Explanation of the Decline in Mortality among the Oldest-Old: The Impact of Circulatory Diseases

  • Bernard Jeune
Part of the International Studies in Population book series (ISIP, volume 4)

Today’s oldest-olds have benefited from the improved conditions in the first half of the 1900swhich led to the dramatic decline in infant mortality and the most important causes of death, such as perinatal diseases, infectious diseases, tuberculosis, and respiratory diseases. These improved conditions were probably mainly socioeconomic, such as improvement of living and sanitary conditions, education, and personal hygiene, and much less related to medical improvements (McKeown 1965). However, better nutrition, including vitamins, and vaccinations probably also played a not negligible role in the first half of the 1900s. The improved nutrition at the beginning of the 1900s might even have contributed to the mortality decline several decades later, if reduced growth in utero and in early life really is related to adverse health outcome later in life, such as higher mortality from cardiovascular diseases (Barker 1998). But other studies do not support this fetal-origin hypothesis (Christensen et al. 1995; Kannisto et al. 1997; Stanner et al. 1997).


Coronary Heart Disease Acute Myocardial Infarction Acute Myocardial Infarction Coronary Heart Disease Mortality Stroke Mortality 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer 2007

Authors and Affiliations

  • Bernard Jeune
    • 1
  1. 1.Dept. of Epidemiology, Institute of Public Health, and Ageing Research CentreUniversity of Southern DenmarkDenmark

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