Life Extension Magazine®
An analysis of a trial in the journal Nature Aging shows how aging could be slowed by a simple nutrient and lifestyle intervention, even when that intervention is started late in life—in people averaging 75 years old.1
Researchers found that rather than aging processes continuing over the course of the three-year study, participants experienced a slowdown of biological aging (approximately 2.9–3.8 months) measured by DNA methylation clocks.
Advances in fields of biologics and cellular reprogramming may one day result in complete control of degenerative aging.
In the interim, cost-effective and accessible strategies exist today to slow biological aging processes.
Enlightened individuals may thus gain additional life years, during which time scientists are actively working to develop therapies to delay, halt or even reverse pathological processes.
I describe this study, published in Nature Aging (Feb 3, 2025) that further corroborates the value of consistent science-based health maintenance.
The following interventions were shown to slow estimated biological aging:1
- Strength training for 30 minutes—3x per week
- Vitamin D3 (2,000 IU/day)
- Omega-3 (1,000 mg/day)
Subgroup analysis of the individual interventions revealed that omega-3 supplementation had the overall single greatest effect on slowing biological aging. Combining all three interventions (vitamin D, omega-3s and home exercise program) had additive benefits for reducing the rate of biological age in one out of the four biological aging clocks.
What You Need To Know
Life Extension® Perspective
- Even greater benefits in reducing the rate of biological aging would likely have been achieved if the dosages of vitamin D3 and omega-3 were raised.
- The optimal blood level of 25-hydroxyvitamin D is likely between 50-80 ng/mL2,3 and an omega-3 index score ideally above 8%.4,5 To achieve these ranges, Life Extension suggests regular blood testing, and supplementing with 5,000-8,000 IUs (125-200 mcg) of vitamin D and 2,000-4,000 mg of omega-3 daily.
Suboptimal Dosages in Nature Paper
Published studies consistently validate the critical importance of physical activity, vitamin D and omega-3 fatty acids.
Compelling research published in Nature Aging demonstrates the age-reduction value of combining these nutrients with exercise. We commend the researchers for evaluating the benefits of these supplements and easy-to-follow exercise program.
It’s important, however, to address one point of disagreement based on Life Extension’s multi-decade review of tens of thousands of blood tests and consumer supplement programs.
Breakdown of the Nature Aging Study
When a groundbreaking study is published in the journal Nature Aging, the media often turns it into a headline news report.
On February 25, 2025, an analysis of a randomized-controlled trial of 777 people (average age 75 years) was published in Nature Aging. It garnered widespread attention.
In the trial, the elderly people were split into multiple groups to evaluate separately or all together a three-year intervention that consisted of strength training for 30 minutes 3x a week, and/or daily supplementation of 2,000 IU of vitamin D3, and/or 1,000 mg of omega-3 fatty acids.
The researchers assessed biological ages by evaluating "epigenetic" changes to their DNA.
Epigenetic age is an estimate that reflects biological aging and is associated with age-related disease and all-cause mortality. It is evaluated by changes in cellular DNA methylation patterns.6
Measures of epigenetic age are considered reliable indicators that help assess whether individuals are aging faster or slower than their chronological age.6,7 (You don’t want to age "faster.")
Slower (younger) epigenetic age has been found among long-lived individuals.8
Older (worsening) epigenetic age has been associated with lower levels of physical functioning and declines in cognitive functioning even among long-lived individuals.9-11
In this Nature Aging-published study, researchers measured biological age by four different validated epigenetic "clocks" or tests.1
After three years, instead of aging at the expected rate, the group that underwent the strength training routine and supplemented with vitamin D3 + omega-3 showed a trend towards slowed biological aging, in three of the four aging "clocks."
Particularly interesting were some of the results from analysis using the PhenoAge clock, in which the combination of omega-3s plus exercise, and the combination of omegas, vitamin D, and exercise, significantly slowed biological aging.1
PhenoAge is a second-generation biological age estimator designed to predict various aging-related outcomes, including all-cause mortality, cancer, Alzheimer’s disease, and overall lifespan.12
When tested in isolation or in different combinations with the other interventions, it was revealed that omega-3 supplementation was the most responsible for reducing the rate of biological aging,1 highlighting its potential role in promoting longevity at the molecular level.
Daily intake of 2,000 IUs of vitamin D and 1,000 mg of omega-3 is usually insufficient to achieve optimal blood status. Had the study participants received optimal doses, the impact on biological aging may have been more profound.
A daily intake of 2,000 IUs of vitamin D3 typically yields a 25-hydroxyvitamin D blood level of above 30 ng/mL.13,14 While this dose is generally effective in preventing insufficiency, research shows that individuals may require higher doses to maintain optimal blood levels.
Research indicates that blood levels of at least 40 ng/mL are necessary to reduce disease risks, while Life Extension® maintains that the ideal blood level range is 50-80 ng/mL. For most people 5,000-8,000 IU’s (125-200 mcg) of daily supplemental vitamin D3 are required to achieve these levels.
In a meta-analysis of three randomized controlled trials conducted in people with prediabetes, achieving a blood level of 25-hydroxyvitamin D of at least 50 ng/mL reduced the risk of diabetes over the next three years by 18% compared to those with levels of 20-29 ng/mL.15
This is critical because, in 2021 alone, diabetes directly caused 1.6 million deaths—and nearly half (47%) of those occurred before the age of 70.16 Optimizing vitamin D status could dramatically improve longevity and overall health.
In a study of 2,240 people from the Framingham Offspring Cohort study, achieving an omega-3 index over 6.8% resulted in 4.7 years of additional life expectancy compared to those who had an omega-3 index under 4.2%.17
A dose-response study showed that about 1,300 mg of EPA/DHA daily is needed to raise an omega-3 index blood level from 4.2% to 6.8%.18 However, further benefits have been shown by raising the omega-3 index to around 8%.3 Some experts/researchers believe that the desirable omega-3 blood range is between 8%-12%.3
A higher omega-3 index correlates with lower triglycerides, reduced blood pressure, decreased platelet aggregation, and improved heart rate stability17,19—all factors that significantly lower mortality risk.17
Life Extension® recommends supplementing with 2,000-4,000 mg of omega-3 daily, depending on dietary intake. The best way to determine your ideal dose is through regular Omega-3 Index blood testing.
The takeaway is clear: while this latest research confirms the anti-aging potential of vitamin D3 and omega-3s, and moderate strength training, higher doses and additional forms of physical activity may be essential to unlocking their full life-extending benefits.
My Push to Push Yourselves
From 2003 to 2016, data from over 30,000 U.S. adults from the National Health and Nutrition Examination Survey (NHANES) showed that sedentary behavior increased from approximately 5.5 to 6.4 hours.20
A more recent study of over 2,500 U.S. adults in 2019 indicated that people were spending an average of 9.5 hours per day in sedentary behavior.21 A sedentary lifestyle—closely linked to rising rates of hypertension, heart failure, metabolic disorders and overall mortality22,23 —has contributed to an alarming increase in cardiovascular disease, mirroring the steady rise in sedentary behavior.22,23
The scientific evidence is irrefutable—boosting physical activity reduces disease risk.24,25 and slows biological aging.26,27 Yet, despite these well-documented benefits, a staggering 80% of Americans fail to meet even the most basic physical activity guidelines.28
Health authorities agree on what’s needed:29
- Adults need to get at least 150-300 minutes of moderate-intensity aerobic activity or 75-150 minutes of vigorous-intensity aerobic activity per week, and
- Muscle-strengthening activities at least two or more days per week.
Physical activity alone has been shown repeatedly to lower the rate of biological aging.
A large study on about 2,435 people showed that walking 1,500 more steps or cutting three sedentary hours per day was associated with more than 10 months lower epigenetic age, as measured by the methylation clock (GrimAge). In this study, every five extra minutes more per day of moderate to vigorous physical activity was associated with a slower rate of biological aging by 19-79 days.30
A 2025 predictive analysis that evaluated mortality data in the U.S. population from the National Center for Health Statistics determined that a remarkable amount of years of life could be gained from increased amounts of physical activity. Based on the findings the authors stated:
"If all individuals were as active as the top 25% of the population, Americans over the age of 40 could live an extra 5.3 years on average."31
Stalling For More Time
As I write this, I am 70 years old.
For those of us in this age bracket—or older—time is a critical factor. The scientific breakthroughs needed to fully halt, or reverse aging may not arrive soon enough unless we take proactive steps to extend our healthspans.
Fortunately, we have tools at our disposal right now. Strategic interventions, such as regular exercise and targeted nutrient supplementation (notably vitamin D3 and omega-3 fatty acids), have been shown to counteract key aging mechanisms. These include epigenetic alterations that elevate disease risk and mortality.
By implementing these measures, we may gain the additional years necessary to benefit from the next wave of longevity advancements—where aging itself can be systematically defeated.
Achieving full-scale age reversal will require a multi-pronged approach, addressing all facets of biological decline.
The most important step, however, is taking action today. Regardless of age, optimizing health now not only improves quality of life but also maximizes the chances of reaching the era where degenerative aging is rendered a relic of the past.
For longer life,
William Faloon, Co-Founder, Life Extension®
References
- Bischoff-Ferrari HA, Gangler S, Wieczorek M, et al. Individual and additive effects of vitamin D, omega-3 and exercise on DNA methylation clocks of biological aging in older adults from the DO-HEALTH trial. Nat Aging. 2025 Mar;5(3):376-85.
- Gominak SC, Stumpf WE. The world epidemic of sleep disorders is linked to vitamin D deficiency. Med Hypotheses. 2012 Aug;79(2):132-5.
- Kennel KA, Drake MT, Hurley DL. Vitamin D deficiency in adults: when to test and how to treat. Mayo Clin Proc. 2010 Aug;85(8):752-7; quiz 7-8.
- McDonnell SL, French CB, Baggerly CA, et al. Cross-sectional study of the combined associations of dietary and supplemental eicosapentaenoic acid + docosahexaenoic acid on Omega-3 Index. Nutr Res. 2019 Nov;71:43-55.
- von Schacky C. Omega-3 index in 2018/19. Proc Nutr Soc. 2020 May 11:1-7. 6. Li A, Koch Z, Ideker T. Epigenetic aging: Biological age prediction and informing a mechanistic theory of aging. J Intern Med. 2022 Nov;292(5):733-44.
- Ryan J, Wrigglesworth J, Loong J, et al. A Systematic Review and Meta-analysis of Environmental, Lifestyle, and Health Factors Associated With DNA Methylation Age. J Gerontol A Biol Sci Med Sci. 2020 Feb 14;75(3):481-94.
- Guvatova ZG, Kobelyatskaya AA, Pudova EA, et al. Decelerated Epigenetic Aging in Long Livers. Int J Mol Sci. 2023 Nov 28;24(23).
- Jain P, Binder AM, Chen B, et al. Analysis of Epigenetic Age Acceleration and Healthy Longevity Among Older US Women. JAMA Netw Open. 2022 Jul 1;5(7):e2223285.
- Valenzuela PL, Sanchez-Sanchez JL, Bensadoun P, et al. Cross-sectional associations of epigenetic clocks with intrinsic capacity and functional ability in older adults with frailty and cognitive impairment: the COGFRAIL study. Geroscience. 2025 May 16.
- Graves AJ, Danoff JS, Kim M, et al. Accelerated epigenetic age is associated with whole-brain functional connectivity and impaired cognitive performance in older adults. Sci Rep. 2024 Apr 26;14(1):9646.
- Levine ME, Lu AT, Quach A, et al. An epigenetic biomarker of aging for lifespan and healthspan. Aging (Albany NY). 2018 Apr 18;10(4):573-91.
- Sacheck JM, Van Rompay MI, Chomitz VR, et al. Impact of Three Doses of Vitamin D3 on Serum 25(OH)D Deficiency and Insufficiency in At-Risk Schoolchildren. J Clin Endocrinol Metab. 2017 Dec 1;102(12):4496-505.
- Pludowski P, Grant WB, Karras SN, et al. Vitamin D Supplementation: A Review of the Evidence Arguing for a Daily Dose of 2000 International Units (50 microg) of Vitamin D for Adults in the General Population. Nutrients. 2024 Jan 29;16(3).
- Pittas AG, Kawahara T, Jorde R, et al. Vitamin D and Risk for Type 2 Diabetes in People With Prediabetes : A Systematic Review and Meta-analysis of Individual Participant Data From 3 Randomized Clinical Trials. Ann Intern Med. 2023 Mar;176(3):355-63.
- Available at: https://www.who.int/news-room/fact-sheets/detail/diabetes. Accessed July 9, 2025.
- Harris WS, Tintle NL, Etherton MR, et al. Erythrocyte long-chain omega-3 fatty acid levels are inversely associated with mortality and with incident cardiovascular disease: The Framingham Heart Study. J Clin Lipidol. 2018 May-Jun;12(3):718-27 e6.
- Flock MR, Skulas-Ray AC, Harris WS, et al. Determinants of erythrocyte omega-3 fatty acid content in response to fish oil supplementation: a dose-response randomized controlled trial. J Am Heart Assoc. 2013 Nov 19;2(6):e000513.
- von Schacky C. Omega-3 index and cardiovascular health. Nutrients. 2014 Feb 21;6(2):799-814.
- Yang L, Cao C, Kantor ED, et al. Trends in Sedentary Behavior Among the US Population, 2001-2016. JAMA. 2019 Apr 23;321(16):1587-97.
- Matthews CE, Carlson SA, Saint-Maurice PF, et al. Sedentary Behavior in U.S. Adults: Fall 2019. Med Sci Sports Exerc. 2021 Dec 1;53(12):2512-9.
- Onagbiye S, Guddemi A, Baruwa OJ, et al. Association of sedentary time with risk of cardiovascular diseases and cardiovascular mortality: A systematic review and meta-analysis of prospective cohort studies. Prev Med. 2024 Feb;179:107812.
- O’Brien MW, Shivgulam ME, Dominguez AH, et al. Impact of Sedentary Behaviors on Blood Pressure and Cardiovascular Disease: An Umbrella Review of Systematic Reviews and Meta-Analyses. Sports Med. 2024 Dec;54(12):3097-110.
- Garcia L, Pearce M, Abbas A, et al. Non-occupational physical activity and risk of cardiovascular disease, cancer and mortality outcomes: a dose-response meta-analysis of large prospective studies. Br J Sports Med. 2023 Aug;57(15):979-89.
- Falck RS, Davis JC, Best JR, et al. Impact of exercise training on physical and cognitive function among older adults: a systematic review and meta-analysis. Neurobiol Aging. 2019 Jul;79:119-30.
- Zhu J, Yang Y, Zeng Y, et al. The Association of Physical Activity Behaviors and Patterns With Aging Acceleration: Evidence From the UK Biobank. J Gerontol A Biol Sci Med Sci. 2023 May 11;78(5):753-61.
- Fox FAU, Liu D, Breteler MMB, et al. Physical activity is associated with slower epigenetic ageing-Findings from the Rhineland study. Aging Cell. 2023 Jun;22(6):e13828.
- Available at: https://www.who.int/teams/health-promotion/physical-activity/global-status-report-on-physical-activity-2022. Accessed July 9, 2025.
- Piercy KL, Troiano RP, Ballard RM, et al. The Physical Activity Guidelines for Americans. JAMA. 2018 Nov 20;320(19):2020-8.
- Spartano NL, Wang R, Yang Q, et al. Association of Accelerometer-Measured Physical Activity and Sedentary Time with Epigenetic Markers of Aging. Med Sci Sports Exerc. 2023 Feb 1;55(2):264-72.
- Veerman L, Tarp J, Wijaya R, et al. Physical activity and life expectancy: a life-table analysis. Br J Sports Med. 2025 Feb 20;59(5):333-8.