Thursday, July 23, 2026

Singapore has achieved the world’s longest life expectancy and healthy life expectancy, but the average duration residents spend living with illness or disability has expanded to 11.2 years

Information source: 

https://share.google/aimode/qLVC1d2dUHCgXVBr0

Singapore has achieved the world’s longest life expectancy and healthy life expectancy, but the average duration residents spend living with illness or disability has expanded to 11.2 years. [1]
According to data from the Global Burden of Disease Study released by the Institute for Health Metrics and Evaluation (IHME) in partnership with the National University of Singapore (NUS) Medicine, Singapore's "morbidity gap"—the time spent in poor health before the end of life—widened by 2.3 years compared to 1990 data. This confirms that while local healthcare developments are excellent at preventing deaths, gains in "healthspan" (years lived in good health) are failing to match gains in overall lifespan. [1, 2, 3, 4, 5]

Breakdown of the Lifespan vs. Healthspan Gap

The expanding gap highlights a major challenge for Singapore's aging population: [6]
  • The Morbidity Gap: The average resident now spends 11.2 years in ill health, a 26.6% increase from the 8.9-year gap recorded in 1990. [1]
  • The Gender Health Paradox: Women in Singapore live longer but endure more years of illness. The average life expectancy for women is 87.5 years, with 12.1 years spent in poor health. In contrast, men have a life expectancy of 83.1 years, spending 10.4 years in poor health. [3]
  • Accumulated Health Loss: The data challenges the traditional "compression of morbidity" theory, which assumes health issues are compressed into the final moments of life. Instead, illness and functional limitations are slowly building up across adulthood. [3]

Top Causes and Global Context

The issue is not unique to Singapore; the morbidity gap widened in 203 out of 204 countries and territories evaluated in the global study. [1, 3]
FactorKey Insights
Main Conditions Causing DisabilityChronic musculoskeletal disorders (like low back pain), mental health conditions (depression and anxiety), age-related hearing loss, and injuries from falls.
Primary Health Risk DriversHigh fasting blood glucose, high body mass index (BMI), tobacco use, and air pollution.
Systemic ImpactLongevity shifts the medical focus from acute care to long-term disease management, community independence, and mobility maintenance.
To counter these shifts, Singapore has rolled out nationwide preventive frameworks like Healthier SG to focus heavily on early intervention, family physician enrollment, and active aging. [7, 8, 9, 10, 11]
If you are researching this for a project or policy review, please let me know if you would like to explore Singapore's preventive healthcare strategies, the economic costs of the aging workforce, or how other top-ranking countries manage healthspan.

Singapore Ranks First Globally in Life Expectancy but Years Lived with Illness Extend to 11.2 Years

Study: Singapore Ranks First Globally in Life Expectancy but Years Lived with Illness Extend to 11.2 Years

=====

Information source:

研究:新加坡人均寿命冠全球 但“带病生活”时间拉长至11.2年

2026-07-22

https://www.zaobao.com.sg/news/singapore/story20260722-9403794?utm_source=android-share&utm_medium=app

=====

Singaporeans not only have the world's highest life expectancy but also the world's longest healthy life expectancy. However, as the population lives longer, the number of years people spend living with illness is also increasing. Although women live longer than men, they also spend more years living with illness.

A global study led by the Institute for Health Metrics and Evaluation (IHME) at the University of Washington in the United States, in collaboration with the Yong Loo Lin School of Medicine at the National University of Singapore (NUS), found that Singapore's life expectancy reached 85.4 years in 2023, while healthy life expectancy stood at 74.1 years, ranking first in the world for both measures.

However, the gap between the two—known as the "health burden gap"—has widened to 11.2 years, an increase of 2.3 years from 8.9 years in 1990, representing a 26.6% rise, which is higher than the global average increase of 21.9%.

The health burden gap refers to the difference between a person's life expectancy and healthy life expectancy—that is, the average number of years a person is expected to live with illness, disability, or poor health before the end of life.

The study analyzed data from 204 countries and territories between 1990 and 2023. It found that the health burden gap widened in 203 of the 204 countries and territories. Because life expectancy has increased faster than healthy life expectancy, the global average number of years lived with illness has risen from 8.8 years to 10.7 years.

The study was published on Wednesday (July 22) in the international medical journal The Lancet Public Health.

Associate Professor Marie Ng , Director of the Global Burden of Disease Centre at the Health Statistics and Evaluation Research Institute under the NUS Yong Loo Lin School of Medicine, said that the widening health burden gap reflects the fact that living longer does not necessarily mean that every additional year is spent in good health. Singapore's next challenge is not only to extend lifespan but also to reduce the burden of chronic diseases, disability, and physical decline, helping Singaporeans maintain good health and independent living as they age.

Musculoskeletal Disorders Rank First; High Blood Sugar Becomes the Top Risk Factor
=====
Local women not only live longer than men but also spend more years living with illness. In 2023, women's life expectancy in Singapore was estimated at 87.5 years, compared with 83.1 years for men. However, women spent an average of 12.1 years in poor health, compared with 10.4 years for men—a difference of about 1.7 years. This is consistent with the globally observed "gender health paradox," in which women generally live longer but experience more years of illness and disability.

The diseases contributing most to Singapore's health burden gap are, in order, musculoskeletal disorders, mental disorders, unintentional injuries, sensory disorders, and cardiovascular diseases. The top five risk factors are high fasting blood glucose, high Body Mass Index (BMI), occupational risks, high systolic blood pressure, and dietary risks.

These findings indicate that Singapore should continue strengthening the prevention and management of diabetes, metabolic diseases, obesity, hypertension, unhealthy diets, work-related health risks, mental health issues, falls, hearing loss, and musculoskeletal disorders.

Associate Professor Marie Ng pointed out that many of the diseases contributing to the health burden gap are not directly fatal, but they can severely affect a person's ability to live independently, work, and maintain a good quality of life. Continuously monitoring healthy life expectancy and the health burden gap can help policymakers identify areas where greater resources should be invested.



Reported by Veron Ng Ying Chuan

新加坡国人人均寿命冠全球但“带病生活”拉长至11.2年

研究:新加坡人均寿命冠全球 但“带病生活”时间拉长至11.2年

2026-7-22

https://www.zaobao.com.sg/news/singapore/story20260722-9403794?utm_source=android-share&utm_medium=app

研究:国人人均寿命冠全球
但“带病生活”拉长至11.2年

  新加坡人不仅拥有全球最长的预期寿命,也拥有全球最长的健康寿命,但随着人口越来越长寿,国人带病生活的时间也越来越长。其中,女性虽然比男性长寿,却要度过更长的带病岁月。

  由美国华盛顿大学健康指标与评估研究所主导,并与新加坡国立大学杨潞龄医学院合作开展的一项全球研究显示,我国在2023年的人口预期寿命达到85.4岁,健康预期寿命则为74.1岁,双双位居全球第一。

  然而,两者之间的“疾病负担差距”已扩大至11.2年,较1990年的8.9年增加2.3年,增幅达26.6%,高于全球21.9%的平均增幅。

  疾病负担差距,是指一个人的预期寿命与健康预期寿命之间的差距,也就是在生命结束前,平均有多少年是在疾病、失能或健康欠佳的状态下度过。

  研究分析1990年至2023年全球204个国家和地区的数据,其中203个国家和地区的疾病负担差距都在扩大。由于人均寿命的增长速度快于健康寿命,全球平均带病生活年数已由8.8年延长至10.7年。

  这项研究星期三(7月22日)在国际医学期刊《柳叶刀—公共卫生》发表。

  国大杨潞龄医学院旗下的卫生统计评估研究所全球疾病负担研究中心主任吴丹虹副教授说,疾病负担差距扩大,反映活得更久,并不代表每增加的一年都能保持健康。我国下一阶段面对的挑战,不只是延长寿命,而是减少慢性疾病、失能和身体功能退化所带来的负担,帮助国人在老龄化过程中维持健康和独立生活的能力。

肌肉骨骼疾病居首
高血糖成头号风险

  另外,本地女性虽然比男性长寿,但带病生活的时间也更长。本地女性预期寿命在2023年估计为87.5岁,高于男性的83.1岁;不过,女性平均有12.1年处于健康欠佳状态,男性则为10.4年,相差约1.7年。这与全球普遍存在的“性别健康悖论”一致,即女性一般寿命较长,却往往经历更多疾病和失能年数。

  在我国导致疾病负担差距最大的疾病依次为肌肉骨骼疾病、精神疾病、非故意伤害、感官疾病,以及心血管疾病;五大风险因素则是空腹血糖偏高、身体质量指数(Body Mass Index)偏高、职业风险、收缩压偏高和饮食风险。

  这显示新加坡应继续加强预防和管理糖尿病、代谢疾病、肥胖、高血压、不健康饮食、工作相关健康风险、精神健康问题、摔跌、听力损失和肌肉骨骼疾病等。

  吴丹虹指出,许多导致疾病负担差距的疾病不会直接致命,却会严重影响独立生活能力、工作能力和生活质量。持续追踪健康预期寿命和疾病负担差距,有助政策制定者掌握哪些领域需要投入更多资源。

黄银川 报道

Wednesday, July 22, 2026

Singapore new cabinet with effect from 2026-07-27

新加坡2026年新内阁名单 from 2026-07-27

Reclaim your brain: How to use AI without losing memory - focus and thinking skills

Reclaim your brain: How to use AI without losing memory, focus and thinking skills

Subscribers exclusive 

https://www.straitstimes.com/life/reclaim-your-brain-how-to-use-ai-without-losing-memory-focus-and-thinking-skills

2026-07-21

Stephanie Yeo
Senior Correspondent

SINGAPORE – Tan Wan Ting, 34, founder of a digital marketing agency, is such a fan of generative artificial intelligence (Gen AI) that she has three accounts with Claude, an AI chatbot.

Since March, AI has helped her automate many work processes and boosted productivity among her team of almost 30. Excited about its potential, she would lie awake at night thinking of what to automate next.

In the process, however, it distorted the standards she had set for herself and her team. She started comparing humans to a machine that never gets tired or has a bad day.

“It’s an impossible bar. Holding my team and myself to it slowly eroded my patience and my sense of what a reasonable amount of output is,” she says.

Tan also realised that she became dependent on AI to process information, including simple materials, before she attempted to digest it herself. For instance, she would feed everything through AI to read first and summarise.

“I even started getting AI to crawl through e-books I’d bought and generate summaries rather than re-reading them myself,” she says, on how her habit of revisiting texts has changed.

“I realised that this shortcut was taking away my ability to sit with information and think it through.”

Her experience is probably becoming more commonplace as Singaporeans embrace a nationwide push for AI in the work sphere and beyond.

But what is the price for doubling or tripling performance?

Gen AI is such a new phenomenon that there is little data on its long-term effects on the brain. After all, the public version of ChatGPT launched only in November 2022.

Zhao Yi Jing, a neurologist in private practice at Mount Elizabeth Hospital, says early data in 2025 showed that university students with high AI usage were less engaged in independent problem-solving, and the younger ones demonstrated greater dependence and lower critical-thinking scores.

These studies include one published in The New England Journal Of Medicine by American researchers and one by Wuhan University in China.

Whether relying too much on AI leads to permanent brain atrophy is still unknown, Zhao adds.

Some may argue that using an AI chatbot is no different from using a search engine or using a vehicle Global Positioning System for navigation as these tools have enhanced, rather than eroded, human performance.

But neurologists say this analogy does not hold.

Such technological tools replace specific cognitive tasks since one still needs to choose from different routes or process search findings to form one’s own conclusion, says Jennifer Hung, a consultant in the Division of Neurology within the National University Hospital’s Department of Medicine.

“AI can substitute multiple higher-order executive functions simultaneously. It doesn’t just find information. It analyses it, structures arguments, writes the text and delivers a completed opinion,” Hung says.

“Older technologies automated the mechanics of a task, but AI automates the synthesis. When you bypass synthesis, you bypass the neuroplastic exercises that build human expertise.”

Risks of cognitive offloading

People who rely heavily on AI can experience cognitive offloading, which is the habit of relying on external tools to perform mental tasks that the brain would otherwise perform, Hung explains.

Frequent cognitive offloading can gradually affect one’s working memory, critical reasoning, attention, information retrieval and problem-solving, she adds. Subtle shifts, such as struggling to read a long article or forgetting details easily, can manifest in as little as a few weeks.

More on this topic

Who should own AI? The case against – and for – nationalisation

Course enrolments soar as AI fever grips Singapore

“Take memory, for example. Retaining information requires working memory, encoding and retrieval. When you expect an AI to always hold or retrieve information for you, your brain skips the encoding phase entirely, a phenomenon known as digital amnesia,” she says.

At the same time, the seemingly polished output by AI chatbots can make users think the chatbots understand a topic better than they actually do. This erodes skills like critical thinking and error-checking.

Over time, users may learn to accept inaccurate information without question, Hung points out.

While anyone using AI frequently can experience cognitive offloading, two age groups seem particularly vulnerable to its effects, Hung says.

The first is children and teenagers, whose prefrontal cortex is still developing and will not mature until they are in their mid-20s. They may never fully develop the fundamental neural networks they need for logical reasoning, working memory and critical analysis if they use only AI for cognitive tasks.

Older adults, on the other hand, risk losing the mental stimulation they need to prevent age-related cognitive decline and neurodegenerative diseases like Alzheimer’s when they over-rely on AI.

“The key takeaway is to use AI to support your thinking and not replace it, so you continue to actively challenge your brain,” adds Zhao.

Use AI actively, not passively

AI does not have to drain the brain, though. The good news is that people with healthy brains can reverse short-term cognitive offloading.

Hung says: “If you reintroduce activities that demand active thinking, these neural pathways will rebuild and strengthen again because of neuroplasticity.”

She suggests the following strategies:

• Follow a brain-first approach: Brainstorm and draft your plan, paper or speech by yourself and bring in AI at the 70 per cent mark for feedback.

• Get AI to challenge you: Use prompts that stimulate thinking, such as “What assumptions am I making?” or “Give me the opposite argument”.

• Make AI the teacher: If you are trying to learn, prompt AI to quiz you instead of giving the answer straight away.

• Savour before you summarise: Read long-form material to cultivate attention skills.

• Block devices regularly: Carve out AI-free periods when you can write, plan or tackle problems.

• Question perfect answers: Do not take AI-generated replies at face value. Verify them, especially when it comes to topics like health, finances and legal issues.

• Keep your brain healthy: Exercise regularly, get enough sleep, engage with others socially and pick up new skills or cognitively demanding hobbies.

Tan says her recent epiphany about AI’s repercussions has led her to rethink how she uses it. Instead of letting it set the pace and cramming more into her day, she aims to use the time saved for face-to-face interaction.

“I’ve also started setting aside device-free time slots to properly reason through the important decisions and information I need to work through as a business owner. It’s a small change, but it forces me to do the thinking myself again instead of outsourcing it by default,” she says.

AI: RECLAIM YOUR BRAIN:How to use AI without losing memory, focus and thinking skills



RECLAIM YOUR BRAIN:How to use AI without losing memory, focus and thinking skills

A neurologist suggests activities that demand active thinking to mitigate over-reliance on AI

=====

2026-07-22

The Straits Times 

Stephanie Yeo

Senior Correspondent

=====

Tan Wan Ting, 34, founder of a digital marketing agency, is such a fan of generative artificial intelligence (Gen AI) that she has three accounts with Claude, an AI chatbot.

Since March, AI has helped her automate many work processes and boosted productivity among her team of almost 30. Excited about its potential, she would lie awake at night thinking of what to automate next.

In the process, however, it distorted the standards she had set for herself and her team. She started comparing humans to a machine that never gets tired or has a bad day.

“It’s an impossible bar. Holding my team and myself to it slowly eroded my patience and my sense of what a reasonable amount of output is,” she says.

Tan also realised that she became dependent on AI to process information, including simple materials, before she attempted to digest it herself. For instance, she would feed everything through AI to read first and summarise.

“I even started getting AI to crawl through e-books I’d bought and generate summaries rather than re-reading them myself,” she says, on how her habit of revisiting texts has changed.

“I realised that this shortcut was taking away my ability to sit with information and think it through.”

Her experience is probably becoming more commonplace as Singaporeans embrace a nationwide push for AI in the work sphere and beyond.

But what is the price for doubling or tripling performance?

Gen AI is such a new phenomenon that there is little data on its long-term effects on the brain. After all, the public version of ChatGPT launched only in November 2022.

Zhao Yi Jing, a neurologist in private practice at Mount Elizabeth Hospital, says early data in 2025 showed that university students with high AI usage were less engaged in independent problem-solving, and the younger ones demonstrated greater dependence and lower critical-thinking scores. These studies include one published in The New England Journal Of Medicine by American researchers and one by Wuhan University in China.

Whether relying too much on AI leads to permanent brain atrophy is still unknown, Zhao adds.

Some may argue that using an AI chatbot is no different from using a search engine or using a vehicle Global Positioning System for navigation as these tools have enhanced, rather than eroded, human performance.

But neurologists say this analogy does not hold.

Such technological tools replace specific cognitive tasks since one still needs to choose from different routes or process search findings to form one’s own conclusion, says Jennifer Hung, a consultant in the Division of Neurology within the National University Hospital’s Department of Medicine.

“AI can substitute multiple higher-order executive functions simultaneously. It doesn’t just find information. It analyses it, structures arguments, writes the text and delivers a completed opinion,” Hung says.

“Older technologies automated the mechanics of a task, but AI automates the synthesis. When you bypass synthesis, you bypass the neuroplastic exercises that build human expertise.”

Risks of cognitive offloading

People who rely heavily on AI can experience cognitive offloading, which is the habit of relying on external tools to perform mental tasks that the brain would otherwise perform, Hung explains.

Frequent cognitive offloading can gradually affect one’s working memory, critical reasoning, attention, information retrieval and problem-solving, she adds. Subtle shifts, such as struggling to read a long article or forgetting details easily, can manifest in as little as a few weeks.

“Take memory, for example. Retaining information requires working memory, encoding and retrieval. When you expect an AI to always hold or retrieve information for you, your brain skips the encoding phase entirely, a phenomenon known as digital amnesia,” she says.

At the same time, the seemingly polished output by AI chatbots can make users think the chatbots understand a topic better than they actually do. This erodes skills like critical thinking and error-checking.

Over time, users may learn to accept inaccurate information without question, Hung points out.

While anyone using AI frequently can experience cognitive offloading, two age groups seem particularly vulnerable to its effects, Hung says.

The first is children and teenagers, whose prefrontal cortex is still developing and will not mature until they are in their mid-20s. They may never fully develop the fundamental neural networks they need for logical reasoning, working memory and critical analysis if they use only AI for cognitive tasks.

Older adults, on the other hand, risk losing the mental stimulation they need to prevent age-related cognitive decline and neurodegenerative diseases like Alzheimer’s when they over-rely on AI.

“The key takeaway is to use AI to support your thinking and not replace it, so you continue to actively challenge your brain,” adds Zhao.

Use AI actively, not passively

AI does not have to drain the brain, though. The good news is that people with healthy brains can reverse short-term cognitive offloading.

Hung says: “If you reintroduce activities that demand active thinking, these neural pathways will rebuild and strengthen again because of neuroplasticity.”

She suggests the following strategies:

  • Follow a brain-first approach: Brainstorm and draft your plan, paper or speech by yourself and bring in AI at the 70 per cent mark for feedback.
  • Get AI to challenge you: Use prompts that stimulate thinking, such as “What assumptions am I making?” or “Give me the opposite argument”.
  • Make AI the teacher: If you are trying to learn, prompt AI to quiz you instead of giving the answer straight away.
  • Savour before you summarise: Read long-form material to cultivate attention skills.
  • Block devices regularly: Carve out AI-free periods when you can write, plan or tackle problems.
  • Question perfect answers: Do not take AI-generated replies at face value. Verify them, especially when it comes to topics like health, finances and legal issues.
  • Keep your brain healthy: Exercise regularly, get enough sleep, engage with others socially and pick up new skills or cognitively demanding hobbies.

Tan says her recent epiphany about AI’s repercussions has led her to rethink how she uses it. Instead of letting it set the pace and cramming more into her day, she aims to use the time saved for face-to-face interaction.

“I’ve also started setting aside device-free time slots to properly reason through the important decisions and information I need to work through as a business owner. It’s a small change, but it forces me to do the thinking myself again instead of outsourcing it by default,” she says.

stephyeo@sph.com.sg