The Island Where People Forget to Die
Andrea Frazzetta/LUZphoto for The New York Times
Stamatis Moraitis tending his vineyard and olive grove on Ikaria. More Photos »
By DAN BUETTNER
Published: October 24, 2012
In 1943, a Greek war veteran named Stamatis Moraitis came to the United
States for treatment of a combat-mangled arm. He’d survived a gunshot
wound, escaped to Turkey and eventually talked his way onto the Queen
Elizabeth, then serving as a troopship, to cross the Atlantic. Moraitis
settled in Port Jefferson, N.Y., an enclave of countrymen from his
native island, Ikaria. He quickly landed a job doing manual labor.
Later, he moved to Boynton Beach, Fla. Along the way, Moraitis married a
Greek-American woman, had three children and bought a three-bedroom
house and a 1951 Chevrolet.
Multimedia
Andrea Frazzetta/LUZphoto for The New York Times
Residents of the island Ikaria in Greece live profoundly long and healthful lives. More Photos »
Andrea Frazzetta/LUZphoto for The New York Times
The Ikarian diet: Vegetables from the garden, legumes and greens, and plenty of olive oil. More Photos »
Figures from the Ikaria Study, which surveyed the island's over-80 population More Photos »
Andrea Frazzetta/LUZphoto for The New York Times
The key to Ikarian longevity is not simply a
healthful diet; daily socializing may be just as crucial. From left:
Christos Ploutis, 75; Konstantinos Sakoutis, 82; and Thanasis Kamperis,
62. More Photos »
Figures from the Ikaria Study, which surveyed the island's over-80 population More Photos »
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One day in 1976, Moraitis felt short of breath. Climbing stairs was a
chore; he had to quit working midday. After X-rays, his doctor concluded
that Moraitis had lung cancer. As he recalls, nine other doctors
confirmed the diagnosis. They gave him nine months to live. He was in
his mid-60s.
Moraitis considered staying in America and seeking aggressive cancer
treatment at a local hospital. That way, he could also be close to his
adult children. But he decided instead to return to Ikaria, where he
could be buried with his ancestors in a cemetery shaded by oak trees
that overlooked the Aegean Sea. He figured a funeral in the United
States would cost thousands, a traditional Ikarian one only $200,
leaving more of his retirement savings for his wife, Elpiniki. Moraitis
and Elpiniki moved in with his elderly parents, into a tiny, whitewashed
house on two acres of stepped vineyards near Evdilos, on the north side
of Ikaria. At first, he spent his days in bed, as his mother and wife
tended to him. He reconnected with his faith. On Sunday mornings, he
hobbled up the hill to a tiny Greek Orthodox chapel where his
grandfather once served as a priest. When his childhood friends
discovered that he had moved back, they started showing up every
afternoon. They’d talk for hours, an activity that invariably involved a
bottle or two of locally produced wine. I might as well die happy, he
thought.
In the ensuing months, something strange happened. He says he started to
feel stronger. One day, feeling ambitious, he planted some vegetables
in the garden. He didn’t expect to live to harvest them, but he enjoyed
being in the sunshine, breathing the ocean air. Elpiniki could enjoy the
fresh vegetables after he was gone.
Six months came and went. Moraitis didn’t die. Instead, he reaped his
garden and, feeling emboldened, cleaned up the family vineyard as well.
Easing himself into the island routine, he woke up when he felt like it,
worked in the vineyards until midafternoon, made himself lunch and then
took a long nap. In the evenings, he often walked to the local tavern,
where he played dominoes past midnight. The years passed. His health
continued to improve. He added a couple of rooms to his parents’ home so
his children could visit. He built up the vineyard until it produced
400 gallons of wine a year. Today, three and a half decades later, he’s
97 years old — according to an official document he disputes; he says
he’s 102 — and cancer-free. He never went through chemotherapy, took
drugs or sought therapy of any sort. All he did was move home to Ikaria.
I met Moraitis on Ikaria this past July during one of
my visits to explore the extraordinary longevity of the island’s
residents. For a decade, with support from the National Geographic
Society, I’ve been organizing a study of the places where people live
longest. The project grew out of studies by my partners, Dr. Gianni Pes
of the University of Sassari in Italy and Dr. Michel Poulain, a Belgian
demographer. In 2000, they identified a region of Sardinia’s Nuoro
province as the place with the highest concentration of male
centenarians in the world. As they zeroed in on a cluster of villages
high in Nuoro’s mountains, they drew a boundary in blue ink on a map and
began referring to the area inside as the “blue zone.” Starting in
2002, we identified three other populations around the world where
people live measurably longer lives than everyone else. The world’s
longest-lived women are found on the island of Okinawa. On Costa Rica’s
Nicoya Peninsula, we discovered a population of 100,000 mestizos with a
lower-than-normal rate of middle-age mortality. And in Loma Linda,
Calif., we identified a population of Seventh-day Adventists in which
most of the adherents’ life expectancy exceeded the American average by
about a decade.
In 2003, I started a consulting firm to see if it was possible to take
what we were learning in the field and apply it to American communities.
We also continued to do research and look for other pockets of
longevity, and in 2008, following a lead from a Greek researcher, we
began investigating Ikaria. Poulain’s plan there was to track down
survivors born between 1900 and 1920 and determine when and where
individuals died. The approach was complicated by the fact that people
often moved around. That meant that not only were birth and death
records required, but also information on immigration and emigration.
The data collection had to be rigorous. Earlier claims about long-lived
people in places like Ecuador’s Vilcabamba Valley, Pakistan’s Hunza
Valley or the Caucasus Mountains of Georgia had all been debunked after
researchers discovered that many residents didn’t actually know their
ages. For villagers born without birth certificates, it was easy to lose
track. One year they were 80; a few months later they were 82. Pretty
soon they claimed to be 100. And when a town discovers that a reputation
for centenarians draws tourists, who’s going to question it? Even in
Ikaria, the truth has been sometimes difficult to nail down. Stories
like the one about Moraitis’s miraculous recovery become instant
folklore, told and retold and changed and misattributed. (Stories about
Moraitis have appeared on Greek TV.) In fact, when I was doing research
there in 2009, I met a different man who told me virtually the exact
same story about himself.
The study would try to cut through the stories and establish the facts
about Ikaria’s longevity. Before including subjects, Poulain
cross-referenced birth records against baptism or military
documentation. After gathering all the data, he and his colleagues at
the University of Athens concluded that people on Ikaria were, in fact,
reaching the age of 90 at two and a half times the rate Americans do.
(Ikarian men in particular are nearly four times as likely as their
American counterparts to reach 90, often in better health.) But more
than that, they were also living about 8 to 10 years longer before
succumbing to cancers and cardiovascular disease, and they suffered less
depression and about a quarter the rate of dementia. Almost half of
Americans 85 and older show signs of Alzheimer’s. (The Alzheimer’s
Association estimates that dementia cost Americans some $200 billion in
2012.) On Ikaria, however, people have been managing to stay sharp to
the end.
Ikaria, an island of 99 square miles and home to almost
10,000 Greek nationals, lies about 30 miles off the western coast of
Turkey. Its jagged ridge of scrub-covered mountains rises steeply out of
the Aegean Sea. Before the Christian era, the island was home to thick
oak forests and productive vineyards. Its reputation as a health
destination dates back 25 centuries, when Greeks traveled to the island
to soak in the hot springs near Therma. In the 17th century, Joseph
Georgirenes, the bishop of Ikaria, described its residents as proud
people who slept on the ground. “The most commendable thing on this
island,” he wrote, “is their air and water, both so healthful that
people are very long-lived, it being an ordinary thing to see persons in
it of 100 years of age.”
Seeking to learn more about the island’s reputation for long-lived
residents, I called on Dr. Ilias Leriadis, one of Ikaria’s few
physicians, in 2009. On an outdoor patio at his weekend house, he set a
table with Kalamata olives, hummus, heavy Ikarian bread and wine.
“People stay up late here,” Leriadis said. “We wake up late and always
take naps. I don’t even open my office until 11 a.m. because no one
comes before then.” He took a sip of his wine. “Have you noticed that no
one wears a watch here? No clock is working correctly. When you invite
someone to lunch, they might come at 10 a.m. or 6 p.m. We simply don’t
care about the clock here.”
Pointing across the Aegean toward the neighboring island of Samos, he
said: “Just 15 kilometers over there is a completely different world.
There they are much more developed. There are high-rises and resorts and
homes worth a million euros. In Samos, they care about money. Here, we
don’t. For the many religious and cultural holidays, people pool their
money and buy food and wine. If there is money left over, they give it
to the poor. It’s not a ‘me’ place. It’s an ‘us’ place.”
Ikaria’s unusual past may explain its communal inclinations. The strong
winds that buffet the island — mentioned in the “Iliad” — and the lack
of natural harbors kept it outside the main shipping lanes for most of
its history. This forced Ikaria to be self-sufficient. Then in the late
1940s, after the Greek Civil War, the government exiled thousands of
Communists and radicals to the island. Nearly 40 percent of adults, many
of them disillusioned with the high unemployment rate and the dwindling
trickle of resources from Athens, still vote for the local Communist
Party. About 75 percent of the population on Ikaria is under 65. The
youngest adults, many of whom come home after college, often live in
their parents’ home. They typically have to cobble together a living
through small jobs and family support.
Leriadis also talked about local “mountain tea,” made from dried herbs
endemic to the island, which is enjoyed as an end-of-the-day cocktail.
He mentioned wild marjoram, sage (flaskomilia), a type of mint tea
(fliskouni), rosemary and a drink made from boiling dandelion leaves and
adding a little lemon. “People here think they’re drinking a comforting
beverage, but they all double as medicine,” Leriadis said. Honey, too,
is treated as a panacea. “They have types of honey here you won’t see
anyplace else in the world,” he said. “They use it for everything from
treating wounds to curing hangovers, or for treating influenza. Old
people here will start their day with a spoonful of honey. They take it
like medicine.”
Over the span of the next three days, I met some of Leriadis’s patients.
In the area known as Raches, I met 20 people over 90 and one who
claimed to be 104. I spoke to a 95-year-old man who still played the
violin and a 98-year-old woman who ran a small hotel and played poker
for money on the weekend.
On a trip the year before, I visited a slate-roofed house built into the
slope at the top of a hill. I had come here after hearing of a couple
who had been married for more than 75 years. Thanasis and Eirini
Karimalis both came to the door, clapped their hands at the thrill of
having a visitor and waved me in. They each stood maybe five feet tall.
He wore a shapeless cotton shirt and a battered baseball cap, and she
wore a housedress with her hair in a bun. Inside, there was a table, a
medieval-looking fireplace heating a blackened pot, a nook of a closet
that held one woolen suit coat, and fading black-and-white photographs
of forebears on a soot-stained wall. The place was warm and cozy. “Sit
down,” Eirini commanded. She hadn’t even asked my name or business but
was already setting out teacups and a plate of cookies. Meanwhile,
Thanasis scooted back and forth across the house with nervous energy,
tidying up.
The couple were born in a nearby village, they told me. They married in
their early 20s and raised five children on Thanasis’s pay as a
lumberjack. Like that of almost all of Ikaria’s traditional folk, their
daily routine unfolded much the way Leriadis had described it: Wake
naturally, work in the garden, have a late lunch, take a nap. At sunset,
they either visited neighbors or neighbors visited them. Their diet was
also typical: a breakfast of goat’s milk, wine, sage tea or coffee,
honey and bread. Lunch was almost always beans (lentils, garbanzos),
potatoes, greens (fennel, dandelion or a spinachlike green called horta)
and whatever seasonal vegetables their garden produced; dinner was
bread and goat’s milk. At Christmas and Easter, they would slaughter the
family pig and enjoy small portions of larded pork for the next several
months.
During a tour of their property, Thanasis and Eirini introduced their
pigs to me by name. Just after sunset, after we returned to their home
to have some tea, another old couple walked in, carrying a glass amphora
of homemade wine. The four nonagenarians cheek-kissed one another
heartily and settled in around the table. They gossiped, drank wine and
occasionally erupted into laughter.
Dr. Ioanna Chinou, a professor at the University of
Athens School of Pharmacy, is one of Europe’s top experts on the
bioactive properties of herbs and natural products. When I consulted her
about Ikarians’ longevity, she told me that many of the teas they
consume are traditional Greek remedies. Wild mint fights gingivitis and
gastrointestinal disorders; rosemary is used as a remedy for gout;
artemisia is thought to improve blood circulation. She invited me to
give her samples and later tested seven of the most commonly used herbs
on Ikaria. As rich sources of polyphenols, they showed strong
antioxidant properties, she reported. Most of these herbs also contained
mild diuretics. Doctors often use diuretics to treat hypertension —
perhaps by drinking tea nightly, Ikarians have gently lowered their
blood pressure throughout their lives.
Meanwhile, my colleagues Gianni Pes and Michel Poulain set out to track
down the island’s 164 residents who were over 90 as of 1999, starting in
the municipality of Raches. They found that 75 nonagenarians were still
alive. Then, along with additional researchers, they fanned out across
the island and asked 35 elderly subjects a battery of lifestyle
questions to assess physical and cognitive functioning: How much do you
sleep? Did you ever smoke? They asked them to get up and down from a
chair five times and recorded how long it took them to walk 13 feet. To
test mental agility, the researchers had subjects recall a series of
items and reproduce geometric shapes.
Pes and Poulain were joined in the field by Dr. Antonia Trichopoulou of
the University of Athens, an expert on the Mediterranean diet. She
helped administer surveys, often sitting in village kitchens to ask
subjects to reconstruct their childhood eating habits. She noted that
the Ikarians’ diet, like that of others around the Mediterranean, was
rich in olive oil and vegetables, low in dairy (except goat’s milk) and
meat products, and also included moderate amounts of alcohol. It
emphasized homegrown potatoes, beans (garbanzo, black-eyed peas and
lentils), wild greens and locally produced goat milk and honey.
As I knew from my studies in other places with high numbers of very old
people, every one of the Ikarians’ dietary tendencies had been linked to
increased life spans: low intake of saturated fats from meat and dairy
was associated with lower risk of heart disease; olive oil — especially
unheated — reduced bad cholesterol and raised good cholesterol. Goat’s
milk contained serotonin-boosting tryptophan and was easily digestible
for older people. Some wild greens had 10 times as many antioxidants as
red wine. Wine — in moderation — had been shown to be good for you if
consumed as part of a Mediterranean diet, because it prompts the body to
absorb more flavonoids, a type of antioxidant. And coffee, once said to
stunt growth, was now associated with lower rates of diabetes, heart
disease and, for some, Parkinson’s. Local sourdough bread might actually
reduce a meal’s glycemic load. You could even argue that potatoes
contributed heart-healthy potassium, vitamin B6 and fiber to the Ikarian
diet. Another health factor at work might be the unprocessed nature of
the food they consume: as Trichopoulou observed, because islanders eat
greens from their gardens and fields, they consume fewer pesticides and
more nutrients. She estimated that the Ikarian diet, compared with the
standard American diet, might yield up to four additional years of life
expectancy.
Of course, it may not be only what they’re eating; it may also be what
they’re not eating. “Are they doing something positive, or is it the
absence of something negative?” Gary Taubes asked when I described to
him the Ikarians’ longevity and their diet. Taubes is a founder of the
nonprofit Nutrition Science Initiative and the author of “Why We Get
Fat” (and has written several articles for this magazine). “One
explanation why they live so long is they eat a plant-based diet. Or it
could be the absence of sugar and white flour. From what I know of the
Greek diet, they eat very little refined sugar, and their breads have
been traditionally made with stone-ground wheat.”
Following the report by Pes and Poulain, Dr. Christina Chrysohoou, a
cardiologist at the University of Athens School of Medicine, teamed up
with half a dozen scientists to organize the Ikaria Study, which
includes a survey of the diet of 673 Ikarians. She found that her
subjects consumed about six times as many beans a day as Americans, ate
fish twice a week and meat five times a month, drank on average two to
three cups of coffee a day and took in about a quarter as much refined
sugar — the elderly did not like soda. She also discovered they were
consuming high levels of olive oil along with two to four glasses of
wine a day.
Chrysohoou also suspected that Ikarians’ sleep and sex habits might have
something to do with their long life. She cited a 2008 paper by the
University of Athens Medical School and the Harvard School of Public
Health that studied more than 23,000 Greek adults. The researchers
followed subjects for an average of six years, measuring their diets,
physical activity and how much they napped. They found that occasional
napping was associated with a 12 percent reduction in the risk of
coronary heart disease, but that regular napping — at least three days
weekly — was associated with a 37 percent reduction. She also pointed
out a preliminary study of Ikarian men between 65 and 100 that included
the fact that 80 percent of them claimed to have sex regularly, and a
quarter of that self-reported group said they were doing so with “good
duration” and “achievement.”
During our time on Ikaria, my colleagues and I stayed
at Thea Parikos’s guesthouse, the social hub of western Ikaria. Local
women gathered in the dining room at midmorning to gossip over tea. Late
at night, after the dinner rush, tables were pushed aside and the
dining room became a dance floor, with people locking arms and
kick-dancing to Greek music.
Parikos cooked the way her ancestors had for centuries, giving us a
chance to consume the diet we were studying. For breakfast, she served
local yogurt and honey from the 90-year-old beekeeper next door. For
dinner, she walked out into the fields and returned with handfuls of
weedlike greens, combined them with pumpkin and baked them into savory
pies. My favorite was a dish made with black-eyed peas, tomatoes, fennel
tops and garlic and finished with olive oil that we dubbed Ikarian
stew.
Despite her consummately Ikarian air, Parikos was actually born in
Detroit to an American father and an Ikarian mother. She had attended
high school, worked as a real estate agent and married in the United
States. After she and her husband had their first child, she felt a
“genetic craving” for Ikaria. “I was not unhappy in America,” she said.
“We had good friends, we went out to dinner on the weekends, I drove a
Chevrolet. But I was always in a hurry.”
When she and her family moved to Ikaria and opened the guesthouse,
everything changed. She stopped shopping for most groceries, instead
planting a huge garden that provided most of their fruits and
vegetables. She lost weight without trying to. I asked her if she
thought her simple diet was going to make her family live longer. “Yes,”
she said. “But we don’t think about it that way. It’s bigger than
that.”
Although unemployment is high — perhaps as high as 40 percent — most
everyone has access to a family garden and livestock, Parikos told me.
People who work might have several jobs. Someone involved in tourism,
for example, might also be a painter or an electrician or have a store.
“People are fine here because we are very self-sufficient,” she said.
“We may not have money for luxuries, but we will have food on the table
and still have fun with family and friends. We may not be in a hurry to
get work done during the day, so we work into the night. At the end of
the day, we don’t go home to sit on the couch.”
Parikos was nursing a mug of coffee. Sunlight sifted in through the
window shades; the waves of the nearby Aegean could be barely heard over
the din of breakfast. “Do you know there’s no word in Greek for
privacy?” she declared. “When everyone knows everyone else’s business,
you get a feeling of connection and security. The lack of privacy is
actually good, because it puts a check on people who don’t want to be
caught or who do something to embarrass their family. If your kids
misbehave, your neighbor has no problem disciplining them. There is less
crime, not because of good policing, but because of the risk of shaming
the family. You asked me about food, and yes, we do eat better here
than in America. But it’s more about how we eat. Even if it’s your lunch
break from work, you relax and enjoy your meal. You enjoy the company
of whoever you are with. Food here is always enjoyed in combination with
conversation.”
In the United States, when it comes to improving health, people tend to
focus on exercise and what we put into our mouths — organic foods,
omega-3’s, micronutrients. We spend nearly $30 billion a year on
vitamins and supplements alone. Yet in Ikaria and the other places like
it, diet only partly explained higher life expectancy. Exercise — at
least the way we think of it, as willful, dutiful, physical activity —
played a small role at best.
Social structure might turn out to be more important. In Sardinia, a
cultural attitude that celebrated the elderly kept them engaged in the
community and in extended-family homes until they were in their 100s.
Studies have linked early retirement among some workers in
industrialized economies to reduced life expectancy. In Okinawa, there’s
none of this artificial punctuation of life. Instead, the notion of ikigai
— “the reason for which you wake up in the morning” — suffuses people’s
entire adult lives. It gets centenarians out of bed and out of the easy
chair to teach karate, or to guide the village spiritually, or to pass
down traditions to children. The Nicoyans in Costa Rica use the term plan de vida
to describe a lifelong sense of purpose. As Dr. Robert Butler, the
first director of the National Institute on Aging, once told me, being
able to define your life meaning adds to your life expectancy.
The healthful plant-based diet that Seventh-day Adventists eat has been
associated with an extra decade of life expectancy. It has also been
linked to reduced rates of diabetes and heart disease. Adventists’ diet
is inspired by the Bible — Genesis 1:29. (“And God said: ‘Behold, I have
given you every herb yielding seed . . . and every tree, in which is
the fruit of a tree yielding seed; to you it shall be for food.’ ”) But
again, the key insight might be more about social structure than about
the diet itself. While for most people, diets eventually fail, the
Adventists eat the way they do for decades. How? Adventists hang out
with other Adventists. When you go to an Adventist picnic, there’s no
steak grilling on the barbecue; it’s a vegetarian potluck. No one is
drinking alcohol or smoking. As Nicholas Christakis, a physician and
social scientist at Harvard, found when examining data from a long-term
study of the residents of Framingham, Mass., health habits can be as
contagious as a cold virus. By his calculation, a Framingham
individual’s chances of becoming obese shot up by 57 percent if a friend
became obese. Among the Adventists we looked at, it was mostly positive
social contagions that were in circulation.
Ask the very old on Ikaria how they managed to live
past 90, and they’ll usually talk about the clean air and the wine. Or,
as one 101-year-old woman put it to me with a shrug, “We just forget to
die.” The reality is they have no idea how they got to be so old. And
neither do we. To answer that question would require carefully tracking
the lifestyles of a study group and a control group for an entire human
lifetime (and then some). We do know from reliable data that people on
Ikaria are outliving those on surrounding islands (a control group, of
sorts). Samos, for instance, is just eight miles away. People there with
the same genetic background eat yogurt, drink wine, breathe the same
air, fish from the same sea as their neighbors on Ikaria. But people on
Samos tend to live no longer than average Greeks. This is what makes the
Ikarian formula so tantalizing.
If you pay careful attention to the way Ikarians have lived their lives,
it appears that a dozen subtly powerful, mutually enhancing and
pervasive factors are at work. It’s easy to get enough rest if no one
else wakes up early and the village goes dead during afternoon naptime.
It helps that the cheapest, most accessible foods are also the most
healthful — and that your ancestors have spent centuries developing ways
to make them taste good. It’s hard to get through the day in Ikaria
without walking up 20 hills. You’re not likely to ever feel the
existential pain of not belonging or even the simple stress of arriving
late. Your community makes sure you’ll always have something to eat, but
peer pressure will get you to contribute something too. You’re going to
grow a garden, because that’s what your parents did, and that’s what
your neighbors are doing. You’re less likely to be a victim of crime
because everyone at once is a busybody and feels as if he’s being
watched. At day’s end, you’ll share a cup of the seasonal herbal tea
with your neighbor because that’s what he’s serving. Several glasses of
wine may follow the tea, but you’ll drink them in the company of good
friends. On Sunday, you’ll attend church, and you’ll fast on Orthodox
feast days. Even if you’re antisocial, you’ll never be entirely alone.
Your neighbors will cajole you out of your house for the village
festival to eat your portion of goat meat.
Every one of these factors can be tied to longevity. That’s what the $70
billion diet industry and $20 billion health-club industry do in their
efforts to persuade us that if we eat the right food or do the right
workout, we’ll be healthier, lose weight and live longer. But these
strategies rarely work. Not because they’re wrong-minded: it’s a good
idea for people to do any of these healthful activities. The problem is,
it’s difficult to change individual behaviors when community behaviors
stay the same. In the United States, you can’t go to a movie, walk
through the airport or buy cough medicine without being routed through a
gantlet of candy bars, salty snacks and sugar-sweetened beverages. The
processed-food industry spends more than $4 billion a year tempting us
to eat. How do you combat that? Discipline is a good thing, but
discipline is a muscle that fatigues. Sooner or later, most people cave
in to relentless temptation.
As our access to calories has increased, we’ve decreased the amount of
physical activity in our lives. In 1970, about 40 percent of all
children in the U.S. walked to school; now fewer than 12 percent do. Our
grandparents, without exercising, burned up about five times as many
calories a day in physical activity as we do. At the same time, access
to food has exploded.
Despite the island’s relative isolation, its tortuous roads and the
fierce independence of its inhabitants, the American food culture, among
other forces, is beginning to take root in Ikaria. Village markets are
now selling potato chips and soda, which in my experience is replacing
tea as the drink of choice among younger Ikarians. As the island’s
ancient traditions give way before globalization, the gap between
Ikarian life spans and those of the rest of the world seems to be
gradually disappearing, as the next generations of old people become
less likely to live quite so long.
The big aha for me, having studied populations of the long-lived for
nearly a decade, is how the factors that encourage longevity reinforce
one another over the long term. For people to adopt a healthful
lifestyle, I have become convinced, they need to live in an ecosystem,
so to speak, that makes it possible. As soon as you take culture,
belonging, purpose or religion out of the picture, the foundation for
long healthy lives collapses. The power of such an environment lies in
the mutually reinforcing relationships among lots of small nudges and
default choices. There’s no silver bullet to keep death and the diseases
of old age at bay. If there’s anything close to a secret, it’s silver
buckshot.
I called Moraitis a few weeks ago from my home in
Minneapolis. Elpiniki died in the spring at age 85, and now he lives
alone. He picked up the phone in the same whitewashed house that he’d
moved into 35 years ago. It was late afternoon in Ikaria. He had worked
in his vineyard that morning and just awakened from a nap. We chatted
for a few minutes, but then he warned me that some of his neighbors were
coming over for a drink in a few minutes and he’d have to go. I had one
last question for him. How does he think he recovered from lung cancer?
“It just went away,” he said. “I actually went back to America about 25
years after moving here to see if the doctors could explain it to me.”
I had heard this part of the story before. It had become a piece of the
folklore of Ikaria, proof of its exceptional way of life. Still, I asked
him, “What happened?”
“My doctors were all dead.”
This article is adapted from new material being published in the second edition of “Blue Zones,” by Dan Buettner, out next month from National Geographic.
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