Skip to main content

Mediterranean Diet for Active and Healthy Aging

  • Chapter
  • First Online:
Nutrients and Nutraceuticals for Active & Healthy Ageing

Abstract

The significant rise in burden of age-related chronic degenerative disorders is increasing the need for products that support active and healthy aging. Today’s sedentary lifestyle enhances the propensity to aging related diseases and premature death. Accumulating data establishes a beneficial relationship between food and health. The modern consumer has become aware of the valuable impact of Mediterranean diet (MD) on healthy aging. MD is largely plant based and rich in sources of unsaturated fatty acids like nuts and extra virgin olive oil, legumes, whole grains, fish, and fresh vegetables and fruits and it discourages the use of red and processed meat, added sugars as well as refined grains, has been associated with decreased risk of developing various chronic degenerative age-related disorders and increased life expectancy. With the advent of modern medicine and technological advancements the life expectancy has increased in the past few decades but the gap between the healthy life years and the extra years added to the life still remains there. Aging is a process that increases the vulnerability of an organism to challenges. During this process the oxidative stress leads towards various degenerative cascades that result in functional decline in aging population that is mainly associated with under nutrition in older people. Cognitive function declines, reduced mobility and sensory alterations are seen, oral and GI functions and health become compromised, and chronic diseases and age-related illness like osteoarthritis, diabetes type II, cardiovascular diseases, and certain types of cancer are also exhibited. The active and healthy aging is a prerequisite in order to enhance the quality of life as people age. The MD has proven to be the best tool to counteract the degenerative processes and promote an active healthy aging. Major effectors of MD are reduced caloric intake, decreased consumption of saturated fatty acids, microbiota derived metabolites, less amino acid utilization, and an increase in phytochemical consumption. MD protects against oxidative damage, injury, and inflammation and platelet aggregation, lowers lipid levels, modifies the hormones as well as growth factors that are involved in cancer pathogenesis, and inhibits the nutrient sensing pathway via restriction of specific amino acid as well as produces certain metabolites by gut microbiota and it influences the metabolic health. Thus, the molecular and metabolic health is chiefly associated with what we eat. Restriction of the calories can enhance the life span as well as the health span only if it is coupled with sufficient intake of all the essential nutrients and the micronutrients.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Ahmed T, Haboubi N (2010) Assessment and management of nutrition in older people and its importance to health. Clin Interv Aging 5:207–216

    Google Scholar 

  • Arvanitakis M, Coppens P, Doughan L, Van Gossum A (2009) Nutrition in care homes and home care: recommendations–a summary based on the report approved by the Council of Europe. Clin Nutr 28(5):492–496

    CAS  Google Scholar 

  • Arvanitakis M, Vandewoude M, Perkisas S, Van Gossum A (2013) Undernutrition in community dwelling elderly. e-SPEN J 8(5):e213–e2e5

    Google Scholar 

  • Avenell A, Gillespie WJ, Gillespie LD, O’Connell D (2009) Vitamin D and vitamin D analogues for preventing fractures associated with involutional and post-menopausal osteoporosis. Cochrane Database Syst Rev (2):CD000227

    Google Scholar 

  • Aw D, Silva AB, Palmer DB (2007) Immunosenescence: emerging challenges for an ageing population. Immunology 120(4):435–446

    CAS  Google Scholar 

  • Baert V, Gorus E, Mets T, Bautmans I (2015) Motivators and barriers for physical activity in older adults with osteoporosis. J Geriatr Phys Ther 38(3):105–114

    Google Scholar 

  • Balk EM, Raman G, Tatsioni A, Chung M, Lau J, Rosenberg IH (2007) Vitamin B6, B12, and folic acid supplementation and cognitive function: a systematic review of randomized trials. Arch Intern Med 167(1):21–30

    CAS  Google Scholar 

  • Batsch NL, Mittelman MS (2012) World Alzheimer report 2012. Overcoming the stigma of dementia. [consultado 2012 ene 21 Disponible en:]. http://www.alz.co.uk/research/world-report-2012.2012

  • Battino M, Ferreiro MS (2004) Ageing and the Mediterranean diet: a review of the role of dietary fats. Public Health Nutr 7(7):953–958

    Google Scholar 

  • Battino M, Bertoli E, Formiggini G, Sassi S, Gorini A, Villa RF et al (1991) Structural and functional aspects of the respiratory chain of synaptic and nonsynaptic mitochondria derived from selected brain regions. J Bioenerg Biomembr 23:345–363

    CAS  Google Scholar 

  • Battino M, Gorini A, Villa RF, Genova ML, Bovina C, Sassi S et al (1995) Coenzyme Q content in synaptic and nonsynaptic mitochondria from different brain regions in the ageing rat. Mech Ageing Dev 78:173–187

    CAS  Google Scholar 

  • Battino M, Littarru GP, Gorini A, Villa RF (1996) Coenzyme Q, peroxidation and cytochrome oxidase features after Parkinson’s- like disease by MPTP toxicity in intra-synaptic and non-synaptic mitochondria from Macaca fascicularis cerebral cortex and hippocampus: action of dihydroergocriptine. Neurochem Res 21:1505–1514

    CAS  Google Scholar 

  • Battino M, Quiles JL, Huertas JR, Mataix JF, Villa RF, Gorini A (2000) Cerebral cortex synaptic heavy mitochondria may represent the oldest synaptic mitochondrial population: biochemical heterogeneity and effects of L-acetylcarnitine. J Bioenerg Biomembr 32:163–173

    CAS  Google Scholar 

  • Battino M, Ferreiro MS, Gallardo I, Newman HN, Bullon P (2002a) The antioxidant capacity of saliva. J Clin Periodontol 29:189–194

    CAS  Google Scholar 

  • Battino M, Ferreiro MS, Littarru GP, Quiles JL, Ramirez- Tortosa MC, Huertas JR et al (2002b) Structural damage induced by peroxidation may account for functional impairment of heavy synaptic mitochondria. Free Radic Res 36:479–484

    CAS  Google Scholar 

  • Bauer J, Biolo G, Cederholm T, Cesari M, Cruz-Jentoft AJ, Morley JE, Phillips S, Sieber C, Stehle P, Teta D, Visvanathan R (2013) Evidence-based recommendations for optimal dietary protein intake in older people: a position paper from the PROT-AGE Study Group. J Am Med Dir Assoc 14(8):542–559

    Google Scholar 

  • Beauchamp GK, Keast RS, Morel D et al (2005) Phytochemistry: ibuprofen- like activity in extra-virgin olive oil. Nature 437:45–46. https://doi.org/10.1038/437045a

    Article  CAS  Google Scholar 

  • Bertozzi B, Tosti V, Fontana L (2017) Beyond calories: an integrated approach to promote health, longevity, and well-being. Gerontology 63:13–19

    Google Scholar 

  • Bjelakovic G, Gluud LL, Nikolova D, Whitfield K, Wetterslev J, Simonetti RG, Bjelakovic M, Gluud C (2014) Vitamin D supplementation for prevention of mortality in adults. Cochrane Database Syst Rev (1):CD007470

    Google Scholar 

  • Bogers R, Tijhuis M, van Gelder B, Kromhout D (2005) Final report of the HALE Project, Healthy Ageing: a Longitudinal study in Europe. Report 260853003. RIVM, Bilthoven, Netherlands

    Google Scholar 

  • Bolland MJ, Avenell A, Baron JA, Grey A, MacLennan GS, Gamble GD, Reid IR (2010) Effect of calcium supplements on risk of myocardial infarction and cardiovascular events: meta-analysis. BMJ 341:c3691

    Google Scholar 

  • Bouby N, Fernandes S (2003) Mild dehydration, vasopressin and the kidney: animal and human studies. Eur J Clin Nutr 57(Suppl 2):S39–S46

    CAS  Google Scholar 

  • Bousquet J, Farrell J, Crooks G, Hellings P, Bel EH, Bewick M, Chavannes NH, Sousa JC, Cruz AA, Haahtela T, Joos G (2016) Scaling up strategies of the chronic respiratory disease programme of the European Innovation Partnership on Active and Healthy Ageing (Action Plan B3: Area 5). Clin Transl Allergy 6(1):29

    CAS  Google Scholar 

  • Boyce JM, Shone GR (2006) Effects of ageing on smell and taste. Postgrad Med J 82(966):239–241

    CAS  Google Scholar 

  • Bratic A, Larsson NG (2013) The role of mitochondria in aging. J Clin Invest 123(3):951–957

    CAS  Google Scholar 

  • Brewer GJ (2012) Copper excess, zinc deficiency, and cognition loss in Alzheimer’s disease. Biofactors 38(2):107–113

    CAS  Google Scholar 

  • Britton E, McLaughlin JT (2013) Ageing and the gut. Proc Nutr Soc 72(01):173–177

    Google Scholar 

  • Brouwer IA, Wanders AJ, Katan MB (2013) Trans fatty acids and cardiovascular health: research completed. Eur J Clin Nutr Rev 67(5):541–547

    CAS  Google Scholar 

  • Bryan J, Calvaresi E, Hughes D (2002) Short-term folate, vitamin B-12 or vitamin B-6 supplementation slightly affects memory performance but not mood in women of various ages. J Nutr 132(6):1345–1356

    CAS  Google Scholar 

  • Cardoso BR, Cominetti C, Cozzolino SM (2013) Importance and management of micronutrient deficiencies in patients with Alzheimer’s disease. Clin Interv Aging 8:531–542

    CAS  Google Scholar 

  • Chidester JC, Spangler AA (1997) Fluid intake in the institutionalized elderly. J Am Diet Assoc 97(1):23–28;quiz 9-30

    CAS  Google Scholar 

  • Coleman HR, Chan C-C, Ferris FL III, Chew EY (2008) Age-related macular degeneration. Lancet 372(9652):1835–1845

    CAS  Google Scholar 

  • Dangour AD, Andreeva VA, Sydenham E, Uauy R (2012) Omega 3 fatty acids and cognitive health in older people. Br J Nutr 107(Suppl 2):S152–S158

    CAS  Google Scholar 

  • David LA, Maurice CF, Carmody RN et al (2014) Diet rapidly and reproducibly alters the human gut microbiome. Nature 505:559–563

    CAS  Google Scholar 

  • Davis C, Bryan J, Hodgson J, Murphy K (2015) Definition of the Mediterranean diet; a literature review. Nutrients 7(11):9139–9153

    CAS  Google Scholar 

  • Deijen JB, van der Beek EJ, Orlebeke JF, van den Berg H (1992) Vitamin B-6 supplementation in elderly men: effects on mood, memory, performance and mental effort. Psychopharmacology 109(4):489–496

    CAS  Google Scholar 

  • Duncan SH, Flint HJ (2013) Probiotics and prebiotics and health in ageing populations. Maturitas 75(1):44–50

    CAS  Google Scholar 

  • EFSA Panel on Dietetic Products Nutrition and Allergies (NDA) (2010) Scientific opinion on dietary reference values for fats, including saturated fatty acids, polyunsaturated fatty acids, monounsaturated fatty acids, trans fatty acids, and cholesterol. EFSA J 8(3):1461

    Google Scholar 

  • EFSA Panel on Dietetic Products Nutrition and Allergies (NDA) (2012) Scientific opinion on dietary reference values for protein. EFSA J 10(2):2557

    Google Scholar 

  • EFSA Panel on Dietetic Products Nutrition and Allergies (NDA) (2013) Scientific opinion on dietary reference values for energy. EFSA J 11(1):3005

    Google Scholar 

  • Estruch R, Ros E, Salas-Salvado J et al (2013) Primary prevention of cardiovascular disease with a Mediterranean diet. N Engl J Med 368(14):1279–1290

    CAS  Google Scholar 

  • Exalto LG, Whitmer RA, Kappele LJ, Biessels GJ (2012) An update on type 2 diabetes, vascular dementia and Alzheimer’s disease. Exp Gerontol 47(11):858–864

    CAS  Google Scholar 

  • Feng L, Ng TP, Chuah L, Niti M, Kua EH (2006) Homocysteine, folate, and vitamin B-12 and cognitive performance in older Chinese adults: findings from the Singapore Longitudinal Ageing Study. Am J Clin Nutr 84(6):1506–1512

    CAS  Google Scholar 

  • Ferry M (2005) Strategies for ensuring good hydration in the elderly. Nutr Rev 63:S22–S29

    Google Scholar 

  • Fontana L, Partridge L (2015) Promoting health and longevity through diet: from model organisms to humans. Cell 161:106–118

    CAS  Google Scholar 

  • Fontana L, Partridge L, Longo VD (2010) Extending healthy life span–from yeast to humans. Science 328(5976):321–326

    CAS  Google Scholar 

  • Franceschi M, Di Mario F, Leandro G, Maggi S, Pilotto A (2009) Acid-related disorders in the elderly. Best Practice Res Clin Gastroenterol 23(6):839–848

    CAS  Google Scholar 

  • Fusco D, Colloca G, Lo Monaco MR, Cesari M (2007) Effects of antioxidant supplementation on the aging process. Clin Interv Aging 2(3):377–387

    CAS  Google Scholar 

  • Gaffney-Stomberg E, Insogna KL, Rodriguez NR, Kerstetter JE (2009) Increasing dietary protein requirements in elderly people for optimal muscle and bone health. J Am Geriatr Soc 57(6):1073–1079

    Google Scholar 

  • Gaziano JM (2000) Dietary antioxidants and cardiovascular disease. Vitam Horm 58:299–320

    CAS  Google Scholar 

  • Goldstein JL, Brown MS (2015) A century of cholesterol and coronaries: from plaques to genes to statins. Cell 161:161–172. https://doi.org/10.1016/j.cell.2015.01.036

    Article  CAS  Google Scholar 

  • Grignaffini P, Roma P, Galli C, Catapano AL (1994) Protection of low density lipoprotein from oxidation by 3,4-dihydroxyphenylethanol. Lancet 343:1296–1297

    CAS  Google Scholar 

  • Hamilton-Miller JM (2004) Probiotics and prebiotics in the elderly. Postgrad Med J 80(946):447–451

    CAS  Google Scholar 

  • Harman D (1992) Role of free radicals in aging and disease. Ann N Y Acad Sci 673:126–141

    CAS  Google Scholar 

  • Harraan D (1956) Aging: a theory based on free radical and radiation chemistry. J Gerontol 11:298–300

    Google Scholar 

  • Harris RE, Beebe J, Alshafie GA (2012) Reduction in cancer risk by selective and nonselective cyclooxygenase-2 (COX-2) inhibitors. J Exp Pharmacol 4:91–96. https://doi.org/10.2147/JEP.S23826

    Article  CAS  Google Scholar 

  • Hickson M (2006) Malnutrition and ageing. Posgrad Med J 82(963):2–8

    CAS  Google Scholar 

  • Hsiao HC, Chao HC, Wang JJ (2013) Features of problematic eating behaviors among community-dwelling older adults with dementia: family caregivers’ experience. Geriatr Nurs 34(5):361–365

    Google Scholar 

  • Kado DM, Karlamangla AS, Huang MH, Troen A, Rowe JW, Selhub J, Seeman TE (2005) Homocysteine versus the vitamins folate, B6, and B12 as predictors of cognitive function and decline in older high-functioning adults: MacArthur Studies of Successful Aging. Am J Med 118(2):161–167

    CAS  Google Scholar 

  • Kieliszek M, Błażejak S (2013) Selenium: significance, and outlook for supplementation. Nutrition 29(5):713–718

    CAS  Google Scholar 

  • Kirkwood TB (2008) Understanding ageing from an evolutionary perspective. J Intern Med 263:117–127

    CAS  Google Scholar 

  • Lamming DW, Cummings NE, Rastelli AL et al (2015) Restriction of dietary protein decreases mTORC1 in tumors and somatic tissues of a tumor-bearing mouse xenograft model. Oncotarget 6:31233–31240

    Google Scholar 

  • Landvik SV, Diplock AT, Packer L (1996) Efficacy of vitamin E inhuman health and disease. In: Cadenas E, Packer L (eds) Handbook of antioxidants. Marcel Dekker, New York, pp 63–87

    Google Scholar 

  • Levine ME, Suarez JA, Brandhorst S et al (2014) Low protein intake is associated with a major reduction in IGF-1, cancer, and overall mortality in the 65 and younger but not older population. Cell Metab 19:407–417

    CAS  Google Scholar 

  • Lips P, Bouillon R, Van Schoor NM, Vanderschueren D, Verschueren S, Kuchuk N, Milisen K, Boonen S (2010) Reducing fracture risk with calcium and vitamin D. Clin Endocrinol 73(3):277–285

    CAS  Google Scholar 

  • Longo VD, Fontana L (2010) Calorie restriction and cancer prevention: metabolic and molecular mechanisms. Trends Pharmacol Sci 31:89–98. https://doi.org/10.1016/j.tips.2009.11.004

    Article  CAS  Google Scholar 

  • López-Otín C, Blasco MA, Partridge L, Serrano M, Kroemer G (2013) The hallmarks of aging. Cell 153:1194–1217

    Google Scholar 

  • Lotto V, Choi SW, Friso S (2011) Vitamin B6: a challenging link between nutrition and inflammation in CVD. Br J Nutr 106(2):183–195

    CAS  Google Scholar 

  • Maclean W, Harnly J, Chen J, Chevassus-Agnes S, Gilani G, Livesey G, Warwick P (2003) Food energy–methods of analysis and conversion factors. In Food and Agriculture Organization of the United Nations Technical Workshop Report 77

    Google Scholar 

  • Mak TN, Caldeira S (2014) The role of nutrition in active and healthy ageing: for prevention and treatment of age-related diseases: evidence so far. Publications Office of the European Union, Brussels

    Google Scholar 

  • Malouf R, Areosa Sastre A (2003) Vitamin B12 for cognition. Cochrane Database Syst Rev (3):CD004326

    Google Scholar 

  • Malouf R, Evans JG (2008) Folic acid with or without vitamin B12 for the prevention and treatment of healthy elderly and demented people. Cochrane Database Syst Rev (4):CD004514

    Google Scholar 

  • Manz F, Wentz A (2005) The importance of good hydration for the prevention of chronic diseases. Nutr Rev 63:S2–S5

    Google Scholar 

  • Masi CM, Chen HY, Hawkley LC, Cacioppo JT (2011) A meta-analysis of interventions to reduce loneliness. Personal Soc Psychol Rev 15(3):219–266

    Google Scholar 

  • McCracken C (2010) Challenges of long-term nutrition intervention studies on cognition: discordance between observational and intervention studies of vitamin B12 and cognition. Nutr Rev 68(S1):S11–S15

    Google Scholar 

  • McCrimmon RJ, Ryan CM, Frier BM (2012) Diabetes and cognitive dysfunction. Lancet 379(9833):2291–2299

    Google Scholar 

  • Medina-Remon A, Tresserra-Rimbau A, Pons A et al (2015) Effects of total dietary polyphenols on plasma nitric oxide and blood pressure in a high cardiovascular risk cohort. The PREDIMED randomized trial. Nutr Metab Cardiovasc Dis 25(1):60–67

    CAS  Google Scholar 

  • Medina-Remon A, Casas R, Tressserra-Rimbau A et al (2017) Polyphenol intake from a Mediterranean diet decreases inflammatory biomarkers related to atherosclerosis: a substudy of the PREDIMED trial. Br J Clin Pharmacol 83(1):114–128

    CAS  Google Scholar 

  • Meslé F, Vallin J (2011) Historical trends in mortality. In: International handbook of adult mortality. Springer, Dordrecht, pp 9–47

    Google Scholar 

  • Messier C (2005) Impact of impaired glucose tolerance and type 2 diabetes on cognitive aging. Neurobiol Aging 26(S1):26–30

    Google Scholar 

  • Miles EA, Calder PC (2012) Influence of marinen-3 polyunsaturated fatty acids on immune function and a systematic review of their effects on clinical outcomes in rheumatoid arthritis. Br J Nutr 107(Suppl 2):S171–S184

    CAS  Google Scholar 

  • Miller AL (2003) The methionine-homocysteine cycle and its effects on cognitive diseases. Altern Med Rev 8(1):7–19

    Google Scholar 

  • Milne AC, Potter J, Vivanti A, Avenell A (2009) Protein and energy supplementation in elderly people at risk from malnutrition. Cochrane Database Syst Rev 2009(2):CD003288

    Google Scholar 

  • Mori TA (2014) Dietary n-3 PUFA and CVD: a review of the evidence. Proc Nutr Soc 73(1):57–64

    CAS  Google Scholar 

  • Morley JE, Baumgartner RN, Roubenoff R, Mayer J, Nair KS (2001) Sarcopenia. J Lab Clin Med 137(4):231–243

    CAS  Google Scholar 

  • Morris MC, Tangney CC, Dugra J, Van Boxtel MP, Schouten EG, Kok FJ, Jolles J, Katan MB, Verhoef P (2007) Effect of 3-year folic acid supplementation on cognitive function in older adults in the FACIT trial: a randomised, double blind, controlled trial. Lancet 369(9557):208–216

    Google Scholar 

  • Mosekilde L (2005) Vitamin D and the elderly. Clin Endocrinol 62(3):265–281

    CAS  Google Scholar 

  • Moss C, Dhillo WS, Frost G, Hickson M (2012) Gastrointestinal hormones: the regulation of appetite and the anorexia of ageing. J Hum Nutr Diet 25(1):3–15

    CAS  Google Scholar 

  • Nettleton JA, Katz R (2005) N-3 long-chain polyunsaturated fatty acids in type 2 diabetes: a review. J Am Diet Assoc 105(3):428–440

    CAS  Google Scholar 

  • Niki E (1996) a-Tocopherol. In: Cadenas E, Packer L (eds) Handbook of antioxidants. Marcel Dekker, New York, pp 3–25

    Google Scholar 

  • Nosikov A, Gudex C (2003) Development of a common instrument for quality of life. In: EUROHIS: developing common instruments for health surveys, vol 57. IOS Press, Amsterdam, p 145

    Google Scholar 

  • Ooi CP, Loke SC, Yassin Z, Hamid TA (2011) Carbohydrates for improving the cognitive performance of independent-living older adults with normal cognition or mild cognitive impairment. Cochrane Database Syst Rev (4):CD007220

    Google Scholar 

  • Paddon-Jones D, Rasmussen BB (2009) Dietary protein recommendations and the prevention of sarcopenia. Curr Opin Clin Nutr Metab Care 12(1):86–90

    CAS  Google Scholar 

  • Paddon-Jones D, Short KR, Campbell WW, Volpi E, Wolfe RR (2008) Role of dietary protein in the sarcopenia of aging. Am J Clin Nutr 87(5):1562S–1566S

    CAS  Google Scholar 

  • Pasquier F, Boulogne A, Leys D, Fontaine P (2006) Diabetes mellitus and dementia. Diabetes Metab 32(5 Pt 1):403–414

    CAS  Google Scholar 

  • Petersen PE, Yamamoto T (2005) Improving the oral health of older people: the approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemiol 33(2):81–92

    Google Scholar 

  • Petroni A, Blasevich M, Salami M, Papini N, Montedoro GF, Galli C (1995) Inhibition of platelet aggregation and eicosanoid production by phenolic components of olive oil. Thromb Res 78:151–160

    CAS  Google Scholar 

  • Phillips F (2003) Nutrition for healthy ageing. Nutr Bull 28(3):253–263

    Google Scholar 

  • Prince M, Jackson J (2009) World Alzheimer’s report. Alzheimer’s Disease International, London

    Google Scholar 

  • Pruchno RA, Wilson-Genderson M, Rose M, Cartwright F (2010) Successful aging: early influences and contemporary characteristics. Gerontologist 50(6):821–833

    Google Scholar 

  • Rantakokko M, Mänty M, Rantanen T (2013) Mobility decline in old age. Exerc Sport Sci Rev 41(1):19–25

    Google Scholar 

  • Rasmussen HM, Johnson EJ (2013) Nutrients for the aging eye. Clin Interv Aging 8:741–748

    CAS  Google Scholar 

  • Ravaglia G, Forti P, Maioli F, Martelli M, Servadei L, Brunetti N, Porcellini E, Licastro F (2005) Homocysteine and folate as risk factors for dementia and Alzheimer disease. Am J Clin Nutr 82(3):636–643

    CAS  Google Scholar 

  • Rechel B, Grundy E, Robine J-M, Cylus J, Mackenbach JP, Knai C et al (2013) Ageing in the European Union. Lancet 381(9874):1312–1322

    Google Scholar 

  • Rees K, Hartley L, Day C, Flowers N, Clarke A, Stranges S (2013) Selenium supplementation for the primary prevention of cardiovascular disease. Cochrane Database Syst Rev (1):CD009671

    Google Scholar 

  • Roberts SB, Rosenberg I (2006) Nutrition and aging: changes in the regulation of energy metabolism with aging. Physiol Rev 86(2):651–667

    CAS  Google Scholar 

  • Schilp J, Wijnhoven HA, Deeg DJ, Visser M (2011) Early determinants for the development of undernutrition in an older general population: Longitudinal Aging Study Amsterdam. Br J Nutr 106(5):708–717

    CAS  Google Scholar 

  • Schöllgen I, Huxhold O, Tesch-Römer C (2010) Socioeconomic status and health in the second half of life: findings from the German Ageing Survey. Eur J Ageing 7(1):17–28

    Google Scholar 

  • Schols JMGA, Groot CPGM, Cammen TJM, Olde Rikkert MGM (2009) Preventing and treating dehydration in the elderly during periods of illness and warm weather. J Nutr Health Aging 13(2):150–157

    CAS  Google Scholar 

  • Schwingshackl L, Hoffmann G (2012) Monounsaturated fatty acids and risk of cardiovascular disease: synopsis of the evidence available from systematic reviews and meta-analyses. Nutrients 4(12):1989–2007

    CAS  Google Scholar 

  • Seshadri S, Beiser A, Selhub J, Jacques PF, Rosenberg IH, D’agostino RB, Wilson PW, Wolf PA (2002) Plasma homocysteine as a risk factor for dementia and Alzheimer’s disease. N Engl J Med 346(7):476–483

    CAS  Google Scholar 

  • Shatenstein B, Ferland G (2000) Absence of nutritional or clinical consequences of decentralized bulk food portioning in elderly nursing home residents with dementia in Montreal. J Am Diet Assoc 100(11):1 354–1 360

    CAS  Google Scholar 

  • Sköldstam L, Hagfors L, Johansson G (2003) An experimental study of a MD intervention for patients with rheumatoid arthritis. Ann Rheum Dis 62:208–214

    Google Scholar 

  • Solfrizzi V, Panza F, Torres F, Mastroianni F, Del Parigi A, Venezia A (1999) High monounsaturated fatty acids intake protects against age-related cognitive decline. Neurology 52:1563–1569

    CAS  Google Scholar 

  • Statistical Office of the European Communities (2003) Health statistics: key data on health 2002: data 1970–2001. European Commission

    Google Scholar 

  • Stewart-Knox BJ, Simpson EE, Parr H, Rae G, Polito A, Intorre F et al (2008) Taste acuity in response to zinc supplementation in older Europeans. Br J Nutr 99(1):129–136

    CAS  Google Scholar 

  • Sura L, Madhavan A, Carnaby G, Crary MA (2012) Dysphagia in the elderly: management and nutritional considerations. Clin Interv Aging 7:287–298

    Google Scholar 

  • Swinburn BA, Caterson I, Seidell JC, James WP (2004) Diet, nutrition and the prevention of excess weight gain and obesity. Public Health Nutr 7(1A):123–146

    CAS  Google Scholar 

  • Sydenham E, Dangour AD, Lim WS (2012) Omega 3 fatty acid for the prevention of cognitive decline and dementia. Cochrane Database Syst Rev (6):CD005379

    Google Scholar 

  • Tosti V, Bertozzi B, Fontana L (2017) Health benefits of the Mediterranean diet: metabolic and molecular mechanisms. J Gerontol A 73(3):318–326

    Google Scholar 

  • Ubeda N, Achon M, Varela-Moreiras G (2012) Omega 3 fatty acids in the elderly. Br J Nutr 107(Suppl 2):S137–S151

    CAS  Google Scholar 

  • United Nations University, World Health Organization (2004) Human energy requirements: report of a joint FAO/WHO/UNU expert consultation: Rome, 17–24 October 2001. Food and Agriculture Organization

    Google Scholar 

  • Van Buuren S, Tennant A (2004) Response conversion for the health monitoring program. TNO-report 2004.145. TNO Preventie en Gezondheid, Leiden

    Google Scholar 

  • van de Rest O, van Hooijdonk LW, Doets E, Schiepers OJ, Eilander A, de Groot LC (2012) B vitamins and n-3 fatty acids for brain development and function: review of human studies. Ann Nutr Metab 60(4):272–292

    Google Scholar 

  • Vasto S, Candore G, Balistreri CR, Caruso M, Colonna-Romano G, Grimaldi MP, Listi F, Nuzzo D, Lio D, Caruso C (2007) Inflammatory networks in ageing, age-related diseases and longevity. Mech Ageing Dev 128:83–91

    CAS  Google Scholar 

  • Vasto S, Scapagnini G, Rizzo C, Monastero R, Marchese A, Caruso C (2012a) Mediterranean diet and longevity in Sicily: survey in a Sicani Mountains population. Rejuvenation Res 15:184–188

    Google Scholar 

  • Vasto S, Rizzo C, Caruso C (2012b) Centenarians and diet: what they eat in the Western part of Sicily. Immun Ageing 9(1):10

    Google Scholar 

  • Vasto S, Buscemi S, Barera A, Di Carlo M, Accardi G, Caruso C (2014a) Mediterranean diet and healthy ageing: a Sicilian perspective. Gerontology 60(6):508–518

    CAS  Google Scholar 

  • Vasto S, Barera A, Rizzo C, Di Carlo M, Caruso C, Panotopoulos G (2014b) Mediterranean diet and longevity: an example of nutraceuticals? Curr Vasc Pharmacol 12(5):735–738

    CAS  Google Scholar 

  • Verschuuren M, Gissler M, Kilpeläinen K, Tuomi-Nikula A, Sihvonen AP, Thelen J, Gaidelyte R, Ghirini S, Kirsch N, Prochorskas R, Scafato E (2013) Public health indicators for the EU: the joint action for ECHIM (European Community Health Indicators & Monitoring). Arch Public Health 71(1):12

    Google Scholar 

  • Vishwanathan R, Chung M, Johnson EJ (2013) A systematic review on zinc for the prevention and treatment of age-related macular degeneration. Invest Ophthalmol Vis Sci 54(6):3985–3998

    CAS  Google Scholar 

  • Visioli F, Bellom G, Montedoro GF, Galli C (1995) Low density lipoprotein oxidation is inhibited in vitro by olive oil constituents. Atherosclerosis 117:25–32

    CAS  Google Scholar 

  • Wallin A, Di Giuseppe D, Orsini N, Patel PS, Forouhi NG, Wolk A (2012) Fish consumption, dietary long-chain n-3 fatty acids, and risk of type 2 diabetes: systematic review and meta-analysis of prospective studies. Diabetes Care 35(4):918–929

    CAS  Google Scholar 

  • Walls AWG, Steele JG, Sheiham A, Marcenes W, Moynihan PJ (2000) Oral health and nutrition in older people. J Public Health Dent 60(4):304–307

    CAS  Google Scholar 

  • Winge K, Rasmussen D, Werdelin LM (2003) Constipation in neurological diseases. J Neurol Neurosurg Psychiatry 74(1):13–19

    CAS  Google Scholar 

  • Woodmansey EJ (2007) Intestinal bacteria and ageing. J Appl Microbiol 102(5):1 178–1 186

    CAS  Google Scholar 

  • Woolf AD, Pfleger B (2003) Burden of major musculoskeletal conditions. Bull World Health Organ 81:646–656

    Google Scholar 

  • Yehuda S, Rabinovitz S, Mostofsky DI, Huberman M, Sredni B (1997) Essential fatty acid preparation improves biochemical and cognitive functions in experimental allergic encephalomyelitis rat. Eur J Pharmacol 328:23–29

    CAS  Google Scholar 

  • Yehuda S, Rabinovitz S, Mostofsky DI (1998) Modulation of learning and neuronal membrane composition in the rat by essential fatty acid preparation: time-course analysis. Neurochem Res 23:627–634

    CAS  Google Scholar 

  • Yehuda S, Rabinovitz S, Mostofsky DI (1999) Essential fatty acids are mediators of brain biochemistry and cognitive functions. J Neurosci Res 56:565–570

    CAS  Google Scholar 

  • Yehuda S, Rabinovitz S, Carasso RL, Mostofsky DI (2000) Fatty acid mixture counters stress changes in cortisol, cholesterol, and impair learning. Int J Neurosci 101:73–87

    CAS  Google Scholar 

Download references

Conflict of Interest

The authors declare no conflict of interest.

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Singapore Pte Ltd.

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Noreen, N. et al. (2020). Mediterranean Diet for Active and Healthy Aging. In: Nabavi, S.M., D'Onofrio, G., Nabavi, S.F. (eds) Nutrients and Nutraceuticals for Active & Healthy Ageing. Springer, Singapore. https://doi.org/10.1007/978-981-15-3552-9_11

Download citation

Publish with us

Policies and ethics