Salinari Giambattista, De Santis Gustavo
Department of Economics and Business, University of Sassari, Sassari, Italy,
Demography. 2015 Feb;52(1):39-60. doi: 10.1007/s13524-014-0363-0.
Physiological senescence is characterized by the increasing limitation of capabilities of an organism resulting from the progressive accumulation of molecular damage, which at group (cohort) level translates into, among other things, an increase in mortality risks with age. Physiological senescence is generally thought to begin at birth, if not earlier, but models of demographic aging (i.e., an increase in mortality risks) normally start at considerably later ages. This apparent inconsistency can be solved by assuming the existence of two mortality regimes: "latent" and "manifest" aging. Up to a certain age, there is only latent aging: physiological senescence occurs, but its low level does not trigger any measurable increase in mortality. Past a certain level (and age), molecular damage is such that mortality risks start to increase. We first discuss why this transition from latent to manifest aging should exist at all, and then we turn to the empirical estimation of the corresponding threshold age by applying Bai's approach to the estimation of breakpoints in time series. Our analysis, which covers several cohorts born between 1850 and 1938 in 14 of the countries included in the Human Mortality Database, indicates that an age at the onset of manifest aging can be identified. However, it has not remained constant: it has declined from about 43 and 47 years, respectively, for males and females at the beginning of the period (cohorts born in 1850-1869) to about 31 for both males and females toward its end (cohorts born in 1920-1938). A discussion of why this may have happened ensues.
生理衰老的特征是,由于分子损伤的逐渐积累,生物体的能力受到越来越多的限制,在群体(队列)层面上,这尤其表现为随着年龄增长死亡风险增加。生理衰老通常被认为从出生时就开始了,如果不是更早的话,但人口老龄化模型(即死亡风险增加)通常从相当晚的年龄才开始。通过假设存在两种死亡模式:“潜在”衰老和“明显”衰老,可以解决这种明显的不一致。在达到一定年龄之前,只有潜在衰老:生理衰老会发生,但程度较低,不会引发任何可测量的死亡风险增加。超过一定水平(和年龄)后,分子损伤会导致死亡风险开始增加。我们首先讨论为什么从潜在衰老到明显衰老的这种转变应该存在,然后我们通过应用白氏方法估计时间序列中的断点,来对相应的阈值年龄进行实证估计。我们的分析涵盖了人类死亡率数据库中14个国家1850年至1938年出生的几个队列,结果表明可以确定明显衰老开始的年龄。然而,这个年龄并非一成不变:从该时期开始时(1850 - 1869年出生的队列)男性约43岁、女性约47岁,下降到该时期结束时(1920 - 1938年出生的队列)男性和女性均约31岁。随后展开了关于为什么会发生这种情况的讨论。