Because of my job, I have patients ask me all the time what the key to longevity is.
“Long and Happy Life” is a boon to some, but a difficult time for many. It seems that the more advanced our society becomes, the higher the rates of anxiety, depression, and cancer. None of these is synonymous with a long and happy life. What are we doing wrong?
The island of Okinawa in Japan, just north of Taiwan, has long been a hot spot for the secrets to longevity. It is unrivaled for its health, spirituality and connection to mind and body. In fact, Okinawa has some of the highest number of centenarians (those who live past 100) in the world at about 50 per 100,000 compared to 5-10 per 100,000 in the USA. These aren’t your average old folks either. Here in the west, we associate old age with misery, joint pain, dementia and nursing homes, but in Okinawa, the centenarians are happy and surprisingly independent. Diseases like Parkinson’s, Alzheimer’s, autism, cancer, diabetes and heart disease are virtually unheard of, at least, not until you’re 90! Interestingly enough, when an Okinawan is removed from his or her society and established rituals, then adopts an American or Western lifestyle, their age limits begin to parallel those of the citizens of the United States.
What exactly is the secret to long and happy life?
Although genes do play a role, it seems lifestyle might be the biggest contributor. In 2000, the Okinawa Centenarian Study published some fascinating facts on longevity:
1. Plant based diet
Okinawa is a beautiful tropical island which helps anyone’s mood, but there is a bigger secret to their success. Because the plants are closer to the equator where the sun’s damage may be greater, they protect themselves by producing higher amounts of phytochemicals and antioxidants to stay alive. These nutrients not only protect the plants from the sun’s rays, but from animal/insect consumption too. Those phytochemicals are what correct free radicals and eliminate inflammation from our bodies! Okinawans eat up to 10 servings of fruits and veggies a day-ALL ORGANIC! (sounds like Gerson therapy doesn’t it?)
2. Limited to No Animal Protein
In Okinawa, the population follows a plant based diet where they
grow their own food. It is 80% plant based with the 20% reserved for fish and occasionally, pork if there is a special ceremony. It is also free of antibiotics, hormones and cruelty that exists in western culture in factory farms. I often say it is not animal meat that is the full problem. It is what is being done to the meat in factory farms coupled with our
3. High Flavanoids (estrogenic compounds from food) and Good Fats
They eat natural grains, root vegetables, sweet potatoes, leafy greens and a ton of NON GMO fermented soy (90% is GMO in the USA). Examples like miso, flax or tofu, are excellent for the liver and for menopause. Women experience menopause naturally with fewer complications. Another secret is bitter gourd or goya. As the name implies, this is a very bitter melon! It contains B vitamins, vitamin C, calcium, magnesium, zinc, phosphorus, iron and beta carotene. It contains a phytonutrient called charantin and an insulin mimicking compound called polypeptide P that induces lower blood sugar and could be a remedy for diabetics.
4. Caloric Restriction
They practice a technique called Hara Hachi Bu, where they do not overeat. It translate to 8 parts out of 10, meaning they stop eating when they are 80% full. Caloric restriction has been a debatable topic but studies have shown that restriction, without malnutrition, can produce measurable benefits and potential longevity. For one, you lose weight and this is a good thing for most Americans. Caloric restriction also activates autophagy, which is the process by which older, dead cells are gobbled and cleaned up by other cells to keep the body running at tip top shape.
If the body is inefficient at removing old debris, then this buildup can lead to neurodegenerative and cardiac diseases. If the body does not have to use calories to digest food, it can use that extra energy towards killing pathogens or increasing our own immunity.
Other studies point to “hormesis,” which means to induce benefit from low intensity biological stressors. This theory proposes that a calorie restricted diet excites the immune system and heightens the defensive state by inducing small amounts of stress, which lead to turning on longevity genes through epigenetics (certain genes are turned off and on based on nutrition, environment, thoughts, etc).
5. Daily exercise
They practice daily exercise that is not only beneficial for the body, but the mind too. You know how wonderful it feels to finish a challenging or relaxing yoga class? Imagine doing that every day in a slower paced, island environment. The majority practice Tai Chi, karate, gardening, dance, yoga or martial arts which are known to connect mind and body in a more spiritual process. Also, no one smokes! They also have little osteoporosis (no they don’t drink a lot of milk which recent studies have shown can contribute to osteoporosis) because they eat more plants which are chock full of calcium! They then activate vitamin D and overall bone health by spending time outdoors in the sun.
6. Positive attitude
When polled, the Okinawans consistently scored higher in the ability to handle stressful situations as well as overall outlook on life. On the island they enjoy a slower paced life and close, supportive networks. Lab results reveal low levels of homocysteine, an inflammatory amino acid present in those with heart disease. Okinawans have a 80% lower risk of heart attack! Stress truly is a killer. It can create hormonal imbalances, raise blood pressure, and drive us crazy mentally. The Okinawans have found a way to turn negative stress into positive opportunities.
7. Close knit community groups
We are social beings who need love and support from friends and loved ones. Up to 80% of Okinawa’s elderly live alone independently or with a spouse, however they never give up their connection to community centers or elder day cares where they engage in games, sports or exercise together. There is a name for these social groups and they are called moai groups. In Okinawa, growing old is looked at respectfully and the elders still help to run the community. There is always family visiting as life is slower paced. There are local festivals, gardening activities and healing herbs brought to friends and dances for all to attend to continually heal the body and soul.
8. Find your “ikigai:”
Ikigai means “your purpose.” Retirement is a foreign concept in Okinawa. Their belief is make life worth living no matter how old you are. You help others and continue to always look for a renewed mission. Its like the saying goes-if you love what you do then you’ll never work a day in your life. No one goes into debt there to support their lifestyle, therefore they are not stuck in a career that does not give them pleasure just to pay the bills.
9. Cultivate spirituality
Spirituality, but not religion, is a major part of life in Okinawa. There are morning rituals, meditation groups and a continued sense of belonging to a group that works collectively to achieve something bigger than them. They do not shy away from music or dancing as they believe this awakens the soul. The natives play Okinawan instruments like a traditional banjo and gather for community celebrations often. Women in Okinawa are noro (priestesses) or yuta (female shaman).
10. Eastern and western medical approaches
Unlike the mindset in the west where there is a pill for every symptom and hard work to achieve health is often shunned, the Okinawans combine both aspects to achieve overall health. The employ shamanistic healing practices, spirituality and some western outlooks. They believe in the vitality and health of the people and their villages. Particularly, the older women play an active role as the religious leaders and spiritual shaman in the villages. Ancient herbs like the ones used in Ayurveda and traditional Chinese medicine are used in daily life. In fact, turmeric is consumed in large quantities (mostly in tea) and is revered for its antioxidant and detoxifying effects on the liver. Turmeric has been found to be one of the only substances that can kill cancer stem cells.
We could all learn some lifestyle lessons from the wise and gentle people of Okinawa, Japan.