Sunday, April 20, 2025

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The blue zones: Where people live the longest in the world

The blue zones refer to five different areas in the world where the population lives and stays healthy longer than anywhere else in the world. For example, there are more 100-year-olds, and fewer middle-aged people are becoming ill. What then, do the people in the blue zones do differently than the rest of us?

Published 1 January 2024
– By Editorial Staff
Sardinia has the most centenarians per capita in the world. The island is one of several counted as "blue zones".

The blue zones as a concept were coined by Dan Buettner, who calls himself a “discoverer”. Buettner made himself known earlier by cycling around the world, setting a number of records in the Guinness Book of Records. He has written several books about the blue zones and in 2004 put together a team along with National Geographic to investigate what the secret is behind the people in the blue zones living and being healthy for so long. Five areas in the world are usually referred to as blue zones:

Seventh-day Adventists

Seventh-day Adventists is a church that has made itself known for emphasizing the importance of a healthy life. In Sweden, the church previously owned the brand Hälsans kök (The Cuisine of Health), under which they marketed various vegetarian products. The Seventh-day Adventists in Loma Linda, California, are a group that has been studied for a long time, not just by Buettner’s group. A large proportion of them are vegetarians and vegans and physical activity is an important part of their daily lives.

Ikaria, Greece

Ikaria is an island in Greece and is characterized by the very low incidence of dementia and the very low mortality rate in middle-aged people. At Ikaria, life flows at a leisurely pace and many make their own wine according to old traditions.

Sardinia

In Sardinia, more specifically in the region known as Barbagia, lives the population group that has the most male centenarians in relation to the population in the world. The people traditionally live as farmers or shepherds. The research suggests that they may be descendants of an earlier Bronze Age civilization that was displaced by an invading population and thus driven up to the highlands of Sardinia.

Nicoya, Costa Rica

Nicoya is a peninsula in Costa Rica that comes in second place when it comes to male centenarians, after Barbagia in Sardinia. They also have the lowest mortality rate in the world among middle-aged people. In Nicoya, not only do people grow old, but just like in the other blue zones, they are active and healthy until they pass away.

Okinawa

Okinawa is an island south of Japan where the population has traditionally lived largely on sweet potatoes and fish. Okinawa has the largest proportion of female centenarians in the world.

Based on Buettner’s research, below are some tips for you who in our society want to follow some of the habits in the blue zones.

Everyday exercise

In the blue zones, moving around is part of everyday life. Most people live traditional lives where they work in the field, in the garden, fish or look after the animals. This means that they never have to think about training or exercise as a separate activity. This can be difficult for you who have a job where you mostly sit at a desk all day. A solution can be a lunch walk, a desk where you stand or maybe even a small exercise bike you put under the desk and pedal a little to and fro during the day.

Purpose of life

In the blue zones, everyone states that they know the purpose of their lives, something that few could probably do in the western world. Feeling that life is meaningful is a prerequisite for mental health and it also is evident in how long people live and how happy they are. This is also related to the next item.

Relaxation and de-stressing

Stress is a part of life, even for the people in the blue zones. The difference is how they handle it. Meditation, prayer and reflection are some examples of what they all do, but which very few of us do. In addition to this, the stress level for us is often significantly higher. People who profess to be genuinely religious, no matter what religion they are, live longer and consider themselves happier than others. Studies have shown that those in the West who participate in a religious gathering four times a month live on average four to fourteen years longer than others.

They do not eat until stuffed

Several of the blue zones have traditions that prevent overeating, such as “hara hachi bu” in Okinawa, which means that you should stop eating when you are 80 percent full. Maybe we can also assume that you are not offered cake every week at work in the blue zones? Not eating too much can be easier said than done, but if you try, it probably has some kind of effect.

Mostly plants in the diet

The diet in the blue zones is largely plant-based, supplemented with cheese, fish or meat. Beans are also something that reappears in all the blue zones in different forms and is usually eaten daily. This means that the energy in the diet comes mostly from carbohydrates, 65 percent approximately. It can be said that the diet in the blue zones is starch-based, mostly from root vegetables, whole grains and beans. This is easy to follow in our society, where food from all corners of the world is available all year round.

Alcohol

Alcohol is consumed in all the blue zones except among the Seventh-day Adventists in Loma Linda. However, people are very rarely drunk and the alcohol is always consumed with food or in social contexts.

Social context

Family, friends and society are factors that play a major role in health. In the blue zones, everyone has somewhere where they belong. They have strong social networks and always put the needs of their families first. This is a very stark contrast to Western society, where the self-realisation of the autonomous individual is often portrayed as central.

The term “blue zone” has gained great popularity and today Buettner works with an entire organisation behind him to try to improve the health of the American population with the blue zones as a model. Perhaps the Swedish population can also be inspired by the lifestyle in the blue zones to live healthier and happier lives in modern society.

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Iron deficiency common among Swedish high school girls

Published 6 April 2025
– By Editorial Staff
Iron deficiency can cause concentration difficulties.

More than one in three Swedish female high school students has an iron deficiency, according to a study from Lund University. The risk was found to be particularly high among vegetarians and vegans.

The study, published in the European Journal of Nutrition, involved 475 upper secondary school students from two schools in Malmö and Lund. Participants answered questions about dietary habits and menstruation, among other things, and then provided blood samples.

The blood samples were analyzed with a focus on iron status, which was then compared to the participants’ diet. The results showed that 38% of high school girls were iron deficient. Among vegetarians and vegans, the percentage was close to 70%, compared to 30% among meat eaters. Even pescatarians – who exclude red meat and chicken – had a higher prevalence of iron deficiency.

It is positive that many young people are choosing a more plant-based diet, which reduces the risk of various chronic diseases such as cancer and cardiovascular disease and is also good for the environment. But you need to think about how you get iron. We hope that the results draw attention to the importance of replacing meat with iron-rich foods, says Anna Stubbendorff, dietician and PhD student in nutritional epidemiology at Lund University, in a press release.

Iron deficiency can cause fatigue, difficulty concentrating and in severe cases anemia. The body’s ability to absorb iron is affected by what else you eat, whether the iron comes from meat or plant sources.

It’s important to eat plenty of whole grains and legumes such as beans, peas, and lentils. Vitamin C and acids – for example, sauerkraut, kimchi, or sourdough bread – consumed at the same time as the meal increase iron absorption. Coffee and tea reduce absorption. We also saw that those who reported eating more fruit had a lower incidence of iron deficiency.

The researchers now want to develop a screening method that can help school health services identify high school girls at risk of iron deficiency.

Omega-3 found to slow down biological aging

Published 31 March 2025
– By Editorial Staff

Omega-3 can clearly slow down biological aging in all age groups, according to a new study. The effect was even greater when combined with strength training and vitamin D.

The study, which was conducted by researchers at the University of Zurich, the Hospital University of Toulouse and Harvard University, among others, examined the effect of vitamin D, omega-3 and exercise on biological ageing.

In total, the DO-HEALTH study involved 2,157 participants from several European countries. The aim of the long-term study is to prevent healthy ageing and to study the effects of omega-3 and vitamin D.

Participants were divided into different groups, with some receiving vitamin D or omega-3 daily, while others received a placebo. In addition, strength training (30 minutes, three times a week) was compared with joint mobility training of the same duration.

By varying the combinations, the researchers were able to analyze both individual and combined effects, for example in those who received both vitamin D and omega-3.

The analysis, published in Nature Aging, shows that a daily intake of one gram of omega-3 for three years was able to slow biological aging by almost three months compared to those who did not take the supplement.

Effect the same regardless of age

In the group that combined omega-3, vitamin D and strength training, the effect was even greater, slowing down aging by almost four months. The combination also reduced the risk of invasive cancer by 61% and the risk of early osteoporosis by 39%.

The effect on biological ageing was the same regardless of gender, age or BMI.

Omega-3 fatty acids are mostly found in oily fish and are important for building and repairing cells, among other things. They can also affect blood pressure regulation, kidney function and the immune system.

In the next step, the researchers plan to include more participants to get a broader sample and study how different lifestyles affect the results.

Sweden to abolish burnout diagnosis under new WHO guidelines

Published 19 March 2025
– By Editorial Staff
The diagnostic criteria have long been criticized for being too broad and vague, leaving much room for interpretation by individual doctors.

Fatigue syndrome will be removed as a diagnosis by 2028, following new guidelines from the World Health Organization (WHO).

Sweden is currently the only country that has fatigue syndrome, also known as burnout, as a recognized diagnosis. The number of stress-related sick leaves is increasing and every year around 20,000 Swedes are taken ill with the diagnosis.

However, as of 2028, the diagnosis will disappear completely from Sweden, reports Psykologitidningen. The background to the decision is that the World Health Organization (WHO) is updating the international diagnosis system and no longer wants to see national diagnoses. In other words, it is not the National Board of Health and Welfare’s decision, but the new guidelines that form the basis for the removal.

Psychologist Elin Lindsäter, one of Sweden’s leading researchers in the field, basically welcomes the change and believes it can benefit patients, as the diagnosis has been broad and vague and used in different ways around the country. At the same time, she worries that the resulting void could lead to rapid decisions and differences between regions. Lindsäter has been in contact with the Minister for Social Affairs, Jakob Forssmed, where she has pointed out the need for national coordination.

– A government commission to investigate the situation seems to be underway, she told the paper.

“Can only get better”

At the same time, she understands that the change may cause concern among patients, who have already pointed out that it can be difficult to get the right care.

– This change puts the clinical picture on the table and forces us to act and think differently. I assume that things can only get better, but initially there may be legitimate concerns for many, with a risk of falling through the cracks.

Magdalena Fresk, Head of the Classifications and Terminology Unit at the National Board of Health and Welfare, says that the previous diagnosis system was many years old and that this is “a long-awaited, medically updated version”. This year they will be working on the translation for the new WHO guidelines.

We have a number of issues that we know we will need to work on to ensure that there are no problems for patients and that it works as well as possible in the future, she told the Bonnier newspaper DN.

Mental health crisis deepens in Swedish schools

Welfare collapse

Published 7 March 2025
– By Editorial Staff

Mental health problems among young Swedes have skyrocketed in recent decades, with the worst performers being those who fail to meet school targets.

A comprehensive study shows that there are clear links between psychiatric diagnoses such as anxiety and depression and poor school performance.

Researchers at Umeå University have followed over three million students between 1990 and 2018 and conclude that the results show that “school performance and mental illness have become increasingly interlinked”.

Psychiatric diagnoses have increased across the youth population, but the trend has been most dramatic among low-achieving students. Mortality from suicide and substance abuse has also increased in this group, while it has remained stable for other youth”, the university writes.

– The increase applies both in the short and long term. We study students when they are in grade 9, but also follow them for several years after they leave primary school. The increase in ill-health is evident even into their 20s, explains Associate Professor Björn Högberg, who participated in the study.

It is seen that mental illness among young people has increased since the 1990s and that Swedish schools have undergone several reforms and changes during this period. These changes have led to an increasing number of students failing to enter or complete their upper secondary education.

Increased risk of suicide

By following all students who completed grade 9 in Sweden between 1990 and 2018, we can see how the correlation between school failure and psychiatric diagnoses has become stronger over time.

– As far as we know, no similar studies have been conducted in any other country, so we do not know if this trend is unique to Sweden. What is known, however, is that self-reported mental illness and overdose mortality among young people have generally increased more in Sweden than in most other European countries, Högberg explains.

The trend is described as worrying and it is believed that those who perform poorly at school run a “significantly higher risk of suffering from serious psychiatric conditions” than others in the future and that there is also an increased risk of suicide and addiction.

– Another way of putting it is that mental health inequalities have increased, and that this has been driven mainly by girls and young people with a Swedish background. However, the trends for students with a foreign background are difficult to interpret as the most common countries of origin of the students vary over the period, continues the associate professor.

“Extensive need for support”

The researchers argue that it is necessary to carefully analyze the actual impact of the various school reforms on the mental health of young people and work actively to reduce the number of school failures.

They emphasize that so far we can only say with certainty that there is a link between excess risk of mental health problems and poor school performance we cannot say how the different factors interact.

– At the moment, we can’t comment on the causal link, but we plan to look at it more closely in the future. Regardless, this is a very vulnerable group with extensive support needs, needs that unfortunately do not seem to be adequately met today, concludes Björn Högberg.

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