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July 17, 1980New England Journal of Medicine3,373 citations

Aging, Natural Death, and the Compression of Morbidity

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JFJames F. Fries

Key Points

  • To explore the relationship between aging, life span, and the compression of morbidity over time.
  • Analysis of survival curves and life expectancy data from recent decades.
  • Calculation of ideal average life span based on current health trends.
  • Investigation of lifestyle interventions to delay chronic illness onset.
  • Eighty percent of years lost to nontraumatic deaths have been eliminated.
  • The ideal average life span is estimated at 85 years; chronic illnesses can be postponed.
  • Advancements in health strategies may compress senescence, enhancing overall life quality.

Abstract

The average length of life has risen from 47 to 73 years in this century, but the maximum life span has not increased. Therefore, survival curves have assumed an ever more rectangular form. Eighty per cent of the years of life lost to nontraumatic, premature death have been eliminated, and most premature deaths are now due to the chronic diseases of the later years. Present data allow calculation of the ideal average life span, approximately 85 years. Chronic illness may presumably be postponed by changes in life style, and it has been shown that the physiologic and psychologic markers of aging may be modified. Thus, the average age at first infirmity can be raised, thereby making the morbidity curve more rectangular. Extension of adult vigor far into a fixed life span compresses the period of senescence near the end of life. Health-research strategies to improve the quality of life require careful study of the variability of the phenomena of aging and how they may be modified.

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Cite This Study

James F. Fries (1980) studied this question.

synapsesocial.com/papers/6a0e1fdc358c8502d7d091efhttps://doi.org/10.1056/nejm198007173030304
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