A blue zone is a region in the world where people are claimed to have exceptionally long lives beyond the age of 80 due to a lifestyle combining physical activity, low stress, rich social interactions, a local whole-foods diet, and low disease incidence. [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." [2]
The concept of blue zones with longevity has been challenged by the absence of scientific evidence, [3] and by the substantial decline of life expectancy during the 21st century in one of the first proposed blue zones, Okinawa. [4]
A 1999 study of elderly people living on Sardinia found a prevalence of 13 centenarians per 100,000 population, indicating unusual longevity. [5] A 2004 followup report showed that longevity was concentrated in the Nuoro province of Sardinia, specifically in its mountain regions where locally-born men lived longer than those in the rest of Sardinia, although reasons for the longevity were unknown. [2]
Beginning in 2005 in collaboration with author Dan Buettner, the list of blue zone regions was extended from Sardinia to include Okinawa, Nicoya in Costa Rica, and Icaria in Greece. [6]
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. [2] The ELI was defined as the number of centenarians per 10,000 newborns, and was used to determine the probability that any person born in that municipality would reach 100 years old while remaining mentally and physically functional. [2]
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. [2] 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. [2]
Several possible errors or limitations exist for these estimates, such as failure to validate accuracy of ages, unreliable interviews or missing birth records. [2] [6]
In 2008, Dan Buettner established the marketing company, Blue Zones LLC, adding Loma Linda, California, to the list of blue zones. [7] Buettner described the Seventh-Day Adventist community there as having unusual longevity due putatively to a healthy lifestyle and plant-based diet. [7] [8] In 2020, the Blue Zones company was acquired by the Seventh-Day Adventist health care system, Adventist Health. [9]
Recent years have seen the blue zone concept featured in initiatives in industries such as insurance, technology and tourism. [10]
The concept of blue zone communities having exceptional longevity has been challenged by the absence of evidence-based information. [3]
It has also been questioned by the substantial decline of life expectancy during the 21st century in Okinawa, with the analysis concluding that "male longevity is now ranked 26th among the 47 prefectures of Japan". [4] Michel Poulain, one of the authors of the original paper about blue zones, conducted a study in 2011 to validate the claims of longevity in Okinawa, and was unable to verify whether residents were as old as they reported due to many records not surviving World War II. [6]
Costa Rica’s “Blue Zone” is now being re-examined and shown to be a result of cohort effects. [11]
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 evidence through a rigorous scientific method. [3]
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, the oldest person ever whose age has been verified. Her longevity attracted media attention and medical studies of her health and lifestyle. She is the only person who has been verified to have reached the age of 120.
A supercentenarian, sometimes hyphenated as super-centenarian, is a person 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.
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 name ‘Vilcabamba’ apparently derives from the Quichua ‘huilco pamba’. Huilco denotes the sacred trees, Anadenanthera colubrina, that grow in the region; pamba means ‘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, which 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.
This is a list of tables of the oldest people in the world in ordinal ranks. To avoid including false or unconfirmed claims of old age, names here are restricted to those people whose ages have been validated by an international body dealing in longevity research, such as the Gerontology Research Group or Guinness World Records, and others who have otherwise been reliably sourced.
The Nicoya Peninsula is a peninsula on the Pacific coast of Costa Rica. It is divided into two provinces: Guanacaste Province in the north, and the Puntarenas Province in the south. It is located at 10°N 85.4166667°W. It varies from 30–60 km (19–37 mi) in width and is about 120 km (75 mi) long, forming the largest peninsula in the country. It is known for its beaches and is a popular tourist destination.
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 author, explorer, longevity researcher and public speaker. He co-produced the 3 time Emmy Award winning documentary TV mini series Live to 100: Secrets of the Blue Zones (2023) based on his book of the same name and holds three Guinness records for distance cycling. Buettner is the founder of Blue Zones, LLC. He is a National Geographic Fellow.
The New England Centenarian Study is a study of persons aged 100 and over (centenarians) in the Boston area.
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.
Adventist Health Studies (AHS) is a series of long-term medical research projects of Loma Linda University with the intent to measure the link between lifestyle, diet, disease and mortality of Seventh-day Adventists.
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". There is evidence that following this practice leads to a lower body mass index and increased longevity, and it might even help to prevent dementia in the elderly.
Nir Barzilai is an Israeli geneticist and longevity researcher.
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.
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.