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001     283106
005     20260217130024.0
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|a 10.1186/s12889-025-25531-w
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037 _ _ |a DZNE-2026-00002
041 _ _ |a English
082 _ _ |a 610
100 1 _ |a Callaway, Julia
|b 0
245 _ _ |a Ageing populations: new challenges in longevity.
260 _ _ |a London
|b BioMed Central
|c 2025
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520 _ _ |a High-income countries experienced unprecedented gains in life expectancy throughout the twentieth century. However, recent evidence suggests that these gains have slowed, especially at older ages. This paper focuses on recent trends in life expectancy and health in ageing populations in high-income countries.We analysed mortality and health data from the Human Mortality Database and the Global Burden of Disease. Additionally, we reviewed recent literature to explore changes in life expectancy, health-adjusted life expectancy, physical and cognitive decline, and the impact of ageing on healthcare expenditure in countries with high life expectancies.Although life expectancy continues to rise in high-income countries, the pace of improvement has slowed, especially among the oldest-old. While health-adjusted life expectancy has generally increased, the proportion of life spent in good health varies across countries, with notable differences in trends in physical and cognitive disabilities. In terms of economic implications, these findings highlight the importance of age and proximity to death as determinants of healthcare expenditures.The deceleration in life expectancy gains, particularly among the oldest populations, raises important questions about future trends in longevity. As physical and cognitive health change in older ages healthcare systems will face new and diverse challenges. Understanding the role of ageing and time-to-death in shaping healthcare costs will be critical for anticipating future needs in high-income countries.
536 _ _ |0 G:(DE-HGF)POF4-354
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650 _ 7 |2 Other
|a Cognitive health
650 _ 7 |2 Other
|a Health economics
650 _ 7 |2 Other
|a Health expectancies
650 _ 7 |2 Other
|a Mortality
650 _ 7 |2 Other
|a Physical health
650 _ 2 |2 MeSH
|a Humans
650 _ 2 |2 MeSH
|a Life Expectancy: trends
650 _ 2 |2 MeSH
|a Aged
650 _ 2 |2 MeSH
|a Longevity
650 _ 2 |2 MeSH
|a Aged, 80 and over
650 _ 2 |2 MeSH
|a Aging
650 _ 2 |2 MeSH
|a Male
650 _ 2 |2 MeSH
|a Developed Countries: statistics & numerical data
650 _ 2 |2 MeSH
|a Female
650 _ 2 |2 MeSH
|a Health Expenditures: trends
650 _ 2 |2 MeSH
|a Middle Aged
650 _ 2 |2 MeSH
|a Mortality: trends
650 _ 2 |2 MeSH
|a Global Burden of Disease
650 _ 2 |2 MeSH
|a Global Health
700 1 _ |a Strozza, Cosmo
|b 1
700 1 _ |a Christensen, Kaare
|b 2
700 1 _ |0 P:(DE-2719)2811246
|a Doblhammer, Gabriele
|b 3
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700 1 _ |a Rau, Roland
|b 4
700 1 _ |a Søgaard, Jes
|b 5
773 _ _ |0 PERI:(DE-600)2041338-5
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|g Vol. 25, no. 1, p. 4395
|n 1
|p 4395
|t BMC public health
|v 25
|x 1471-2458
|y 2025
856 4 _ |u https://pub.dzne.de/record/283106/files/DZNE-2026-00002.pdf
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