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A growing body of research reveals that aging is more pliable than once thought. By optimizing omega-3 status, maintaining robust vitamin D levels, and engaging in regular exercise, we may shift biological aging trajectories toward better health and resilience.

 

What's more? The combined benefits of these interventions may rival any of them in isolation.

 

Having a low omega-3 index is more strongly associated with all-cause mortality than smoking. Vitamin D, which is really a hormone, plays a critical role in modulating several mechanisms associated with the "hallmarks of aging," including genomic instability, mitochondrial function, and cell senescence. And there is no doubt that being sedentary is one of the strongest predictors of an early death. Exercise is one of the most powerful ways to delay it.
 

What happens if we optimize all three of these important lifestyle factors?

 

A new study indicates that combining omega-3s, vitamin D, and regular exercise may reduce biological aging far beyond the impacts of these interventions in isolation.
 

Specifically, supplementing with omega-3 alone reduced biological age on several next-generation epigenetic clocks during the 3-year study. It also slowed the pace of biological aging in the study participants (adults age 70 and older).
 

Omega-3s combined with vitamin D or exercise had an even greater benefit on phenotypic age when compared to any single intervention. Furthermore, the greatest benefit for phenotypic age reduction was observed when omega-3s, vitamin D, and exercise were combined!

 

This suggests that while omega-3s have powerful anti-aging effects, they also enhance the benefits of supplementing with vitamin D and engaging in regular exercise. In today's email, we'll explore just how much these interventions reduce biological age and what this means for you.

 

Biological age matters more than chronological age

Everyone gets older—their chronological age increases by one year each calendar year.
 

But not everyone ages in the same way—their physiological, functional, and mental aging trajectories vary widely in rate and magnitude.
 

That's why instead of chronological age, researchers prefer to use epigenetic or biological age as a more accurate representation of how people get older. Two people with the same chronological age might be very different in their epigenetic or biological age.
 

Epigenetic age reflects a person's profile of DNA methylation—a process by which the activity of a DNA segment is modified while its sequence is kept intact. Methylation happens naturally, regulates gene expression, and controls processes related to growth, development, and aging. Methylation status can therefore be used as an "aging clock."

 

Biological age (sometimes referred to as phenotypic age) is a measure of someone's physiological and functional state—it represents their risk for disease and death based on biochemical measures of inflammation, metabolic function, and immune function.

 

How do we gauge if someone is aging slower or faster than normal? That's determined by something called age acceleration or the pace of aging. If one's epigenetic or biological age exceeds their chronological age, then age acceleration is positive and they're aging quicker than normal. A negative age acceleration, on the other hand, means that one's epigenetic clock is ticking slower than their chronological one—an indicator that they're aging more slowly and presumably at a lower risk for death and disease.
 

It's our epigenetic and biological age that we should really care about and seek to improve with lifestyle. Age is just a number. How our body performs at the functional, phenotypic, and cellular level…that's what really matters for health and longevity.

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Omega-3s—but not exercise or vitamin D—reduce biological age

In a recent study, researchers leveraged the best-validated and most state-of-the-art epigenetic clocks to assess the effects of omega-3s, vitamin D, and exercise on biological age: PhenoAge (developed by previous podcast guest Dr. Morgan Levine), GrimAge (developed by previous podcast guest Dr. Steve Horvath), GrimAge2, and DunedinPACE—which measures the speed or rate of biological aging.
 

For 3 years, one group of participants took 2,000 IU of vitamin D per day, another took 1 gram of omega-3 fatty acids (220 mg EPA and 660 mg DHA) per day, and another performed a simple at-home exercise program for 30 minutes three times a week. 

 

Other groups were assigned to a combination of the interventions. There was a group who took vitamin D + omega-3, a group who took vitamin D and exercised, a group who took omega-3 and exercised, and a group who received all 3 interventions (vitamin D + omega-3 + exercise).

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Only one intervention—omega-3 fatty acids—consistently lowered biological age across all of the epigenetic clocks.


In contrast, vitamin D and exercise individually did not affect any measures of epigenetic aging—their benefits were only "unlocked" when omega-3 fatty acids entered the picture. 

 

Omega-3 + vitamin D and omega-3 + exercise both reduced phenotypic age from baseline to the 3-year follow-up time point, and so did the combination of omega-3, vitamin D, and exercise. In fact, combining all three treatments led to the greatest reduction in phenotypic age—an estimated 3.8 months—compared to the 3.3-month reduction observed when omega-3 was combined with either vitamin D or exercise.

Final thoughts

There have been a few criticisms lodged at this study on social media, a few of which have focused on the validity of the clocks used to measure biological age. If they're so reliable and accurate, then why did exercise—one of the most potent anti-aging interventions we know of—fail to improve them?
 

This might have less to do with the clocks themselves and more with the exercise regimen—it was simple and not very vigorous. The participants engaged in light exercises designed to improve joint mobility. This wasn't the 2-year intensive exercise program that Dr. Ben Levine used to reverse heart aging by an estimated 20 years. That's why I'm not surprised it failed to reduce biological age on its own among a group of somewhat active older adults.
 

The question on everyone's mind when it comes to biological age clocks is whether a slowing of biological aging actually contributes to or correlates with the prevention of chronic disease or an improvement in quality of life (outcomes that matter in the "real world").
 

If we take a look at published literature from this trial, the answer is invariably "yes."
 

Other studies from the DO-HEALTH trial have found that combining omega-3s, vitamin D, and exercise reduced the risk of pre-frailty by 39% and cancer risk by 61%. Omega-3 supplementation reduced the risk of infections and falls.

 

What does this mean? The reduction in biological age seen with the individual and combined interventions might also correlate with these improvements in biomarkers of health and physical function! That's good news for those who might be less concerned with their biological age and more concerned with clinical outcomes.
 

Lastly, these findings underscore the necessity of optimizing omega-3 levels throughout life. Omega-3 supplementation was the most impactful intervention in this study and appeared necessary for the benefits of exercise and vitamin D to manifest. This isn't to say that omega-3 intake is more important than getting regular exercise and ensuring your levels of vitamin D and other nutrients are adequate, but it does speak to their essential role in healthy aging (for more on omega-3s, check out our free Omega-3 Supplementation Guide).
 

Each step we take toward better lifestyle habits is meaningful, but it's good to know that there's a synergy when we take several steps in pursuit of optimal health and longevity.

 

Interested in learning about whether vitamin D from the sun is the same as that from supplements? Or how about the anti-inflammatory effects of omega-3s and how they might contribute to healthy aging?

 

We've hand-picked two of our member Q&A episodes that address these questions and more. Be sure to check them out!
 


Q&A #39 with Dr. Rhonda Patrick (9/3/2022)

 

  • 6:42 - Why taking a high-quality omega-3 supplement is a low-hanging fruit for improving the way we age
  • 7:29 - How omega-3s reduce inflammation via SPMs
  • 9:01 - Can supplemental omega-3s start reducing inflammation within 24 hours?
  • 9:38 - Can omega-3s reduce cardiovascular disease risk?
  • 10:14 - Is low omega-3 intake as deadly as trans fats?
  • 10:47 - Recommended daily dose of omega-3s
  • 10:56 - What omega-3 dose does Rhonda supplement with?

 

Q&A #62 with Dr. Rhonda Patrick (9/7/2024)

 

  • 10:18 - What's the optimal vitamin D level?
  • 11:05 - The role of vitamin D in the immune system
  • 14:29 - Why high vitamin D levels (~60-80 ng/mL) can cause hypercalcemia
  • 16:43 - Vitamin D supplements vs. sunlight
  • 17:56 - How age affects vitamin D production from the sun
  • 18:08 - Why overweight and obese individuals are more likely to be vitamin D deficient
  • 20:43 - Should you take vitamin K2 with vitamin D3?

With appreciation,


Rhonda and the FMF Team

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