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The Decade Of Healthy Ageing

Lifespan measures the total years lived from birth to death, whereas health span is the duration of life in good health, free from chronic and debilitating diseases. The introduction of Health-Adjusted Life Years (HALYs) has become an essential metric for assessing a population's health and the burden of disease, shifting the focus from merely measuring lifespan. Healthcare advancements have revolutionised our approach to chronic diseases, significantly extending global life expectancy. This progress is not exclusive to older generations; Gen X, born between the early 1960s and late 1970s, is witnessing a remarkable surge in longevity. Yet, this rise in lifespan does not inherently imply an equal extension in health span.

Yet, as life expectancy increases, so do expectations for healthspan. Gen X and millennials are moving away from traditional "senior-focused" products, demanding instead innovations that cater to their evolving needs over time. This generational shift reflects a profound change in consumer expectations and societal norms. The additional years of healthcare advancements enrich life at every stage, not just its twilight. Putting forth a metaphorical question of whether it is a “Silver Tsunami or a Permanent Change in Sea Colour," this transformation illustrates how medical progress and demographic shifts are fundamentally altering our lives, societal structures, healthcare systems, and the broader world. Let's see what the next decade of healthy ageing and longevity will look like.

The Concept of Healthy Ageing: A Fundamental Change

Central to addressing the challenges of the Silver Tsunami is the principle of healthy ageing. Aimed at enhancing the quality of life as people age, it focuses on promoting health and functional ability throughout one's life. As healthcare shifts towards preventive care, it raises the question: "What will healthcare treat in the future?" By 2040, we anticipate a healthcare model centred around data and consumer needs, with interventions predicted to be more precise, streamlined, less invasive, and economically accessible. The industry is set to pivot towards identifying risk factors and genetic markers early on, aiming for prevention and curative measures over conventional treatment and maintenance.

Imagine, within the next decade, it might be possible to reverse ageing, thanks to the XPRIZE Healthspan competition which offers a staggering $101 million prize to the team that develops a therapy capable of restoring muscle, cognition, and immune function by 20 years in older adults showing tangible results within a year or less! With transformative projects on the horizon, such as senolytic vaccines and cell rejuvenation techniques, the next decade promises groundbreaking advancements in extending health span. Global institutions are prioritising health span enhancements—focusing on quality, disease-free years rather than just longer lives. This move towards researching predictive, preventive, and personalised healthcare marks a transformative era. The technological advancements promise longer lives and a significantly better quality of life, allowing older adults to enjoy fuller, healthier lives.

This growing focus on healthy ageing extends beyond research, sparking a revolution in the FMCG sector. A surge in products aimed at longevity, healthy ageing, and gut health mirrors the rising consumer demand for goods that support these aspirations. Nestle and ITC, global leaders, are seizing this trend, venturing into the healthy ageing trend, signifying a broader industry shift towards health-centric products in the future.

Adapting to an ageing population necessitates significant changes in employment, retirement, and healthcare financing. As populations age, the economic landscape undergoes profound shifts. Initiatives like India's Senior Able Citizen for Re-employment in Dignity (SACRED) scheme highlight the need for reimagining employment, retirement, and healthcare financing to accommodate the growing elderly population. As the industry centres on biological ageing, insurers increasingly incorporate molecular health, epigenetic insights and wellness data into life insurance, offering deeper insights into lifestyle and disease risk. This trend can be seen by FOXO, a tech-driven life insurance company with Delwinds Insurance Acquisition, signalling a significant move towards integrating advanced health metrics into insurance models. Integrating molecular health data into insurance models represents a paradigm shift in the healthcare industry. By leveraging advanced metrics, insurers aim to refine healthcare costs and enhance patient care.

Beyond employment and health costs, India's efforts to accommodate its elderly population, which made up 8.6% according to the 2011 census, extend to societal infrastructure. The government's commitment to creating an elderly-friendly society is evident in policies enhancing mental, physical, and social well-being, along with over 700 elderly homes improving life quality for the elderly across the nation. Cities worldwide, including Lisbon, Bergamo, Buenos Aires, and Belfast, are adapting to demographic shifts towards longer lifespans. For example, Buenos Aires' shift towards preventive healthcare through a self-responsibility program emphasises the global effort to address ageing-related challenges proactively.

The move toward healthy ageing and preventive healthcare is set to lower healthcare costs, improve patient care through early detection and personalised treatments, and shift societal views of ageing towards seeing the elderly as active contributors. This shift, supported by increased digital health literacy and telemedicine, envisions a future where ageing is linked with vitality, changing the narrative around longevity.

2024 and Beyond…

As we look to 2024 and beyond, the focus will shift from treating illness to preventing it, addressing a systemic shift. Future solutions will be age-inclusive, blurring the lines between products for the young and the old. This approach anticipates a proactive response to consumer needs across health, work, and social life, paving the way for a society where wellness and ageing converge, redefining our expectations and experiences of growing older.

When talking about the future of longevity and immortality, the most plausible is the Three Bridges to Immortality by Ray Kurzweil. The first bridge involves enhancing health through prevention and targeting the root causes of death. The second bridge heralds a biotechnological revolution, while the third bridge envisions the fusion of nanotechnology and artificial intelligence. Currently, at the threshold of the first bridge, we are witnessing groundbreaking advancements in medical technology that prioritise health and well-being. This progress suggests the leap to the second bridge isn’t far.

When navigating the decade of healthy ageing and longevity, it's crucial to recognise the power of ongoing advancements in medicine, technology, and societal attitudes toward longevity, prioritising preventive measures, healthspan, and inclusivity to redefine ageing.

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