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Healthy Living Beyond 100: Aligning Evolutionary Physiology with Modern Lifestyle


Author: Dr. N. Murugesan, Dr. Venkatram Murugesan, Dr. Sumathy Masanam Kasi*
Research Coordinator, East coast hospitals, Puducherry.
Published Date: 2026-08-11
Keywords: Healthy longevity; Evolutionary physiology; Lifestyle medicine; Non-communicable diseases; Blue Zones.
Abstract:

Non-communicable diseases (NCDs) represent the dominant global health burden of the 21st century, driven by rapid urbanization, modern dietary shifts, and chronic psychosocial stress. Cardiovascular disease including Hypertension , Type 2 Diabetes, And Cancer etc, stem largely from an evolutionary mismatch between ancient human physiology and a contemporary, ultra-processed food environment. While systemic socioeconomic factors influence disease trajectories, individual lifestyle optimization remains a primary lever for preventive healthcare.

This mini-review synthesizes evidence on the environmental, nutritional, and behavioral determinants of healthy longevity. By examining the demographically validated centenarian populations of the world's "Blue Zones," this paper highlights the physiological mechanisms specifically the suppression of chronic hyperinsulinemia, reduction of allostatic load, and optimization of micro-nutrient balances, that preserve organ reserve and extend health span. Ultimately, bridging ancestral lifestyle wisdom with modern clinical precision offers a scalable roadmap for chronic disease prevention.