Supercentenarians: How can you live past 110?

Evan Walker
Evan Walker TheMediTary.Com |
oler man and woman from Brazil sitting on chairs outdoors in the sunShare on Pinterest
What does it take to become a supercentenarian? Some communities in Brazil may hold the answer. Image credit: heckepics/Getty Images
  • Brazil is home to three of the 10 longest-lived male supercentenarians in the world.
  • A new paper explores why Brazil is home to an unusually high number of long-lived individuals.
  • The authors believe distinct genetic and immunological factors may be driving this effect.

The field of longevity is exploding. You can’t scroll an inch on your social media feed before you come across someone who claims they’ll live to 150.

Nine times out of 10, these people believe they can achieve this by spending huge sums on wellness “hacks,” untested treatments, and supplements.

Only time will tell whether their high-cost, bespoke protocols will extend their lives. Meanwhile, in Brazil, many people — without access to $1,000-per-night wellness clinics or cryotherapy chambers — are routinely living to 100 and beyond.

Despite limited access to healthcare, many of these centenarians stay healthy even up until the end of their century-long lives.

A recent Viewpoint article in the journal Genomic Press describes ongoing genomic and cellular studies on some of these people.

This research aims to identify the biological signatures associated with surviving to advanced age. Before we dig into the research, here is some terminology:

  • centenarians — people aged 100 years or older
  • semisupercentenarians — aged 105–109 years
  • supercentenarians — aged 110 years or older.

As the authors begin their paper, “Health span is a global goal.” It is not that people want to live long lives; it is more that they want to live Healthy lives for longer.

Also, individuals who make it to a healthy, advanced age must, by definition, have avoided the many diseases of aging that are some of the biggest killers, including dementia, heart disease, and cancer.

Studying the physiology and genetics of these long-lived individuals could help us develop more effective treatments or preventative approaches.

In the paper, the researchers call out recent research into long-lived individuals and explore some of the biological mechanisms that help keep these people younger for longer.

The first one is protein maintenance. As we age, our body’s ability to maintain and refresh the thousands of proteins needed for good health slowly fails. Supercentenarians, however, can clear faulty proteins as efficiently as much younger adults.

Another mechanism might be tied to immune protection. In general, the immune system of older adults slowly declines, increasing the risk of low-level chronic inflammation and infection. In supercentenarians, however, rather than a decline, their immune system adapts to become more resilient.

Finally, some people may simply have “good” genes: Evidence suggests that long-lived individuals may have certain genetic advantages, harbouring relatively rare gene variants that support a robust immune system, genomic stability, and mitochondrial function.

While we wait for the data to roll in, what can people who live elsewhere in the world do to extend their lives?

Experts who were not involved in the study offered some of their longevity tips.

Prioritize metabolism

“Putting metabolic health first, keeping muscle mass, keeping the immune system healthy, and reducing chronic inflammation are all important,” Ghiyam explained.

“This means getting enough protein, doing strength and aerobic exercises on a regular basis, getting good sleep, and taking steps to lower your risk of heart disease. It’s just as important to avoid smoking, eat less ultra-processed foods, and deal with stress,” he told us.

Building on the role of physical activity, Bovay emphasized the importance of building our “Structural Armor.”

“The paper mentions that many of these supercentenarians were still independent in daily activities. Muscle is the currency of longevity. If you want to live to 100, you need to lift heavy things now,” he advised, adding that “high bone density and muscle mass are the best predictors of surviving a health crisis.”

The power of walking

“Walking needs to be a daily activity,” McDowell told us. “Those who walk more have better longevity because it reduces the risk of cardiac disease and cardiac death.”

“One large-scale study,” she continued, “demonstrated that if people who walk 2,500 steps a day add an extra 500 steps each day, it reduces the risk of death by 7%. If they add 1,000 steps per day, it reduces their risk of death by 15%.”

6 pillars of lifestyle medicine

Finally, David Goldman, MS, RD, a sports dietitian, research scientist, and chief science advisor at Switch4Good recommended making one small change at a time and focusing on six pillars of lifestyle medicine:

  1. eat whole, plant-predominant foods — vegetables, fruits, whole grains, legumes, nuts, and seeds — while minimizing meat and salt consumption
  2. stay active with cardio, strength training, and stretching
  3. get 7–9 hours of quality sleep each night
  4. manage stress with mindfulness or breathing exercises
  5. keep strong social ties.
  6. avoid tobacco and limit alcohol.

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