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What percentage of Americans live to be 100? And what is the key to longevity?

4 min read

In 2024, approximately 101,000 Americans were centenarians, making up just 0.03% of the total U.S. population. This tiny fraction, however, is on a massive upward trend, and the question of what percentage of Americans live to be 100 will have a very different answer in the near future.

Quick Summary

Despite being an exclusive club, the number of centenarians in the U.S. is projected to more than quadruple by 2054, with factors like improved healthcare and lifestyle choices influencing who reaches this milestone.

Key Points

  • Prevalence: Only about 0.03% of Americans currently live to be 100, but this is expected to more than quadruple by 2054.

  • Growth Trend: The U.S. centenarian population increased by 50% between 2010 and 2020, and rapid growth is projected to continue.

  • Demographics: Centenarians are currently predominantly women and White, though the population is becoming more racially and ethnically diverse over time.

  • Genetic vs. Lifestyle: While genetics play a role in longevity, lifestyle factors such as diet, exercise, and social connection have a more significant impact on reaching extreme old age.

  • Keys to Longevity: Healthy diet, regular exercise, stress management, strong social bonds, and a sense of purpose are commonly cited factors contributing to a long life.

  • Challenges: Significant health issues, social isolation, and caregiving needs are common realities for those living past 100.

  • Geographic Patterns: States like Hawaii show a higher proportion of centenarians, while overall trends show growing numbers in all regions.

In This Article

The Centenarian Population is Growing

While it remains a rarity, the number of Americans living to 100 and beyond is increasing significantly. A recent report from the U.S. Census Bureau highlighted a remarkable 50% growth in the centenarian population between 2010 and 2020, rising from 53,364 to 80,139. Looking ahead, this trajectory is set to accelerate. The Pew Research Center projects that the centenarian population could more than quadruple over the next three decades, from an estimated 101,000 in 2024 to about 422,000 by 2054. This rapid increase is a testament to advancements in public health and medicine, though it also points to complex demographic shifts within the country.

Life Expectancy Trends Over Time

To understand the rise of the centenarian, it helps to examine historical life expectancy trends. Early in the 20th century, reaching such an age was nearly unheard of; life expectancy in 1900 was just 47.3 years. Thanks to cumulative improvements in sanitation, nutrition, and medical science, average life expectancy rose steadily for decades. While recent setbacks caused by the COVID-19 pandemic and the opioid crisis have impacted overall life expectancy figures, the long-term trend of increasing longevity has enabled more individuals with the right genetic and environmental factors to fulfill their potential lifespan.

The Demographics of Extreme Longevity

Who are these people reaching the 100-year mark? Demographics reveal some interesting patterns, though they are also shifting over time.

The Lingering Gender Gap

Historically, and still today, centenarians are overwhelmingly female. In 2020, nearly 79% of centenarians were women, though the gender gap has shown signs of narrowing. Several theories exist to explain this, including biological differences and variances in lifestyle behaviors throughout life. Over the next few decades, projections suggest this disparity will lessen further, with men making up a larger share of the centenarian population by 2054.

A Slowly Diversifying Population

As of 2024, the centenarian population is predominantly White, a reflection of historical demographics. However, this is also changing. As the U.S. becomes more racially and ethnically diverse, the composition of the centenarian population is following suit. By 2054, while still a majority, the share of White centenarians is projected to decrease, with larger increases among Hispanic and Black populations.

Geographic Differences in Centenarian Concentration

The number of centenarians is not evenly distributed across the country. States with large populations like California, New York, and Florida have the most total centenarians. However, when looking at the proportion of centenarians relative to the total population, different patterns emerge. For example, Hawaii has been noted to have one of the highest percentages of centenarians, while states like Utah and Alaska have some of the lowest.

The Recipe for a Long Life: Genes, Environment, and Choice

Scientific research into longevity points to a complex interplay of inherited traits and life choices. Genetics are believed to account for only a modest portion—perhaps 20% to 35%—of the variability in human lifespan, suggesting that lifestyle and environmental factors are far more influential. Studies comparing the longest-lived individuals in regions known as Blue Zones reinforce this conclusion, pointing to specific habits as common denominators.

  • Plant-Based Diets: Many centenarians eat diets rich in legumes, fruits, and vegetables, with meat consumed sparingly. This supports a healthy weight and lowers the risk of chronic diseases.
  • Constant, Moderate Movement: Rather than intense gym workouts, many long-lived individuals engage in regular, low-intensity physical activity throughout their day, such as walking, gardening, and household chores.
  • Strong Social Bonds: Connections with family, friends, and community are crucial. Socializing helps reduce stress and is linked to a lower risk of cognitive decline.
  • Stress Management: Finding ways to de-stress, like prayer, meditation, or simply taking a break, is a common practice among centenarians.
  • Sufficient Sleep: Prioritizing sleep is vital for repairing the body and mind. Many centenarians get consistent, quality rest, including naps.
  • Purpose-Driven Life: Having a sense of purpose provides a reason to get up in the morning and contributes to a positive outlook on life.

The Challenges and Realities of Living to 100

While stories of exceptional longevity are inspiring, living to 100 comes with significant challenges for both the individual and their support system. Research into centenarian well-being highlights common issues that can impact quality of life.

  • Functional and Health Decline: High rates of sensory impairment (vision, hearing), mobility issues, and chronic health conditions are common. The accumulation of health problems can significantly restrict daily activities.
  • Social Loss and Isolation: A unique and profound challenge is the loss of friends, siblings, and sometimes even children. This can lead to a shrinking social circle and heightened risk of isolation, impacting mental and emotional health.
  • Caregiving Burden: As centenarians' needs for assistance with daily activities increase, the burden of care often falls on family members, who may themselves be elderly. This creates stress and difficult dynamics within families.

Centenarian Demographics in Comparison

Demographic Feature 2010 U.S. Centenarian Population 2020 U.S. Centenarian Population Projected 2054 U.S. Centenarian Population
Total Centenarians 53,364 80,139 ~422,000
Gender Ratio (Female) ~82.8% ~78.8% ~68%
Gender Ratio (Male) ~17.2% ~21.2% ~32%
Racial Composition (White) High majority (e.g., >80% based on 2010 patterns) 77% (Pew 2024 report citing 2020 data) ~72%
Racial Composition (Hispanic/Black) Smaller percentages 8% Black, 6% Hispanic (Pew 2024 report) 10% Black, 11% Hispanic

A Growing Age Group and Future Outlook

The number of people celebrating their 100th birthday is no longer a historical anomaly but a growing demographic trend. The answer to what percentage of Americans live to be 100 today is a small one, but it is a figure that is undeniably on the rise. This growth is a testament to progress in medicine, public health, and greater awareness of healthy lifestyle choices. While the genetic component plays a role, the emphasis on factors like nutrition, exercise, and social well-being suggests that the opportunity for a long and healthy life is increasingly within our control. As the centenarian population expands, so too does the need for society to adapt, providing the necessary care and social support for a thriving, extremely aged population. The stories and habits of today's centenarians serve as powerful lessons for everyone striving for healthy aging.

Learn more about centenarian population projections and demographics from the Pew Research Center.

Frequently Asked Questions

While it varies by sex and has experienced recent dips, U.S. life expectancy was approximately 77.5 years in 2022. This is significantly higher than a century ago but lags behind many other wealthy nations. However, it's important to remember this figure represents an average and doesn't dictate individual outcomes.

Centenarians typically experience a substantial number of health issues, including sensory and mobility problems, cardiovascular conditions, and cognitive decline. While some may enjoy remarkable health late in life, a high prevalence of comorbidity is the norm. Research focuses on understanding how some manage to maintain a higher quality of life despite these challenges.

Family history and genetics play a part, but they are not the determining factor. Studies suggest genetics account for only 20-35% of the variation in human lifespan. Lifestyle, environment, and personal choices have a much larger influence, meaning you can significantly increase your chances of a longer, healthier life through your habits.

Many centenarians share certain habits, including eating a balanced, often plant-based diet; engaging in regular, low-intensity physical activity like walking; maintaining strong social connections; managing stress effectively; and getting sufficient sleep. Many also report having a clear sense of purpose.

Families face significant challenges, including dealing with the centenarian's functional decline and healthcare needs, managing the high costs of long-term care, and addressing social and emotional challenges such as isolation. As centenarians often outlive their spouses and even some children, this can place immense stress on the remaining family, who may also be elderly.

Yes, while centenarians are still overwhelmingly female, the number of male centenarians is increasing at a faster rate. Between 2010 and 2020, the male centenarian population grew by over 85%, compared to a 43% increase for females. Projections suggest the gender gap will continue to narrow over the coming decades.

A healthy, balanced diet is one of the most important factors for longevity. Diets common among centenarians, such as those rich in vegetables, fruits, and whole grains, have been shown to reduce the risk of many chronic diseases. Proper nutrition supports overall health and provides the body with the resources it needs to function well for many years.

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice. Always consult a qualified healthcare provider regarding personal health decisions.