Anti-ageing secrets of the Okinawans

Most of us want to know how to live a long life and have the good health to enjoy it.
Okinawa, a group of islands in Southern Japan, has the largest percentage of healthy old people of any
place on earth.
Many live to well over the age of 100, and very few succumb to diseases which we have come to
expect as part of ageing - strokes, cancer, heart disease and dementia. In fact Okinawans have the
lowest frequency of these diseases in the world.
So what is it about the diet and lifestyle of the Okinawans that gives them this extraordinary long and
healthy life?
A group of doctors has spent 25 years collecting information on the diet and lifestyle of the Okinawans
and analysing it.
The results are fascinating and fit very well with the recommendations of the Zone diet.
Here are a few tips from the Okinawans, combined with principles of the Zone Diet. You can use these
to turn your diet and lifestyle into one that can slow down the ageing process and ward off the diseases
of old age.
The researchers found 10 key factors that contributed to the excellent health and longevity of the
Okinawans. Check your own health and lifestyle against these, and then use the suggestions that follow
to help correct potential health problems, and ward off disease.
The 10 Factors
1. Okinawans have healthy arteries, low cholesterol, and low homocysteine levels.
Cholesterol clogs arteries, clogged arteries lead to poor blood supply, which causes strokes and heart
attacks.
Homocysteine is an amino acid, a by-product of meat protein consumption. High homocysteine levels
are linked with heart disease and inflammation.
Homocysteine levels are reduced by vitamins B6, B12 and folic acid. These are used by the body to
turn homocysteine into a harmless protein. The Okinawan diet has high levels of these vitamins.
Okinawans also maintain a healthy blood pressure.
You can ask your doctor to check cholesterol, homocysteine levels and blood pressure.
2. Okinawans have low body fat and are fit.
Healthy body fat levels are 10 to 20% for men and 15 - 30% for women.
You can use the Zone calculator on www.drsears.com to check your body-fat levels.
3. Okinawans have a low risk for hormone dependant cancers. The have 80% less breast and prostate
cancer and half the ovarian and colon cancer rates of North Americans.
4. Okinawans have strong bones and about half the risk for hip fractures of North Americans.
5. Most Okinawans have remarkable mental clarity - even over the age of one hundred. This is related
to the fact that they have clean arteries and good blood circulation to the brain. They also engage in
lifelong learning to keep brain cells active.
6. Okinawan women have a natural menopause and don't use hormone replacements. They have very
few complications such as hip fractures, hot flushes and heart disease.
7. Youthful levels of sex hormones are found in elderly Okinawans. DHEA, oestrogen and testosterone
levels are higher than Americans of a similar age.
8. Free radicals are found in low levels in the blood of Okinawans. Free radicals are highly reactive
compounds that damage cells in the body are thought to be one of the main causes of ageing. Free

radicals are increased with a high calorie and poor diet, smoking, and stress.
9. Long living Okinawans have excellent psycho-spiritual health. They have optimistic attitudes, are
adaptable, have low stress levels, are self confidant, and have an easy going attitude to life. They also
have strong social networks.
10. Okinawan Health is a combination of both Eastern and Western healing methods.

See Book The Okinawa Way, Bradley Wilcox, Craig Wilcox, Makoto Sukuki

How can you achieve these 10 factors?

1. Reduce your Calories,
Reduce your Body Fat.
Reducing calories while maintaining a high level of nutrients is one of the biggest factors in slowing
down the ageing process.
All animal species given low calorie diets show improved blood sugar control, a younger appearance,
leaner bodies and increased mental sharpness.
The Okinawans eat about 40% less calories than the North Americans and 20% less than the average
Japanese.
Low calorie diets reduce the amount of cell-damaging free radicals that your body makes. When your
body produces energy from food, it creates unstable molecules called free-radicals or oxidants, that can
damage cells. The less free radicals your body makes the less likely you are to get cancer and the
slower your body will age.
A reduced calorie diet will also keep your body fat low. Even 10 pounds above your ideal body fat will
increase your risk for numerous diseases.

Tips for reducing calories

a) Eat until you are 80% full
One technique the Okinawans use which helps them to eat less is a practice called hara hachi bu. This
is a practice where they eat until they are only 80% full. To practise this imagine leaving about 20%
more room in your stomach at the end of each meal. Then wait 20 minutes - you should find you feel
full, as it takes about 20 minutes until the stretch receptors in your stomach lets your brain know you
are full.

b) Follow the Zone Diet

Following the Zone will give you a low calorie, high nutrient diet. It also has the advantage that it stops
you getting hungry. Hunger is the reason why most people find themselves unable to cut calories. The
Zone diet controls hunger by balancing protein and carbohydrate at each meal. Reducing carbohydrate
reduces the amount of insulin or storage hormone produced after each meal, less insulin means that the
rate at which your food is stored after a meal is slower, thereby making the meal last longer. Protein
will increase the amount of glucagon hormone secreted after a meal. This hormone tells your liver to
send blood sugar back to the bloodstream, creating stable blood-sugar and reducing cravings and
hunger.

c) Replace high density food with low density foods.

Eat less high density foods - such as refined carbohydrates (white bread, pasta, cakes, buns sweets etc.)
and replace them with high fibre, low density carbohydrates, such as vegetables, especially those
grown above the ground. They will fill you up but give you a fraction of the calories.

d) Choose low fat protein foods.

Fat is calorie dense. There can be a huge amount of fat (mostly saturated) in some protein sources - for
example reduced fat cheese is 50% fat. Use low fat protein sources, such as egg whites, low fat cottage
cheese, protein powders, fish and tofu. Cut down on hard cheese, red meats and remove all visible fat
from meat.

e) Have glass of water before you eat, as it helps reduce your appetite.
f) Reduce portion size of bad foods
If you are tempted to have bad foods such as chips, cakes etc.; instead of depriving yourself, have a
very small portion and savour it.

2. Eat high nutrient protective foods. Avoid damaging foods.

Carbohydrates
The best carbohydrates are those which are high in nutrients and fibre, are unprocessed, and
have a low glycemic index.

High Nutrient, antioxidant rich carbohydrates.

Fruits, vegetables and legumes provide an enormous range of protective vitamins, minerals and
antioxidants that are simply not found in other foods, nor can you substitute them with a vitamin pill.
These compounds protect against cancer and mop up free radicals.
Free radicals are highly reactive compounds produced during normal metabolism. They damage other
cells in the body. They are thought to be one of the main causes of ageing. Neutralise free radicals and
you may slow ageing and decrease your risk of chronic diseases such as heart disease, cancer, stroke,
and dementia.
While a low calorie diet reduces the production of free radicals in the body, antioxidants help mop them
up. Okinawans eat at least 7 servings of vegetables and fruit per day. Eat at least this amount and have a
wide variety of fruit and vegetables each day. Each different colour is associated with a different type
of antioxidant. Have a rainbow of colours on your plate at each meal.

Eat low glycemic index carbohydrates

Eat low glycemic, high fibre whole grains, legumes, fruit and vegetables.
All carbohydrates break down into simple glucose molecules when digested, this glucose then passes
into the bloodstream where it is called blood sugar. High blood sugar increases the amount of insulin
required after a meal. The more insulin you produce after a meal the more fat you store.
Insulin and related hormones are also linked to faster growth in cells, including cancer cells. Excess
levels of these hormones increase the risk of cancer. High blood sugar is linked with hormone
dependant cancers (such as breast and prostate) as well as diabetes and increased ageing.
Low glycemic index carbohydrates are preferable because they break down into sugar slowly and
sugar trickles slowly into the bloodstream after a meal. This means your blood sugar will be lower and
more stable after a meal and far less insulin is secreted.
Zone favourable carbohydrates are low glycemic carbohydrates.

Carbohydrate rules
Eat 10 servings daily of vegetables and fruits, with the emphasis on vegetables.
Have a rainbow of colours on your plate - 5 colours at a meal. Red, orange, green, white, black, yellow,
purple.
Eat small amounts of whole grains with their bran - unrefined grains have their nutrients and fibre
intact. Barley and oats are the most Zone favourable grains.
Eat vegetables and fruit as close in as possible to the same state as they were picked. Whole fruit, not

fruit juice.
Minimise or cut out refined grains such as flours, sugars, processed cereals and white rice. Refined
grains are little different from eating pure sugar. Eat 3 or less servings per week.
Eat low glycemic carbohydrates and do not eat them in excess. Zone favourable carbohydrates are low
glycemic.

Eat more food high in flavonoids

Flavonoids are powerful antioxidants and help block hormone dependant cancers. Flavonoids found in
soy also protect against osteoporosis and heart disease. A flavonoid found in soy - phytoestrogen appears to reduce hot flushes associated with menopause. The Okinawans consume the greatest
amounts of flavonoids in the world - 90 times more than Americans. The flavonoid family includes
compounds with flav in their name e.g. isoflavones (found in soy and legumes) and bioflavonoids.
They appear to be highly protective against cancer.
Flavonoids are found in the greatest amounts in soybeans and flaxseeds. Small amounts are found in
tea, onions, apples, and broccoli.
Okinawans eat 2 to 4 servings per day of flavonoid foods including 2 of soy. A serving size is 85 grams
of soy or 1/2 cup of soy beans or 12 grams (1 tablespoon) of flaxseeds. Besides eating soy foods, such
as tofu, other ideas are to use soy and linseed breads and ryvita soy linseed crackers. 2 slices of Burgen
soy linseed bread has 3 blocks of carbohydrate and a glycemic index of only 36 (extremely low)
Make a smoothie for breakfast with soy protein powder or silken tofu and fruit. Add a tablespoon of
ground linseed to your breakfast.
The Soy Zone has over 100 excellent recipes for using soy foods.

Moderate alcohol consumption.

High alcohol consumption is linked with increased risk of hormone dependant cancers such as breast
cancer. Okinawans drink about 1 oz of hard liquor per day (1 drink)
So keep your alcohol consumption to about 1 drink (or less) per day for women and 2 for men.
Red wine is the healthiest alcohol as it has a powerful antioxidant (resveritol) that may help protect
against heart disease and osteoporosis.

Protein
Okinawans eat very little red meat, eggs and dairy products. They do eat 2 servings of soy products per
day and seafood / fish several times per week. They eat small portions of protein with meals (about 85
grams) which is similar to Zone recommendations.
Red meat and dairy products are high in saturated fat. Saturated fat is linked with high cholesterol
levels. Too much protein from animal sources can lead to high levels of artery clogging homocysteine.
Red meat, egg yolks and organ meats also contain arachidonic acid - the building blocks of
inflammatory prostaglandin hormones. Inflammation is linked with many diseases of ageing.
Soy products on the other hand have high levels of protective flavonoids. Fish and seafood contain
Omega-3, a fatty acid which suppresses inflammatory hormones.

Protein Rules
Use soy products instead of milk products, e.g. soy milk instead of cows milk.
Keep dairy products to a minimum, no more than 2 servings per day (serving size 1 cup milk or 45
grams of cheese.
Eat at least one serving of soy per day.
Eat one or more servings of fish or seafood daily.
Eat no more than a total of 7 servings per week of meat / poultry and whole eggs.
Do not eat more than a palm size of protein at each meal.
Protein powder is an excellent source of low fat protein.

Fat
Fat intake should be 30% of calories. Monounsaturated fat should be the main type of fat eaten.
Okinawans use mainly canola oil. Cold pressed is the best.

Okinawans eat another important fat in large amounts - Omega - 3. You can increase the amount of
Omega-3 in your diet by eating fish and seafood daily (especially dark coloured fish), using canola oil
and flax oil, or taking fish oil capsules. Be sure NOT to eat fish or take fish oil capsules that may be
high in mercury as this is a very toxic metal. Avoid tuna and non purified fish oil.

Fat rules
Use monounsaturated fats: Nuts, nut oils, avocados and avocado oil, olives and olive oil, sesames and
sesame oil.
Increase omega-3 fats: Fish oils (best choice), canola oil and flax oil.
Avoid bad fats
Saturated fat - found in whole dairy foods and meat, palm and coconut oils. Saturated fat raises LDL
or bad cholesterol.
Trans fat (hydrogenated oils) are worse than saturated fats and are linked with high rates of heart
disease. They are found in non-separating peanut butter, and most commercial baking using margarine.
They are also used in chips and crackers to increase the shelf life, and are found in deep fried food.
Limit Omega-6 fats. Although a small amount of Omega-6 fat is essential, too much Omega-6 can
promote inflammation, blood clotting and possibly cancer growth. Omega-6 is found in seed oils such
as sunflower oil. Using the monounsaturated oils listed above will stop you getting excess.

Eat a large variety of foods

Eat at least 15 different types of food each day. This will ensure a broad range of nutrients. Each meal
should contain 5 different colours of food. Different colours in food represent different types of
antioxidants.

Use healing herbs and foods

Okinawans include a large range of healing foods and herbs in their diet. Readily available healing
foods include turmeric, firm tofu, jasmine tea, arrowroot, seaweed, peppers, shitake mushrooms,
apples, camomile, echinacea, garlic, ginger, lemons, onions, papaya, parsley, peppermint, rhubarb and
tomatoes and others.
The Top 100 Zone Foods is an excellent reference to the most Zone favourable high nutrient foods.
It contains a recipe to use each food.

3. Alter other lifestyle factors

a. Increase physical activity
Exercise is considered very important in the risk reduction for many diseases including cancers of the
colon and breast. Exercise decreases body fat and reduces insulin. Excess insulin can increase cancer
growth.
Three types of exercise are important: Strength exercises to maintain muscle tone and strength, aerobic
exercise to maintain fitness, and stretching to improve flexibility.
It is common for Okinawans to practise martial arts such as tai chi.
Do what ever exercise you enjoy most. Walk for half and hour per day or more. Do strength and
flexibility exercises 3 times per week.

b. Have a relaxed approach to life, and strong social networks

The study showed that Centenarians (people aged 100+) have a particular approach to life. They dont
suffer from hurry sickness where there is not enough time in the day to get things done. They react in
a positive way to stressful situations - stress has been show to accelerate ageing. They have a strength
of will, are self confidant, optimistic and are resilient. Centenarians were found to have optimistic
attitudes and were adaptable. They accept change as an inevitable part of life and react positively to it.
Personality traits associated with healthy ageing are: being easy-going, cheerful, self-confidant,
adaptable, active, independent, creative, happy, relaxed, satisfied, calm, open, agreeable, conscientious,
sociable, and having a high tolerance for frustration. The traits that lead to an unhealthy shorter life are:
being repressed, dogmatic, stubborn, hostile, neurotic, angry, guilty, sad, fearful, anxious, depressed
and aggressive.

Centenarians also have strong social networks where people live in communities with a strong help
thy neighbour attitude. This community could be friends, relatives, membership of a church or social
group.

Reference: The Okinawa Way, Bradley Wilcox, Craig Wilcox, Makoto Sukuki