Healthy Maltese Diet: Boost Heart Health & Prevent Dementia

November 6, 2025 at 12:05 AM
The Independent

Middle-aged adults with poor heart health are at a higher risk of developing dementia later in life, according to a landmark study by University College London (UCL). The research highlights the strong connection between cardiovascular health and brain function, revealing that elevated levels of cardiac troponin—a protein linked to heart damage—can serve as an early warning sign for dementia decades before diagnosis. In Malta, the Mediterranean diet and lifestyle offer an ideal opportunity to prioritize heart and brain health through nutrient-rich foods like fresh fish, olive oil, vegetables, and legumes. By embracing heart-healthy habits, including mindful eating, physical activity, and hydration, residents and visitors alike can protect their long-term well-being while enjoying Malta’s vibrant culinary scene. This study underscores the importance of making proactive lifestyle choices in middle age to safeguard both heart and brain health for a vibrant future.

Prioritize Heart Health for a Sharper Mind: How Your Diet and Lifestyle Can Protect Against Dementia

Middle-aged adults with poor heart health are at a higher risk of developing dementia later in life, according to a landmark study by researchers at University College London (UCL). While it’s long been known that poor cardiovascular health can restrict blood flow to the brain—leading to memory loss and confusion—this study suggests that the warning signs of dementia may appear as early as 25 years before a formal diagnosis, simply by examining heart health.

The study, published in the European Heart Journal and funded by the British Heart Foundation, highlights the importance of nurturing cardiovascular health throughout life. By addressing factors such as high blood pressure and cholesterol, the risk of dementia could be reduced or even delayed. In Malta, where the Mediterranean lifestyle and diet are celebrated, there’s a unique opportunity to prioritize heart and brain health through smart food choices and active living.

The Connection Between Heart and Brain Health

“Our heart and brain health are inseparable,” says Professor Bryan Williams, Chief Scientific and Medical Officer at the British Heart Foundation. The study found that individuals with higher levels of a protein called cardiac troponin in their blood during middle age were significantly more likely to develop dementia in the decades that followed.

This protein, which is released into the bloodstream when the heart muscle is damaged, serves as an early warning signal. Elevated troponin levels, even in people without symptoms of heart disease, suggest ongoing damage to the heart. This can compromise blood vessel function, reducing blood flow to the brain and impairing cognitive abilities.

Researchers tracked nearly 6,000 participants over an average of 25 years, measuring their troponin levels and assessing their cognitive function at six different points in time. Alarmingly, those with the highest levels of troponin at the start of the study had a 38% greater chance of developing dementia, with their mental abilities declining more rapidly than their counterparts with lower troponin levels. MRI scans of participants further revealed that those with elevated troponin had smaller hippocampal regions—critical for memory—and reduced grey matter volume, both of which are linked to cognitive decline.

How Food and Lifestyle in Malta Can Help

The findings of this study underscore the importance of heart health, not just for preventing cardiovascular disease but also for protecting brain function. In Malta, where fresh, nutrient-dense ingredients are a staple of the local cuisine, adopting a heart-healthy diet is not only achievable but enjoyable.

Here are some practical, food-related tips for supporting both heart and brain health:

  1. Embrace the Mediterranean Diet: The traditional Maltese diet is naturally aligned with the Mediterranean lifestyle, which is renowned for its heart and brain benefits. Incorporating foods like fresh fish, olive oil, whole grains, vegetables, and legumes can help maintain healthy cholesterol levels and provide essential nutrients like omega-3 fatty acids, which promote brain health.

  2. Savor Fresh, Seasonal Ingredients: Local markets across Malta offer an abundance of fresh, seasonal produce such as tomatoes, eggplants, zucchini, and artichokes. These ingredients are rich in antioxidants, which can reduce inflammation and support overall cardiovascular health.

  3. Mind Your Salt and Sugar Intake: While Malta is famous for its traditional pastizzi and sweets, moderation is key. Excessive salt and sugar can contribute to high blood pressure and diabetes, both of which are risk factors for heart disease and dementia. Opt for healthier versions of your favorite treats or enjoy them as occasional indulgences.

  4. Choose Heart-Healthy Restaurants: Dining out in Malta is a pleasure, with many restaurants offering dishes that align with a health-conscious lifestyle. Look for menus that highlight grilled fish, lean meats, whole grains, and fresh salads. Many local spots also provide vegetarian and vegan options that are rich in fiber and plant-based nutrients.

  5. Stay Active and Hydrated: Beyond food, physical activity and hydration play crucial roles in maintaining heart and brain health. Take advantage of Malta’s stunning landscapes, from coastal walks to hiking trails, and pair your meals with plenty of water to keep your body and brain functioning optimally.

A Call to Action: Start in Middle Age

This study emphasizes that middle age is a critical period for taking proactive steps to safeguard your long-term health. Damage to the brain caused by dementia accumulates gradually over decades, meaning that the choices we make in our 40s, 50s, and 60s can significantly shape our quality of life in later years.

Professor Eric Brunner, senior author of the study, explains: “Control of risk factors common to both heart disease, stroke, and dementia in middle age, such as high blood pressure, may slow or even stop the development of dementia as well as cardiovascular disease.”

Simple Steps to a Healthier Future

The good news is that small, sustainable changes can make a big difference. Making heart-healthy lifestyle choices—like eating a balanced diet, maintaining a healthy weight, staying active, and avoiding smoking—can also benefit your brain.

If you’re dining out in Malta, consider exploring restaurants that prioritize fresh, wholesome ingredients. Many eateries on the island are now offering menus tailored to health-conscious diners, featuring dishes that are as delicious as they are nutritious. For example, opt for grilled lampuki (a local fish), a hearty salad made with Maltese ġbejna, or a bowl of warming minestrone soup packed with fresh vegetables.

By embracing Malta’s vibrant food culture and committing to a healthy lifestyle, you’re not only supporting your heart but also giving your brain the best chance to age gracefully. So, next time you’re enjoying a meal with loved ones, remember: what’s good for your heart is also good for your mind.

The Takeaway

Heart health and brain health go hand in hand, and the choices we make today can shape our future well-being. Whether it’s choosing heart-friendly foods, staying active, or managing stress, there’s much we can do to protect both our hearts and our minds.

In Malta, where the Mediterranean lifestyle is at your doorstep, it’s easier than ever to adopt habits that nurture your body and brain. Start by prioritizing fresh, local ingredients, staying physically active, and making mindful choices—because the path to a healthy heart and a sharp mind begins with the simple, everyday decisions you make.

As the study reminds us, it’s never too early—or too late—to start caring for your heart and brain. So, let’s raise a glass of sparkling Maltese water and toast to a vibrant, healthy future!