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Which city has the most centenarians? An exploration of Blue Zones

5 min read

According to the Danish Twin Study, genetics only account for about 20% of a person's lifespan, with lifestyle dictating the other 80%. This sheds light on why certain global regions, not necessarily a single major city, have disproportionately high percentages of centenarians, directly addressing the question, 'Which city has the most centenarians?'

Quick Summary

Instead of a single city, specific 'Blue Zones' around the world hold the highest concentrations of people living over 100, including regions in Japan, Italy, and California. Their secrets lie in shared lifestyle habits like diet, community, and natural movement, offering valuable lessons for longer, healthier lives.

Key Points

  • Blue Zones are the key: No single city dominates, but specific regions called 'Blue Zones' have the highest percentages of centenarians per capita.

  • Lifestyle over genetics: While genetics play a small role, the vast majority of longevity is attributed to lifestyle choices, diet, and environment.

  • Okinawa is a hotspot: The Japanese island of Okinawa is a prominent Blue Zone, particularly noted for its high number of female centenarians and unique dietary habits.

  • Sardinia's male centenarians: A mountainous region of Sardinia, Italy, is home to an unusually high concentration of male centenarians, linked to natural movement and diet.

  • Power 9 principles: All Blue Zones share nine common lifestyle habits, including purpose, natural movement, plant-based diets, and strong social connections.

  • American longevity in Loma Linda: The Seventh-day Adventist community in Loma Linda, California, is a successful American Blue Zone, proving these principles can apply anywhere.

In This Article

Unveiling the world's longevity hotspots

For many years, researchers have been fascinated by the possibility of living well past the age of 100. The quest to find the fountain of youth led explorer Dan Buettner, along with scientists from National Geographic and the National Institute on Aging, to identify several distinct regions where people not only live exceptionally long lives but also do so with remarkable health. These unique areas, dubbed 'Blue Zones,' are not typically bustling metropolises but rather specific pockets where the highest percentages of centenarians have been found. The lessons from these communities reveal that exceptional longevity is a product of environment and lifestyle, not just genetics, a crucial insight when asking which city has the most centenarians.

The original Blue Zones and their secrets

Buettner's research initially identified five Blue Zones, each with its own unique cultural practices contributing to the longevity of its residents. While a single city doesn't hold all the centenarians, each of these zones points to the power of a specific place's traditions.

Okinawa, Japan

Famous for its high number of female centenarians, Okinawa is an archipelago in the East China Sea where the longest-lived people in history have been found. Their diet, high in plant-based foods like sweet potatoes, and rich in antioxidants from items like bitter melon and tofu, plays a central role. A vital cultural practice is 'moai,' a strong social support network formed in childhood that provides financial and emotional security throughout life. Okinawans also live by the Confucian principle of 'Hara Hachi Bu,' which reminds them to stop eating when 80% full, preventing overconsumption.

Sardinia, Italy

The mountainous Barbagia region of Sardinia is noted for its high concentration of male centenarians, a rarity in longevity research. In fact, one village, Perdasdefogu, even held the Guinness World Record for the largest concentration of centenarians per capita. The Sardinians' longevity is linked to a primarily plant-based diet, daily movement from shepherding, and strong family values where elders are celebrated. They also enjoy Cannonau wine, which is high in flavonoids, in moderation.

Nicoya Peninsula, Costa Rica

Residents of the Nicoya Peninsula have a low rate of middle-age mortality and a high concentration of male centenarians. A key factor is their 'plan de vida,' or 'reason for living,' which gives elders a sense of purpose. Their diet is based on the 'three sisters' of agriculture: corn, beans, and squash. Additionally, their drinking water has a high mineral content, rich in calcium and magnesium, which supports strong bones and wards off heart disease. Strong social networks and regular, low-intensity physical activity are also central to their lifestyle.

Ikaria, Greece

Sometimes called the island 'where people forget to die,' Ikaria boasts low rates of cancer, heart disease, and dementia. The Ikarian diet is a variation of the Mediterranean diet, full of vegetables, beans, and olive oil. Regular napping is a common practice and is linked to lower rates of heart disease. Their slow-paced lifestyle, strong community ties, and daily consumption of local herbs like rosemary and sage also contribute to their exceptional health and longevity.

Loma Linda, California

This is the only Blue Zone located in the United States, and its longevity is credited to its large concentration of Seventh-day Adventists. This community lives, on average, ten years longer than the typical American. Their biblical diet is largely plant-based, consisting of grains, fruits, nuts, and vegetables, and they abstain from smoking, alcohol, and caffeine. They observe a 24-hour Sabbath each week to de-stress and focus on faith and community. This shows that even within a modern Western country, specific lifestyle choices can create a longevity hotspot.

The Power 9: Shared lifestyle habits

Despite their varied locations, all Blue Zones share common, simple lifestyle habits. These nine principles, known as the Power 9, offer a clear blueprint for healthy aging.

  1. Move Naturally: They don't have rigorous workout routines but are constantly active through gardening, walking, and household chores.
  2. Purpose: Having a 'reason to wake up in the morning' (Ikigai in Okinawa, Plan de Vida in Nicoya) can add up to seven years to a person's life expectancy.
  3. Down Shift: Long-lived individuals have daily routines to shed stress, which can lead to inflammation and age-related disease.
  4. 80% Rule: The Okinawan 'Hara Hachi Bu' mantra of stopping eating when 80% full helps manage weight and avoid overeating.
  5. Plant Slant: Beans are the cornerstone of most centenarian diets, with meat consumed sparingly and in small portions.
  6. Wine @ 5: Except for Adventists, most Blue Zone inhabitants drink 1–2 glasses of wine daily with friends and/or food.
  7. Belong: Attending faith-based services four times a month can add years to a person's life expectancy, regardless of denomination.
  8. Loved Ones First: Centenarians prioritize family, often keeping aging parents and grandparents nearby, which lowers disease and mortality rates for everyone in the home.
  9. Right Tribe: Social circles that support healthy behaviors, like the Okinawan 'moais,' are vital, as health habits are contagious.

Comparing the world's most exceptional longevity regions

Feature Okinawa, Japan Sardinia, Italy Nicoya, Costa Rica Ikaria, Greece Loma Linda, California
Dietary Focus Plant-based (sweet potato, tofu), Hara Hachi Bu Primarily plant-based (bread, beans, vegetables), moderate wine Plant-based (corn, beans, squash), mineral-rich water Mediterranean diet (vegetables, olive oil, beans), herbs Vegan (grains, nuts, vegetables), no caffeine/alcohol
Social Aspect Strong 'moai' social circles for life-long support Close-knit families and community, elders respected 'Plan de vida' provides sense of purpose, strong faith Community socializing, low-key social interaction Seventh-day Adventist faith community, Sabbath observance
Physical Activity Daily movement, gardening, low-intensity exercise Daily movement, shepherding in mountainous terrain Regular, low-intensity activity, physical labor Naturally active lifestyle due to terrain, gardening Active lifestyle, regular walks, pickleball
Noted Longevity High number of female centenarians High concentration of male centenarians in Barbagia Low middle-age mortality, high male centenarians Low rates of dementia and cardiovascular disease Average 10 years longer lifespan for Adventists

Conclusion: The recipe for longevity

Rather than one single city with the most centenarians, the world's highest concentrations of people living to 100 are found in specific, often smaller, communities known as Blue Zones. The key takeaway is that their exceptional longevity is not a singular phenomenon but a combination of deeply embedded lifestyle factors. A plant-heavy diet, consistent natural movement, a strong sense of purpose, effective stress management, and a robust social and family network are the common threads connecting these diverse regions. Adopting some of these simple, proven habits, regardless of where you live, can significantly increase the chances of living a longer, healthier, and more fulfilling life.

For more detailed information on Blue Zones and the specific strategies employed by these longevity hotspots, visit the official Blue Zones website.

Frequently Asked Questions

Yes, Loma Linda, California, is considered a Blue Zone due to its large Seventh-day Adventist population, whose healthy lifestyle choices result in a high concentration of centenarians.

A Blue Zone is a demographic or geographic area in the world with a high concentration of centenarians, identified by researchers studying longevity. The inhabitants of these areas tend to share common lifestyle habits.

Common factors include a plant-based diet, consistent natural physical activity, a strong sense of purpose, effective stress management, and robust social and family networks.

Yes, but some reports suggest a recent decline in its exceptional longevity rates compared to the past, attributed to the westernization of younger generations' diets and lifestyles. However, it remains a valuable case study for healthy aging.

No, it does not guarantee it. However, living in a Blue Zone, or adopting their proven lifestyle habits, significantly increases your chances of living a longer and healthier life.

Diet is a crucial factor. The diets are predominantly plant-based, often emphasizing beans, whole grains, and local fruits and vegetables, with meat consumed very sparingly.

Yes. The core principles, known as the 'Power 9,' are simple and universally applicable. They include moving naturally, finding a purpose, eating moderately, and maintaining strong social connections, regardless of your location.

References

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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.