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Lio · 3 months ago
I'm glad they mention diet. I would imagine the 5 year difference could be explained simply by not smoking and not eating so much processed food.
nucleardog · 3 months ago
A while back I got curious and tried to do a bit of digging on this.

I looked into the Hutterites in Canada as a group that lives a somewhat similar lifestyle, but don't entirely eschew modern technology and have free access to healthcare (where-as the Amish largely self-fund as a community, and I'm not sure how much pressure that would put on _not_ using healthcare services).

In that case, the only real causes of death that showed a substantial difference from the surrounding population were the rates of cancer, and mostly the lung cancer for men and cervical cancer for women. The study didn't directly attribute it, but that would be pretty directly explained by lower rates of smoking and a lower rate of STDs (since we now know that a huge driver of cervical cancer is HPV).

Brendinooo · 3 months ago
Given the date ranges, air pollution could have factored in as well, though I'm not sure "processed food" would have been as prevalent, especially for the earliest cohort (which had the most disparate outcome)
hulitu · 3 months ago
And by working. Exercise, in moderation, is good for your heart.
TimorousBestie · 3 months ago
I don’t think any Amish group has a prohibition on smoking, though of course some communities probably frown on it.
9cb14c1ec0 · 3 months ago
It varies from community to community. There are some communities that don't care, and others that do definitely prohibit it.
infecto · 3 months ago
I had the opposite impression. Lots of orders will ban tobacco outright. Those that don’t, it’s usually kept only in social settings or breaks and it’s never commercial cigarettes. Usually pipes but I guess they could roll their own cigarettes.
steviedotboston · 3 months ago
the amish diet is pretty unhealthy. lots of carbs, fats, pies, bacon, etc. if you had an amish diet with an "english" lifestyle you would definitely have health issues.
IAmBroom · 3 months ago
Compared to the standard surrounding American diet of highly processed carbs, fats, pies, bacon, etc.

Diet obviously needs to be limited in throughput. I wouldn't recommend surviving on 10 pounds of nutraloaf, either.

paulnpace · 3 months ago
I'm surprised. Amish are known for drinking raw milk and making raw dairy, which is all basically pure poison.
christophilus · 3 months ago
It’s the way humans consumed milk forever, though? Every infant consumes raw milk. Every milk-consuming culture on the planet did it until Pasteur. So… I’m not advocating raw milk consumption, but to call it poison is pure ignorance.
Spooky23 · 3 months ago
The issue with raw milk is that over time it’s much more likely to grow bacteria if there is any interruption in the cold chain.

Drinking it on the farm or close to when it’s very fresh isn’t super high risk. My family was in dairy and did it all of the time. Once it’s off the farm, all bets are off.

infecto · 3 months ago
Definitely not poison. Risk of bacterial infection? Yes. I don’t know the stats on what that risk is though and for all I know perhaps it starts getting closer to zero when it’s your own farm and you are the one handling the whole process.

Please note I am not advocating for raw milk, I think it is not a wise decision but I also don’t believe it to be poison.

xkbarkar · 3 months ago
One of the few times I have used the downvote button in Hn for a comment.

Its not a huge effort to at least try to add some source with such a claim, besides the comment does not even bring anything of value to the discussion.

bruffen · 3 months ago
Citation very much needed
giardini · 3 months ago
Can't help but think of Weird Al Yankovic's "Amish Paradise" https://www.youtube.com/watch?v=lOfZLb33uCg
johntfella · 3 months ago
when I was a less kind uncle I convinced my nephew who had no knowledge of Weird Al nor Coolio that an amish farmer really wrote the song. This would come back to haunt him in junior high music class when he got talking about it to his teacher who in turned got a good laugh.
pclmulqdq · 3 months ago
Balanced diet of fresh and unprocessed foods, extremely active lifestyle, no drugs/drinking. Of course they live a long time.
Balgair · 3 months ago
The Amish do eat a lot of unpasteurized stuff, at least the ones near me did. But they also have the benefits of modern medicine when things get really dicey, as far as I know. I'd ask for an Amish voice here to chime in, but, you know...

It's like the raw milk people but for everything. If you ever tried milking a cow, with the udders machine that close to its' rear, then you'd never drink the stuff raw when you have another option. Cross contamination? Wy I hardly know her!

Years ago when I used to live near them, I'd go to the markets and get their deserts. Best cheesecake I've ever had. Totally unpasteurized stuff, tastes amazing. I'd never let my kids go near it now though. E. Coli is very nasty on the littles.

Projectiboga · 3 months ago
More sunlight too.
Rendello · 3 months ago
I wonder if the opposite is a factor: like most traditional clothing, Amish clothing blocks most sunlight.
thelastgallon · 3 months ago
Amish men have very limited to no screen time at work and at home. The modern lifestyle is very rough on men, sedentary work, rest of the time on app/game/content screens.
mothballed · 3 months ago
They also don't get their income garnished by social security, so that basically frees up 12% (employee + employer) that can be used by the community directly for health rather than a scamfest by the government.
bluGill · 3 months ago
The study was of time periods mostly before screens though.
smt88 · 3 months ago
Amish life expectancy is now 71 compared to 84ish. OP's data is 100+ years old and wqs analyzed in the 60s during a notable peak for medical quackery (cigarettes recommended for pregnant women, etc.)
Brendinooo · 3 months ago
If you didn't read the article -

> These calculations were completed for cohorts of men born during 1895–1904, 1905–1914, 1915–1924, and 1925–1934

and the gap gradually closed with time. There was an 10-year difference in the first cohort which closed by about two years per cohort.

So, a four-year gap in the most recent cohort is notable, but the narrative's probably a little different than you might guess when looking at the headline alone.

moralestapia · 3 months ago
>the narrative's probably a little different than you might guess when looking at the headline alone

Stop talking mysteries. What's A and what's B?

Brendinooo · 3 months ago
A and B are the first two letters of the Latin alphabet, though I don't see the relevance.
robwwilliams · 3 months ago
Small sample size of about 1500 Amish men divided across 4 cohorts, all exposed to the great depression. Entry age minimum of 25 years.

Sorry, but this is really marginal science. There are much stronger demographic and statistical studies of aging and mortality in humans. Here are some alternative examples of stronger studies to explore from PubMed. I keyed my search using the surnames of two well respected longevity demographers (Vaupel and Christensen):

https://pubmed.ncbi.nlm.nih.gov/?term=%20vaupel%20christense...

antirez · 3 months ago
Notably, still less than in any country in the European Union: given the lifestyle, is this a matter of the health care system, I guess?

Anyway given that random EU folks live longer without switching to 1800 lifestyle, looks like there are better options.

supermatt · 3 months ago
I’m not convinced that’s the case for the studied birth cohorts (1890-1930) given the loss of male life in Europe through the world wars.
Brendinooo · 3 months ago
>still less than in any country in the European Union

In the birth cohorts that the study was looking at? Do you have data to support this?

apwell23 · 3 months ago
> , is this a matter of the health care system

EUs have lower chronic diseases like diabetes and hypertension than USA. Those are not diseases that have any answers in medical system so it wouldn't matter how advanced and available the system is.

For example, 40% of ppl in usa are obese vs 12% Switzerland. 50% of ppl in usa have hypertension vs 20% Swiss.

So what exactly is a medical system supposed to do if half your population is sickly and obese ?

I see this 'medical system' stuff even from very educated ppl but I feel like i am missing something. Do ppl think having access to a doctor is going prevent one from being obese ? whats the logic.

Aurornis · 3 months ago
The difference doesn’t come down to one single factor.

Comments that try to reduce population-scale differences to a single factor, like access to healthcare, are overly reductive. When it comes to obesity (not using being overweight, but truly past the obese threshold) you don’t need a doctor to inform you that it’s unhealthy.

The reductive claims about access to healthcare are also ignoring the fact that people in the US do actually use a lot of healthcare. The rate of GLP-1 use in America for weight loss is around 1 in 8 people, which is significantly higher than anywhere in Europe last time I checked. Obviously the higher obesity rate contributes to higher usage, but it demonstrates that many obese people in the United States are not lacking access to health care.

n4r9 · 3 months ago
> Do ppl think having access to a doctor is going prevent one from being obese ? whats the logic.

Doctors can vary in whether or not (and for how long) they advocate trying a healthy diet and exercise before prescribing drugs. In the UK the system is incentivised to avoid drug prescriptions unless necessary, as it reduces the financial burden on the NHS - both for buying the drugs and for managing complications linked to obesity. In the US, pharma companies can offer money and perks to doctors who promote their products.

wiether · 3 months ago
You quote:

> , is this a matter of the health care system

And you say:

> I see this 'medical system' stuff

To me there is a big difference between a "health care system" and a "medical system".

One is only here to try and fix issues, while the other will invest in prevention campains and help direct the overall politics around having an healthy population.

To me the recent EPA decision around PFAs is a signal of a deficient "health care system".

markus_zhang · 3 months ago
I realized that I ate way more chocolate than average Swiss people (Googled and it says around 24 grams per day for average people in Switzerland). I usually eat about 50 grams daily...and 72% dark
thrance · 3 months ago
Having a socialized healthcare system incentivizes the government to ban the worst public heath offenders. High fructose corn syrup would have been long gone from most foods in a sane society, for example. Generally, making the government have a vested interest in its citizenry's good health is a good thing.
alistairSH · 3 months ago
I suppose if you extend the definition of "medical system" to include education and intervention, it makes sense.

There's also medications in there - hypertension can be controlled with drugs, no?

But, yes, I agree with your main point - obesity in the US is widespread and a massive influence on both longevity and health care costs.

deanmen · 3 months ago
Nowadays maybe they could get Ozempic?
boomskats · 3 months ago
I don't disagree, but could you provide some references/links to the datasets you're basing this on?
rossdavidh · 3 months ago
1) The Amish do not live an 1800 lifestyle. For example, if someone is sick and needs to go to the hospital, they use a phone to call an ambulance to take them there.

2) There are a lot of things wrong with the American health care system, but a lack of care for white males is not actually one of them.

runjake · 3 months ago
I know a number of white males who would disagree with you, myself included.

All it takes is a single, major non-routine event to learn that lesson.

The system is really broken for everyone and the incentives are really skewed away from healthcare.

It was the first time I realized that people are existentially truly on their own and despite its claims, “the system” truly isn’t there for them.

gwbas1c · 3 months ago
> The Amish do not live an 1800 lifestyle. For example, if someone is sick and needs to go to the hospital, they use a phone to call an ambulance to take them there.

The Amish are very deliberate about what changes they incorporate into their communities. Each community also sets their own rules, so it's poor practice to generalize.

(For example, their attitudes towards electricity are quite complicated and I don't think I could do it justice in a quick post.)

aarond0623 · 3 months ago
> There are a lot of things wrong with the American health care system, but a lack of care for white males is not actually one of them.

A lack of care for those who can't afford it is, though.

stronglikedan · 3 months ago
> but a lack of care for white males is not actually one of them

racist, or just naive?

rossdavidh · 3 months ago
...also, plenty of EU countries appear to have a life expectancy, for males, less than the 76 years of Amish men for this cohort: https://en.wikipedia.org/wiki/List_of_European_countries_by_...
Mistletoe · 3 months ago
> looks like there are better options.

I wouldn’t say that, imagine an Amish lifestyle of lots of exercise and no screens mixed with EU better healthcare.

bluGill · 3 months ago
No screens is a good assumption for everyone at the time the study covered - TVs were just coming out towards the end, and were expensive enough that not everyone owned one yet.
jansan · 3 months ago
Without any scientific evidence just by observing the lifestyle I am almost certain that the "secret" lies in nutrition.
hluska · 3 months ago
When I was very young, my stepfather started a trucking company. We didn’t get along terribly well so my mom thought that driving together would solve our problems. We would hotshot recreational vehicles two to a flatbed and haul them from an Amish community east of Chicago to their dealer destination.

So, we got to know some people in the community and learned some things that would be relevant to this. One big one is the Amish view on technology. With 1965 data, especially looking at farmers, you’ll see variations in pest control tech. Amish people are not against all technology but they evaluate it differently.

For the Amish, they look at a technology and ask whether it will pull them together or push them apart. Farm chemicals would increase yields, but dramatically reduce the number of people they could have working on fields. So many colonies avoided highly toxic chemicals like DDT that were released during or after WW2. And because there was some resistance to Amish people, they tend to congregate together and so you’ll have colonies bunched up in areas - some colonies avoided water table contamination through a freak of geology and cousins who shared a belief on technology.

So nutrition does play a role - food in Amish communities is very whole and very close to natural. As an example, my stepfather was quite affable and so we’d take doughnuts to the factory where we picked up RVs. Certain companies have so much sugar in their doughnuts that it felt like giving people drugs. Physical activity is a constant. And their community plays a massive role in life and life expectancy but this data is from 1965 and looks at farmers so chemical use is definitely part of these findings as well.

chiffre01 · 3 months ago
They also have a cohesive family and social circles. Probably can't hurt?
antirez · 3 months ago
EDIT: Sorry didn't realize it was for the specified range! So I doubt my comment makes sense in light of that.
hluska · 3 months ago
Based on births and deaths from 1965? We’ll need to see some data on that.

Dead Comment

miltonlost · 3 months ago
HackerNews claims to be scientific and logical, but this paper comes out from old old data (1965!), and the ant-science, pro-RFK Jr come out of the woodwork to say how it's valuable for today.
cynicalsecurity · 3 months ago
Monks also probably live a longer live. I'm not sure it's worth it.
k__ · 3 months ago
No alcohol or nicotine and sleeping for the same period every day can go a long way.

Might also avoid direct sun exposure, for good measure.

graemep · 3 months ago
Are we talking about the same monks? Christian monks? The people developed champagne, chartreuse and many other alcoholic drinks?

Some also work outdoors.

Bender · 3 months ago
Also disciplined breathing techniques, Om chanting strengthens the lungs and regulates O2 flows. FWIW they do get sunlight. People need some sunlight. More specifically Mitochondria need sunlight or artificial sunlight from 600nm -> 1200nm.
graemep · 3 months ago
Monks seem to find fulfilment and happiness in their lives.
Fluorescence · 3 months ago
Do they?

From documentaries I've seen of Christian monks, there is no talk of personal benefits and emotions like a self-help book, instead it's spiritual motivations about being compelled to follow a path of devotion in service to their faith.

I get the impression that it's a hard life as such orders are dwindling and they report the deprivation of things they did since joining that we might find mundane like "going to buy music" (you can tell they joined pre '80s).

I recall reading the rules of a Buddhist monastery and it was basically a compendium of all the bad things monks have done, written down to make it ambiguous it's off-limits. It did not give the suggestion of fulfilled people. It had a lengthy chapter of all the things you can't put your penis in: people, children, animals, dead things, clay vessels, fabric dolls, trees, holes in the wall, holes in the ground etc. Feels like some desperate rules-lawyering had happened over the years.

gadders · 3 months ago
See also Eunuchs: https://www.bbc.co.uk/news/health-19699266

"Castration had a huge effect on the lifespans of Korean men, according to an analysis of hundreds of years of eunuch "family" records.

They lived up to 19 years longer than uncastrated men from the same social class and even outlived members of the royal family."

bluGill · 3 months ago
Same family is likely not a useful comparison because lifestyle would be different. Eunuchs would be expected to serve the royal family, which implies plenty of food - not as good as the royals, but still plenty of it unlike their families back on the farm who lived closer to starvation at best and a bad year would cause a lot of deaths.

At least that is what I'd expect, but I'm trying to extrapolate what I know of European history (acoup) to Korea. Anyone have better expertise able to talk about the experience of the different groups?

Projectiboga · 3 months ago
Actually religious communities with single genders have shorter lifespans.