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From 70 to 100: The Kuakini Hawaii Centenarian Study.
Peter Martin1, Leonard W Poon2, Gina Lee3
1Iowa State University, Ames, Iowa, USA.
Summary
This study identified distinct survivor groups and found cognition, daily functioning, health behaviors, and paternal longevity predict longevity in Japanese-American men. These factors show individual differences in reaching advanced ages.
Area of Science:
- Gerontology and Longevity Research
- Behavioral and Social Sciences
- Epidemiology
Background:
- Previous studies link family longevity, support, functioning, and well-being to lifespan.
- The Georgia Adaptation Model informed the investigation of bio-psycho-social predictors of extreme longevity.
- This study focuses on behavioral and social predictors of longevity in Japanese-American men.
Purpose of the Study:
- To identify survival trajectories across decades (70s, 80s, 90s, 100+).
- To determine behavioral and social predictors of survival at different age milestones.
- To compare findings in Japanese-American men with existing longevity literature.
Main Methods:
- Analysis of 3,734 men from the Kuakini Honolulu Heart Program (mean age 77.82).
- Investigated survival patterns and associated predictors.
- Utilized regression analyses to identify significant factors.
Main Results:
- Identified four distinct survivor groups: those reaching their 70s, 80s, 90s, and 100s.
- Cognition, activities of daily living (ADL) functioning, health behaviors, diabetes, and father's age at death significantly predicted longevity.
- Survival characteristics largely aligned with existing literature.
Conclusions:
- Longevity is associated with specific cognitive, functional, and health-related factors.
- Paternal longevity is a notable predictor of offspring survival.
- Individual differences exist in the pathways to extreme longevity, as observed in this cohort.

