Blue zone

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Blue zones are regions in the world where people are claimed to live longer than average. [1] Examples of blue zones include Okinawa Prefecture, Japan; Nuoro Province, Sardinia, Italy; the Nicoya Peninsula, Costa Rica; and Icaria, Greece. [1] The name "blue zones" derived simply during the original survey by scientists, who "used a blue pen on a map to mark the villages with long-lived population." [1]

Contents

The concept of blue zones having exceptional longevity has been challenged by the absence of scientific proof, [2] and by the substantial decline of life expectancy during the 21st century in an original proposed blue zone, Okinawa. [3]

History

An elderly Sardinian man Old Sardinian Man.jpg
An elderly Sardinian man

The concept of blue zones resulted from demographic work published by Michel Poulain and colleagues in 2004. [4] They identified Sardinia's Nuoro province as the region with the highest concentration of male centenarians, referring to the area as the "blue zone" (a term chosen because the authors used a blue pen to mark a map of the villages with many centenarians). [1] [4]

Initial analysis was that the apparent longevity of blue zone populations resulted from practice of a traditional lifestyle, including regular physical activity beyond age 80, providing family and community support for elders, and consuming locally produced food. [1]

Zones

World location map (equirectangular 180).svg
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Sardinia
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Nicoya
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Icaria
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Loma Linda
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Okinawa
Proposed blue zones

A 2013 study proposed four areas as blue zones: [1]

Estimating population longevity

In the original study of centenarians living in 14 mountain villages of Sardinia (the first proposed blue zone), the research team developed an Extreme Longevity Index (ELI) representing the ratio between the number of eventual centenarians born between 1880 and 1900, and the total number of births recorded during the same time interval for the region. [1] The ELI was defined as the number of centenarians per 10,000 newborns, and was equated to the probability for any person born in that municipality to reach 100 years old and remain functional. [1]

During the period of births between 1880 and 1900 in the Sardinia blue zone, 47 men and 44 women eventually reached age 100, giving an average ELI value per 100,000 births of 508 for the blue zone location, whereas the rest of Sardinia had ELI values 2–4 times lower (less longevity). [1]

Another longevity index applied was the Centenarian rate (CR) for the 1900 birth group (number of persons surviving to 100 years old per 10,000 people alive at age 60) in December 2000. [1] The Sardinia and Okinawa blue zones had CR values for men substantially higher compared to several other countries, whereas values for women were mostly above those in other countries, while comparable to others. [1]

Several possible errors or limitations exist for these estimates, such as unreliability or absence of birth records. [1]

Life expectancy in blue zones is proposed to be as much as a decade or longer, compared to the average world life expectancy of 73 years in 2019. [5] [6] [ medical citation needed ]

Marketing

Loma Linda, California, United States, was included as a blue zone by Dan Buettner, founder of the marketing company, Blue Zones LLC, and popular press, which described the Seventh-Day Adventist community there as having unusual longevity due putatively to a healthy lifestyle and plant-based diet. [5] [6] In 2020, Blue Zones LLC was acquired by the Seventh-Day Adventist health care system, Adventist Health. [7]

Scientific reception

A study of claimed longevity in Okinawa was unable to verify whether residents were as old as they claimed because many records did not survive World War II. [8] When analyzed in the 21st century, life expectancy in Okinawa was deemed to no longer be exceptional when compared to the rest of Japan, as "male longevity is now ranked 26th among the 47 prefectures of Japan." [3]

Harriet Hall, writing for Science-Based Medicine , stated that there are no controlled studies of elderly people in the blue zones, and that blue zone diets are based on speculation, not solid science. [2]

See also

Related Research Articles

<span class="mw-page-title-main">Life expectancy</span> Measure of average lifespan in a given population

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<span class="mw-page-title-main">Icaria</span> Greek island in the Aegean Sea

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<span class="mw-page-title-main">Longevity</span> Longer than typical lifespan, especially of humans

Longevity may refer to especially long-lived members of a population, whereas life expectancy is defined statistically as the average number of years remaining at a given age. For example, a population's life expectancy at birth is the same as the average age at death for all people born in the same year.

<span class="mw-page-title-main">Jeanne Calment</span> French supercentenarian with the longest documented human lifespan (1875–1997)

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<span class="mw-page-title-main">Nicoya</span> District in Nicoya canton, Guanacaste province, Costa Rica

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<span class="mw-page-title-main">Dan Buettner</span> American explorer, author and film producer

Dan Buettner is an American National Geographic Fellow and New York Times-bestselling author. He is an explorer, educator, author, producer, storyteller and public speaker. He co-produced an Emmy Award-winning documentary and holds three Guinness records for endurance cycling. Buettner is the founder of Blue Zones, LLC.

Jean-Marie Robine is a French social scientist, who works in the field of demography and gerontology, and is an author and journalist, who is best known as being the co-validator of the longevity of Jeanne Calment, the oldest verified supercentenarian of all time, with whom he collaborated.

<span class="mw-page-title-main">Loma Linda, California</span> City in California, United States

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A centenarian is a person who has attained the age of 100 years or more. Research on centenarians has become more common with clinical and general population studies now having been conducted in France, Hungary, Japan, Italy, Finland, Denmark, the United States, and China. Centenarians are the second fastest-growing demographic in much of the developed world. By 2030, it is expected that there will be around a million centenarians worldwide. In the United States, a 2010 Census Bureau report found that more than 80 percent of centenarians are women.

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<span class="mw-page-title-main">Michel Poulain</span> Belgian demographer

Michel Poulain was originally trained in astrophysics at University of Liège (ULiège). He received a PhD in demography at University of Louvain (UCLouvain). As a demographer, he has specialized in international Migration Statistics and Longevity studies. Currently emeritus professor at UCLouvain, he is also senior researcher at the Estonian Institute for Population Studies at Tallinn University (Estonia). He has been President of the Société Belge de Démographie (1984-1990) and later of the Association Internationale des Démographes de Langue Française (AIDELF), (1988-2000).

Timeblock is a research project that was developed in Switzerland to discover blue zones and aging-process solutions.

References

  1. 1 2 3 4 5 6 7 8 9 10 11 12 Poulain, Michel; Herm, Anne; Pes, Gianni.  The Blue Zones: areas of exceptional longevity around the world in: Vienna Yearbook of Population Research, vol. 11, 2013, p. 87–108. backup Quote: "...These populations succeeded in maintaining a traditional lifestyle implying an intense physical activity that extends beyond the age of 80, a reduced level of stress and intensive family and community support for their oldest olds as well as the consumption of locally produced food...Based on a strict validation method, the ages of Sardinian centenarians were thoroughly proven to be correct (Poulain et al. 2006)... [footnote 2:] The term was chosen simply because at the time the authors used a blue pen on a map to mark the villages with long-lived population... [definition:] In practice, a blue zone (BZ) is defined as a rather limited and homogenous geographical area where the population shares the same lifestyle and environment and its longevity has been proved to be exceptionally high. [] Other validated BZs have been found so far in Okinawa (Japan), on the Nicoya peninsula (Costa Rica) and on the island of Ikaria (Greece)...The extreme longevity area identified in Sardinia and named as Blue Zone (BZ) includes a group of 14 villages in Barbagia and Ogliastra, covering the highest mountain area of Sardinia.4...Starting from 2005, in cooperation with D. Buettner, a journalist writing for National Geographic, the BZ concept was extended to other relevant regions of the earth (Buettner 2012). Exceptional longevity at population level has been identified and validated so far in three other settings: the island of Okinawa in Japan, the peninsula of Nicoya in Costa Rica and the island of Ikaria in Greece (Figures 3)..."
  2. 1 2 Hall, Harriet. (2021). "Blue Zones Diet: Speculation Based on Misinformation". Science-Based Medicine. Retrieved 15 October 2021.
  3. 1 2 Hokama, Tomiko; Binns, Colin (October 2008). "Declining longevity advantage and low birthweight in Okinawa". Asia-Pacific Journal of Public Health . 20 Suppl: 95–101. PMID   19533867.
  4. 1 2 Poulain, Michel; Pes, Giovanni Mario; Grasland, Claude; et al. (2004-09-01). "Identification of a geographic area characterized by extreme longevity in the Sardinia island: the AKEA study" (PDF). Experimental Gerontology . 39 (9): 1423–1429. doi:10.1016/j.exger.2004.06.016. PMID   15489066. S2CID   21362479. Archived (PDF) from the original on 2020-01-07. Retrieved 2019-09-17.
  5. 1 2 Alexa Mikhail (2 April 2023). "A look inside America's only blue zone city—home to some of the world's longest-living people". Fortune. Retrieved 2 January 2024.
  6. 1 2 Marcia Wendorf (10 February 2022). "People routinely live over 100 years in global "blue zones". Should you move?". Interesting Engineering. Retrieved 4 January 2024.
  7. "Adventist Health acquires Blue Zones as part of transformation into catalyst for overall community health and wellbeing". Adventist Health. 8 April 2020. Archived from the original on 7 March 2023. Retrieved 2 January 2024.
  8. Poulain, Michel (2011-07-21). "Exceptional Longevity in Okinawa:: A Plea for In-depth Validation". Demographic Research . 25 (7): 245–284. doi: 10.4054/DemRes.2011.25.7 .

Further reading