虎嗅

Japan becomes the first country in the world to have over 100,000 centenarians, with nearly 90% of them being women

原文:日本成为全球首个百岁老人破10万的国家,其中近9成为女性

Japan’s Population of Centenarians Exceeds 100,000: A Blessing or a Burden?

Hello everyone, I’m your financial journalist and friend economist. Today, we’re discussing a topic that’s both fascinating and somewhat unsettling: Japan has officially become the first country in the world to have more than 100,000 centenarians.

This is not just about numbers; it reveals profound insights into healthcare, economics, social structures, and the limits of human longevity. For most of us, it means both the increasing possibility of living a long life and the growing risks of aging alone or facing prolonged illness.

Let’s break down this news into five key aspects to help you understand the reality behind these statistics.

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1. The Phenomenon: Women Are the Main Driver of Japan’s Centenarian Population

First, let’s look at the specifics of this milestone:

  • The Shocking Figures: As of September 1, 2026, there were 107,677 people over 100 years old in Japan.
  • Historical Comparison: In 1963, when this statistic was first recorded, there were only 153 centenarians in the entire country; by 1998, the number had just exceeded 10,000. In less than 30 years, this number has increased tenfold.
  • Future Trends: Even more strikingly, 54,000 people are set to celebrate their 100th birthdays in 2026 alone, indicating that the number of centenarians is still growing at a rapid pace of nearly 10,000 per year.
  • Why Do Women Predominate?: Of these 107,677 centenarians, 87.6% (about 94,000) are women, compared to 12.4% (about 13,000) men. This is consistent with global trends, as women generally live longer than men. However, in Japan, this gap is even more pronounced due to various physiological and social factors.
  • The Oldest Person: The oldest person in Japan is a 114-year-old woman from Kyoto. The world’s oldest person is 117-year-old Ethel Cartwright from the UK. Note that although Japan has many centenarians, the record for the longest lifespan (over 110 years) does not belong to a Japanese person. This shows that living a long life and living an extremely long life are two different things.

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2. The Reasons Behind Japan’s Longevity

Many people wonder if it’s due to Japanese genetics. While genetics play a role, lifestyle and the healthcare system are the key factors:

  • Low Obesity Rates: Japan’s low obesity rates are closely linked to its longevity. The Japanese diet is relatively light, and despite some Westernization in recent years, it’s still better than in Europe and the US. Additionally, they engage in more physical activity, which helps prevent chronic diseases.
  • Affordable and Universal Healthcare: Japan has universal healthcare, and regular check-ups help detect and treat minor health issues early. The affordable healthcare system ensures that even the elderly can receive necessary treatment.
  • Diet and Habits: The traditional Japanese diet (low in salt and fat, high in fiber, and rich in fish) and the habit of not overeating contribute to lower rates of heart disease and cancer.

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3. A Comparative Perspective: Why Is Hong Kong (China) Considered More Long-lived?

Interestingly, although Japan has the highest number of centenarians, Hong Kong (China) has the longest life expectancy in the world:

  • Data Discrepancy: Japan’s life expectancy is 87.33 years for women and 81.35 years for men, while Hong Kong’s is 88.7 years for women and 83.3 years for men (2025 data). A study in The Lancet shows that Hong Kong has led global high-income regions in life expectancy since 2013.
  • The Power of Smoking Abstinence: Hong Kong’s low smoking rate is a significant factor. Smoking contributes to a significant portion of deaths in many countries; in Hong Kong, it’s responsible for 50.5% of the extra life expectancy for men and 34.8% for women.
  • Urban Infrastructure: Hong Kong’s compact cities with convenient public transportation and walkable areas make it easy for the elderly to access healthcare and social activities, reducing feelings of loneliness, which can harm health.

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4. The Dark Side of Longevity: The Burdens and Health Challenges

Longevity doesn’t always equate to good health or a comfortable life:

  • **“Manufactured Time” vs. “Living with Illnesses”: Experts like Jay Olshansky warn that longevity without good health can be dangerous. Many people live longer but with chronic diseases, reducing their quality of life.
  • Social and Economic Pressures: Japan’s aging population is straining its resources, with fewer young people supporting more elderly people. This leads to financial burdens and challenges in providing adequate care.
  • Country-Country Differences: Sweden, for example, has a shorter period of disability in old age compared to the UK, indicating that public policies and healthcare quality can greatly affect the quality of life in old age.

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5. The Future of Human Longevity

  • Limits to Life Expectancy: While life expectancy has doubled in the past 150 years, there are no current technologies to significantly extend it beyond around 120 years.
  • Current Anti-Aging Approaches: Techniques like calorie restriction and rapamycin show promise, but they have side effects and are not yet widely available.
  • Practical Advice: In the meantime, simple lifestyle changes—such as a balanced diet, exercise, proper sleep, and social interaction—can significantly improve health and quality of life.

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Conclusion

Japan’s population of centenarians is a testament to the power of modern medicine, public health, and healthy lifestyles. However, it also highlights the challenges of aging societies and the need for better policies to support the elderly. For all of us, the focus should be on living a healthy and meaningful life, rather than simply living longer. By making these small, practical changes, we can improve our quality of life in old age.

Thank you for listening to this analysis. If you have any questions, feel free to ask!