There are a number of factors that contribute to the long life expectancy in the Nicoya region. A few of the main things that people credit to achieving the Blue Zone Costa Rica status are:

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• Family-Focused - Many of the inhabitants in Nicoya live in multi-generational households. There is a great deal of respect for the older generation and they often play an important role in the raising of grandchildren.​

• Strong Community - There is still a strong sense of community in the region, where everyone knows their neighbors and they support each other to reach common goals.

• Less Meat - More Plants - The diet consists of fewer calories, less meat, and meals structured around typical Mesoamerican food staples like rice, beans, corn, and squash.

• Stay Active - Many people walk as a primary method of transportation. They stay active with their grandchildren and through sports like soccer (futbol), swimming and surfing.

• Work Hard - Nicoyans often have physically demanding jobs and they continue to work late into life. This constant physical activity keeps them healthy.

• Hard Water - The water in the Nicoya region is significantly harder than the rest of the country and calcium-rich. This could help explain the lower rates of osteoporosis or bone fractures later in life.

• Sun Exposure - The sun is a vital part of life and health, providing healthy doses of Vitamin D. We need to be mindful of the harmful effects of too much sun exposure, but a daily dose can do wonders for immunity and health.

• Pura Vida -  The official motto of Costa Rica, which means Pure Life and it certainly is a lifestyle. They take things less seriously, move at a slower pace and don't see a rush to get things done. It is a method of living that truly embraces each moment.