Your two best strategies are to be really healthy and really rich

Sunday, February 16th, 2020

If you hope to live a long time, Alex Hutchinson (Endure) reminds us, your two best strategies are to be really healthy and really rich:

That’s the conventional wisdom and the statistics seem to back it up. But a surprising new study that links the longevity of Olympic athletes to their socioeconomic status offers a more nuanced picture of why elite athletes tend to outlive the rest of us. It’s not just about muscles and money — it’s also about the stress of competition, not only in sport, but in life.

Adriaan Kalwij, an economist at Utrecht University in the Netherlands, combed through the records of every Dutch athlete who competed in the Summer and Winter Games between 1896 and 1964, excluding more recent years because most of those athletes are still alive. Using their birth dates, death dates and stated occupation, he was able to explore how socioeconomic status (SES) influenced their longevity.

The results, published in PLOS One in December, confirmed that the 934 Olympians outlived their age-matched Dutch peers by a few years, as other studies of elite athletes have previously found. They also found that the influence of SES has steadily increased over the past century.

In the oldest cohort of athletes, born between 1852 and 1899, SES had no significant effect on longevity. In a sense, Kalwij says, this is what you might expect of Olympians: “excellent innate health could make them ‘immune’ to a SES-lifespan gradient.”

But in the next cohort of athletes, born between 1900 and 1919, a gradient emerges. Those classed as low SES, such as unskilled labourers, lived on average five years less than medium (teachers, office workers) and high (lawyers, doctors) SES athletes.

And in the most recent cohort, born between 1920 and 1947, an even wider gap emerges: High SES athletes lived five years longer than medium SES athletes, who in turn lived six years longer than low SES athletes — a stunning difference of 11 years between the top and bottom group, despite their healthy youth.

What’s most surprising about this trend is that it’s going the wrong way. You’d expect that the strengthening of social programs such as universal health care and state pensions over the past half-century would have reduced the health penalty incurred by poverty. Instead, Kalwij’s results join a large body of data across numerous countries, including Canada, suggesting that the influence of social class on lifespan has been growing since the 1950s.

While there are numerous factors that could contribute to an SES-health gradient, including access to health care and behaviours such as smoking and drinking, Kalwij believes that psychological stress may play a role.

I think we need to keep in mind that socio-economic status changed dramatically over the 20th Century, from inherited wealth and titles to inherited traits.

Comments

  1. Mike-SMO says:

    What is a struggling socialist to do? They get more and enjoy it longer. Unfair!! {S/}

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