Skip to content

Why Does Life Expectancy Go Up with Age? The Survivor Effect Explained

5 min read

According to the CDC, life expectancy at birth was only about 47 years in 1900, compared to over 76 years today. Yet, for those who reach older ages, the outlook improves dramatically. This raises the natural question: Why does life expectancy go up with age?

Quick Summary

As individuals survive past the higher mortality risks of childhood and young adulthood, their personal conditional life expectancy rises. It is a statistical paradox that reflects historical public health gains and the reality of surviving life's initial obstacles, separating them from the population average.

Key Points

  • Statistical Shift: Life expectancy at birth includes high early-life mortality rates, which lowers the overall average for a population.

  • Conditional vs. Population Average: A person's 'conditional' life expectancy is the number of additional years expected from their current age, and it is higher than the number at birth because they've survived early risks.

  • Survivor Effect: Every year a person lives, they successfully navigate another set of health risks, statistically increasing their remaining years.

  • Advancements Drive Change: Early life mortality was conquered by sanitation and vaccines; late-life longevity is now improved by managing chronic diseases.

  • Lifestyle Over Genetics: While genetics play a role, healthy lifestyle choices and access to quality healthcare are far more impactful in maximizing individual longevity.

  • Healthspan is Key: The modern focus is not just on extending lifespan, but also on improving healthspan—the number of years lived in good health.

In This Article

The Difference Between Population and Conditional Life Expectancy

To understand this phenomenon, it's crucial to distinguish between two different measures of life expectancy. Life expectancy at birth is a population-wide average, calculated using mortality data across all age groups in a given year. This figure is heavily influenced by deaths that occur in infancy, childhood, and young adulthood. For example, if a large number of infants die prematurely, the overall life expectancy for that birth cohort will be lower, even if many people live to a very old age.

In contrast, conditional life expectancy is the average number of additional years a person can expect to live given they have already survived to their current age. This measure naturally increases with age because the risk of early-life death has been removed from the calculation. Since a 65-year-old has already navigated the high mortality rates of infancy, they have a higher projected number of remaining years than a newborn.

The Power of the "Survivor Effect"

The increase in life expectancy with age is driven by what demographers call the "survivor effect." Each year a person lives, they successfully overcome another set of health risks, accidents, and diseases. This selects for a population that is, on average, more resilient or has healthier behaviors. In essence, the calculation is continuously adjusted for those who have already passed the high-risk phases of life.

Consider two hypothetical groups: a group of newborns and a group of 65-year-olds. The newborn group faces risks of infant mortality, childhood accidents, and diseases. The group of 65-year-olds has already survived all those risks. Therefore, the statistical outlook for the older group is based on a much healthier, and more fortunate, population cohort.

Historical and Medical Advances as Key Drivers

Over the past century, the dramatic increase in overall life expectancy is largely due to public health advancements that conquered early-life mortality. The modern increase in conditional life expectancy is then fueled by a new set of innovations targeting late-life health. Key drivers include:

  • Early-life mortality reduction: In the 19th and early 20th centuries, improvements in sanitation, access to clean water, childhood immunization programs, and better nutrition dramatically reduced deaths from infectious diseases. This was the primary factor that drove up life expectancy at birth.
  • Late-life mortality reduction: As infectious diseases became less of a threat, chronic diseases like heart disease, stroke, and cancer became the leading causes of death. Medical science has since developed advanced treatments, extending the lives of older adults and further increasing conditional life expectancy.

Factors Influencing Individual Longevity

While the statistical effect is universal, the actual number of additional years an individual can expect varies greatly depending on several factors. These include:

  • Lifestyle Choices: A healthy diet, regular physical activity, sufficient sleep, and avoiding smoking and excessive alcohol consumption have a profound impact on longevity.
  • Genetics: Our genetic makeup plays a role in our baseline health and predisposition to certain diseases, but its influence is less significant than many believe, especially compared to lifestyle factors.
  • Access to Healthcare: Consistent and quality medical care, including preventative screenings and effective treatments, is critical for managing chronic conditions and prolonging life.
  • Socioeconomic Factors: Education, income, safe housing, and social support all contribute significantly to a person's health outcomes and life expectancy.

A Comparison of Life Expectancy Measures

Feature Life Expectancy at Birth (Period) Conditional Life Expectancy (at Age X)
Definition Average years a newborn can expect to live based on current mortality rates. Average additional years a person can expect to live, given they have reached a specific age.
Population All individuals born in a given year. Only individuals who have survived to a specific age.
Includes Infant mortality, childhood diseases, and deaths at all ages. Deaths from ages below the current age are excluded from the calculation.
Primary Use Public health indicator; reflects overall societal health. Individual risk assessment and personalized longevity planning.

Conclusion: More Than Just Statistics

The phenomenon of rising life expectancy with age is not a contradiction but a reflection of improved health and survival. It's a testament to the advancements in public health, medicine, and living conditions that have helped us overcome many of life's initial hurdles. Understanding that your own life expectancy is a dynamic, rather than static, measure can be empowering. It reminds us that each year of survival is an achievement and that the future can hold even more years than statistics initially project, especially when coupled with healthy lifestyle choices.

For more detailed demographic data and information on life expectancy trends, you can explore resources from the National Center for Health Statistics (NCHS) at the CDC.

Frequently Asked Questions (FAQs)

Is it normal for my life expectancy to increase as I get older?

Yes, it is entirely normal and expected. The average life expectancy at birth is a statistical measure that includes the highest mortality risks of early life. As you live longer and bypass those initial risks, the calculation for your remaining years naturally increases.

Does living longer automatically mean I'll be healthier in old age?

Not necessarily. While many people live longer, there is a distinction between "lifespan" (length of life) and "healthspan" (healthy years of life). Advances in medicine have extended lifespan by managing chronic illnesses, but focusing on healthy lifestyle habits is key to extending healthspan.

Does this mean a baby born today will not live longer than a 70-year-old today?

No, that's not what it means. The life expectancy of a baby born today is a prediction based on current mortality rates. The baby is projected to live longer than the 70-year-old is currently projected to live because future medical advances are not included in the static calculation. However, the 70-year-old has already survived risks the baby still faces.

How does genetics influence the survivor effect?

Genetics are a factor, but lifestyle and environment play a larger role for most people, especially in early and mid-life. Surviving to old age is not a guarantee of genetic superiority but often a reflection of navigating environmental and lifestyle factors successfully.

What can I do to maximize my conditional life expectancy?

Focus on lifestyle choices: a balanced diet, regular exercise, managing stress, getting enough sleep, and regular medical check-ups. These factors have a significant impact on your long-term health and the quality of your later years.

Did life expectancy always increase with age?

The effect has always been present statistically, but its impact is more pronounced in recent history. The dramatic reduction in early-life mortality due to public health improvements has made the difference between life expectancy at birth and conditional life expectancy much more significant.

Is the rise in life expectancy slowing down?

Some research has suggested that the rate of increase in life expectancy gains may be slowing down in some populations, while others, like those in Hong Kong and South Korea, have seen recent acceleration. The reasons for these trends are complex and vary by location.

Frequently Asked Questions

The survivor effect explains why life expectancy increases with age. As people survive past the higher mortality risks of childhood and young adulthood, they are a statistically healthier, more resilient group, which raises their average remaining lifespan.

Life expectancy is a statistical average for a population at a certain point in time, while lifespan is the actual number of years an individual person lives. An individual's lifespan can be longer or shorter than the life expectancy for their birth year.

Absolutely. Healthy behaviors like good nutrition, regular exercise, and avoiding smoking and excessive alcohol are major factors that can significantly influence your personal longevity and healthspan.

There is ongoing debate, but for now, the trend of increasing longevity for older adults doesn't show an obvious end in sight, according to some studies. Continued medical advancements are likely to play a role.

In previous centuries, high rates of infant and child mortality from infectious diseases significantly lowered the average life expectancy for the entire population. Advancements in public health have changed this.

Yes, statistically, gender does play a role, as do factors like genetics, environment, and socioeconomic status. These factors contribute to variations in average life expectancy across different population groups.

No, it's never too late. Studies show that adopting healthier habits, such as regular exercise and better nutrition, at any age can lead to measurable health improvements and potentially extend your healthy years.

References

  1. 1
  2. 2

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.