Defining the 'Highest' Centenarian Population
When answering the question of who has the highest population of centenarians, the metric used is crucial. A large country like the United States can have the highest total number of people over 100 simply because of its massive overall population. In contrast, a smaller country with a very high proportion of centenarians relative to its population size might be a better indicator of overall longevity and public health success. This article will examine both metrics to provide a comprehensive answer.
Japan's Dominance in Proportion
Japan is a global leader in terms of longevity and healthy aging. For 55 consecutive years, the country has set a new record for its centenarian population. As of September 2025, Japan's government reported nearly 100,000 centenarians. While this number is high, the real story is in the proportion: Japan has the highest rate of centenarians relative to its population worldwide. This remarkable achievement is attributed to several factors, including a diet rich in vegetables and fish, strong social support systems, universal healthcare, and a culture that values active living throughout all life stages. Japan is also home to one of the renowned "Blue Zones" in Okinawa, an area famous for its exceptional longevity and health.
The United States: Highest Absolute Numbers
The United States, with its significantly larger population, consistently records the highest absolute number of centenarians. According to Pew Research data, in early 2024, the U.S. had around 98,000 centenarians. Projections indicate this number will continue to grow dramatically in the coming decades. The U.S. Census Bureau also tracks this demographic, reporting that the centenarian population grew by 50% between 2010 and 2020. However, the rate of centenarians per 100,000 people in the U.S. is substantially lower than in Japan.
A Comparative Look: Japan vs. United States
| Feature | Japan | United States |
|---|---|---|
| Metric for Highest Ranking | Highest rate/proportion of centenarians | Highest absolute number of centenarians |
| Recent Centenarian Count | ~99,763 (Sep 2025) | ~98,034 (2024) |
| Notable Trends | Annual record increases, despite population decline | Rapid growth in absolute numbers; male centenarians increasing faster than females |
| Gender Disparity | Significant; 88% female (2025) | Significant; ~79% female (2020) |
| Key Contributing Factors | Healthy diet, active lifestyle, social integration, universal healthcare | Medical advances, improved living standards |
Other Global Hotspots and Blue Zones
Japan is not alone in its pursuit of longevity. Several other regions stand out for their high concentration of long-lived individuals. These so-called “Blue Zones” are geographic areas where people live measurably longer lives and experience a higher rate of centenarians. Key examples include:
- Sardinia, Italy: A region where men, in particular, live to be very old at rates higher than average.
- Nicoya Peninsula, Costa Rica: Residents enjoy exceptional longevity often linked to their diet and lifestyle.
- Ikaria, Greece: Known for its low rates of dementia and chronic disease among its senior population.
- Loma Linda, California: A community with a high concentration of Seventh-day Adventists, whose lifestyle choices contribute to longevity.
These regions underscore that while genetics play a role, lifestyle choices, diet, and community connection are powerful determinants of a long life.
What Science Says About Longevity
The reasons behind the increasing number of centenarians globally are complex. While improvements in sanitation, nutrition, and modern medicine are foundational, recent research highlights a more nuanced picture. Scientists point to the interplay of genetics, lifestyle, and environment.
- Genetics: Some individuals carry genetic markers that provide a natural resilience to age-related diseases. However, genetics are not a guarantee of a long life, only a potential head start.
- Lifestyle and Environment: An overwhelming body of evidence suggests that choices like diet, regular physical activity, and social engagement are critical. Centenarians in Japan and Blue Zones demonstrate the power of diet and active communities.
- Advancements in Healthcare: Better medical care means more people survive previously life-threatening illnesses, allowing them to fulfill their "survival destiny" and live to advanced ages.
Future of Longevity: Projecting Centenarian Populations
The trend of increasing longevity is set to continue. By 2050, the global centenarian population is projected to grow to nearly 4 million. The Pew Research Center projects significant shifts in the rankings of countries with the most centenarians by 2054. China, with its vast population, is expected to eventually have the largest absolute number, followed by the U.S., India, Japan, and Thailand. This highlights how economic development and healthcare expansion in populous nations will reshape the global longevity landscape. These projections have significant implications for social, economic, and healthcare systems around the world, presenting both opportunities and challenges for an aging global society.
For more detailed projections, review the Pew Research Center’s reports on global longevity trends: World’s centenarian population projected to grow eightfold by 2050.
Conclusion
Ultimately, the answer to who has the highest population of centenarians depends on how you measure it. Japan is the undisputed leader in the rate of centenarians per capita, a powerful testament to its public health and cultural practices. The United States leads in the raw, absolute number of centenarians, a result of its large population base. As global longevity continues to increase, the statistics will shift, but the core factors enabling a longer, healthier life—diet, activity, social connection, and excellent healthcare—will remain the same.