts, eating them regularly was linked to 12% lower all-cause mortality.
- Cruciferous vegetables · Cruciferous vegetables are the cabbage family, including broccoli, cabbage and kale; higher intake is linked to 10% lower all-cause mortality.
- Tea · Tea is a drink brewed from the leaves of the tea plant; moderate evidence links higher intake with lower all-cause mortality.
- Fish · Fish is the flesh of finned water animals eaten as food; higher intake, especially of fatty fish, is linked to somewhat lower death rates.
- Soy foods · Soy foods are made from soybeans, such as tofu, soy milk and edamame; the highest intake was linked to 8% lower all-cause mortality than the lowest.
- Berries · Berries are small, soft fruits such as strawberries, blueberries and cranberries; one US study linked eating any berries with 21% lower all-cause mortality.
- Yogurt · Yogurt is milk fermented by bacteria; the highest intakes are linked to modestly lower death rates, with no extra benefit above about half a serving a day.
- Fruit · Fruit is the sweet, seed-bearing part of flowering plants; each extra daily serving of fruit is linked to 6% lower all-cause mortality.
- Whole grains · Whole grains keep the bran, germ and endosperm of the cereal kernel; strong evidence links higher intake with lower all-cause mortality.
- Legumes · Legumes are beans, lentils, chickpeas and peas; across 27 studies the highest intake was linked to 6% lower all-cause mortality than the lowest.
- Mushrooms · Mushrooms are the edible fruiting bodies of fungi; pooled cohorts of 601,893 people linked eating them with 6% lower all-cause mortality.
- Cheese · Cheese is a food made by curdling and ageing milk; the highest intakes are linked to slightly lower death rates in an umbrella review.
- Vegetables · Vegetables are the edible leaves, stems, roots and other parts of plants; each extra daily serving is linked to 4% lower all-cause mortality.
- Poultry · Poultry is the meat of farmed birds such as chicken and turkey; the highest intakes are linked to slightly lower death rates, with low-certainty evidence.
- Chocolate · Chocolate is a food made from roasted cacao beans, usually with sugar; limited evidence links moderate intake with slightly lower mortality.
- Butter · Butter is a dairy fat made by churning cream; evidence on mortality is mixed, with a small or neutral link in pooled studies.
- Dairy overall · Dairy covers milk and foods made from it, such as cheese, yogurt and butter; reviews find no clear overall link between total dairy and death from any cause.
- Eggs · Eggs are the shelled eggs of hens and other birds; the highest intakes show no clear link with death from any cause, with small risks reported at high amounts.
- Fried foods · Fried foods are foods cooked in hot oil or fat; they show no clear link with death from any cause in pooled data but are linked to heart disease.
- Fruit juice · Fruit juice is the liquid pressed from fruit; evidence on mortality is mixed, and no pooled all-cause mortality figure was found.
- Milk · Milk is the liquid produced by cows and other mammals for drinking; extra milk shows no clear link with death from any cause, though whole milk may differ.
- Potatoes · Potatoes are starchy tubers eaten boiled, baked, mashed or fried; pooled studies show no clear link between potatoes and all-cause mortality.
- Sweets and added sugar · Sweets and added sugar include candy, desserts and sugar added to foods; evidence on mortality is mixed, and no pooled figure was found for added sugar.
- White rice · White rice is rice milled to remove the bran and germ; evidence on mortality is mixed, with no clear link in pooled studies.
- Avocado · Avocado is a creamy fruit rich in unsaturated fat; no all-cause mortality figure was found, but two US cohorts linked it with lower cardiovascular disease.
- Citrus fruit · Citrus fruit includes oranges, lemons, limes and grapefruit; a large review linked citrus with lower all-cause mortality, but no pooled figure was found.
- Diet drinks · Diet drinks are beverages sweetened with low- or no-calorie sweeteners; evidence on mortality is mixed and likely distorted by who chooses them.
- Sugary drinks · Sugary drinks are soft drinks and other beverages sweetened with added sugar; moderate evidence links each extra daily serving with higher all-cause mortality.
- Refined grains · Refined grains are milled to remove the bran and germ; evidence on mortality is mixed, with one large multi-country study finding higher risk at very high intake.
- Salt added at the table · Salt added at the table is salt sprinkled on food after cooking; in one large UK study, always adding it was linked to higher risk of premature death.
- Red meat · Red meat is the meat of mammals such as cattle, pigs and sheep; higher intake is linked to modestly higher death rates, with low-certainty evidence.
- Ultra-processed foods · Ultra-processed foods are industrial products made mostly from refined ingredients and additives; greater intake is linked to higher death rates.
- Processed meat · Processed meat is meat preserved by curing, salting or smoking, such as bacon, ham and sausages; higher intake is consistently linked to higher death rates.
References
- [1]L. Schwingshackl et al. Food groups and risk of all-cause mortality: a systematic review and meta-analysis of prospective studies. Am J Clin Nutr, 105(6):1462-1473, 2017. doi:10.3945/ajcn.117.153148 Evidence: High
- [2]D. Aune et al. Nut consumption and risk of cardiovascular disease, total cancer, all-cause and cause-specific mortality: a systematic review and dose-response meta-analysis of prospective studies. BMC Med, 14(1):207, 2016. doi:10.1186/s12916-016-0730-3 Evidence: High
- [3]M. M. Lane et al. Ultra-processed food exposure and adverse health outcomes: umbrella review of epidemiological meta-analyses. BMJ, 384:e077310, 2024. doi:10.1136/bmj-2023-077310 Evidence: Moderate
- [4]J. Zhao et al. Association Between Daily Alcohol Intake and Risk of All-Cause Mortality: A Systematic Review and Meta-analyses. JAMA Netw Open, 6(3):e236185, 2023. doi:10.1001/jamanetworkopen.2023.6185 Evidence: High
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