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Prof. Michael R. Rose
Prof. David I. Thurnham
Thomas Perls, MD
Andrew T. Weil, MD
Prof. F. Torres -Gil
Prof. Gary R. Andrews
Prof. Makoto Suzuki
David Itokazu, M.D.
Prof. R. Sharma
Dr. I.F.F. Benzie
James E. Trosko
Hajime Ohigashi
Yasuo Kagawa
Dr. B. Willcox;
Dr. Nobuyoshi Hirose
Prof. Michel Poulain
Yasuo Nakahara, M.D.
Prof. Toshihiko Osawa
Kenji Toba, M.D.
Hiroshi Shimokata, M.D.
Masahiro Akishita, M.D.
Drs. Willcox
Kazuhiko Taira, Ph.D.
Prof. Yoko Aniya
David Itokazu, M.D.

Okinawan Longevity as a Wellness Model for the World

David Itokazu, M.D., Chairman, OICL

University of Maryland, University of the Ryukyus, Health Sciences, Faculty of Medicine, Nishihara, Okinawa

The phenomena of Okinawan longevity is not
well known in the world. In order to fully
understand these phenomena, it is important
to perceive Okinawa as one separate entity, a
region, and not just simply as one of the 47
prefectures (states) of Japan. The logic behind
considering Okinawa as one separate entity is
as follows: Firstly, the concept of commonly held
belief that Japan is a homogeneous society is a
myth. It is well known throughout Japan, that
Okinawa Prefecture (and its people) are one
exception to this homogeneity. The cultural
and historical background of Okinawa is
different from the rest of Japan. Even
geographically speaking, Okinawa is the only
prefecture in Japan that is located in the
subtropical region. And there are known
genotypical differences between Okinawans
and mainland Japanese. Secondly, Japan as a
nation has been able to attain for many
consecutive years the highest life expectancy in
the world based on official WHO ranking of
life expectancies in 192 countries. More
significantly, Okinawa Prefecture has
consistently shown the highest life expectancy

in Japan. Thirdly, quantitative (mortality and
morbidity, number of centenarians, etc.), and
qualitative (traditions and lifestyle, etc.) data
on Okinawan longevity when compared to
Japan's national average and thus to the
world, could give a very impressive quantity
and quality of life. In conclusion, as many
countries have recently been working hard to
protect the rights and well being of older
people (e.g. abuse and neglect, isolation and
loneliness) through research, conferences,
symposia and legislation. Okinawan society,
however, for many years, has already been
implementing some of these goals and
aspirations and social policies for the benefit
of elderly Okinawans. This is, in a large way,
part of a natural way of life and tradition of
Okinawans where giving, caring and reverence
for the elderly is considered the highest act of
goodness. The phenomena of Okinawan
longevity may not be near the ideal Utopian
society, but could be considered as a wellness
model for the world.

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