Secrets of Long Life in Okinawa
by T.A. Hauck
 

Life is precious. A long life is what most people wish for. It may seem as though long life is a matter of luck, but is it really? Is there something special about certain people that allows them live to be 90 or 100 or even older?

Around the world, there are vast differences in life expectancy. The nation with the longest life expectancy? Andorra, where men can expect to live to 80.62 years and women to 86.82 years (the Principality of Andorra is a small landlocked country in western Europe, located in the eastern Pyrenees mountains and bordered by Spain and France). The shortest? Swaziland, in southern Africa. Men live to be an average of 39.8 years, women to 39.4 years. That's less than half of the life expectancy in Andorra.

How about the United States? Surprisingly, the U.S. ranks number 39, with men at 75.6 and women at 80.8 years. We're behind Cuba (ranked 38), Canada (11), and Israel (8).

Here and there around the globe are pockets of extreme longevity. One of them is in the Japanese prefecture of Okinawa. Here, people have among the lowest mortality rates in the world, and enjoy not only what may be the world's longest life expectancy but the world's longest health expectancy. In Okinawa, the average life expectancy is 81.2 years, and the island boasts an extraordinary number of centenarians.

Okinawa's elders (aged over 70 years) and centenarians seem to experience a slower age-related decline, and either delay or avoid entirely the chronic diseases of aging such as Alzheimer's Disease, cardiovascular disease, and cancer.

Why? The Okinawa Centenarian Study (OCS) wants to find out. The OCS was started in 1975 and is an ongoing population-based study of centenarians in Okinawa. Ages of participants are validated through the koseki, the Japanese family registration system.

Research suggests that there are two major factors for Okinawan longevity. One is genetics. This discovery may not help you unless you're Okinawan. The other major factor is the traditional Okinawan way of life, including dietary habits, physical activity, and psychological and social aspects. Some findings of the study suggest these factors:

1. Caloric Restriction. Evidence suggests that long-term caloric restriction contributes to longer life. In other words, try to stay thin. But don’t be anorexic—that’s very unhealthy.

2. Cardiovascular Health. Elderly Okinawans are found to have remarkably young, clean arteries, low cholesterol, and low homocysteine levels when compared to Westerners. Their healthy arteries may be due to their lifestyle: regular exercise, diet, avoidance of smoking, blood pressure control, moderate alcohol use, and a psychospiritual outlook that minimizes stress.

3. Cancer. Okinawans are at very low risk for hormone-dependent cancers including cancers of the breast, ovaries, prostate, and colon. Some of the factors that may protect against those cancers include low caloric intake, low body fat level, higher intake of good fats (omega-3, mono-unsaturated fat), high flavonoid intake, high consumption of fruits and vegetables, high fiber diet, and a high level of physical activity.

4. Osteoporosis. Okinawans seem to preserve their bone density at healthy levels for longer periods of time than other Japanese. Lifestyle factors that may contribute include high calcium intake in both their food and natural drinking water, increased physical activity (especially at older ages), high vitamin D levels from exposure to sunlight, and high intake of dietary flavonoids (estrogenic compounds from plant foods).

5. Healthy Cognitive Aging and Dementia. Surveys suggest that the dementia rate is fairly low among the Okinawan elderly, compared to other elderly populations.

6. Women's Health. Women in Okinawa tend to experience menopause naturally and nonpharmacologically with fewer complications such as hip fractures, hot flashes, or coronary heart disease. Healthy lifestyle factors may include diet, walking, exercise in the form of dance, avoidance of smoking, non-contact martial arts, and gardening. Okinawan women also absorb natural estrogens through the large quantities of soy they consume.

7. The Endocrine System and Hormones. Okinawan elders may have higher levels of sex hormones, including natural DHEA, estrogen, and testosterone than similarly aged Americans.

 

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