Among 200 Ghanaians aged 60 and over (mean 69.8 years), dietary inadequacy was widespread: more than half fell short on protein, fat, fiber, magnesium, potassium and vitamin E, and no one met the calcium reference intake. Each one-unit rise in minimum dietary diversity (MDD) was linked to lower odds of elevated blood pressure (AOR 0.68; 95% CI 0.46-1.00; p=0.05), while each one-unit rise in mean adequacy ratio (MAR) was linked to higher odds of normal handgrip strength (AOR 8.77; 95% CI 1.33-64.08). The pattern fits broader evidence that diet diversity and micronutrient adequacy track with muscle function and vascular health in later life, and that handgrip strength predicts mortality and disability. It also adds data from sub-Saharan Africa, where such studies are scarce. The limits are substantial. A cross-sectional design cannot establish direction: frailer or hypertensive elders may eat worse, not the reverse. A single 24-hour recall poorly captures habitual intake, and the MDD estimate sits right at the edge of statistical significance. The MAR interval is extremely wide (1.33 to 64), signalling an unstable estimate from a small sample. This is a preprint that has not yet been peer reviewed, so results may shift. Practical takeaway: eating a wider variety of food groups is a sensible, low-risk goal, but this work is hypothesis-generating, an incremental confirmation rather than a new finding, and needs longitudinal or trial data.