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Okinawan Longevity as a Wellness Model for the World |
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David Itokazu, M.D., Chairman, OICL |
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University of Maryland, University of the Ryukyus, Health Sciences,
Faculty of Medicine, Nishihara, Okinawa |
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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 |
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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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