HIGH TECH TUESDAY:
Live To Be 100?
Edited by
B. Virtual By Jody Oesterreicher
Regardless of how many lifestyle improvements we make, vitamins we
ingest or hormones we inject, the chances of life expectancy at birth rising
to 100 years or beyond are slim to nil, say S. Jay Olshansky, UIC School of
Public Health professor and his colleagues in the Feb. 23 issue of Science.
If age and gender-specific trends in death rates observed from 1985 to
1995 continue, the authors say, life expectancy at birth for males and
females combined would not reach 100 years until the 22nd century in
France and Japan, and the 26th century in the United States.
Our personal hopes and fears about human longevity aside, projections of
human-life expectancy are critically important to public policy. In the United
States, the Social Security Administration and Census Bureau make these
projections that have a profound impact on the future solvency of national
trust funds including Social Security and Medicare.
Using the latest data on death rates and life expectancy for men and women
of all ages in Japan, France and the United States from 1985 to 1995, the
authors found that while many people are living longer, the rise in life
expectancy is slowing down.
"This is not surprising, because life expectancy is very difficult to increase
once it approaches 80 years," Olshansky says. Why? "Because adding
decades to the lives of people who have already lived for 70 years or more
is far more difficult then adding decades to the lives of children who are
dying of infectious diseases," he explains.
The authors are optimistic that people will continue to live longer and they
expect to see a dramatic increase in the retirement-age population with the
aging of the baby-boom generation. The next quantum leap in life
expectancy, however, can occur only if "biomedical researchers can
discover how to modify the aging process and make such a discovery
widely available to the entire population," the authors say in the Science
article.
To forecast life expectancy, Olshansky and his coauthors, Bruce Carnes of
the National Opinion Research Center at the University of Chicago and
Aline Désesquelles at the Institut National d'études Démographiques in
Paris, employed a biodemographic approach -- one that takes into
consideration biological as well as statistical factors.
"The purely mathematical approach often used to make such forecasts may
not violate any mathematical rules," Carnes says, "but when used to
forecast life expectancy over a long time period, this approach ignores the
biological forces and biomechanical constraints that influence how long
people are capable of living."
In research published in Science in 1990, the authors demonstrated
empirically that as life expectancy at birth rises, it becomes less sensitive to
changes in death rates. They concluded then that the practical upper limit to
life expectancy is 85 years (88 for women and 82 for men).
Since then, other scientists have declared that these estimates are too
pessimistic and suggested, instead, that death rates would begin declining
dramatically and that life expectancies approaching 100 years were
plausible in the 21st century.
"A decade has passed since we made our forecasts," Olshansky says, "so
there is sufficient evidence now to determine whether the rise in life
expectancy has accelerated as others had predicted, or decelerated as we
had predicted."
The authors estimate that life expectancy at birth for males and females
combined would reach 85 years in 2033 in France, 2035 in Japan and
2182 in the United States.
The authors point out that the popular view that the United States fares
better than the rest of the developed world when it comes to old-age
mortality may no longer be true.
Recent evidence suggests that death rates for people age 80 and older are
increasing much more slowly in the United States than in other countries
such as Japan and France, the authors say. They add that death rates
among U.S. males age 89 and older increased between 1985 and 1995.
The authors conclude, as they did a decade ago, "future gains in life
expectancy will eventually be measured in days or months rather than
years."
They recommend that the time has come to focus our attention more on
quality of life rather than on length of life, and that a more reliable measure
of a population's health is already available. It is a measure referred to
among scientists as "health expectancy."
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