Life Extension Magazine®
Low levels of vitamin D have been linked to most chronic diseases, from cancer to heart disease, as well as increased risk of early death.1-4
A major new study reveals one possible reason why.
Clinical trial results published in 2025 found that four years of daily vitamin D intake significantly reduced the shortening of telomeres, the protective caps on the ends of our chromosomes.5
Telomere shortening is considered one of the hallmarks of cellular aging.6
Compared to a placebo, adults who took vitamin D3 daily for four years reduced telomere shortening to such an extent that it may have prevented the equivalent of about three years of biological aging as measured in leukocyte immune cells.5
By protecting telomeres, vitamin D intake may slow certain aging processes and reduce risk for diseases that plague older adults.
Telomeres and Biological Age
Chromosomes are long strands of DNA wrapped around proteins. Found in most cells, chromosomes contain genes that provide life-preserving instructions for our cells.7
Telomeres cap the ends of chromosomes, protecting and preserving the structure and stability of this genetic material.6
In youth, telomeres are long and healthy. With age, they become progressively shorter. This loss of telomeres has been linked to age-related disease and reduced longevity.6,8
The rate of telomere shortening has been used as a marker of biological aging in research studies for years.6,8-10 In human studies, shorter telomeres have been shown to predict a higher risk of early death.8
Protecting telomeres has become an important anti-aging target.
The Importance of Vitamin D
Studies have found that individuals with low vitamin D levels are more prone to age-related diseases,11,12 while those with higher levels are at a reduced risk for many common conditions of aging, including:
- Cardiovascular diseases,13
- Metabolic disease,14
- Cancer,15,16
- Dementia,17
- Osteoporosis,18 and
- Infectious disease.19
Low vitamin D status is common, especially in older adults.20
While vitamin D works in many ways, cell studies have suggested that defending telomere health is one of its key roles.5,12,21-23 A breakthrough study published in 2025 indicates that this effect applies to humans as well.
Vitamin D Prevents Telomere Shortening
An earlier observational study found that those with high vitamin D levels had a telomere age approximately five years younger than those with low D levels.21
And in a small clinical trial of overweight adults, the activity of an enzyme called telomerase, which may extend telomeres, increased by 19% in those who took vitamin D daily for 16 weeks. There was no change in placebo recipients.23
A 2025 study published in The American Journal of Clinical Nutrition used data from the randomized placebo-controlled VITAL trial. This study randomized adults over age 50 to receive either 2,000 IU of vitamin D3 per day or a placebo.5
Over four years, 1,054 subjects had repeated blood sampling to determine the length of their telomeres in white blood cells. As expected, telomeres tended to shorten with age. But the loss of telomeres was much slower in those taking vitamin D.5
Telomeres consist of repeating patterns of DNA base pairs. Studies estimate that 24 to 45 base pairs of telomere length are lost per year in adults.6,24
In this study, compared to the placebo, those receiving vitamin D lost 140 fewer base pairs, on average, over four years. The authors of this paper stated that this is roughly equivalent to three years of less aging in the vitamin D group.5
This is the first time this result was observed in a large, placebo-controlled clinical trial.5 But previous observational studies have also found that higher vitamin D levels are associated with longer telomere length.22
Reducing Biological Aging
In the context of aging, vitamin D’s role is not limited to telomere protection.12
Epigenetic changes—which determine how DNA is expressed or turned “on” or “off”—represent another marker of biological age.25 Among individuals of the same chronological age, lower vitamin D levels are associated with higher (older) epigenetic age.12,26-28
Other studies show that vitamin D supplementation in deficient individuals slows this process, as measured by DNA methylation clocks.12,26,29,30
Vitamin D intake clearly provides protection against telomere loss and other measures of biological aging.
What You Need To Know
Vitamin D’s Effect on Telomeres
- Low vitamin D levels are associated with an increased risk of early death and most age-related chronic diseases, including cancer, cardiovascular disease, and dementia.
- A study published in 2025 reveals that vitamin D3 intake prevented the contraction of telomeres, the protective end caps on our chromosomes. Telomere shortening occurs with age and predicts risk of disease and death.
- By protecting telomeres, a marker of biological age, vitamin D may slow the aging process and help reduce risk of disease.
Summary
Optimal vitamin D levels are critical for overall healthy aging.
A recent clinical study in older adults found that vitamin D3 intake significantly reduced the rate of telomere shortening, helping to slow down biological aging as measured by telomere length, and protecting genetic material.
This data and other studies provide convincing evidence that vitamin D may help slow the aging process and reduce risk for age-related chronic disease. n
If you have any questions on the scientific content of this article, please call a Life Extension Wellness Specialist at 1-866-864-3027.
Vitamin D Benefits Breast Cancer Patients
In a recent study, women receiving chemotherapy treatment for breast cancer were randomized to receive either 2,000 IU of vitamin D3 or a placebo daily.31
At baseline, both groups tended to have low vitamin D levels, as is often the case in cancer patients.
After six months, 24% of subjects receiving placebo had a “complete pathological response” (meaning there were no longer signs of cancer). But in those receiving vitamin D, a robust 43% of patients had a complete response.
That’s a remarkable difference. Overall, women whose vitamin D levels were over 20 ng/mL were over three times more likely to successfully respond to treatment than those with low levels.
References
- Umar M, Sastry KS, Chouchane AI. Role of Vitamin D Beyond the Skeletal Function: A Review of the Molecular and Clinical Studies. Int J Mol Sci. 2018 May 30;19(6).
- Hu Y, Gao F, Yang Y, et al. Serum 25(OH)D levels and mortality risk among middle-aged and elderly populations in the U.S.: A prospective cohort study. PLoS One. 2025;20(7):e0328907.
- Chowdhury R, Kunutsor S, Vitezova A, et al. Vitamin D and risk of cause specific death: systematic review and meta-analysis of observational cohort and randomised intervention studies. BMJ. 2014 Apr 1;348:g1903.
- Brondum-Jacobsen P, Benn M, Jensen GB, et al. 25-hydroxyvitamin d levels and risk of ischemic heart disease, myocardial infarction, and early death: population-based study and meta-analyses of 18 and 17 studies. Arterioscler Thromb Vasc Biol. 2012 Nov;32(11):2794-802.
- Zhu H, Manson JE, Cook NR, et al. Vitamin D(3) and marine omega-3 fatty acids supplementation and leukocyte telomere length: 4-year findings from the VITamin D and OmegA-3 TriaL (VITAL) randomized controlled trial. Am J Clin Nutr. 2025 Jul;122(1):39-47.
- Ye Q, Apsley AT, Etzel L, et al. Telomere length and chronological age across the human lifespan: A systematic review and meta-analysis of 414 study samples including 743,019 individuals. Ageing Res Rev. 2023 Sep;90:102031.
- Milan M. Chromosomal instability in development and disease: Beyond cancer evolution. Curr Opin Cell Biol. 2025 Aug;95:102537.
- Bojesen SE. Telomeres and human health. J Intern Med. 2013 Nov;274(5):399-413.
- Shammas MA. Telomeres, lifestyle, cancer, and aging. Curr Opin Clin Nutr Metab Care. 2011 Jan;14(1):28-34.
- Whittemore K, Vera E, Martinez-Nevado E, et al. Telomere shortening rate predicts species life span. Proc Natl Acad Sci U S A. 2019 Jul 23;116(30):15122-7.
- Meehan M, Penckofer S. The Role of Vitamin D in the Aging Adult. J Aging Gerontol. 2014 Dec;2(2):60-71.
- Ruggiero C, Tafaro L, Cianferotti L, et al. Targeting the Hallmarks of Aging with Vitamin D: Starting to Decode the Myth. Nutrients. 2024 Mar 21;16(6).
- Grant WB, Boucher BJ, Cheng RZ, et al. Vitamin D and Cardiovascular Health: A Narrative Review of Risk Reduction Evidence. Nutrients. 2025 Jun 25;17(13).
- Strange RC, Shipman KE, Ramachandran S. Metabolic syndrome: A review of the role of vitamin D in mediating susceptibility and outcome. World J Diabetes. 2015 Jul 10;6(7):896-911.
- Mot CI, Horhat DI, Balica NC, et al. Vitamin D and Clinical Outcomes in Head and Neck Cancer: A Systematic Review. Nutrients. 2025 Mar 21;17(7).
- Munoz A, Grant WB. Vitamin D and Cancer: An Historical Overview of the Epidemiology and Mechanisms. Nutrients. 2022 Mar 30;14(7).
- Ghahremani M, Smith EE, Chen HY, et al. Vitamin D supplementation and incident dementia: Effects of sex, APOE, and baseline cognitive status. Alzheimers Dement (Amst). 2023 Jan-Mar;15(1):e12404.
- Wang D, Yang Y. The Relationship Between Serum 25-Hydroxyvitamin D Levels and Osteoporosis in Postmenopausal Women. Clin Interv Aging. 2023;18:619-27.
- Rebelos E, Tentolouris N, Jude E. The Role of Vitamin D in Health and Disease: A Narrative Review on the Mechanisms Linking Vitamin D with Disease and the Effects of Supplementation. Drugs. 2023 Jun;83(8):665-85.
- Cui A, Zhang T, Xiao P, et al. Global and regional prevalence of vitamin D deficiency in population-based studies from 2000 to 2022: A pooled analysis of 7.9 million participants. Front Nutr. 2023;10:1070808.
- Richards JB, Valdes AM, Gardner JP, et al. Higher serum vitamin D concentrations are associated with longer leukocyte telomere length in women. Am J Clin Nutr. 2007 Nov;86(5):1420-5.
- Zarei M, Zarezadeh M, Hamedi Kalajahi F, et al. The Relationship Between Vitamin D and Telomere/Telomerase: A Comprehensive Review. J Frailty Aging. 2021;10(1):2-9.
- Zhu H, Guo D, Li K, et al. Increased telomerase activity and vitamin D supplementation in overweight African Americans. Int J Obes (Lond). 2012 Jun;36(6):805-9.
- Muezzinler A, Zaineddin AK, Brenner H. A systematic review of leukocyte telomere length and age in adults. Ageing Res Rev. 2013 Mar;12(2):509-19.
- Evangelina R, Ganesan S, George M. The Epigenetic Landscape: From Molecular Mechanisms to Biological Aging. Rejuvenation Res. 2025 Jun;28(3):93-112.
- Chen L, Dong Y, Bhagatwala J, et al. Effects of Vitamin D3 Supplementation on Epigenetic Aging in Overweight and Obese African Americans With Suboptimal Vitamin D Status: A Randomized Clinical Trial. J Gerontol A Biol Sci Med Sci. 2019 Jan 1;74(1):91-8.
- Vetter VM, Spira D, Banszerus VL, et al. Epigenetic Clock and Leukocyte Telomere Length Are Associated with Vitamin D Status but not with Functional Assessments and Frailty in the Berlin Aging Study II. J Gerontol A Biol Sci Med Sci. 2020 Oct 15;75(11):2056-63.
- Ong LTC, Booth DR, Parnell GP. Vitamin D and its Effects on DNA Methylation in Development, Aging, and Disease. Mol Nutr Food Res. 2020 Dec;64(23):e2000437.
- Zhu H, Bhagatwala J, Huang Y, et al. Race/Ethnicity-Specific Association of Vitamin D and Global DNA Methylation: Cross-Sectional and Interventional Findings. PLoS One. 2016;11(4):e0152849.
- Vetter VM, Sommerer Y, Kalies CH, et al. Vitamin D supplementation is associated with slower epigenetic aging. Geroscience. 2022 Jun;44(3):1847-59.
- Omodei MS, Chimicoviaki J, Buttros DAB, et al. Vitamin D Supplementation Improves Pathological Complete Response in Breast Cancer Patients Undergoing Neoadjuvant Chemotherapy: A Randomized Clinical Trial. Nutr Cancer. 2025;77(6):648-57.