• Longevity This is what you should do to live longer according to the best healthy aging doctor in Europe

"If what you want is to

turn 100

... Don't live like I do," sings Joaquín Sabina.

But, the question is: do we really want to live 100 years?

A pioneer in Spain of Preventive Medicine and technical director at Longevitas Labs, Ángel Durántez is convinced that it is, as long as, of course, we do it with an

acceptable quality of life

.

Getting it is, as he himself defines it, "his business from him" from him.

Its philosophy is based on the so-called

compression of morbidity,

a term coined by Fries in the 1980s, which basically means providing the necessary means on our part to

delay the loss of autonomy until very advanced ages

.

Or, in his own words, "getting to die, having been well the day before, or even very well."

Designated for three consecutive years by

'Forbes' magazine as one of the most outstanding Spanish doctors

, Durántez does not aspire to that almost eternal longevity 'without further requirements' that immortalists dream of "The

immortalist

thinks that advances are going to be such a magnitude that we are going to reach the maximum life expectancy of the human being, between 120 and 130 years.However, what I defend is living longer, yes, but enjoying a good life.And without seeking unattainable limits because, if we think about it, who wants to continue living if all our loved ones have already been buried".

And, obviously, he is on the opposite side of those who, like Ezequiel Emanuel, a doctor, an expert in ethics and one of the ideologues of 'Obama Care', defend that,

from the age of 75, you have to stop going to the doctor

.

"The so-called

death

supporters argue that, well into the 1970s, there is no need to take any kind of preventive action and that you have to die when nature dictates it, because they are against extending the life expectancy of human beings. Emanuel He is still 64 years old. Let's see if he still thinks the same in a decade!"

What, then, is the key to living longer and reducing the period in which ailments make us dependent people?

Getting down to work when we are still young enough so that nothing hurts: "My business, being

preventive medicine for healthy aging

, begins in the disease-free period of life, between

35 and 40 years

. That's where we can start doing things."

Durántez explains why: "Until that age, we enjoy full health.

From then on, 50% of the Spanish population has at least one diagnosis

: low back pain, tension, high blood sugar, a polycystic ovary, etc. The last thing I read on this subject is that this moment is reached by women at 35 and men at 40. Despite already having a diagnosis in our medical history, we evolve with a good or very good perception of our health until, more or less,

the 70.

From that moment, we begin to classify it as fair, poor or very poor. The last cut would be disability: we need help to live".

However, prevention rather than cure is not something that is precisely part of our culture: "I was trained in

the United States

and I am convinced that the fact that they do not have public medicine there like ours makes the population care more about prevention. The American knows that he can go bankrupt if he gets sick and invests more in prevention. Here, on the other hand, there are still people who despise

proactive, reactive and preventive medicine to

the

point of not believing in it.

The prevailing philosophy is to do nothing until the symptom appears

. Now, when it appears, it will probably be too late because the silent phase of the disease has passed, and it could have been stopped at that time."

It was traditionally said that the way we age depends 30% on genetics and 70% on our habits.

Durántez, laughing, acknowledges that the origin of such a statement seems to have faded but what is already very clear is that "

hiding behind our genetics no longer works

. Epigenetics, that is, our lifestyle can modify the expression of our genes".

SUPPLEMENTATION

Rest, stress control, physical activity and nutrition

are the elements with which we can 'play' to optimize this lifestyle but, sometimes, we have no choice but to resort to

extra help

, especially in the diet chapter. .

"I use

nutritional supplementation

as an addition to a supposedly healthy and balanced diet. When I say supposedly, it is probably because none of us manage to maintain a healthy and balanced diet. And not because we do not have the will to do so -although it is also true that there are many people who just eat calories - but because the

quality of food today

, compared to that of a century ago, is very

deficient in many of the essential micronutrients

that our body needs The amount of folic acid or iron in many fruits, vegetables or legumes, for example, is now much lower due to intensive farming systems, the use of pesticides, fertilizers, lack of maturation of the product, etc.

Everything means that, little by little, the presence of certain nutrients in the population is systematically falling."

As he points out, all this justifies that, for a century, "health authorities have supplemented basic foods, such as bread, water or salt as a public health measure."

What's more, he continues, "at the top of the

food pyramid

, the little picture of nutritional supplements is already beginning to be put, highlighting the relevance of their role in our diet."

However, Durántez clarifies that he is not making "an allegation that we all supplement ourselves, not all of us, or in industrial quantities, but, of course, it does make sense

to do it sensibly

. It is not that I am making an allegation that we all supplement ourselves , but, of course, it does make sense to do it with value and logic".

In his experience, most people have "three very clear deficiencies in levels of

Omega 3 fatty acids, vitamin D and also B

".

The

Omega 3

thing is flagrant: "It is clear that, if we ate more oily fish, we would probably be able to reach acceptable levels. But this is not always possible and its presence is essential. Various specialists, such as the doctor and biochemist

Barry Sears, creator of the diet of the zone

, they value the anti-inflammatory, antioxidant, cytoprotective functions -safeguard of the mucosa of the gastro-intestinal tract from the action of the acidic environment and digestive enzymes-, cardio and neuroprotective, etc. and recommend taking much more than what do we do".

If it is assumed that "the optimal level would be to have 8% of the fatty acids of the membrane of the red blood cell of Omega 3,

Sears advocates reaching up to 15%

. Moreover, it even says that you have to take both Omega 3 and our intestines hold us because, being oil, it produces steatorrhea, that is, greasy diarrhea".

"Vitamin D, Magnesium, Cozyme Q10 in the form of Ubiquinol -which has a very powerful antioxidant effect and improves cell function- and probiotics would be, together with Omega 3", those extras that, as Durántez points out, we should find in supplementation, if possible personalized and quantified".

But, how can we know if what we are taking is of sufficient quality to produce the benefits that are assumed?

"There is a lot of variability, many sources of raw material, etc. Nutritional supplements are not regulated as strictly as drugs because they are considered 'a food packed in capsules' to which, moreover, a therapeutic effect is not attributed. For this reason, the doctors who dedicate ourselves to this look for a

brand that generates absolute confidence in us

and, when we reach a level of clinical experience that allows us to calibrate how what we prescribe is working in our hundreds of patients what we prescribe, we begin to design 'ours'.

The key is in the clinical experience that we get from observing how patient tests improve and, of course, in the scientific studies that back them up."

Vitamin D, Magnesium, Cozyme Q10... If what we want is to

turn 100 years old

, but well lived, we better take note of Durántez's advice and his pills to dream.

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  • Joaquin Sabina