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Living longer, not healthier: Study finds periods of poor health toward end of life

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Living longer, not healthier: Study finds periods of poor health toward end of life

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Living longer doesn’t always mean living healthier.

That’s according to a study published in JAMA Network Open, which found a “widening gap between lifespan and healthspan” among 183 countries.

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In 2019, there was a “healthspan-lifespan gap” of 9.6 years globally, a 13% increase from 8.5 years in 2019, Mayo Clinic researchers found.

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That gap was largest in the U.S., as Americans live in poor health for an average of 12.4 years, compared to 10.9 years in 2000.

The “healthspan-lifespan gap” was largest in the U.S., as Americans live in poor health for an average of 12.4 years, compared to 10.9 years in 2000. (iStock)

The U.S. also reported the “highest burden of chronic disease,” the researchers noted, primarily due to mental illness, substance use disorders and musculoskeletal conditions.

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The researchers analyzed data from the WHO Global Health Observatory, which included statistics on life expectancy, health-adjusted life expectancy and years lived with disease for each member country.

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Lead study author Dr. Andre Terzic, the Marriott family professor of cardiovascular research at Mayo Clinic, calls the healthspan-lifespan gap a “universal threat to healthy longevity.”

“Advances in longevity are a major milestone for humankind — gains in life expectancy, however, have not been matched with an equivalent expansion in healthy longevity,” he told Fox News Digital. 

The U.S. reported the “highest burden of chronic disease,” the researchers noted, primarily due to mental illness, substance use disorders and musculoskeletal conditions. (iStock)

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There was also a gender gap, with women experiencing more years in poor health than men.

“Worldwide, women live longer than men, but exhibit a 2.4-year-wider healthspan-lifespan gap,” said Terzic. 

“In the U.S., women had a higher non-communicable disease burden, with a particularly pronounced contribution from musculoskeletal, genitourinary and neurological diseases.”

The study findings point to the need for an “accelerated pivot to proactive, wellness-centric care systems,” according to Terzic.

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The study findings point to the need for an “accelerated pivot to proactive, wellness-centric care systems,” according to the lead researcher. (iStock)

“Further study is needed to identify demographic, economic and health drivers of the healthspan-lifespan gap.”

The research was funded by the Marriott Family Foundation, National Institutes of Health and National Institute of General Medical Sciences.

Personalized nutrition is key, doctor says

Grant Antoine, a naturopathic doctor and clinical lead at Viome, a health care testing company in Bellevue, Washington, said there are a number of factors that have widened the healthspan-lifespan gap in the U.S.

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“While medical advancements have extended life expectancy, they haven’t addressed the root causes of poor health, such as diet, chronic stress, sedentary lifestyles and preventable diseases,” he told Fox News Digital. 

“These issues are compounded by the fact that there is no one answer to eating healthy.”

Some of the key factors contributing to aging and reduced healthspan include poor nutrition, imbalanced gut health and chronic inflammation, according to one expert. (iStock)

Some of the key factors contributing to aging and reduced healthspan include poor nutrition, imbalanced gut health and chronic inflammation, according to Antoine. 

“To close the healthspan-lifespan gap in the U.S., we need to prioritize personalized, science-backed nutrition that’s based on each individual’s biology rather than a one-size-fits-all diet,” he recommended. 

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“There is no universally healthy diet or supplement. Personalized nutrition is a key to ensuring that people live healthier longer.”

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GLP-1s Don’t Work for Everyone: What To Know if You’re Not Seeing Results

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GLP-1s Don’t Work for Everyone: What To Know if You’re Not Seeing Results


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Common eating habit may trigger premature immune system aging, study finds

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Common eating habit may trigger premature immune system aging, study finds

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Eating too much salt has long been linked to high blood pressure, but new research suggests it could trick the immune system into prematurely aging the blood vessels.

A preclinical study recently published in the Journal of the American Heart Association has identified a biological chain reaction that links a salty diet to cardiovascular decay.

Scientists at the University of South Alabama observed that mice on a high-salt diet experienced rapid deterioration in their blood vessel function.

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After just four weeks of high sodium intake, the small arteries responsible for regulating blood flow lost their ability to relax, according to a press release.

The team found that the cells lining these vessels had entered a state of cellular senescence, a form of premature cellular aging in which cells stop dividing and release a mix of inflammatory signals that can damage surrounding tissue.

Excess salt has long been linked to high blood pressure, but a new study goes deeper into its effects on the cardiovascular system. (iStock)

The researchers tried to replicate this damage by exposing blood vessel cells directly to salt in a laboratory dish, but the cells showed no harmful effects.

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This suggests that salt isn’t directly causing damage to the vascular lining but that the real culprit may be the body’s own defense mechanism, the researchers noted.

Excess salt may trigger the immune system to release a molecule called interleukin-16 (IL-16), which acts as a messenger that instructs blood vessel cells to grow old before their time, according to the study.

Excess salt may trigger the immune system to release a molecule called interleukin-16, which acts as a messenger that instructs blood vessel cells to grow old before their time, according to the study. (iStock)

Once these cells age, they fail to produce nitric oxide, the essential gas that tells arteries to dilate and stay flexible.

To test whether this process could be reversed, the team turned to a class of experimental drugs known as senolytics.

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Using a cancer medication called navitoclax, which selectively clears out aged and dysfunctional cells, the researchers were able to restore nearly normal blood vessel function in the salt-fed mice, the release stated.

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By removing the decaying cells created by the high-salt diet, the drug allowed the remaining healthy tissue to maintain its elasticity and respond correctly to blood flow demands.

Excess salt may trigger the immune system into stopping the cells from dividing, the study suggests. (iStock)

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The study did have some limitations. The transition from mouse models to human treatment remains a significant hurdle, the team cautioned.

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Senolytic drugs like navitoclax are still being studied for safety, and the team emphasized that previous trials have shown mixed results regarding their impact on artery plaque.

Additionally, the researchers have not yet confirmed whether the same IL-16 pathway is the primary driver of vascular aging in humans.

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Healthy diets spark lung cancer risk in non-smokers as pesticides loom

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Healthy diets spark lung cancer risk in non-smokers as pesticides loom

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Eating a diet high in fruits and vegetables was found to have a surprising link to lung cancer among younger non-smokers, early research suggests.

The observational study, led by Jorge Nieva, M.D., of the USC Norris Comprehensive Cancer Center at Keck Medicine, was presented this month at the American Association for Cancer Research (AACR) annual meeting in San Diego. It has not yet been peer-reviewed. 

Researchers looked at dietary, smoking and demographic data for 187 patients who were diagnosed with lung cancer at age 50 or younger. 

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They found that among non-smokers, there was a link between healthier-than-average diets – rich in fruits, vegetables and whole grains – and the chance of lung cancer development.

Young lung cancer patients ate more servings of dark green vegetables, legumes and whole grains compared to the average U.S. adult, the researchers found.

Eating a diet high in fruits and vegetables was found to have a surprising link to lung cancer among younger non-smokers, early research suggests. (iStock)

The researchers hypothesized that pesticides applied to conventionally grown produce could be a possible factor in the disease association.

“Commercially produced (non-organic) fruits, vegetables and whole grains are more likely to be associated with a higher residue of pesticides than dairy, meat and many processed foods,” according to Nieva. He also noted that agricultural workers exposed to pesticides tend to have higher rates of lung cancer.

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“There is a large subset of lung cancer patients whose disease is not caused by smoking,” Nieva told Fox News Digital.

The disease is becoming more common in non-smokers 50 and younger, especially women – despite the fact that smoking rates have been falling for decades, the researcher noted.

The researchers hypothesized that pesticides applied to conventionally grown produce could be a possible factor in the disease association. (iStock)

“These patients tend to have eaten much healthier diets before their diagnosis than the average American,” he went on. “We need to support research into understanding why Americans – and women in particular – who no longer smoke very much are still having lung cancer,” he said.

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DEATHS FROM ONE TYPE OF CANCER ARE SURGING AMONG YOUNGER ADULTS WITHOUT COLLEGE DEGREES

The study did have some limitations, Nieva acknowledged, primarily that it relied on survey data and was limited by the participants’ memories of their food intake.  

“Also, the survey participants were self-selected, and this could have biased the findings,” he told Fox News Digital.

“There is a large subset of lung cancer patients whose disease is not caused by smoking.”

The researchers did not test specific foods for pesticides, relying instead on average pesticide levels for certain types of food. Looking ahead, they plan to test patients’ blood and urine samples to directly measure pesticide levels, Nieva said.

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Although the study shows only an association and does not prove that pesticides caused lung cancer, Nieva recommends that people wash their produce before eating and choose organic foods whenever possible.

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“This work represents a critical step toward identifying modifiable environmental factors that may contribute to lung cancer in young adults,” said Nieva. “Our hope is that these insights can guide both public health recommendations and future investigation into lung cancer prevention.”  

“It is possible that the increased lung cancer risk could be due to pesticide exposure in whole farmed foods, but is by no means certain,” a doctor said. (AP Photo/Charlie Neibergall)

Dr. Marc Siegel, Fox News senior medical analyst, said the study is “interesting,” but that it “raises far more questions than it answers.”

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“It is a small study (around 150) and observational, so no proof,” the doctor, who was not involved in the research, told Fox News Digital.

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“It is possible that the increased lung cancer risk could be due to pesticide exposure in whole farmed foods, but it is by no means certain,” Siegel went on. “How much exposure is needed? How much of it gets into food and in which areas? This requires much further study.”

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Kayla Nichols, communications director for Pesticide Action & Agroecology Network, a distributed global network, said the organization agrees with the study’s conclusion that more research should be done on the rise in lung cancer, particularly in individuals eating diets higher in produce and fiber.

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“There is a large subset of lung cancer patients whose disease is not caused by smoking,” the researcher told Fox News Digital. (iStock)

“There is a bounty of existing research that already links pesticide exposure to increased risk of multiple types of cancers,” Nichols, who was also not involved in the study, told Fox News Digital. She called for more research on chronic, low-level exposures to pesticides, as well as more effective policies to protect the public from pesticide residues on food.

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The study was supported by the National Institutes of Health and the National Cancer Institute, as well as industry partners including AstraZeneca and Genentech, among others.

Fox News Digital reached out to several pesticide companies and trade groups for comment.

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