title: The new trends in survival improvement require a revision of traditional gerontological concepts.
abstract: In 1960, Strehler and Mildvan (SM) theoretically predicted that the parameters of the Gompertz approximation to a mortality curve are negatively correlated. This means that the changes in the human mortality rate resulting from improvement in living standards, progress in health care or the influence of other factors must follow certain regularities prescribed by dependence between the Gompertz parameters. Such dependence, called SM correlation, was then confirmed in a number of empirical studies using period data on human mortality. Since the SM theory was based on the cohort model of mortality, it was tacitly assumed that period and cohort SM correlation patterns are similar. The remarkable stability of the SM correlation pattern revealed in these studies was often regarded as manifestation of a universal demographic law regulating changes in the age pattern of mortality rates. In this paper, we investigated trends in mortality decline in France, Japan, Sweden and the United States. In contrast with traditional expectations, we found that the SM correlation pattern was relatively stable only in certain periods of a population's survival history. Recently, several new correlation patterns emerged and, despite some differences in the timing of the changes, the new patterns are remarkably similar in all four countries. Contrary to traditional expectations, the patterns are not the same for cohort and period mortality data when SM correlations are calculated for France, Sweden and the United States. We show that some changes in the patterns of SM correlation admit interpretation in terms of a biological mechanism of individual adaptation (survival trade off). Some other patterns, however, contradict basic postulates of the SM theory. This indicates the need for revision of traditional concepts establishing the relationship between physiological and demographic patterns of aging.
authors.affiliation: Max Planck Institute for Demographic Research, 114 Doberaner Street, Rostock, Germany. yashin@demogr.mpg.de
authors.forename: A I
authors.initials: AI
authors.lastname: Yashin
authors.forename: A S
authors.initials: AS
authors.lastname: Begun
authors.forename: S I
authors.initials: SI
authors.lastname: Boiko
authors.forename: S V
authors.initials: SV
authors.lastname: Ukraintseva
authors.forename: J
authors.initials: J
authors.lastname: Oeppen
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000375:Aging; D015331:Cohort Studies; D005260:Female; D005853:Geriatrics / Q000639:trends; D006801:Humans; D015993:Life Tables; D008297:Male; D008432:Mathematical Computing; D008875:Middle Aged; D009026:Mortality / Q000639:trends*