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Tests - Mortality
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Improving your longevity prospects

So you want to live as long as possible - well, who doesn't! To make a significant impact on your potential lifespan

Stop smoking
Take some exercise
Get social support and protection

Avoiding Smoking

a) Among British doctors those who smoked lost on average 8 years of life.
b) Stopping smoking is biggest life saver

Smoking: survival after age 35 among smokers, quitters and never smokers

Graph showing survival after age 35 among smokers, quitters and never smokers
Doll et al, BMJ 1994

Regular Physical Activity

a) People who take regular exercise and have high levels of activity avoid heart attacks and stroke - and live longer.
b) Survival overall is also better - the figure shows that any activity is better than none.

Effects of exercise on 15 year mortality: British Regional Heart Study

Effects of exercise on 15 year mortality: British Regional Heart Study
Wannamethee et al, Arch Int Med 1998

Social Support and Protection

a) Animals in the wild suffer predation and have little protection. In zoos, they survival much better - and have a survival curve similar to humans
b) Conditions for humans in the 19th century were much closer to animals in the wild - the survival curves have improved over the 20 th century.

The effect of social factors: wild versus protected

The effect of social factors: wild versus protected

Social Class and Survival

a) Social class is based on occupation - social class I are professionals - doctors and so on, Social class V are unskilled manual workers.
b) The differences in survival between social classes are large - amounting to nearly 1500 days difference between class I and V.

Social class and life expectancy : age 65

Social class and life expectancy : age 65

Anti-Ageing Treatments?

a) Starvation diets - work in mice but not in humans
b) Antioxidant vitamins - evidence from large trials show no benefits
c) Hormone replacement therapy - evidence from trials show no benefits in survival

Scoring a Century

a) In the UK, the queen sends a birthday greeting to everyone who reaches their 100 th birthday. This gives an indication of the ageing of the population. In 1952 255 telegrams were sent out, but this has risen dramatically

The rise of centenarians - end of an era? Or anti-Royalist sentiment?

The rise of centenarians - end of an era? Or anti-Royalist sentiment?
Source: Buckingham Place, Anniversaries Office

Summary

If you want to maximise your lifespan then:

  • Avoiding smoking, taking exercise, and social protection will all help ensure a healthy old age
  • The effects of love and happiness do not require evidence and merit greater promotion
  • The health gains of the past century will be impossible to match



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