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]
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]
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]
A 2013 study proposed four areas as blue zones: [1]
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 ]
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]
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]
Human life expectancy is a statistical measure of the estimate of the average remaining years of life at a given age. The most commonly used measure is life expectancy at birth. This can be defined in two ways. Cohort LEB is the mean length of life of a birth cohort and can be computed only for cohorts born so long ago that all their members have died. Period LEB is the mean length of life of a hypothetical cohort assumed to be exposed, from birth through death, to the mortality rates observed at a given year. National LEB figures reported by national agencies and international organizations for human populations are estimates of period LEB.
Icaria, also spelled Ikaria, is a Greek island in the Aegean Sea, 10 nautical miles (19 km) southwest of Samos.
A centenarian is a person who has reached the age of 100 years. Because life expectancies worldwide are below 100, the term is invariably associated with longevity. The United Nations in 2012 estimated that there were 316,600 living centenarians worldwide.
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.
Jeanne Louise Calment was a French supercentenarian and, with a documented lifespan of 122 years and 164 days, is the world's oldest verified person. Her longevity attracted media attention and medical studies of her health and lifestyle. She is the only person verified to have reached the age of 120.
A supercentenarian, sometimes hyphenated as super-centenarian, is a human who is 110 years or older. This age is achieved by about one in 1,000 centenarians. Supercentenarians typically live a life free of significant age-related diseases until shortly before the maximum human lifespan is reached.
The Okinawa diet describes the traditional dietary practices of indigenous people of the Ryukyu Islands, which were claimed to have contributed to their relative longevity over a period of study in the 20th century.
Nicoya is a district and head city of the Nicoya canton, in the Guanacaste province of Costa Rica, located on the Nicoya Peninsula. It is one of the country's most important tourist zones; it serves as a transport hub to Guanacaste's beaches and national parks.
Vilcabamba is a village in the southern region of Ecuador, in Loja Province, about 45 km (28 mi) from the city of Loja. The etymology of the name “Vilcabamba” apparently derives from the Quichua “huilco pamba.” Huilco denotes the sacred trees, Anadenanthera colubrina, that inhabit the region; pamba is a word meaning “a plain”. The area has been referred to as the "Playground of the Inca" which refers to its historic use as a retreat for Incan royalty. The valley is overlooked by a mountain called Mandango, the Sleeping Inca, whose presence is said to protect the area from earthquakes and other natural disasters.
The Okinawa Centenarian Study is a study of the elderly people of Okinawa, Japan. The study, funded by Japan's ministry of health, is the largest of its kind ever carried out. Over the years, the scientists involved have had access to more than 600 Okinawan centenarians.
Villagrande Strisaili is a comune (municipality) in the Province of Nuoro in the Italian region Sardinia, located about 150 kilometres (93 mi) northeast of Cagliari and about 18 kilometres (11 mi) northwest of Tortolì.
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.
Loma Linda is a city in San Bernardino County, California, United States, that was incorporated in 1970. The population was 24,791 at the 2020 census, up from 23,261 at the 2010 census. The central area of the city was originally known as Mound City, while its eastern half was originally the unincorporated community of Bryn Mawr.
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.
Hara hachi bun me (腹八分目) is a Confucian teaching that instructs people to eat until they are 80 percent full. The Japanese phrase translates to, "Eat until you are eight parts full", or "belly 80 percent full".
Ellsworth Edwin Wareham was an American cardiothoracic surgeon and centenarian from Loma Linda, California who promoted the health benefits of plant-based nutrition.
Moais are social support groups that form in order to provide varying support from social, financial, health, or spiritual interests. Moai means "meeting for a common purpose" in Japanese and originated from the social support groups in Okinawa, Japan. The concept of Moais have gained contemporary attention due to the Blue Zone research popularized by Dan Buettner. According to research, Moais are considered one of the leading factors of the longevity of lifespan of the Okinawan people, making the region among the highest concentration of centenarians in the world.
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.