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3 - Successful Aging and the Longevity Revolution

Published online by Cambridge University Press:  10 January 2019

Rocío Fernández-Ballesteros
Affiliation:
Universidad Autónoma de Madrid
Athanase Benetos
Affiliation:
Université de Lorraine and Institut national de la santé et de la recherche médicale (INSERM) Nancy
Jean-Marie Robine
Affiliation:
INSERM
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Summary

The models of successful and/or active aging implicitly rely on the hypothesis of a strong biological limit to human longevity. This chapter explores this dimension of the models through three sections presenting the continuous increase in life expectancy, exploring the “rectangularization” of the survival curve and introducing the revolution of adult longevity. When we began to observe a decrease in mortality among the oldest old people, it was not understood that our species begun to change its longevity. The next three sections ask whether centenarians are a model of successful ageing, explore the variability of end-of-life trajectories and discuss the existence of a possible trade-off between longevity and functionality. It is clear that the majority of the centenarians do not meet the criteria for successful ageing. There is also a correlation between the age at death and the number of months spent with disability in the last year of life. These results suggest that the longer one lives, the more difficult it is to meet the criteria of successful ageing. Therefore, a more dynamic vision of successful ageing should be developed. Otherwise every advance in terms of longevity will be paid by an apparent decline in terms of successful ageing.
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Publisher: Cambridge University Press
Print publication year: 2019

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