 This study found three distinct dietary patterns among older adults in China. Those who followed a vegetable fruit diet had lower blood pressure than those who consumed snack foods, drinks, and milk products or meat and fish. Additionally, those who followed a vegetable fruit diet also had lower body mass index, waist circumference, and waist to hip ratio compared to those who consumed snack foods, drinks, and milk products or meat and fish. Furthermore, current smoking habits and alcohol consumption were associated with higher snack foods, drinks, and milk products, dietary pattern scores, and meat and fish dietary pattern scores. These findings suggest that a vegetable fruit diet may be beneficial for reducing blood pressure and improving body composition in older adults. This article was authored by Ruth Chan, Dick and Chan, and Jean Wu.