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Life Expectancy Trends
Will we soon live to a 100?
The danger of linear extrapolation
Gaetan Lion, February 1, 2022
Life Expectancy History
I am focusing on several countries with long life expectancy
plus the US and China.
2
The Countries
Anglo Saxon European Asia
Australia Spain China
Canada Sweden Japan
New Zealand Switzerland Korea*
USA
* South Korea
3
Source: United Nations – Population Division
Since 1980, life expectancy has
grown a lot slower in the US. And,
over the most recent decade it
has remained flat at around 79
years.
Meanwhile, it has kept on rising
fairly rapidly reaching between 82
to 84 years for the other Anglo
Saxon countries.
4
The US lags big time
Source: United Nations – Population Division
In 1950, Spain’s life expectancy was
much shorter than Sweden and
Switzerland. But, it caught up with
the others by 1980. And, these three
European countries respective life
expectancy kept on rising fairly rapidly
to the present reaching around 83
years old currently.
5
Spain catches up
Source: United Nations – Population Division
Back in 1950, both Korea
(meaning South Korea) and China
had respectively far shorter life
expectancy.
Korea has nearly caught up with
Japan who has the longest life
expectancy among major
countries. China’s life expectancy
has also risen dramatically, but
not quite as much as Korea.
6
South Korea catches up to
Japan
Source: United Nations – Population
Division
Several of the Anglo Saxon, European,
and Asian countries respective life
expectancy has converged upward
towards 82 to 84 years old. This is
despite these countries being
geographically and genetically very
distant. And, also starting from
drastically different life expectancy
back in 1950.
7
Convergence
Focusing on the converging
countries, the upward visual
convergence towards a life
expectancy in the 82 to 84 year old
range is spectacular. This is
especially the case when you note
the geographical and genetic
distance of the respective countries
and the drastically different starting
points back in 1950.
8
Healthy Life Expectancy History
Healthy life expectancy equals life expectancy minus years living with disability. This
typically truncates life expectancy by 8 to 11 years depending on the country.
9
Source: IHME, Global Burden of Disease
Again, notice how the US is not
faring well on a relative basis. Its
upward slope of the rising healthy
life expectancy trend line is far
flatter than for the other countries.
And, the mentioned US slope has
remained flat since 2010.
10
The US lags big time
Source: IHME, Global Burden of Disease
Spain achievement on this
count is not well known.
Few would expect that
Spaniards would
outperform the Swiss and
Swedes on this one
measure.
11
Spain surprises
Source: IHME, Global Burden of Disease
There is a remaining
reasonably strong
differentiation between the
three Asian countries.
China is still way behind the
other two countries.
12
Source: IHME, Global Burden of Disease
The convergence between
these countries is visually not
quite as noticeable than when
focusing on life expectancy.
This is in good part due to the
different sensitivities (or
shorter yearly intervals)
disclosed on the Y-axis of the
graphs.
13
Comparison Summary
14
Source: United Nations _ population Division.
IHME, Global Burden of Disease
When you look at actual numbers, you observe that the rate
of convergence between countries is very similar for both
measures (life expectancy and healthy life expectancy).
Notice how in both measures, the US and China trail far
behind the other countries.
15
Life Expectancy Forecast out to 2099
16
Source: United Nations – Population Division
17
Highly optimistic, read later why.
Source: United Nations – Population Division
18
Highly optimistic, read later why.
Source: United Nations – Population Division
19
Highly optimistic, read later why.
Source: United Nations – Population Division
20
Highly optimistic, read later why.
Why the Life Expectancy Forecasts to 2099 are
optimistic
21
The Danger of Linear Extrapolation: The data
Note how the projections assume a constant increase of around 1 to
1.1 year per decade increase in life expectancy.
Source: United Nations – Population Division
22
The Danger of Linear Extrapolation: The Narrative
Adding one year to life expectancy gets increasingly difficult as you move upward from
80 to 85 and 90 years old.
“Attaining a life expectancy of 90 requires the equivalent of cures for cancer, all
cardiovascular diseases, diabetes, infectious diseases, and accidental deaths. Getting to
95 requires the elimination of all known causes of death short of aging”
Dr. S. Jay Olshansky
Professor of epidemiology and biostatistics at the University of Illinois School of Public Health and Board
Member of the American Federation for Aging Research.
23
Will we ever reach a life expectancy of a 100? Or even 90?
The Law of Averages raises serious doubt
“ … The law of averages requires that for 100 to be the new life expectancy, a
significant proportion of the population routinely must survive beyond the current
maximum lifespan limit of 122-an age known to have been reached by just one
person. This alone is sufficient to cast doubt on claims that 100 is the new normal.”
Dr. S. Jay Olshansky
Using Olshansky’s logic suggests that reaching a life expectancy of 90 would be challenging.
For each person dying at 70, you need 1 making it to 110.
For each person dying at 50, you need 2 making it to 110.
For each child-birth casualty, you would need 4.5 individuals making it to 110.
24
UN projections are highly optimistic outlining the danger of
linear extrapolation into the distant future
Source: United Nations – Population Division
The converging countries’ life expectancies
cross 90 by mid 2070s, and keep on
trucking upward (1.1 year per decade)
following a linear trend till 2099.
Instead, it is more likely that the trend lines
will follow a logarithmic curve with each
decade corresponding to an ever
decreasing increase in life expectancy.
25
Health trends are not supportive of ever
rising life expectancy
26
Prevalence of diabetes type 2 is increasing rapidly worldwide
27
Diabetes prevalence has risen very rapidly in the US
28
Diabetes prevalence has more
than doubled in China within
less than two decades.
The trend is flatter in Japan
and Korea.
China
29
Obesity is rising worldwide
North America
& Europe
30
Obesity is increasingly prevalent among both adults and children worldwide
31
BMI is rising rapidly for both the US and the World
32
The prevalence (%) for the
tranches in yellow, orange,
and red are growing rapidly
over time for both men and
women worldwide.
These tranches denote the
% of the population that is
overweight or obese.
33
In high income countries, the level of fitness has declined during the 21st century
34
Physical fitness is inadequate for close to a third of the population worldwide
35

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Life expectancy

  • 1. Life Expectancy Trends Will we soon live to a 100? The danger of linear extrapolation Gaetan Lion, February 1, 2022
  • 2. Life Expectancy History I am focusing on several countries with long life expectancy plus the US and China. 2
  • 3. The Countries Anglo Saxon European Asia Australia Spain China Canada Sweden Japan New Zealand Switzerland Korea* USA * South Korea 3
  • 4. Source: United Nations – Population Division Since 1980, life expectancy has grown a lot slower in the US. And, over the most recent decade it has remained flat at around 79 years. Meanwhile, it has kept on rising fairly rapidly reaching between 82 to 84 years for the other Anglo Saxon countries. 4 The US lags big time
  • 5. Source: United Nations – Population Division In 1950, Spain’s life expectancy was much shorter than Sweden and Switzerland. But, it caught up with the others by 1980. And, these three European countries respective life expectancy kept on rising fairly rapidly to the present reaching around 83 years old currently. 5 Spain catches up
  • 6. Source: United Nations – Population Division Back in 1950, both Korea (meaning South Korea) and China had respectively far shorter life expectancy. Korea has nearly caught up with Japan who has the longest life expectancy among major countries. China’s life expectancy has also risen dramatically, but not quite as much as Korea. 6 South Korea catches up to Japan
  • 7. Source: United Nations – Population Division Several of the Anglo Saxon, European, and Asian countries respective life expectancy has converged upward towards 82 to 84 years old. This is despite these countries being geographically and genetically very distant. And, also starting from drastically different life expectancy back in 1950. 7 Convergence
  • 8. Focusing on the converging countries, the upward visual convergence towards a life expectancy in the 82 to 84 year old range is spectacular. This is especially the case when you note the geographical and genetic distance of the respective countries and the drastically different starting points back in 1950. 8
  • 9. Healthy Life Expectancy History Healthy life expectancy equals life expectancy minus years living with disability. This typically truncates life expectancy by 8 to 11 years depending on the country. 9
  • 10. Source: IHME, Global Burden of Disease Again, notice how the US is not faring well on a relative basis. Its upward slope of the rising healthy life expectancy trend line is far flatter than for the other countries. And, the mentioned US slope has remained flat since 2010. 10 The US lags big time
  • 11. Source: IHME, Global Burden of Disease Spain achievement on this count is not well known. Few would expect that Spaniards would outperform the Swiss and Swedes on this one measure. 11 Spain surprises
  • 12. Source: IHME, Global Burden of Disease There is a remaining reasonably strong differentiation between the three Asian countries. China is still way behind the other two countries. 12
  • 13. Source: IHME, Global Burden of Disease The convergence between these countries is visually not quite as noticeable than when focusing on life expectancy. This is in good part due to the different sensitivities (or shorter yearly intervals) disclosed on the Y-axis of the graphs. 13
  • 15. Source: United Nations _ population Division. IHME, Global Burden of Disease When you look at actual numbers, you observe that the rate of convergence between countries is very similar for both measures (life expectancy and healthy life expectancy). Notice how in both measures, the US and China trail far behind the other countries. 15
  • 16. Life Expectancy Forecast out to 2099 16
  • 17. Source: United Nations – Population Division 17 Highly optimistic, read later why.
  • 18. Source: United Nations – Population Division 18 Highly optimistic, read later why.
  • 19. Source: United Nations – Population Division 19 Highly optimistic, read later why.
  • 20. Source: United Nations – Population Division 20 Highly optimistic, read later why.
  • 21. Why the Life Expectancy Forecasts to 2099 are optimistic 21
  • 22. The Danger of Linear Extrapolation: The data Note how the projections assume a constant increase of around 1 to 1.1 year per decade increase in life expectancy. Source: United Nations – Population Division 22
  • 23. The Danger of Linear Extrapolation: The Narrative Adding one year to life expectancy gets increasingly difficult as you move upward from 80 to 85 and 90 years old. “Attaining a life expectancy of 90 requires the equivalent of cures for cancer, all cardiovascular diseases, diabetes, infectious diseases, and accidental deaths. Getting to 95 requires the elimination of all known causes of death short of aging” Dr. S. Jay Olshansky Professor of epidemiology and biostatistics at the University of Illinois School of Public Health and Board Member of the American Federation for Aging Research. 23
  • 24. Will we ever reach a life expectancy of a 100? Or even 90? The Law of Averages raises serious doubt “ … The law of averages requires that for 100 to be the new life expectancy, a significant proportion of the population routinely must survive beyond the current maximum lifespan limit of 122-an age known to have been reached by just one person. This alone is sufficient to cast doubt on claims that 100 is the new normal.” Dr. S. Jay Olshansky Using Olshansky’s logic suggests that reaching a life expectancy of 90 would be challenging. For each person dying at 70, you need 1 making it to 110. For each person dying at 50, you need 2 making it to 110. For each child-birth casualty, you would need 4.5 individuals making it to 110. 24
  • 25. UN projections are highly optimistic outlining the danger of linear extrapolation into the distant future Source: United Nations – Population Division The converging countries’ life expectancies cross 90 by mid 2070s, and keep on trucking upward (1.1 year per decade) following a linear trend till 2099. Instead, it is more likely that the trend lines will follow a logarithmic curve with each decade corresponding to an ever decreasing increase in life expectancy. 25
  • 26. Health trends are not supportive of ever rising life expectancy 26
  • 27. Prevalence of diabetes type 2 is increasing rapidly worldwide 27
  • 28. Diabetes prevalence has risen very rapidly in the US 28
  • 29. Diabetes prevalence has more than doubled in China within less than two decades. The trend is flatter in Japan and Korea. China 29
  • 30. Obesity is rising worldwide North America & Europe 30
  • 31. Obesity is increasingly prevalent among both adults and children worldwide 31
  • 32. BMI is rising rapidly for both the US and the World 32
  • 33. The prevalence (%) for the tranches in yellow, orange, and red are growing rapidly over time for both men and women worldwide. These tranches denote the % of the population that is overweight or obese. 33
  • 34. In high income countries, the level of fitness has declined during the 21st century 34
  • 35. Physical fitness is inadequate for close to a third of the population worldwide 35