- The Washington Times - Tuesday, February 12, 2008

CHICAGO (AP) — Living to 100 is easier than you might think.

New research suggests that even people who develop heart disease or diabetes late in life have a decent shot at reaching the century mark.

“It has been generally assumed that living to 100 years of age was limited to those who had not developed chronic illness,” said Dr. William J. Hall of the University of Rochester.

In an editorial in yesterday’s Archives of Internal Medicine, where the study was published, Dr. Hall wrote that the possibility could be the result of doctors who aggressively treat the older folks’ health problems, rather than taking an “ageist” approach that assumes they wouldn’t benefit.

For the study, Boston University researchers did phone interviews and health assessments of more than 500 women and 200 men who had reached 100. They found that roughly two-thirds of them avoided significant age-related ailments.

But the rest, dubbed “survivors,” had developed an age-related disease before reaching 85, including high blood pressure, heart disease or diabetes. Yet many functioned remarkably well — nearly as well as their disease-free peers.

Overall, the men were functioning better than the women. Nearly three-fourths of the male survivors could bathe and dress themselves, while only about one-third of the women could.

The researchers think that might be because the men had to be in exceptional condition to reach 100. “Women, on the other hand, may be better physically and socially adept at living with chronic and often disabling conditions,” wrote lead author Dr. Dellara Terry and her colleagues.

At 104, Rosa McGee is one of the healthy women in the study who managed to avoid chronic disease. “My living habits are beautiful,” she said. “I don’t take any medicines. I don’t smoke and I don’t drink. Never did anything like that.”

Until late 2006, when she fell in her St. Louis home, Mrs. McGee lived alone and took care of herself. Now in Chicago, she is less mobile but still walks several times each week in her apartment building’s hallways, with her daughter’s help. A doctor and nurse make home visits regularly.

A larger study of men in their 70s found that those who avoided smoking, obesity, inactivity, diabetes and high blood pressure greatly improved their chances of living into their 90s. They had a 54 percent chance of living that long.

Their survival decreased with each risk factor, and those with all five had only a 4 percent chance of living into their 90s, according to Harvard University researchers.

Those who managed to avoid lifestyle-related ailments also increased their chances of functioning well physically and mentally two decades later.

The study followed 2,357 men for about 25 years or until death, starting in their early 70s. About 40 percent survived to at least age 90. Among survivors, 24 percent had none of the five risk factors.

“It’s not just luck, it’s not just genetics. … It’s lifestyle” that seems to make a big difference, said lead author Dr. Laurel Yates of Harvard’s Brigham and Women’s Hospital.

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