Bonewit-west Today's Medical Assistant 3rd Edition Chapter 35 Nutrition

Do we really live longer than our ancestors?

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BBC/Getty

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The wonders of modern medicine and nutrition make it easy to believe we enjoy longer lives than at any time in human history, but we may not be that special after all.

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Over the last few decades, life expectancy has increased dramatically around the globe. The average person born in 1960, the earliest year the United Nations began keeping global data, could expect to live to 52.5 years of age. Today, the average is 72. In the UK, where records have been kept longer, this trend is even greater. In 1841, a baby girl was expected to live to just 42 years of age, a boy to 40. In 2016, a baby girl could expect to reach 83; a boy, 79.

The natural conclusion is that both the miracles of modern medicine and public health initiatives have helped us live longer than ever before – so much so that we may, in fact, be running out of innovations to extend life further. In September 2018, the Office for National Statistics confirmed that, in the UK at least, life expectancy has stopped increasing. Beyond the UK, these gains are slowing worldwide.

This belief that our species may have reached the peak of longevity is also reinforced by some myths about our ancestors: it's common belief that ancient Greeks or Romans would have been flabbergasted to see anyone above the age of 50 or 60, for example.

Rome's first emperor, Augustus, died at 75 – underscoring the distinction between our ancestors' average life expectancy versus their life span (Credit: BBC/Getty)

"There is a basic distinction between life expectancy and life span," says Stanford University historian Walter Scheidel, a leading scholar of ancient Roman demography. "The life span of humans – opposed to life expectancy, which is a statistical construct – hasn't really changed much at all, as far as I can tell."

Life expectancy is an average. If you have two children, and one dies before their first birthday but the other lives to the age of 70, their average life expectancy is 35.

That's mathematically correct – and it certainly tells us something about the circumstances in which the children were raised. But it doesn't give us the full picture. It also becomes especially problematic when looking at eras, or in regions, where there are high levels of infant mortality. Most of human history has been blighted by poor survival rates among children, and that continues in various countries today.

The 6th-Century ruler Empress Suiko, who was Japan's first reigning empress in recorded history, died at 74 years of age (Credit: BBC/Getty)

This averaging-out, however, is why it's commonly said that ancient Greeks and Romans, for example, lived to just 30 or 35. But was that really the case for people who survived the fragile period of childhood, and did it mean that a 35-year-old was truly considered 'old'?

If one's thirties were a decrepit old age, ancient writers and politicians don't seem to have got the message. In the early 7th Century BC, the Greek poet Hesiod wrote that a man should marry "when you are not much less than 30, and not much more". Meanwhile, ancient Rome's 'cursus honorum' – the sequence of political offices that an ambitious young man would undertake – didn't even allow a young man to stand for his first office, that of quaestor, until the age of 30 (under Emperor Augustus, this was later lowered to 25; Augustus himself died at 75). To be consul, you had to be 43 – eight years older than the US's minimum age limit of 35 to hold a presidency.

In the 1st Century, Pliny devoted an entire chapter of The Natural History to people who lived longest. Among them he lists the consul M Valerius Corvinos (100 years), Cicero's wife Terentia (103), a woman named Clodia (115 – and who had 15 children along the way), and the actress Lucceia who performed on stage at 100 years old.

Then there are tombstone inscriptions and grave epigrams, such as this one for a woman who died in Alexandria in the 3rd Century BC. "She was 80 years old, but able to weave a delicate weft with the shrill shuttle", the epigram reads admiringly.

Not, however, that ageing was any easier then than it is now. "Nature has, in reality, bestowed no greater blessing on man than the shortness of life," Pliny remarks. "The senses become dull, the limbs torpid, the sight, the hearing, the legs, the teeth, and the organs of digestion, all of them die before us…" He can think of only one person, a musician who lived to 105, who had a pleasantly healthy old age. (Pliny himself reached barely half that; he's thought to have died from volcanic gases during the eruption of Mt Vesuvius, aged 56).

In the ancient world, at least, it seems people certainly were able to live just as long as we do today. But just how common was it?

Age of empires

Back in 1994 a study looked at every man entered into the Oxford Classical Dictionary who lived in ancient Greece or Rome. Their ages of death were compared to men listed in the more recent Chambers Biographical Dictionary.

Of 397 ancients in total, 99 died violently by murder, suicide or in battle. Of the remaining 298, those born before 100BC lived to a median age of 72 years. Those born after 100BC lived to a median age of 66. (The authors speculate that the prevalence of dangerous lead plumbing may have led to this apparent shortening of life).

The median of those who died between 1850 and 1949? Seventy-one years old – just one year less than their pre-100BC cohort.

Of course, there were some obvious problems with this sample. One is that it was men-only. Another is that all of the men were illustrious enough to be remembered. All we can really take away from this is that privileged, accomplished men have, on average, lived to about the same age throughout history – as long as they weren't killed first, that is.

Still, says Scheidel, that's not to be dismissed. "It implies there must have been non-famous people, who were much more numerous, who lived even longer," he says.

The Roman emperor Tiberius died at the age of 77 – some accounts say by murder (Credit: BBC/Getty)

Not everyone agrees. "There was an enormous difference between the lifestyle of a poor versus an elite Roman," says Valentina Gazzaniga, a medical historian at Rome's La Sapienza University. "The conditions of life, access to medical therapies, even just hygiene – these were all certainly better among the elites."

In 2016, Gazzaniga published her research on more than 2,000 ancient Roman skeletons, all working-class people who were buried in common graves. The average age of death was 30, and that wasn't a mere statistical quirk: a high number of the skeletons were around that age. Many showed the effects of trauma from hard labour, as well as diseases we would associate with later ages, like arthritis.

Men might have borne numerous injuries from manual labour or military service. But women – who, it's worth noting, also did hard labour such as working in the fields – hardly got off easy. Throughout history, childbirth, often in poor hygienic conditions, is just one reason why women were at particular risk during their fertile years. Even pregnancy itself was a danger.

"We know, for example, that being pregnant adversely affects your immune system, because you've basically got another person growing inside you," says Jane Humphries, a historian at the University of Oxford. "Then you tend to be susceptible to other diseases. So, for example, tuberculosis interacts with pregnancy in a very threatening way. And tuberculosis was a disease that had higher female than male mortality."

The Roman noble Julia the Elder died in the year 14 at the age of 54, but most sources agree her death was the untimely consequence of exile and imprisonment (Credit: BBC/Getty)

Childbirth was worsened by other factors too. "Women often were fed less than men," Gazzaniga says. That malnutrition means that young girls often had incomplete development of pelvic bones, which then increased the risk of difficult child labour.

"The life expectancy of Roman women actually increased with the decline of fertility," Gazzaniga says. "The more fertile the population is, the lower the female life expectancy."

Missing people

The difficulty in knowing for sure just how long our average predecessor lived, whether ancient or pre-historic, is the lack of data. When trying to determine average ages of death for ancient Romans, for example, anthropologists often rely on census returns from Roman Egypt. But because these papyri were used to collect taxes, they often under-reported men – as well as left out many babies and women.

Tombstone inscriptions, left behind in their thousands by the Romans, are another obvious source. But infants were rarely placed in tombs, poor people couldn't afford them and families who died simultaneously, such as during an epidemic, also were left out.

And even if that weren't the case, there is another problem with relying on inscriptions.

"You need to live in a world where you have a certain amount of documentation where it can even be possible to tell if someone lived to 105 or 110, and that only started quite recently," Scheidel points out. "If someone actually lived to be 111, that person might not have known."

The Roman empress Livia, wife of Augustus, lived until she was 86 or 87 years old (Credit: BBC/Getty)

As a result, much of what we think we know about ancient Rome's statistical life expectancy comes from life expectancies in comparable societies. Those tell us that as many as one-third of infants died before the age of one, and half of children before age 10. After that age your chances got significantly better. If you made it to 60, you'd probably live to be 70.

Taken altogether, life span in ancient Rome probably wasn't much different from today. It may have been slightly less "because you don't have this invasive medicine at end of life that prolongs life a little bit, but not dramatically different", Scheidel says. "You can have extremely low average life expectancy, because of, say, pregnant women, and children who die, and still have people to live to 80 and 90 at the same time. They are just less numerous at the end of the day because all of this attrition kicks in."

Of course, that attrition is not to be sniffed at. Particularly if you were an infant, a woman of childbearing years or a hard labourer, you'd be far better off choosing to live in year 2018 than 18. But that still doesn't mean our life span is actually getting significantly longer as a species.

On the record

The data gets better later in human history once governments begin to keep careful records of births, marriages and deaths – at first, particularly of nobles.

Queen Elizabeth I lived until the age of 70; life expectancy at the time could be longer for villagers than for royals (Credit: BBC/Getty)

Surely, by the soot-ridden era of Charles Dickens, life was unhealthy and short for nearly everyone? Still no. As researchers Judith Rowbotham, now at the University of Plymouth, and Paul Clayton, of Oxford Brookes University, write, "once the dangerous childhood years were passed… life expectancy in the mid-Victorian period was not markedly different from what it is today". A five-year-old girl would live to 73; a boy, to 75.

Not only are these numbers comparable to our own, they may be even better. Members of today's working-class (a more accurate comparison) live to around 72 years for men and 76 years for women.

Britain's Queen Victoria died in 1901 at the age of 81. During her reign, a girl could expect to live to about 73 years of age, a boy to 75 (Credit: BBC/Getty)

"This relative lack of progress is striking, especially given the many environmental disadvantages during the mid-Victorian era and the state of medical care in an age when modern drugs, screening systems and surgical techniques were self-evidently unavailable," Rowbotham and Clayton write.

They argue that if we think we're living longer than ever today, this is because our records go back to around 1900 – which they call a "misleading baseline", as it was at a time when nutrition had decreased and when many men started to smoke.

Pre-historic people

What about if we look in the other direction in time – before any records at all were kept?

Although it is obviously difficult to collect this kind of data, anthropologists have tried to substitute by looking at today's hunter-gatherer groups, such as the Ache of Paraguay and Hadza of Tanzania. They found that while the probability of a newborn's survival to age 15 ranged between 55% for a Hadza boy up to 71% for an Ache boy, once someone survived to that point, they could expect to live until they were between 51 and 58 years old. Data from modern-day foragers, who have no access to medicine or modern food, write Michael Gurven and Cristina Gomes, finds that "while at birth mean life expectancies range from 30 to 37 years of life, women who survive to age 45 can expect to live an additional 20 to 22 years" – in other words, from 65 to 67 years old.

The Roman empress Domitia died in 130 at the age of 77 (Credit: BBC/Alamy)

Archaeologists Christine Cave and Marc Oxenham of Australian National University have recently found the same. Looking at dental wear on the skeletons of Anglo-Saxons buried about 1,500 years ago, they found that of 174 skeletons, the majority belonged to people who were under 65 – but there also were 16 people who died between 65 and 74 years old and nine who reached at least 75 years of age.

Our maximum lifespan may not have changed much, if at all. But that's not to delegitimise the extraordinary advances of the last few decades which have helped so many more people reach that maximum lifespan, and live healthier lives overall.

Perhaps that's why, when asked what past era, if any, she'd prefer to live in, Oxford's Humphries doesn't hesitate.

"Definitely today," she says. "I think women's lives in the past were pretty nasty and brutish – if not so short."

Amanda Ruggeri is BBC Future's senior editor. She can be found at @amanda_ruggeri on Twitter.

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Bonewit-west Today's Medical Assistant 3rd Edition Chapter 35 Nutrition

Source: https://www.bbc.com/future/article/20181002-how-long-did-ancient-people-live-life-span-versus-longevity

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