PFLPhysiological Fitness Landscape

Biomarkers · Aging & Senescence

DNA Methylation Age Acceleration (PhenoAge/GrimAge)

Lower values go with lower risk of death. No risk curve catalogued yet.

Published risk of death1.47×per SD increase in DNAm GrimAge acceleration (AgeAccelGrim) (95% CI 1.32–1.64) · ESTHER population-based cohort, Germany; two random subsets with EPIC methylation (n=741 and n=1030)

What studies found when this marker was changed

They describe what happened in those study groups, not a recommendation. See all catalogued interventions.

Measured changes in DNA Methylation Age Acceleration (PhenoAge/GrimAge), study by study

1 effect with a numeric size, each from one study arm: the dot is the reported change, the line its 95% interval where one was given. Green points move the marker the way lower risk of death lies; amber the other way. Study results in the groups studied, not predictions for a person.

Each row is one study: what was changed, the effect it reported on this marker, and the source.
TypeInterventionReported effectEvidenceSource
sleepCBT-I vs sleep education therapy in adults aged 60+ with insomnia, followed 20-39 monthsGrimAge -0.33 (95% CI -0.68 to 0.03; FDR-adjusted p=0.11) vs sleep education therapy, not significantRCTCarroll JE, Kusters CD, Taha HB, et al. Lancet Healthy Longev. 2026.

What else moves this marker

They describe those study groups, not an individual, and an association is not a cause.

Diseases and conditions

Each row is one study: what it compared and the change it reported in this marker.
WhatEffect on the markerComparison · populationSource
↑ Higher body mass index (adiposity), per 1 kg/m2 · GrimAge acceleration per one-unit BMI increase, twin cohort+0.085 yearsPer 1 kg/m2 higher BMI (1.02 months/unit, converted to years by /12) · Finnish Twin Cohort, MZ and DZ twins (n=1,424)cross sectional · PMID 35699258
↑ Metabolic syndrome · GrimAge age acceleration, MetS vs no MetS+2.63 yearsMean GrimAge AA 2.078 (MetS, n=56) vs -0.549 (no MetS, n=212); difference by subtraction · Finnish discovery cohorts of twins and unrelated adults aged 23-69 (n=268)cross sectional · PMID 38273034
↑ Schizophrenia · Epigenetic age acceleration, PhenoAge and intrinsic (IEAA) clocks, SZ vs controlsSMD +0.29SZ patients vs controls, stratified meta-analysis restricted to PhenoAge and IEAA clocks · 8 studies; 3,096 SZ subjects and 3,394 controlsmeta analysis · PMID 35780750

Environmental and occupational exposures

Each row is one study: what it compared and the change it reported in this marker.
WhatEffect on the markerComparison · populationSource
↑ Urinary cadmium, per IQR increase · GrimAge residual (age acceleration) per interquartile-range increase in urinary cadmium+1.617 years GrimAge residual (age acceleration) per interquartile-range increase in urinary cadmiumPer IQR increase in urinary cadmium (GrimAge-Resid units) · NHANES participants with DNA methylation data (n=807)prospective cohort · PMID 40782533
↑ World Trade Center (9/11) environmental exposure · Hannum epigenetic age acceleration, WTC-exposed vs unexposed women+3.789 yearsWTC-exposed vs unexposed women, adjusted for race/ethnicity, smoking, BMI, batch and cell composition · WTC EHC clinic women vs NYU Women's Health Study reference womencase control · PMID 41028045