Healthy Aging Defining Chronological and Biological Age By Sharon Basaraba Sharon Basaraba Twitter Sharon Basaraba is an award-winning reporter and senior scientific communications advisor for Alberta Health Services in Alberta, Canada. Learn about our editorial process Updated on October 21, 2020 Learn more</a>." data-inline-tooltip="true"> Medically reviewed Verywell Health articles are reviewed by board-certified physicians and healthcare professionals. These medical reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by Isaac O. Opole, MD, PhD Medically reviewed by Isaac O. Opole, MD, PhD LinkedIn Isaac O. Opole, MD, PhD, is a board-certified internist specializing in geriatric medicine. For over 15 years, he's practiced at the Kansas University Medical Center, where he is also a professor. Learn about our Medical Expert Board Print Chronological age refers to the actual amount of time a person has been alive. The number of days, months, or years a person has been alive does not change, regardless of how healthy a lifestyle—even one filled with great exercise and nutrition habits—they are living. Everyone ages at a different rate. Some people seem to age very rapidly, while others experience aging at a much more gradual pace. We've all experienced meeting someone for the first time who appears to be much younger—or older—than they really are. Cultura RM Exclusive / yellowdog / Getty Images Chronological vs. Biological Age As humans, we have two different ages—chronological and biological. Chronological age is the number of years a person has been alive, while biological age refers to how old a person seems. Biological age, also referred to as physiological age, takes many lifestyle factors into consideration, including diet, exercise and sleeping habits, to name a few. How we age is beyond our control. It's primarily influenced by genetics, but research sheds light on how aging can be impacted by external factors, including diet, exercise, stress, and smoking. Many gerontologists believe chronological age to be an incomplete figure because it doesn't take these external factors into consideration. How Biological Age Is Determined Research suggests that telomeres and DNA methylation play big parts in the aging process. Telomeres Telomeres are the nucleotides on the ends of chromosomes. They keep the ends of chromosomes from deteriorating and fusing with a nearby chromosome. Essentially, telomeres dictate how quickly cells age and die. Scientists have discovered that the higher a person's chronological age, the shorter their telomeres. One study found that people with shorter telomeres were more likely to have an early death or develop a disease or neurodegenerative disorder. Another study suggests that maintaining a healthy lifestyle can actually reverse aging by lengthening telomeres, good news for our age-obsessed culture. DNA Methylation Scientists are also using DNA methylation to determine biological age. Cells use DNA methylation to control gene expression. In other words, DNA methylation turns genes off. Although the exact purpose of methylation is unknown, it's vital to embryonic development, genomic imprinting, chromosome stability, and more. One study sought to discover whether DNA methylation is an accurate way of predicting age by gathering 8,000 samples of 51 different tissues and cells. Most of the tissue and cell samples studied had the same chronological and biological ages. Some didn't. The study found that certain parts of the body age faster than others. For example, breast tissue is some of the oldest tissue in the body. The research found that even healthy breast tissue can be as much as three years older than the rest of a woman's body. If healthy breast tissue exists near cancerous tissue, it's an average of 12 years older. Calculate Your Actual Age and Longevity With RealAge 4 Sources Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Shammas MA. Telomeres, lifestyle, cancer, and aging. Curr Opin Clin Nutr Metab Care. 2011;14(1):28-34. doi:10.1097/MCO.0b013e32834121b1 Anitha A, Thanseem I, Vasu MM, Viswambharan V, Poovathinal SA. Telomeres in neurological disorders. Adv Clin Chem. 2019;90:81-132. doi:10.1016/bs.acc.2019.01.003 Arsenis NC, You T, Ogawa EF, Tinsley GM, Zuo L. Physical activity and telomere length: Impact of aging and potential mechanisms of action. Oncotarget. 2017;8(27):45008-45019. doi:10.18632/oncotarget.16726 Horvath S. DNA methylation age of human tissues and cell types. Genome Biol. 2013;14(10):R115. doi:10.1186/gb-2013-14-10-r115 Additional Reading Castillo, S. (2015). Some Of Your Body Parts Are Older Than The Others, Biologically At Least. Medical Daily. Rosenbloom Jr., AA. Look beyond a patient's chronological age: Functional, psychological and social factors cause individuals to age at different rates. Primary Care Optometry News.2012. See Our Editorial Process Meet Our Medical Expert Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit