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mortality
frequency of death in a population; mortality rates a key indicators of population health
longevity
length of time and individual lives
common measure of population health
Under-5 mortality rate - probability that a child born in a specific year or period will die before reaching the age of 5
Poor nutrition
disease exposure
limited healthcare
When is the highest risk of death in humans and why
Early childhood (especially infancy); weak immune systems, dependence on caregivers, sensitivity to environment (nutrition, disease)
effect of early life mortality on human evolution
favors traits that protect and care for young children
parental care
alloparenting
breastfeeding
why do humans invest heavily in childcare
survival though early life increases chances of reproduction
mortality risk in later life
increases again due to aging and biological decline
Why can’t older individuals reproduce
senescence and reproductive system decline (menopause)
maximum longevity
maximum lifespan a species can achieve under ideal conditions; all species have one
Overall human mortality pattern
high mortality in early life
lower risk in adulthood
increased mortality again in old age
healthy aging
living longer with good health and minimal disease, not just surviving
longevity vs healthy aging
L = length of life
H = quality of life during those years
Why do humans live so long
long childhood
extended adulthood
social cooperation
Long lifespan as a life history trait
refelcts evolved strategies balancing growth, reproduction, and survival
Life expectancy
average age at death in a population
Effect of early life on life expectancy
high infant and child mortality lowers average lifespan; if many children die young, life expectancy appear low - even if adults live long
factors increasing life expectancy
good nutrition
healthcare
low disease burden
stable social conditions (no war/conflict)
Factors decreasing life expectancy
infectious disease
malnutrition
conflict/war
poor living conditions
Life expectancy as a population health measure
reflects overall health, environment, and social conditions
Why is life expectancy partly a social measure
depends not just on biology
healthcare systems
inequality
public health infrastructure
survival vs healthy aging
living longer does not mean living well
Evolution and aging
evolution favors survival until reproduction, not necessarily long-term health (ex. traits that help early survival may contribute to aging later (tradeoffs)
Key idea of human aging
humans are evolved to live long, but quality of life depends heavily on environment and society
Developmental Origins of Health and Disease (DOHAD)
idea that early life conditions shape the rise of disease in adulthood
Key Principle of DOHAD
early development (especially prenatal and early childhood) has long-term effects on health
Most important life stages for DOHaD (why
organs and systems are developing and highly sensitive to environmental influence
prenatal (gestation)
infancy
early childhood
Early life exposures that affect adult health (metabolism)
toxins (pollutions, pesticides)
alcohol and drugs
secondhand smoke
poor nutrition
lack of care and social support
Timing of exposure
damage during critical windows can have permanent effects
brain development disrupted early → cognitive deficits
immune system affected → higher disease risk
What adult diseases are linked to early-life conditions
Cardiovascular Disease (CVD) - undernutrition
diabetes - undernutrition
asthma - modern environment
mental health disorders
How do early conditions affect later disease risk
altering…
metabolism
organ development
immune function
What is programming in DOHAD
early environments “program” the body’s systems, influencing how they function for life
DOHAD and Evolution
early life conditions prepare the body for the expected environment
poor nutrition early → body adapts to scarcity
if later environment is rich → mismatch → disease risk
Mismatch in DOHAD
early-life conditions do not match adult environment
undernourished fetus → grows up in high-calorie environment → obesity/diabetes
biological fitness
ability to survive and reproduce relative to others
antagonistic pleiotropy
when a gene has benefits early in life but harmful effects later; evolution favors these genes because natural selection prioritizes early-life reproduction (ex. a gene that increases fertility but causes disease in old age)
Coevolution in humans
traits evolve together to reduce vulnerabilities
ex. long childhood → supported by prenatal care and social cooperation
human life history dependent on social systems
survival depends on shared care, culture, and environment
two levels of explanation
proximate
ultimate
Proximate explanation
the immediate, biological mechanism behind a trait or condition
ex. Anemia
low hemoglobin → reduced O2 transport
Ultimate explanation
evolutionary or environmental reason a trait exists
ex. Anemia
sickle cell trait evolved in malaria environments
diet, ecology, and stress influence prevalence
Adaptive hypothesis to explain traits
a trait exists because it increases fitness (survival + reproduction) through natural selection - WHY it exists
Why is it hard to prove adaptation in humans
long generation times
difficult to observe directly - ex. traits that improve survival in specific environments
Phylogentic Hypothesis to explain traits
traits exist due to evolutionary history and may persist even though they are no longer being elected through natural selection (ex, vestigial traits/organs) - HOW it works
appendix
adaptive explanation: no selective pressure for it to be dropped, retained because it does not have effects
historically thought to be vestigial
may have minor immune functions
Why do whales have vestigial leg bones
Phylogenetic explanation: an ancestral trait due to phylogenetic history of having terrestrial mammal ancestors
remnants from terrestrial ancestors
no longer functional in aquatic life
proximate explanation of aging
explains how aging happens biologically (mechanisms inside the body)
is aging biologically programmed
yes, partly - aging reflect biological processes shaped by evolution and trade-offs
Why isn’t the body designed to live forever
life history tradeoffs
energy is prioritized for growth and reproduction not indefinite maintenance
Mid-life has lowest mortality
natural selection favors survival until reproduction is complete
death is more common in old age
selection pressure weakeneaps after reproduction → aging effects accumulate
people age differently
genetic differences and environmental exposures across life
diet and nutrition
disease exposure
stress levels
lifestyle (exercise, smoking)
Expectations about aging change over time
they are shaped by social and environmental conditions (today, a 70 year old may be active but 100 years ago, that would be unlikely)
Aging has changed in modern societies
better healthcare
improved nutrition
reduced infectious disease
key idea about proximate aging
aging is the result of biological process and lifetime exposures, shaped by evolutionary tradeoffs
age- related changes
gradual declines in functional capacity across body systems with age
which body systems decline first
lung capacity
muscle strength
kidney function
heart (max heart rate)
brain (declines slowest)
BMR and age
BMR declines with age
Do all body systems decline at the same rate
no, each system declines at different speeds
Slowest system to decline
because they are essential for survival, they are better maintained
heart
brain
kidneys
Infection and Aging
aging increases severity and recovery of disease, not necessarily incidence
when do chronic illnesses typically increase
around 45+ (especially in industrialized societies)
common conditions with age (similar for males and females)
arthritis
cataracts
hearing loss
heart disease
hypertension
female gonadal decline
declines earlier and faster than other systems
ends with menopause
male gonadal decline
remains relatively high until ~ 70, then declines more rapidly; slower than many other systems
factors that accelerate function decline with aging
poor diet
lack of exercise
social inequality (lower socioeconomic status → earlier onset of chronic disease)
chronic stress
Is “normal aging” purely biological
no - also shaped by social values and expectations
How we define healthy aging
culture
healthcare access
economic resources
social priorities
Key idea about aging and function
aging involves gradual, uneven decline across systems, influenced by biology, environment, and society
Has maximum human lifespan changed
no - still about 120 years
Average lifespan is increasing globally
lower infant/child mortality
reduced infectious diseases
improved healthcare
Senescene trend in some countries
a larger proportion of life spent in senescence (declining function) - ex. people live longer but may spend more time with chronic illness
Social roles of older adults vary across cultures
culture
gender
social values
economic systemsM
Menopause a “contested concept”
can be defined:
biologically - end of reproduction
socially - change in role/status
How are older individuals socially categorized
othering
stigmatization - women often experience stronger age-related stigma
ageism
“sick role” in aging
expectation that older people are frail, dependent, and vulnerable; changing as there is more focus on “healthy aging” and active lifestyles
cognitive aging is an increasing concern
more people living longer → more cases of dementias
social and economic impacts of cognitive decline
increased healthcare costs and demand
greater caregiving needs
vulnerability (scams)
economic planning
pension systems
political influence
medicalization of aging
treating normal aging as a medical problem
“greying of populations”
increasing promotions of older individuals in society
family structures changing aging
more people live alone
less family-based carehatw
what replaces family care
social services
assisted living technologies - retirement homes, homeware systems
general biological pattern for lifespan
larger organisms tend to live longer - exception is birds who tend to live longer than expected for their size
Thrift genotype hypothesis
efficient fat storage helps survival in scarcity (early benefit)
leads to obesity/diabetes in modern environments(late cost)
Disposable some theory
the idea that the body has limited energy that must be divided between
maintenance/repar (soma)
reproduction
what happens after reproduction begins
energy is increasingly allocated to reproduction over repair, leading to aging
less cellular repair → accumulation of damage → senescence
caloric restriction and aging
reduce free radicals (cell damage)
increase antioxidant activity
potentially slows aging and leads to longer lifespan
factors influencing lifespan across cultures
diet
environment
lifestyle
energy allocation
what explains overall human senescence
evolutionary trade-offs
energy allocation decisions
environmental influences