How long are we expected to live
Clearly, the attractiveness of a longer life hinges on its quality. Have you read? What is the biggest benefit technology will have on ageing and longevity? Ageing: Looming crisis or booming opportunity? How to boost immunization for Asia-Pacific's ageing population.
The Conversation. Science Daily. Can Africa help Europe avoid its looming ageing crisis? Center for Global Development. One potential way to slow the ageing process, according to this study: avoid exposure to pollutants like cigarette smoke, alcohol and pesticides.
The life expectancy decline in the US last year was not evenly distributed, according to this report — it fell by a year and a half overall, but for Black and Hispanic Americans the decline was three years.
The latter seems to be poised to slow dramatically for many people, and that could create serious challenges. New York Times. License and Republishing. Written by. More on Global Health View all. How anxiety is connected to our brain-body interactions New research shows a link between anxiety and the brain's perception of the body's inner signals. Are we more or less active than two centuries ago? If the drug turns out to delay aging in people, it would be the greatest off-label pharmaceutical use ever.
Kennedy, the Buck Institute CEO, does not dose himself with rapamycin, whose side effects are not understood. Everyone takes the stairs; elevators are viewed as strictly for visitors.
If there is a candy machine on the acre grounds, it is well hidden. Lunch was an ascetic affair: water and a small sandwich with greens; no sides, soda, or cookies. Kennedy says he seldom eats lunch, and runs up to 20 miles weekly. Yet, even doing everything right by the lights of current assumptions about how to stave off aging, at age 47, Kennedy has wrinkle lines around his eyes. Except with regard to infectious diseases, medical cause and effect is notoriously hard to pin down.
Coffee, salt, butter: good, bad, or neither? Studies are inconclusive. The Framingham Heart Study, in its 66th year and following a third generation of subjects, still struggles with such questions. You should watch your weight, eat more greens and less sugar, exercise regularly, and get ample sleep.
But you should do these things because they are common sense—not because there is any definitive proof that they will help you live longer. The uncertainty inherent in the practice of medicine is amplified when the subject is longevity, because decades might pass before anyone knows whether a particular drug or lifestyle modification does any good. Scrutinizing the very old has not been the gold mine some researchers hoped it would be.
Few are vegetarians. Nothing jumps out as a definitive cause of their long lives. Among the first wide-scale efforts to understand gerontology was the Baltimore Longitudinal Study of Aging, begun by federal researchers in and ongoing.
But on some of the big questions, such as whether longevity is caused mainly by genes or mainly by lifestyle and environment, we just have no idea at all.
Studies of twins suggest that about 30 percent of longevity is inherited. At medical conferences, Ferrucci likes to show physicians and researchers an elaborate medical profile of an anonymous patient, then ask them to guess her age.
The sole means to determine age is by asking for date of birth. Aging brings with it, of course, senescence. Cellular senescence, a subset of the overall phenomenon, is a subject of fascination in longevity research. The tissues and organs that make up our bodies are prone to injury, and the cells are prone to malfunctions, cancer being the most prominent.
When an injury must be healed, or cancerous tissue that is dividing must be stopped, nearby cells transmit chemical signals that trigger the repair of injured cells or the death of malignant ones. Obviously this is a simplification. In the young, the system works pretty well. But as cells turn senescent, they begin to send out false positives.
Cars wear out because they cannot repair themselves; our bodies wear out because they lose the ability to repair themselves. If the loss of our ability to self-repair were slowed down, health during our later years would improve: a longer warranty, in the auto analogy.
If you believe, as many scientists do, that aging is a prime cause of many chronic diseases, it is essential that we understand the accumulation of senescent cells. Mayo Clinic researchers are studying other substances that dampen the effects of cellular senescence; some have proved to keep mice fit longer than normal, extending their health span. Many elderly people decline into years of progressive disability, then become invalids. If instead most people enjoyed reasonable vigor right up to the end, that would be just as exciting for society as adding years to life expectancy.
One reason is psychological: a wealthy person who survived a heart attack, or lost a parent to one, endows a foundation to study the problem. Another reason is symbolic: we tend to view diseases as challenges thrown at us by nature, to be overcome one by one. If the passage of time itself turns out to be the challenge, interdisciplinary study of aging might overtake the disease-by-disease approach.
Will life-span increases continue regardless of what may happen in biotech? In , Vaupel published an influential article in Science documenting the eerily linear rise in life expectancy since Today the first four causes of death in the United States are chronic, age-related conditions: heart disease, cancer, chronic lower-respiratory diseases, and stroke.
As long as living standards continue to improve, Vaupel thinks, life expectancy will continue to increase. Then the increase will slow noticeably, or stop.
Whether human age may have a biological limit does not factor into this debate. A French woman who lived from to , Jeanne Calment, had the longest confirmed life span, at Her age at death was well beyond the average life span that either Vaupel or Olshansky are contemplating in their analyses.
And in any case, various experts, at various times across the past century, have argued that life span was nearing a ceiling, only to be proved wrong. Diminishing smoking and drunk driving have obviously contributed to declining mortality. Other health indicators seem positive as well. All forms of harmful air and water emissions except greenhouse gases are in long-term decline. Less smog, acid rain, and airborne soot foster longevity—the old are sensitive to respiratory disease—while declining levels of industrial toxins may contribute to declining cancer rates.
Life expectancy can be as much as 18 years shorter in low-income U. So does climate change: people live longer in warm climates than cold, and the world is warming. Popular attention tends to focus on whether what we gulp down determines how long we live: Should people take fish oil and shop for organic probiotic kefir? The way our homes, families, and friendships are organized may matter just as much. Prosperity is associated with smaller households, yet the large multigeneration home may be best for long life.
There are some indications that the Great Recession increased multigeneration living. This may turn out to boost longevity, at least for a time. Today the best-educated Americans live 10 to 14 years longer than the least educated, on average. The bad news is that lack of education seems even more lethal than it was in the past. College graduates are more likely to marry and stay married, and marriage is good for your health: the wedded suffer fewer heart attacks and strokes than the single or divorced.
Many of the social developments that improve longevity—better sanitation, less pollution, improved emergency rooms—are provided to all on an egalitarian basis. Legislatures are cutting support for public universities, while the cost of higher education rises faster than inflation. These issues are discussed in terms of fairness; perhaps health should be added as a concern in the debate.
If education is the trump card of longevity, the top quintile may pull away from the rest. Society is dominated by the old—old political leaders, old judges.
With each passing year, as longevity increases, the intergenerational imbalance worsens. The old demand benefits for which the young must pay, while people in their 20s become disenchanted, feeling that the deck is stacked against them. National debt increases at an alarming rate.
Innovation and fresh thinking disappear as energies are devoted to defending current pie-slicing arrangements. Already the median age is 45 in the U. As Nicholas Eberstadt, a demographer at the American Enterprise Institute, has noted, median age in the retirement haven of Palm Springs, California, is currently 52 years.
Japan is on its way to becoming an entire nation of Palm Springs residents. The United States remains a nation of immigrants, and because of the continual inflow of young people, the U. Nonetheless, that Japan is the first major nation to turn gray, and is also the deepest in debt, is not encouraging. Once, Japan was feared as the Godzilla of global trade, but as it grayed, its economy entered a long cycle of soft growth.
In the centrist Democratic Party of Japan, then holding the Diet, backed a tax whose goal was not to pay down what the country owes but merely to slow the rate of borrowing. The party promptly got the heave-ho from voters. As life expectancy rises, a Japanese person entering the happy-go-lucky phase of early adulthood may find that parents and grandparents both expect to be looked after. Acceding to public borrowing may have become, to young Japanese, a way to keep older generations out of the apartment—even if it means crushing national debt down the road.
That America may become more like Japan—steadily older, with rising debt and declining economic growth—is unsettling. From the second half of the George W. Bush administration until , U. The federal government borrowed like there was no tomorrow. The debt binge, for which leaders of both political parties bear blame, was a prelude to the retirement of the Baby Boomers. Tomorrow has a way of coming. Suppose the escalator slows, and conservative assumptions about life expectancy prevail.
The number of Americans 65 or older, 43 million today, could reach million in —that would be like adding three more Floridas, inhabited entirely by seniors. These disconcerting numbers flow from the leading analyst who thinks that the life-span increase is slowing down. Now the Congressional Budget Office says the year of reckoning may come as soon as Many private pension plans are underfunded, and the Pension Benefit Guaranty Corporation, which on paper appears to insure them, is an accident looking for a place to happen.
Twice in the past three years, Congress has voted to allow corporations to delay contributions to pension plans. This causes them to pay more taxes in the present year, giving Congress more to spend, while amplifying problems down the road. Medicare spending is rising faster than Social Security spending, and is harder to predict. Projections show the main component of Medicare, its hospital fund, failing by The Congressional Budget Office estimates that over the next decade, all federal spending growth will come from entitlements—mainly Social Security and Medicare—and from interest on the national debt.
Family history is a big predictor of longevity. If some of those genes lead to certain diseases, it may shorten life span. Some similarities in health patterns that may seem genetic could also be due to common habits and location. Family members often share the same environment, especially when children are young and still live at home. According to the CDC , the life expectancy of someone who was born in was only Ever since medical improvements led to a huge decrease in the number of women dying during childbirth, life expectancy for women has gone up.
According to the latest CDC data, women in the United States live close to five years longer than men, on average. On average, black Americans have a shorter life expectancy than white Americans, and Hispanic people living in the United States have the longest life span of all three groups. About 76 out Hispanic Americans will live until at least 75 years of age, compared with about 70 white Americans and approximately 60 black Americans. It could be due to culture and diet, and there may be significant environmental factors that contribute.
As a group, a higher percentage of black Americans have heart disease than white Americans, according to the American Heart Association. Although the gap in life expectancy between the black and white population has begun to close — it decreased by 2. Stress, more limited access to health care, and cultural factors all play a role, says Anderson.
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