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Shots - Health News
Mon October 7, 2013
Delaying Aging May Have A Bigger Payoff Than Fighting Disease
Originally published on Tue October 8, 2013 5:24 pm
Curing cancer and eliminating heart disease has been the holy grail of medical research. But there could be even greater benefits if aging itself could be delayed, a study finds.
This is not quite as farfetched as it sounds. While the anti-aging "cures" being marketed these days are largely snake oil, in the laboratory scientists have managed to extend the lives of laboratory animals. And they have a better understanding of the mechanisms of biological aging.
That's good news if you're a lab rat, but at present there are no treatments that delay aging in people. The study published today in Health Affairs offers statistical evidence that delaying aging in people would extend life expectancy even more than would a decline in cancer or heart disease.
"In some ways we've become the victims of our own success," says Dana Goldman, director of the Schaeffer Center for Health Policy and Economics at the University of Southern California and one of the authors of the study. "We've made a lot of progress delaying heart disease... and we've made progress in delaying cancer too. What that means is [further] progress in those areas is in some ways harder to get."
If the process of aging could be delayed, all of the diseases associated with aging, whether cancer or stroke or Alzheimer's, would occur later in life than they do now. The idea is that people would not only live longer, they'd be healthier for longer.
Even so, successful treatments to delay aging might only add two years of life, according to the Health Affairs study. But the projected gains in life expectancy from further reducing the incidence of cancer or heart disease were only about half of that.
Even getting those extra two years of healthy life would have benefits, the researchers say. Goldman estimates the economic benefit to society would be about $7 trillion over 50 years. That's because people would get chronic diseases later in life, fewer older people would be disabled and they would continue to contribute to society.
"What economists are very good at doing is translating health into dollars," says Goldman. "The health gains [of delaying aging] are so overwhelming that they make this worth pursuing."
There would also be social costs, however. People would be on Social Security longer. And even though these healthier older Americans might cost Medicare less in a given year, they'd be on Medicare longer. The study's authors suggest that changes in those entitlement programs, such as increasing the eligibility age, would be necessary.
This study isn't saying don't be concerned about heart health, says Donna Arnett, a professor of epidemiology at the University of Alabama-Birmingham and past president of the American Heart Association. Rather, it's saying that looking broadly at measures that improve health has benefits beyond just reducing the risk of cardiovascular disease and cancer.
"We really have to think about healthy aging from the time we're children and adolescents," Arnett told Shots. She was not involved in the study.
One final conundrum of finding treatments to delay aging is who would get them. Insurance companies and Medicare tend to pay for treating diseases, not preventing them. The Affordable Care Act mandates payment for some preventive services, but they are limited.
"You might end up with a model where the wealthy might be living much longer than people who don't have access to these therapies," says Goldman. "And so the tension on the social fabric is quite tight."
Those concerns are a long way off. But there is increasing interest in the field. If the federal government opens for business soon, later this month the National Institutes for Health is hosting a two-day meeting on delayed aging with researchers from around the country.
And Google recently made headlines when it announced it would invest in Calico, a company headed by Genentech board member Arthur Levinson that will focus on research into aging and the diseases that go with it.
ROBERT SIEGEL, HOST:
Curing cancer and eliminating heart disease, those are the holy grails of medical research. But the risk of developing either disease increases with age. And a new study shows that delaying aging would provide the greatest health benefit of all.
NPR's Ina Jaffe reports.
INA JAFFE, BYLINE: Sure, there's a lot of snake oil out there promising the fountain of youth for 39.99 plus shipping and handling. But there have also been a number of reputable scientific studies that have significantly extended the lives of lab animals. Now, there needs to be more focus on turning this laboratory science into treatments for people, says Jay Olshansky, a professor of public health at the University of Illinois at Chicago.
JAY OLSHANSKY: If you can slow the biological process of aging, even a minor slowdown in the rate at which we age yields improvements in virtually every condition of frailty and disability and mortality that we see at later ages.
JAFFE: Olshansky is one of the authors of the study published in the current issue of Health Affairs. It provides statistical evidence that there'd be twice as much bang for the research buck in focusing on delaying aging than in focusing on reducing either of the two major causes of death - cancer and heart disease. In part, that's because there's already been so much progress in preventing and treating those.
DANA GOLDMAN: In some ways, we've become victims of our own success.
JAFFE: Says study co-author Dana Goldman, head of the Schaeffer Center for Health Policy and Economics at the University of Southern California. He says there's already been a lot of progress focusing on one disease at a time.
GOLDMAN: And so what that means is, progress in those areas are in some ways harder to get.
JAFFE: But delaying aging could also stave off the other disorders of old age, like Alzheimer's, says Jay Olshansky.
OLSHANSKY: We're not trying to make us live forever, we're not trying to even make us live significantly longer. What we're trying to do is extend the period of healthy life.
JAFFE: The study also looked at the economic impacts of this, says Dana Goldman.
GOLDMAN: What economists are very good at doing is translating health into dollars.
JAFFE: And the study's authors found that having a larger and healthier older population would yield an overall economic benefit of about $7 trillion over 50 years.
GOLDMAN: The health gains are so overwhelming that they make this worth pursuing.
JAFFE: But there would also be social costs to delaying the aging process. People would be on Social Security and Medicare longer than they are now. The study suggests that changes in entitlement programs, such as increasing the eligibility age, would be necessary. One final conundrum of finding a therapy to delay aging is who would get it. Goldman says insurance companies and Medicare tend to pay for treating diseases rather than preventing them.
GOLDMAN: You might end up with a model where the wealthy might be living much longer than people who don't have access to these therapies. And so, the tension on the social fabric is quite tight.
JAFFE: That's a long way off. Currently, there are no treatments that delay aging in people. But recently, Google made headlines when it announced it would invest in Calico, a company that will focus on research into aging and the diseases that go with it. And later this month, the National Institutes of Health will bring together researchers from around the country for a two-day meeting on the science of delayed aging. That's if the federal government is back in business by then. Ina Jaffe, NPR News. Transcript provided by NPR, Copyright NPR.