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The Biggest Risk Factor For Top-Killing Diseases

Posted: 03/20/11 11:13 AM ET

Today, aging and disease are linked like birthdays and cake. In fact, the greatest risk factor for all the big killers is the number of candles on that cake. But imagine living to 85 or 90, never worrying about getting cancer, diabetes, or Alzheimer's disease. It's not possible now but it could be.

Scientists who study the biology of aging -- the basic mechanisms of how our cells and tissues change with age -- believe the aging process is modifiable. It cannot be stopped, but it can be slowed. Even better, scores of peer-reviewed studies have proven that decelerating the aging process in lab animals also offers huge health benefits, dramatically delaying and lowering their incidence of chronic disease.

If we could achieve the same exciting results in humans, we could transform the lives of older people and achieve what aging researchers call a longer healthspan. As University of Michigan gerontologist Dr. Richard Miller has said, "the goal isn't to prolong the survival of someone who is old and sick, but to postpone the period of being old and sick."

So what's stopping us? Our scientific understanding of the aging process and how it affects our health is still a work in progress. With America's 65-plus population set to double in the next 20 years, and age-related health care costs threatening to bankrupt federal and state governments, it's time to change our approach to research on the biology of aging. Putting a man on the moon was a defining national goal in the 20th century; in the 21st century, it should be decoding the biology of aging to find the fountain of health.

Interventions proven to slow the aging process include genetic manipulation, diet, and drugs. For instance, certain genes found in both animals and humans are known to modulate the rate of aging, including the CETP gene variant (the so-called "longevity gene"), which increases "good cholesterol" and may protect against Alzheimer's disease. Other approaches include caloric restriction (feeding lab animals a nutritious but much lower-calorie diet); use of rapamycin, usually given as an immunosuppressant after organ transplant; and a compound called resveratrol, a derivative of grape skins now being tested as a diabetes treatment.

It is also important to study the molecular processes that go wrong in old age, including the body's response to inflammation, which appears to be an important contributor to bad health events in older adults. A better understanding of the mechanisms underlying inflammation could help defeat or prevent cancer, Alzheimer's disease, osteoporosis, anemia, and even cognitive decline after 70.

All these discoveries have one thing in common: we know they work, but we don't understand enough about why or how. As Roger McCarter, professor of biobehavioral health at Penn State and president of the American Federation for Aging Research, points out, "knowing how they work is important because each has potential downsides. For example, caloric restriction can cause decreased wound healing, feeling cold all the time, and greater susceptibility to infectious disease. These concerns need to be addressed before such techniques can be applied to humans."

Unfortunately, this potentially transformative work is a poor stepchild in the biomedical research enterprise. Older Americans tend to develop multiple chronic diseases (accounting for 95 percent of Medicare and Medicaid spending). But most research funding gets siloed into grants that study individual diseases, produce therapies that treat only one aspect of a patient's complex condition, and may add few, if any, very expensive months to life.

Aging research has far greater potential to repay the public's investment than disease-centric research, because the best defense is a good offense. Getting at the root cause of a range of diseases can ultimately help us keep millions of people from developing those conditions in the first place.

Although the National Institutes of Health budget exceeds $31 billion annually, the vast majority of those funds are allocated to research on specific diseases rather than the basic biology of aging, despite its potential to provide many preventive and curative strategies.

This funding disincentive creates a troubling "brain drain" of promising scientists studying aging who go into other fields. The problem and the missed opportunity will only get worse if the Republicans' proposed across-the-board budget cuts are allowed to gut the NIH just when we need medical and scientific innovation more than ever.

The anthropologist Ashley Montagu said it well, "the idea is to die young, as late as possible." Aging research can show the way. All we need is the political will to try.

 
Today, aging and disease are linked like birthdays and cake. In fact, the greatest risk factor for all the big killers is the number of candles on that cake. But imagine living to 85 or 90, never worr...
Today, aging and disease are linked like birthdays and cake. In fact, the greatest risk factor for all the big killers is the number of candles on that cake. But imagine living to 85 or 90, never worr...
 
 
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07:05 PM on 03/21/2011
The technology to reverse the aging process in humans is nearly hear. The first viable therapy may be a means to lengthen our telomeres and restore the cells of our bodies to a more youthful state. However, stem cell therapy, gene therapy and nano technology are all also on the verge of major breakthoughs in reversing the aging process. As a society we must push hard for the acceleration of this technology. The sooner it is developed, the more lives we will save. Dying is a very terrible thing and everyone should have the option to live as long and healthy a life as they would like. The savings in healthcare costs would be incredible. I realize that some people feel the pursuit of immortality is frivolous and unecessary and to them I say, drop dead, I won't stand in your way.
VA Jill
Retired RN, Army mom. Bring the troops home!
12:51 PM on 03/21/2011
FACT: you are going to die of *something.* Stay active and informed and you may live longer, but a lot of it is in your genes. My dad's mother lived to be 96; her sons lived well into their 90s. My mother's dad lived to be 88; my mom will be 93 in a couple of weeks. And while researching my family history, I found a number of ancestors who lived into their 80s and 90s way before modern medicine, back in the 18th and 19th centuries. I should probably be prepared.
09:40 AM on 03/21/2011
My dad is 83 and looks/acts like he is in his late 60s or early 70s. He is very active, enjoys travel, cooks, volunteers and stays informed on topical issues. I believe his longevity is linked to genetics, diet, staying active, and successful stress management.
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HUFFPOST SUPER USER
kat momma
progressive vegan peace
01:46 AM on 03/21/2011
It's pure ego and vanity to desire to live to 100 or more. That said, I know many octagenarians and nonegarians who have more energy than me. I think longevity is primarily due to the luck of the draw: a combination of nature and nurture. Most older folks I talk with say that their concern is not so much with their failing physical selves as it is their minds and memory.

Let's allow for more research on humans (with informed consent) rather than on nonhumans who cannot consent.
08:50 AM on 03/21/2011
Why do you consider the desire to live as "pure ego and vanity"? My husband and I are in our sixties, in very good health. We both want to live this way as long as possible, not because we are vain or egotistical, but because we love being alive, love our families, love our adventures, and love each other.
This user has chosen to opt out of the Badges program
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Debbie338
What we manifest is before us
12:31 PM on 03/21/2011
Why is it pure ego and vanity to want to see, do, and experience every bit of adventure that you can squeeze out of life? I'm 58 and in great shape, but I'm not nearly finished with all the things that need doing!
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FormerReaganite
Government Regulations Save Lives
01:29 AM on 03/21/2011
A lot of cellular aging comes from FREE RADICALS. These are present primarily as air pollution. Smog shortens lives. Buy a large HEPA air cleaner for your home to filter particulates and help mitigate free radicals. Avoid ozone-generators (any type of air cleaner that is "ionic" or electrostatic)
Do not smoke, burn wood, or do your outdoor exercise run near a roadway. Why not exercise indoors, protected by your HEPA air filter.

Free radicals in the bloodstream can be diminished by consumption of antioxidants such as vitamin C.
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HUFFPOST COMMUNITY MODERATOR
dartagnan
09:51 PM on 03/20/2011
"It is also important to study the molecular processes that go wrong in old age ..."

Is it worth considering that maybe nothing is "going wrong" -- that aging and death are parts of the natural cycle of life? From an evolutionary standpoint, Nature has no use for us after we have reproduced and raised our children; on the other hand, there obviously is positive evolutionary value in having those who have gotten beyond their child-bearing and child-rearing stage pass on and stop consuming resources.

And before I get accused of ageism, let me state that I am close to 65.
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undrgrndgirl
using bitchyness for good
12:55 AM on 03/21/2011
fanned and faved. i am "only" pushing 50...but i think the idea of living to 100 just for the sake of it seems incredibly misguided and extremely selfish, arrogant and egotistical...i know many octogenarians who preach the overpopulation gospel, yet they consume, consume, consume...then blame younger people for having children (unless it's their own children or grandchildren, of course)...i suppose the bottom line, dartagnan, is that there is no money to be made by accepting the fact that nothing is "going wrong"...
10:23 AM on 03/21/2011
Actually older people provide a valuable service to the younger members of their families, baby sitting. Older people can become a burden if they get ill but as a person who has taken care of sick babies and their parents, problems exist with all ages. When you are older make sure you have in place options to help take care of yourself. I've seen older people go from viable active people to helpless in a day.
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HUFFPOST BLOGGER
Jay Williams, Ph.D.
09:09 PM on 03/20/2011
Aloha Dr Besdine I agree with you - this is an important approach. And there are people living to 85 and 90 without health problems. Fortunately there are many scientists looking at health from this perspective and we should hear more very soon. In the meantime, there is no question that age related diseases can be prevented with lifestyle modification. A good place for people to learn about healthy old people is Blue Zones. We are huge advocates of looking and feeling good at all ages. (not just living a long life but that is a side effect). Here is a great way to get started:
www.24HourTurnaround.com
Jay Williams, PhD.
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HUFFPOST COMMUNITY MODERATOR
WhatTheHolyHeck
smiting trolls since 1984
11:30 AM on 03/21/2011
I really wish you could have made your very good point without the self-promotion.
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HUFFPOST SUPER USER
No death panels
There's no man with a trumpet. Only me.
06:59 PM on 03/21/2011
But then how would you know you could buy 4 oz of Espresso Limon-Slimming Body Oil for only $89?
09:03 PM on 03/20/2011
Biobehavioral.... the next step is consciousness itself

NIH devoted $ 24 000 000 [ petty cash but very prescious dollars ] to research about Transcendental meditation (TM) specifically Maharishi's TM discovery
[ Robert Schneider MD FACC mum.edu et al ]

the Maharishi speaking with scientists in 1980 delineated the causeof aging from the perspective of Ayur Veda [[[ Charaka samhita , Sushruta samhita etc ]]] its a 2 hour presentation but one phrase sums it up : aging is caused by ignorance. ignorance not in the sense of lack of education etc but ignorance of one's own true nature as pure unbounded consciousness : SatChitAnanda

the purpose of TM and maharishi ayur veda is " prakriti sthapan "

600 studies with TM [and some ayur veda rasayanas ] show that TM reverses aging . peopel practicing TM 2x daily 20 minutes for 5 years have a biological age 12 years younger than their chronological age

to understand the mechanism one needs to understand Dr John Hagelin's unified field hypothesis : E8XE8 heterotic superstring field theory

and also the charts at mum.edu about unified field of chemistry and unified field of physiology

here this is mostly the domain of Huffpost Living section

in a global press conference Maharishi said " TM is a panacea "
09:00 PM on 03/20/2011
My Mother is fairly healthy at 85. She stays off prescription drugs. Doctors prescribed HRT for her at 70, 20 some years after she went through menopause. She didn't take the drugs. Now it turns out that was the right decision. She has been prescribed statins to lower her cholesterol which is around 210. Doctors go crazy prescribing drugs, but they all have side effects. Patient beware.
10:27 AM on 03/21/2011
I agree with you that Doctors prescribe too many drugs. My mother had bad reactions to drugs and it affected her mind. When she got off of them she went back to normal. Seems ridiculous to prescribe statin drugs to someone your mother's age with a lower end cholesterol count. The drug companies push the number lower all the time with their biased studies. Statin drugs have a lot of side affects and I think should only be used in extreme cases.
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DrP
06:12 PM on 03/20/2011
I believe that when the role of insulin in the disease process is completely understood and embraced, there will be a revolution in health recommendations that will prevent most of the processes by which we become "old and sick," and allow us, as I have, to age gracefully and in excellent health.
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HUFFPOST SUPER USER
deans2cents
I speak my mind...
05:55 PM on 03/20/2011
Personally, i would prefer to die prior to possessing more artificial parts than real ones...just call me environmentally correct to the core.
03:45 PM on 03/20/2011
Most chronic diseases result from injuries to autonomic nerves (nerves to organs). Medicine lost them in the post-1945 medical schools when they immersed cadaveric material in formalin.

Animals do not suffer from chronic diseases. They eat properly, open their bowels properly, and, reproduce properly. No chronic diseases. Animal models are not a reliable form of "reproducing" chronic Western diseases. The NIH should save its money.
05:38 PM on 03/20/2011
The reason animals in the wild do not have chronic diseases is they die, either of starvation or being eaten, as did our ancestors. Only modern humans have the luxury of chronic illnesses.
nancynancy
Atheist.
06:34 PM on 03/20/2011
Agreed. And pet dogs and cats get many of the same chronic diseases humans do.
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RMankovitz
Researcher, inventor, entrepreneur, author
03:40 PM on 03/20/2011
Nice article. I would like to add the following personal observations. From my research, extension of healthspan is likely to be limited by the reaction of our bodies to our toxic environment. Tests have shown that we are loaded with compounds and elements know to be toxic to living cells. Here is a short list:

Organophosphate Pesticides (OPs), Organochlorine Pesticides (OCs), Lead, Mercury, Arsenic, Cadmium, Chlorinated dioxins & furans, Polychlorinated biphenyls (PCBs), Phthalates, Volatile and semivolatile organic compounds (VOCs and SVOCs), Polychlorinated naphthalenes (PCNs), Brominated Fire Retardants, Polybrominated diphenyl ethers (PBDEs), Polyaromatic hydrocarbons (PAHs), Perfluorochemicals (PFCs), Halogenated benzenes, Substituted benzenes, Brominated dioxins & furans, Chromium compounds, Bisphenol A, Phenols, and Perchlorate

For more info, see:

http://www.ewg.org/chemindex/chemicalsfoundinpeople

These toxins are inhaled, absorbed, and swallowed by a majority of the population on a daily basis. In many instances, we have no way to determine total body burden, are unable even to detect their presence, and have not established safe concentrations. We also are relatively clueless as to the role of these toxins in chronic illnesses. Blood tests may be useless because certain toxins are swept from the blood into the cells. Worst of all, we have not performed much research on how to remove these toxins from the body in a safe manner.

A discussion and references on nature’s approach to a long healthspan can be found in “The Wellness Project.”

Roy Mankovitz, Director
http://www.MontecitoWellness.com
A research organization
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Russ Klettke
Business and fitness writer
08:37 AM on 03/21/2011
Mr. Mankovitz, do you think the lack of knowledge on this is because those compounds and elements largely trace back to the fossil fuels industry?
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VeryGrood
only class worse than micro-bio was molecular-bio
10:58 AM on 03/21/2011
I personally think that there is a lack of knowledge because of the complexities involved. Especially with the organic compounds (as heavy metals are resilient and easily detected with spectroscopy).

Also- the ability to monitor and detect these compounds is relatively new. That's the problem* with science- you an take a guess at what you think might happen... but until you actually see the results, you can't actually know what will happen. So give it 30-50 years. When people who are exposed to these compounds on a regular basis get old, we'll have a better understanding of how these compounds affect chronic illness, aging, etc...
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RMankovitz
Researcher, inventor, entrepreneur, author
11:03 AM on 03/21/2011
The chemical industry itself is a powerful lobby. For those interested in the subject, I suggest "Toxic Deception" by Fagin, et al.
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BornOKtheFirstTime
pedicabo ego vos et irrumabo
02:06 PM on 03/20/2011
In the meantime, we need to become more evolved in our support of the Right to Die Movement, so that seriously/terminally ill seniors who don't WANT to prolong their suffering needlessly and fall prey to the greedy medical-industrial complex, have an easier time ending their life with dignity.
nancynancy
Atheist.
06:36 PM on 03/20/2011
Agree. We need a right to die movement as well as a movement to extend the healthy years of life. Both are important goals.
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HUFFPOST COMMUNITY MODERATOR
dartagnan
09:53 PM on 03/20/2011
Absolutely. I am proud that my state, Oregon, has been a pioneer in that area.
01:49 PM on 03/20/2011
OMG, I'm just about to sit down to lunch of chicken, fries and pecan pie!!

Not to worry, I don't do that often and am usually pretty good at keeping to protein, fruit and vegetables.
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Dustin Rudolph
Clinical Pharmacist & Certified Nutritionist
02:33 PM on 03/20/2011
I would only hope more people would have your approach at skipping the meals that promote disease and focus more on healthy plant-based foods like you spoke of. It definitely does a body good!
02:51 PM on 03/20/2011
The effects of high-density carbs and sugar on our bodies are immediate and palpable.

The effects of no high-density carbs or sugar on our bodies are also immediate and palpable.
10:35 AM on 03/21/2011
You can eat that stuff occasionally as long as you balance it out with eating healthy most of the time. It's eating it everyday that's the problem!