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百岁老人能活多久?预期寿命和最长寿命。

How long do centenarians survive? Life expectancy and maximum lifespan.

机构信息

Institute of Environmental Medicine, Unit of Epidemiology, Karolinska Institutet, Stockholm, Sweden.

Centre for Occupational and Environmental Medicine, Stockholm County Council, Stockholm, Sweden.

出版信息

J Intern Med. 2017 Aug;282(2):156-163. doi: 10.1111/joim.12627. Epub 2017 May 24.

Abstract

OBJECTIVES

The purpose of this study was to explore the pattern of mortality above the age of 100 years. In particular, we aimed to examine whether Scandinavian data support the theory that mortality reaches a plateau at particularly old ages. Whether the maximum length of life increases with time was also investigated.

METHODS

The analyses were based on individual level data on all Swedish and Danish centenarians born from 1870 to 1901; in total 3006 men and 10 963 women were included. Birth cohort-specific probabilities of dying were calculated. Exact ages were used for calculations of maximum length of life. Whether maximum age changed over time was analysed taking into account increases in cohort size.

RESULTS

The results confirm that there has not been any improvement in mortality amongst centenarians in the past 30 years and that the current rise in life expectancy is driven by reductions in mortality below the age of 100 years. The death risks seem to reach a plateau of around 50% at the age 103 years for men and 107 years for women. Despite the rising life expectancy, the maximum age does not appear to increase, in particular after accounting for the increasing number of individuals of advanced age.

CONCLUSION

Mortality amongst centenarians is not changing despite improvements at younger ages. An extension of the maximum lifespan and a sizeable extension of life expectancy both require reductions in mortality above the age of 100 years.

摘要

目的

本研究旨在探讨 100 岁以上人群的死亡率模式。具体而言,我们旨在检验斯堪的纳维亚数据是否支持死亡率在极老年时达到平台期的理论。同时,我们还研究了最长寿命是否随着时间的推移而增加。

方法

本分析基于瑞典和丹麦所有生于 1870 年至 1901 年的百岁老人的个体水平数据;共纳入 3006 名男性和 10963 名女性。计算了特定出生队列的死亡概率。使用确切年龄计算最长寿命。考虑到队列规模的增加,分析了最大年龄随时间变化的情况。

结果

结果证实,在过去 30 年中,百岁老人的死亡率没有任何改善,当前预期寿命的延长是由于 100 岁以下死亡率的降低所致。男性死亡风险在 103 岁左右、女性在 107 岁左右似乎达到了 50%左右的平台期。尽管预期寿命在不断延长,但最大年龄似乎并没有增加,特别是在考虑到越来越多的高龄人群之后。

结论

尽管在较年轻人群中有所改善,但百岁老人的死亡率并未发生变化。要延长最长寿命和大幅延长预期寿命,都需要降低 100 岁以上人群的死亡率。

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