I heard so much about the Blue Zone phenomenon that I went to check it out for myself. “Blue Zone” is the proposed name for a geographic area with large numbers of healthy elders. Advocates for this concept say they can reveal secrets for a longer, more productive life. Identified locations include Okinawa, Sardinia, certain towns in Costa Rica and Greece, and Loma Linda, California. Loma Linda was easiest for me to get to, so I set out from Los Angeles in my rented car to explore this small sun-drenched town in the San Bernadino Valley.

Loma Linda was founded by the Seventh Day Adventist Church, and members comprise 40% of residents. They believe that a combination of faith, community, and diet make for longer lives. Members of the Church do not smoke, drink, gamble, or eat meat, and they avoid soft drinks and coffee. This was one of the groups that Blue Zone author and explorer David Beuttner studied in support of the Blue Zone phenomenon.

After an hour and a half drive, I exited the I-10 freeway and headed to the Loma Linda Senior Center, where I met with Joanne Heilman, Executive Assistant to the City Manager and director of the Senior Center. I asked her whether she believes that Loma Linda is truly a “Blue Zone” where people live longer lives. She responded enthusiastically that the city is a healthy place to live, with city-sponsored workshops that promote longevity through exercise, culture, and nutrition. I learned from an attendee at the Center that the only bar in town closed about five years ago.

I observed a painting class taught by renowned artist and Viet Nam veteran David Fairrington. He told me how important his class was to the older attendees. “It gets people out,” he said, “and it’s a great form of socialization.” One of David’s students told me how much his class helped her after a serious illness. “It’s been wonderful,” she said.

I then drove to the Loma Linda Market — the biggest all-vegetarian store I have ever seen. They had a huge variety of grains sold in bulk, and all types of meat substitutes. While there I met and photographed a Korean-American couple who were married for 40 years, and expressed affection for each other and life in the San Bernadino Valley.

I stopped at the Linda Valley Villa, an assisted living facility where I chatted with Evelyn Heath, a spry 99 year-old Seventh Day Adventist who walks to church every Saturday. Evelyn spent her life on a farm tending to children, grandchildren, and great-grandchildren. I asked her how she lived so long and she replied, “I have no idea, I didn’t plan it this way.”

BLUE ZONES AND CULTURAL MYTHOLOGY

The Blue Zone concept was popularized by National Geographic, Oprah, and Dr. Oz. But does it present an accurate view of aging, or does it reinforce cultural myths that deny the realities of illness, disability, and death?

According to author Susan Jacoby, our culture markets a false concept of aging that ends where the most disabling and restrictive stages of aging begins. We are taught by popular media that a longer, healthier life is possible through good behavior, supplements and drugs. Thus the Blue Zone niche: celebrating healthy old age while ignoring disability and chronic illness. This short-sighted view reinforces American mythology surrounding growing old, and believing it justifies the lack of attention to the medical specialty of geriatrics.

In the coming decades nearly 78 million people from the Woodstock Generation will enter the geriatric age group. They will be more educated regarding medical issues at a time when geriatrics is under-taught in many medical schools, and the number of geriatric specialists is shrinking. They will be demanding detailed explanations about pills and illnesses as more and more graduates of American medical schools shun primary care. Some predict that the result will overwhelm our healthcare system.

There is no doubt that exercise, proper dietary choices, and staying connected with family and community can lead to longer and healthier lives. But the reality is that most Americans who live beyond age 85 will die after a period of mental or physical disability, and half of those will spend time in a nursing home. Elderly people are frequently not educated about the consequences of aggressive medical interventions and end-of-life care by a profession that has neither the time nor the training to deliver this information.

I had a great time in Loma Linda and met some very interesting people. I have no doubt that California sunshine, exercise, art, and good nutrition (along with the right chromosomes) can help achieve longer and more productive lives. But life style factors and medical advances have not eliminated chronic disease, physical disability, and dementia. The fact remains that our health care system is unprepared for the demographics of the new old age.

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Related blog posts:

How Will Health Care Reform Affect Geriatrics?
Retooling for an Aging America: The Thud That Should Have Been a Bang
Aging Across America Goes to Sturgis
Aging Across America Visits a California Shopping Mall

For references on topics discussed in this post see the following:

What Are We Going To Do With Dad? An essay by Jerald Winakur MD
Never Say Die: The Myth and Marketing of the New Old Age, a book by Susan Jacoby

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