#EldersFirst · Care plans, services and products for older adults
Emoha #EldersFirst

Sardinia's Blue Zone: Shepherds, Sourdough and 100-Year-Old Men

The highland villages of Sardinia's Nuoro province were the first place ever labelled a blue zone. They stand out because men there reach 100 almost as often as women, which is unusual worldwide.

4 min read · Updated 2026-11-13

Hand-drawn line illustration of a path through the hills, a walking stick and a light dumbbell for the guide "Sardinia's Blue Zone: Shepherds, Sourdough and 100-Year-Old Men"

Walking the hills

Many men worked as shepherds, walking miles over rough ground every day. That low-intensity activity continues for decades.

Food

Meals feature whole-grain breads such as sourdough, beans, garden vegetables, sheep's milk cheese and small amounts of meat, mostly on Sundays and special occasions. Locals drink Cannonau red wine in moderation with company.

Hand-drawn line illustration of a bowl of food, a light dumbbell and a path through the hills, for the section "Food" of Sardinia's Blue Zone: Shepherds, Sourdough and…
Illustration: Food

Family first

Elders live with or near family and stay involved in daily life. Being needed is a recurring theme in the research.

A good laugh

Village social life includes humour and daily gathering in the square. Shared laughter lowers stress and strengthens bonds.

The lesson

Combine daily movement, simple home cooking and a role inside a family or community. None of it requires money or equipment.

Hand-drawn line illustration of an open book, a path through the hills and a light dumbbell, for the section "The lesson" of Sardinia's Blue Zone: Shepherds, Sourdough and…
Illustration: The lesson

Festivals, community and long tables

Village festivals, saints' days and family gatherings bring generations together around long tables of food and song. Sardinian elders are part of these rituals, not set aside. Community life keeps older people socially engaged and valued. Even in the modern world, many Sardinian families keep Sunday as a day for a long family meal, a walk and conversation.

Start your own regular family table, even if only once a month.

Genes and environment

Researchers have studied the Sardinian gene pool, which is relatively isolated, and have found some genetic variants linked to longevity and to certain conditions. But migrants from Sardinia lose some of the advantage when they adopt different lifestyles, suggesting that environment and habits matter. For most of us, we cannot change our genes but can influence the rest.

Focus on what you can control.

Sardinian wisdom for modern life

Sardinians value family loyalty, humour, hard work, simplicity and respect for elders. They eat what the land provides, walk daily and gather often. They do not rush. For us, the lessons are to simplify life, prioritise relationships, move naturally and laugh often.

Take a Sardinian approach to Sundays: a long meal, a walk, and no hurry.

These habits cost little and give much.

Bread, olive oil and simple pleasures

Sardinian meals revolve around good bread, olive oil, fresh vegetables and cheese, eaten slowly. Pleasure matters: the smell of baking, the taste of ripe tomatoes, the sound of conversation. This enjoyment of simple food and company may be part of why the diet is sustainable. Savour what you eat, and share it.

Pleasure and health are not opposites.

The AKEA study and the blue circle

In the early 2000s, demographers Gianni Pes and Michel Poulain mapped birth records in Sardinia and found a cluster of villages in Nuoro province where the ratio of male centenarians to female centenarians was close to one to one, far higher than elsewhere. They called the project AKEA, from the Sardinian wish 'a kent'annos', meaning 'may you live to 100'. The highest concentration lay in the mountain communities of Barbagia and Ogliastra.

The unusual male longevity drew attention because in most populations women outlive men by several years. Researchers suggested that shepherd work, rugged terrain, strong family roles and genetics may all contribute.

What Sardinians eat

Traditional Sardinian food includes whole-grain flatbread such as carasau, sourdough bread, minestrone-style soups with beans, fava beans, chickpeas, vegetables, sheep's milk cheese and ricotta, and honey. Meat is a Sunday or festival food. Cannonau wine, rich in polyphenols, is drunk in modest amounts with meals. Water, herbs and fruit are common.

A weekly pot of bean and vegetable soup, a slice of sourdough and a small piece of cheese captures the spirit better than any supplement.

Terrain, family and laughter

The villages are perched on steep hills, so daily life involves climbing. Shepherds walk many kilometres with their flocks. Families live close together, and older members stay involved: caring for grandchildren, advising, telling stories. People gather in the village square to talk and laugh. The sense of being needed and connected appears over and over in the research.

If you cannot move to the hills, add a daily brisk walk, a weekly family meal and regular time with someone who makes you laugh.

Shepherd life and what it teaches

Sardinian shepherds spend long days outdoors, walking over rough ground, climbing and carrying loads, while breathing clean mountain air and taking meals of bread, cheese and fruit in the open. The activity is gentle, constant and meaningful. Many continue into their 80s. The lesson is that frequent, moderate activity throughout the day may protect more than occasional intense workouts.

Taking a Sardinian lesson home

Make a daily circuit through the neighbourhood part of your routine. Build a Sunday family meal that everyone looks forward to. Look after elders by involving them in decisions. Keep bread whole grain, add beans and vegetables to soups and choose a small piece of good cheese rather than large portions of processed food.

Frequently asked questions

Where exactly is the Sardinian blue zone?

The mountainous Barbagia area of Nuoro province in central-eastern Sardinia.

Why do Sardinian men live so long?

Researchers point to active shepherd work, a mostly plant-based diet, close family and low stress, along with possible genetic factors.

Is wine part of it?

Moderate wine with meals and friends is common, but it is not recommended for anyone to start drinking for health.

Is genetics responsible for Sardinian longevity?

Isolation has concentrated certain genetic traits, but studies suggest lifestyle plays a major role.

Is drinking wine necessary?

No. It is a cultural habit in moderate amounts. Non-drinkers should not start for health.

What is carasau bread?

A thin, crisp, twice-baked Sardinian flatbread, often eaten with olive oil or cheese.

Sources and further reading

  • Poulain M. et al., Identification of a geographic area characterized by extreme longevity in the Sardinia island: the AKEA study, Experimental Gerontology (2004)
  • Poulain M., Herm A. and Pes G., The Blue Zones: areas of exceptional longevity around the world, Vienna Yearbook of Population Research (2013)
  • Buettner D., The Blue Zones: 9 Lessons for Living Longer From the People Who've Lived the Longest (National Geographic)

Tags: Adjustable walking stickResistance band setMobility and walking aidsGentle exercise at homeBlue zonesLongevityElder care

Written by the Emoha editorial team. General information only.

This article is for general education and is not medical advice. Speak to your doctor before changing your exercise, diet or medicines.

Want this for your parents too?

A care advisor can turn healthy-ageing habits into a plan your family can follow.

See care plans and prices

Request a call back

Tell us a little and we will call you back. No obligation.