Some Medical Aspects of Old Age: Being the Linacre lecture, 1922, St. John's college, CambridgeRolleston, Humphry Davy, Sir
Science
Some Medical Aspects of Old Age: Being the Linacre lecture, 1922, St. John's college, Cambridge
Rolleston, Humphry Davy, Sir
Geriatrics; Linacre lecture, St. John's college, Cambridge; Longevity
The influences included under the head of environment are numerous,
and this factor cannot be entirely separated from that of heredity,
for environment may favour and shape hereditary characteristics. The
subject of the harmony and the want of harmony existing between man and
his surroundings is so vast that it is possible to touch on a few only
of these aspects.
The average length of life varies in different countries; a temperate
or moderately cold climate is conducive to a slower development of
maturity and so to a longer life than tropical regions. The Balkans,
Greece, Scandinavia, the Pyrenees, California, and small islands are
considered favourable to longevity. A high elevation has been regarded
as an important factor, and the great age of the monks of Mount Athos
has been thus explained, though other influences, such as simplicity of
life, may well play a part. Switzerland, however, does not conform to
the view that a high elevation confers long life on its inhabitants.
From observations around Dijon Noirot[58] drew up a scale showing that
the elevation above the sea and length of life rose together. National
habits have a bearing, and this may help to explain the longevity of
the Jews, who follow the Mosaic laws of health, and why the French
appear to be more long-lived than the Germans. The long-continued
persecution and hard life that the Jews have undergone has led to the
survival of the fittest and a hereditary factor. The former simplicity
of the Russian peasants would also provide a reason for their reputed
longevity (one centenarian in every thousand). In Ireland, though
much depleted by migration of young adults, the absolute number of
centenarians is very high; in 1888 there were 208 such deaths, or 43
per million living; in the ten years 1911–20 inclusive there were
1030 centenarian deaths, or about 23 per million living; and the
Registrar-General, Sir William J. Thompson, kindly informs me that in
1921 there were 314 centenarians living in a population of 4,496,000,
or about 70 per million of the population. It seems probable that this
is the outcome of a simple life. In England and Wales the number of
centenarians is both relatively and absolutely less; in 1887 there
were said to be about 2 and the 1911 census returns showed 3·6 living
centenarians per million of the population; the return of the 1921
census is not yet available. In the ten completed years 1910–19 there
were 691 centenarian deaths, or an average of 69 annually among a
population averaging about 35 millions--about two per million living.
In California there are, according to Laurent,[59] 300 centenarians
in a population of three millions, or 100 per million, the extremely
favourable climatic conditions accounting for this high ratio. In the
same country there is a difference, much to the advantage of the rural
inhabitants, between the prospect of longevity in the towns and in the
sparsely populated districts. From their open-air life agricultural
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