Mortality
Episodes
In this clip, Dr. Martin Gibala explains VO2 max's role in health and how non-athletes can optimize workouts to boost their cardiorespiratory fitness.
In this clip, Dr. Martin Gibala outlines the principle behind VILPA and discusses the ongoing research examining its potential impact on health and longevity.
In this clip, Drs. Levine and Patrick discuss the advantage of using epigenetic clocks in aging research to measure biological age.
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In this clip, Dr. Martin Gibala explains VO2 max's role in health and how non-athletes can optimize workouts to boost their cardiorespiratory fitness.
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In this clip, Dr. Martin Gibala outlines the principle behind VILPA and discusses the ongoing research examining its potential impact on health and longevity.
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In this clip, Drs. Levine and Patrick discuss the advantage of using epigenetic clocks in aging research to measure biological age.
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Omega-3 Brain Aging Heart Disease Biomarkers Inflammation Immune System Pregnancy Mortality Polyunsaturated FatDr. Bill Harris discusses the roles that omega-3 fatty acids play in cardiovascular and neurocognitive health.
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Compared to people with the lowest blood concentrations of EPA and DHA (combined), those with the highest blood concentrations were as much as 17 percent less likely to die from all causes of premature death.
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The GrimAge clock (named for the Grim Reaper) predicts lifespan and healthspan in units of years and tests whether potential lifestyle interventions may slow or reverse biological aging.
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Dr. Elissa Epel describes how even small lifestyle changes can have an effect on telomere length and healthy aging to compress morbidity.
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Rhonda Nutrition Exercise Alzheimer's Aging Fasting Memory Genetics Mortality Sauna Time-Restricted Eating Cardiovascular Supplements Ketogenic DietDr. Rhonda Patrick answers audience questions on various health, nutrition, and science topics in this Q&A session.
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Sulforaphane Brain Cancer Aging Heart Disease Insulin Resistance Inflammation Depression Behavior Mental Health Autism Mortality NRF2This podcast is about one of the most important biological pathways you could possibly take the time to learn about: the NRF2 pathway.
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Heat Stress Exercise Brain Aging Performance Heart Disease Depression Memory Anxiety Cold Stress MortalityThis episode is a presentation Dr. Rhonda Patrick delivered at the Biohacker Summit in Helsinki, Finland in 2016.
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In this video, Dr. Rhonda Patrick summarizes a recent study that found that frequency of sauna use was associated with increased decreased risk of death. Using the sauna 2-3 times per week was associated with 24% lower all-cause mortality and 4-7 times per week decreased all-cause mortality by 40%.
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Dr. Bruce Ames discusses his triage theory.
Topic Pages
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Exercise Intensity
Greater exercise intensity mechanistically lowers mortality by augmenting cardiorespiratory fitness, endothelial function, insulin sensitivity, and anti-inflammatory pathways.
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Multivitamins
Multivitamins are composite supplements delivering multiple micronutrients at near-RDA doses intended to correct or prevent marginal deficiencies.
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Omega-3 fatty acids
Omega-3 fatty acids lower mortality by stabilizing cardiac ion channels, dampening eicosanoid-driven inflammation, and decreasing serum triglycerides.
News & Publications
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Cancer remains one of the leading causes of death globally, with millions of new cases and deaths each year. Despite treatment advancements, cancer patients are at a greater risk of death due to muscle loss, heart complications, and inadequate physical activity. A recent study found that higher muscle strength and cardiorespiratory fitness reduce the risk of death in cancer patients, with a 31% to 46% lower likelihood of premature death.
Researchers conducted a systematic review and meta-analysis of 42 studies involving more than 47,000 cancer patients across various types and stages to examine how muscle strength and cardiorespiratory fitness influence survival rates. They sought to determine whether higher fitness levels were associated with better outcomes in terms of overall and cancer-specific death.
Their analysis revealed that patients with higher muscle strength or cardiorespiratory fitness were 31% to 46% less likely to die prematurely from any cause than those with lower fitness levels. Each increase in muscle strength was associated with an 11% lower risk of all-cause mortality. Furthermore, patients with advanced cancer stages, as well as those with lung and digestive cancers, saw significant reductions in death risks—ranging from 8% to 46% lower for all-cause mortality. Increments in cardiorespiratory fitness were particularly important, with each improvement in cardiorespiratory fitness linked to an 18% reduced risk of dying specifically from cancer.
These findings suggest that boosting muscle strength and cardiorespiratory fitness can improve cancer patients' survival rates. Given the strong connection between physical fitness and mortality risk, health professionals should prioritize fitness assessments for cancer patients as part of their treatment strategies. Learn more about the role of exercise in cancer prevention and recurrence in this episode featuring Dr. Kerry Courneya.
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Prostate cancer is the most diagnosed cancer among males in the U.S., but its progression varies widely, with some cases remaining harmless and others turning deadly. In recent years, concerns have grown over a rise in advanced prostate cancer, potentially linked to changes in screening recommendations. A recent study found that in California—a racially, ethnically, and geographically diverse state—the incidence of advanced-stage prostate cancer increased by nearly 7% over the past decade, while death rates, which had been declining, leveled off.
Researchers analyzed data from nearly 388,000 prostate cancer cases diagnosed in California between 2004 and 2021. Using data from state and national cancer registries, they examined trends in incidence and death rates based on cancer stage, age, race, ethnicity, and geographic region. They used statistical models to measure how these rates changed over time, focusing on patterns before and after shifts in screening guidelines.
They found that between 2011 and 2021, cases of advanced-stage prostate cancer increased by an average of 6.7% per year, with similar trends across racial and ethnic groups and nearly all regions of California. Meanwhile, prostate cancer death rates declined by 2.6% per year from 2004 to 2012 but remained steady through 2021, marking an end to previous declines in deaths from the disease.
These findings suggest that more men in California are being diagnosed with advanced prostate cancer, and the progress in reducing deaths has stalled. The gold standard for prostate cancer screening is the prostate-specific antigen (PSA) test. The U.S. Preventive Services Task Force recommends PSA screening for prostate cancer in men aged 55 to 69, but only among those at high risk for the disease. This screening can potentially reduce death but also carries risks such as false positives and treatment complications, including incontinence and erectile dysfunction. For men 70 and older, PSA screening is not recommended due to the greater likelihood of harms outweighing benefits.
Sulforaphane, a bioactive compound derived from broccoli, may reduce the risk for some types of cancer, including prostate cancer. Learn more in this episode featuring Dr. Jed Fahey.
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Cancer is the second leading cause of death worldwide, claiming the lives of nearly 10 million people yearly. A recent study found that people who exercise regularly are nearly half as likely to die of cancer than those who are inactive.
Researchers assessed the physical activity of more than 28,000 people diagnosed with stage 1 cancer in the year before their diagnosis based on data gathered from fitness devices, gym logs, and organized fitness events. They categorized the participants' activity as none, low (less than 60 minutes weekly), and medium to high (60 minutes or more weekly). Then, they measured their time to cancer progression and death rates.
They found that participants with low physical activity were 16% less likely to experience cancer progression and 33% less likely to die than those who were inactive. However, those with medium to high activity levels were 27% less likely to experience progression and 47% less likely to die than those who were inactive.
These findings highlight exercise’s protective role in reducing cancer progression and improving survival. Exercise boosts the body’s immune system, helping it to combat cancer. It also promotes shear—the frictional drag exerted by blood flowing against the inner walls of blood vessels. Shear damages cancer cells, driving their death. Learn more in this clip featuring Dr. Rhonda Patrick.
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Every cigarette smoked cuts life expectancy by 20 minutes, emphasizing cumulative harm and the notable health benefits of early cessation. onlinelibrary.wiley.com
Tobacco use remains a primary contributor to disease, disability, and premature death across the globe. A recent editorial summarizes data demonstrating that smoking reduces life expectancy by approximately 20 minutes per cigarette smoked—17 minutes for men and 22 minutes for women.
The estimate, which drew on data from long-term studies such as the British Doctors Study and the Million Women Study, accounts for factors like smoking rates and early death outcomes over several decades. It’s also grounded in better and more up-to-date data, including studies that tracked the effects of smoking for up to 50 years.
While smoking rates have declined in recent decades, the harm caused per cigarette may not have decreased substantially, as smokers may inhale more deeply or compensate for fewer cigarettes smoked. However, urinary cotinine levels—a marker of toxicant exposure—show only modest changes, suggesting that the risks per cigarette remain consistent with earlier estimates.
These findings emphasize that the harm from smoking is cumulative, and quitting earlier can markedly reduce the risk of early death and disease. Smokers who quit at any age can prevent substantial loss of life expectancy, with each cigarette avoided contributing to a longer, healthier life. Smokers in their 60s, for example, may experience health improvements that narrow the gap between their current health and that of a non-smoker several years younger.
Though individual factors like smoking intensity and age of initiation vary, the general conclusion remains the same: Smoking shortens life at every stage, and cessation at any age offers considerable, tangible health benefits. Like many harmful lifestyle behaviors, smoking accelerates epigenetic aging. Learn more in this clip featuring Dr. Steve Horvath.
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Poor cardiorespiratory fitness linked to 70 percent higher risk of premature death and 56 percent greater heart and cardiovascular disease risk. jamanetwork.com
Cardiorespiratory fitness is a measure of the body’s aerobic capacity – the ability to deliver oxygen to skeletal muscles – during sustained physical activity. A 2009 meta-analysis found that people with low cardiorespiratory fitness were 70 percent more likely to die prematurely and 56 percent more likely to experience a heart or cardiovascular disease-related event.
Researchers evaluated data from 33 studies examining connections between cardiorespiratory fitness and the risk of premature death from all causes (more than 102,000 participants) and combined heart disease and cardiovascular disease events (more than 84,000 participants). They used maximal aerobic capacity, measured in metabolic equivalent (MET) units, to estimate cardiorespiratory fitness. They grouped participants into three categories based on their cardiorespiratory fitness levels: low (<7.9 METs), intermediate (7.9-10.8 METs), and high (≥10.9 METs).
They found that for each 1-MET increase in maximal aerobic capacity (equivalent to a 1-kilometer per hour increase in running/jogging speed), the risk of death from all causes and heart disease/cardiovascular disease events. Compared to participants with high cardiorespiratory fitness, those with low cardiorespiratory fitness were 70 percent more likely to die prematurely and 56 percent more likely to experience a heart disease/cardiovascular disease event. However, even intermediate cardiorespiratory fitness conferred substantial benefits. Compared to participants with intermediate cardiorespiratory fitness, those with low cardiorespiratory fitness were 40 percent more likely to die prematurely and 47 percent more likely to experience a heart disease/cardiovascular disease event.
These findings demonstrate that having low cardiorespiratory fitness markedly increases one’s risk of dying prematurely or developing heart or cardiovascular disease. The most accurate way to assess cardiorespiratory fitness involves measuring maximal oxygen uptake, often referred to as VO2 max, during a graded exercise test in a laboratory, clinical, or research setting. However, online calculators, such as the World Fitness Level, can predict VO2 max based on various personal factors. Learn more about VO2 max and the World Fitness Level calculator in this episode featuring Dr. Martin Gibala.
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Swapping salt with a salt substitute lowers blood pressure and reduces the risk of early death by 12 percent. pubmed.ncbi.nlm.nih.gov
Using a salt substitute helps reduce blood pressure, a 2022 review found. Swapping salt with a salt substitute dropped systolic blood pressure by nearly 5 mmHg and reduced the risk of premature death.
Researchers reviewed the findings of 23 randomized controlled trials involving more than 32,000 people with high blood pressure. The various trials investigated the effects of switching sodium-based salt with a potassium-based salt substitute on blood pressure, urinary output of sodium and potassium, and the risk of premature death from cardiovascular disease and other causes.
They found that, on average, using a salt substitute reduced systolic blood pressure by 4.80 mmHg and diastolic blood pressure by 1.48. As expected, urinary output of sodium decreased considerably, while urinary out of potassium, which exerts robust blood pressure-lowering effects, increased. Using a salt substitute reduced the risk of dying from all causes of premature death by 12 percent.
Other research has shown that a 5-mmHg reduction of systolic blood pressure reduces the risk of major cardiovascular events by about 10 percent. When combined with other lifestyle behaviors, such as exercising, maintaining a healthy weight, and sauna use, using a potassium-based salt substitute is a promising, non-pharmacological approach to reducing blood pressure.
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A 2008 article by Dr. Anthony Fauci identifies pneumonia as primary cause of death for 1918 pandemic victims, raising alarm about future pandemics. www.sciencedaily.com
The global influenza pandemic of 1918 was the deadliest in history, claiming the lives of more than 50 million people worldwide. Although the cause of the outbreak has been attributed to infection from the H1N1 virus, a 2008 study co-authored by Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, suggested the primary cause of death among those infected was pneumonia.
Fauci and his colleagues conducted an extensive review of the scientific literature detailing the pathological and bacteriological evidence regarding the pandemic, derived from the findings of more than 8,000 autopsies. Then they examined preserved lung tissue samples from 58 of those autopsies to determine the cause of death.
They found that the death rate followed an age-specific, W-shaped curve, with the highest peaks occurring among infants and elderly people and a slightly lower peak occurring among young adults between the ages of 20 and 40 years old. Examination of the tissue samples revealed that severe acute bacterial pneumonia was present in nearly every case as either the primary pathological feature or coincidental to other features commonly associated with influenza infection, including serious injury to the tissues of the respiratory tract.
The primary pathogens identified in the samples were pneumococci, streptococci, and staphylococci – bacteria that commonly reside in the throat and upper respiratory tract and typically pose no harm. However, the injurious tissue changes that accompanied the primary viral infection created an environment conducive to secondary bacterial infection and subsequent pneumonia. Also present in the samples were Bacillus influenzae, bacteria that often facilitate the infiltration of other pneumonia-causing bacteria.
Taken together, these findings suggest that pandemic preparedness should include the stockpiling of antibiotics and bacterial vaccines.