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Living Beyond 100 Years
Myth or Truth?
Dr. Parthiv MEHTA
Ahmedabad
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Living Beyond 100 Years
Myth or Truth?
S C I E N C E
Or
C U L T U R E ?
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Tiwari S C, Pandey NM. The Indian concepts of lifestyle and mental health in old age. Indian J Psychiatry 2013;55:288-92
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Yajurveda….
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Indian Culture…
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Life Expectancy
Controversies on Aging, Why do our bodies grow old? by O. Wendell
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Life Expectancy…Then and Now
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Restricted Age… THE REASON
• Dr Tom William of Queen Mary, University of
London describes the role of protective caps
at the end of chromosomes called
“Telomeres” in the aging process.
• When/if “Telomerase” enzyme replace
Telomere Nucleotides, it prevents telomere
shortening during DNA replication.
• It is this enzyme that is responsible for the
extraordinary resistance to aging in naked
mole rats.
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Okinava, Japan
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New England Centenarian Study
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New England Centenarian Study
• Boston University Gerontologist Thomas Perls.
“If we start looking at these genes and what
they do, we better understand the biology of
extreme longevity.”
• Published July 2, 2010 in Science, the findings
come from gene tests of 801 people enrolled
in the Perls-founded New England
Centenarian Study, the largest study in the
world of people who’ve lived past 100.
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New England Centenarian Study
• One of the study’s most intriguing results is
that roughly 15 percent of the general
population has some of the longevity-
associated genes.
• Yet only one in 6,000 people currently live to
be centenarians — many fewer people than
seems to be suggested by the genetics.
What is Statistics for India?
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• The biological aging process is not the result
of a rigid genetic program; it is the complex
and indirect result of multiple traits in the
organism tied to normal development.
• The body may not be preprogrammed to
acquire gray hair, wrinkles, or diminished
metabolic functions.
• These supposed signs of aging may simply be
telltale side effects of activities of the
organism.
Process of Aging
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• Human Body can be an analogy to
“CAR BURNING OXYGEN AS FUEL”
Process of Aging
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Theories of Aging
• “Wear and Tear” Theory
• “Auto-immune” Theory
• “Aging Clock” Theory
• “Cross Linkage” Theory
• “Free Radical” Theory
• “Cellular” Theory
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Is Aging Inevitable?
• The “Human Car”:
– Unlike a manufactured object, has a capacity for
repair and self-regeneration, at least up to a
certain point.
– Capacity for self-repair seems unable to keep up
with the damage rate…
Aging (and Death @ 80) appear to be
INEVITABLE
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REPAIRS : Stem Cells
When fast-aging elderly mice with a usual lifespan of 21 days
were injected with stem cells from younger mice at the Institute
for Regenerative Medicine in Pittsburgh, the results were
staggering.
Given the injection approximately
4 days before they were expected
to die, not only did the elderly mice
live — they lived 3 fold their normal
lifespan, sticking around for 71 days.
In human terms, that would be the equivalent of
an 80-year-old living to be 200.
21
71
Stem Cells Could Extend
Human Life by Over 100 Years
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Is there any Anti Aging Medicine?
• Interventions against stress:
– Reduce Oxidative Stress
– Increase Resistance to Stress
• Hormone Therapy
• Cell Replacement Therapy
• Immune enhancement Therapy SLOW PROGRESS
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Ways to Prolong LifeWays to Prolong HEALTHY Life
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1. Keep Organs Healthy
2. Keep Mind Healthy
3. Keep Bones and Joints Healthy
4. Maintain Healthy Asthetics
5. Maintain Immune function
Ways to Prolong HEALTHY Life
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Ways to Prolong HEALTHY Life
1. Keep Organs Healthy
– Heart, Lung, Liver, Kidney
• Early Detection and management of diseases
• Regular medication
• Preventive Check up
• Preventive Maintenance
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Ways to Prolong HEALTHY Life
1. Keep Organs Healthy
– Heart, Lung, Liver, Kidney
• Early Detection and management of diseases
• Regular medication
• Preventive Check up
• Preventive Maintenance – METABOLIC CONTROL
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Ways to Prolong HEALTHY Life
1. Keep Organs Healthy
– Heart, Lung, Liver, Kidney
• e.g.: Metabolic Control - FAT Metabolism –
Effectively inhibit fat accumulation (Adipogenesis)
and Enhance fat burning (Lipolysis)
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Ways to Prolong HEALTHY Life
1. Keep Organs Healthy
– Heart, Lung, Liver, Kidney
Stern JS et al. J Med Food. 2013 Jun;16(6):529-37
Metabolic Control
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Ways to Prolong HEALTHY Life
2. Keep Mind Healthy
– Stress free life
• Life style modification
• Medication
e.g. Lactium – decapeptide with relaxing properties
• Activates GABA-A receptors by selectively binding
to omega-2 (ω2) subunit (that modulates stress and
anxiety); and offers relaxation without producing
sedation
• Significantly reduces level of plasma cortisol -a
marker of stress
Eur J Nutr. Mar; 44(2):128-32. Epub 2004 Nov2.
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Ways to Prolong HEALTHY Life
3. Keep Bones and Joints Healthy
– Prevention of Osteo-Arhthritis
e.g: 5-LOX (5-Lypoxigenase) Inhibition
Brune K et al. Rheumatology 2004;43(Suppl. 1):i16–i20
Hauser RA. Journal of Prolotherapy. 2010;(2)1:305-322
Smith HS et al. J Support Oncol. 2006 Jun;4(6):277-87
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Ways to Prolong HEALTHY Life
3. Keep Bones and Joints Healthy
– Prevention of Osteo-Arhthritis
e.g: Syk (Spleen tyrosine kinase) Inhibition
Syk is an important immune signaling modulator that regulates signaling in B
cells, mast cells, neutrophils and macrophages
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Ways to Prolong HEALTHY Life
4. Maintain Healthy Asthetics
– Skin, Hair, Nails
Collagen is important building block for bone, skin, hair and nail
health & makes up to 80% of the total proteins present in bone and
up to 75% of total skin tissue
Collagen is essential for beautiful skin, hair, and nails as well as
healthy bones & joints
Collagen production decreases 1% per year beginning at age 213 &
reduced level of collagen leads to poor bone quality eventually
leading to osteopenia or osteoporosis
Collagen
Viguet-Carrin S et al. Osteoporos Int. 2006;17(3):319-36
Schwartz SR et al. Clin Interv Aging. 2012;7:267-73
Shuster S. Med Hypotheses. 2005;65(3):426-32
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Ways to Prolong HEALTHY Life
4. Maintain Healthy Asthetics
– Skin, Hair, Nails
e.g.: ch-OSA (Choline Stabilized Orthosilicic Acid)
ch-OSA is clinically proven to activate
the biological pathways generating collagen
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Ways to Prolong HEALTHY Life
5. Maintain Immune Function
– Immunity / Immune function are an integral part
of living system as 3rd LINE of DEFENCE against
Infection
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Increasing Diseases…
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Problems with Altered Immunity: As Common as Common Cold
Ways to Prolong HEALTHY Life
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Overview of the Immune Response
Ways to Prolong HEALTHY Life
5. Maintain Immune Function
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Mechanisms of Defense: Cell Mediated Immunity
• T -Helper Cells (TH) Cells: Central role in immune
response.
• T -Cytotoxic Cells (Tc) Cells: Destroy target cells
• Delayed Hypersensitivity T (TD) Cells: Involved in Allergic
reaction and transplant rejection
• T Suppressor (Ts) Cells: May shut down immune
response
Ways to Prolong HEALTHY Life
5. Maintain Immune Function
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Immunity: Time Frame
Due to the formation of immunological memory, reinfection at later time points leads to a
rapid increase in antibody production and effector T cell activity. These later infections can
be mild or even inaparent.
Ways to Prolong HEALTHY Life
??
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Ways to Prolong HEALTHY LifeControl of Aging..
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To Live beyond 100 yrs
• Management of patient/life must extend
beyond diagnosis and treatment of disease.
• Should consider promotion of function and
prevention of decline.
• Must focus on improving the understanding
of the science of aging.
• Interdisciplinary care giving is needed achieve
this goal.
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To Live beyond 100 yrs
• A complex system of interacting approaches to
the restoration, management and optimization of
human health.
• Approaches have an ecological base,
environmentally, economically and socially viable
indefinitely.
• Approaches that work harmoniously both with the
human body and the non-human environment,
and which do not result in unfair or
disproportionate impacts on any significant
contributory element of the healthcare system.
Think of “Sustainable Health”….
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If they could Live for 100 years..
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Living Beyond 100 Years
Myth or Truth?
TRUTH….
YES, WE CAN Live beyond 100 yrs
If they could NOT Live for 100 years..
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Arise, Awake..
Stop Not Till the Goal is Reached..
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Living beyond 100_years_2018_pmm

Editor's Notes

  1. Advances in our knowledge of age-associated diseases have far outpaced advances in our understanding of the fundamental ageing processes that underlie the vulnerability to these pathologies. If we are to increase human life expectancy beyond the fifteen-year limit that would result if today's leading causes of death were resolved, more attention must be paid to basic research on ageing. Determination of longevity must be distinguished from ageing to take us from the common question of why we age to a more revealing question that is rarely posed: why do we live as long as we do? But if the ability to intervene in ageing ever becomes a reality, it will be rife with unintended and undesirable consequences
  2. Advances in our knowledge of age-associated diseases have far outpaced advances in our understanding of the fundamental ageing processes that underlie the vulnerability to these pathologies. If we are to increase human life expectancy beyond the fifteen-year limit that would result if today's leading causes of death were resolved, more attention must be paid to basic research on ageing. Determination of longevity must be distinguished from ageing to take us from the common question of why we age to a more revealing question that is rarely posed: why do we live as long as we do? But if the ability to intervene in ageing ever becomes a reality, it will be rife with unintended and undesirable consequences
  3. n spite of considerable hype to the contrary, there is no convincing evidence that currently existing so-called "antiaging" remedies promoted by a variety of companies and other organizations can slow aging or increase longevity in humans. Nevertheless, a variety of experiments with laboratory animals indicate that aging rates and life expectancy can be altered. Research going back to the 1930s has shown that caloric restriction (also called dietary restriction) extends life expectancy by 30-40% in experimental animals, presumably at least partially by delaying the occurrence of age-dependent diseases. Mutations that decrease production of insulin growth factor I in laboratory mammals, and those that decrease insulin-like signaling in nematodes and fruit flies, have increased life expectancy as well. Other general strategies that appear promising include interventions that reduce oxidative stress and/or increase resistance to stress; hormone and cell replacement therapies may also have value in dealing with specific age-related pathologies.