Ask people what they think they’ll look like in 25 years, and chances are they’ll mention how their parents looked at that age. And while genetics certainly play a part, research shows there’s more to the story. Only about 30% of what we see as aging is inherited, explains John Rowe, M.D., Julius B. Richmond Professor of Health Policy and Aging at Columbia Mailman School of Public Health.
When you look specifically at things above the neck — like cognitive function, vision, and hearing — that number goes up to about 50%. “People feel there’s some intrinsic clock playing out a program in their body that they don’t have influence over,” says Dr. Rowe. “It’s just not true.”
Yes, good news: We have real control over how our bodies age. Aging is happening on a cellular level at every moment, so for a long and healthy life, it’s vital to stay on top of the changes within your body and your mind. For a better understanding of these shifts through every decade, we talked to the experts.
In Your 20's
In our 20s, we’re generally at the peak of physical health. In several ways, our bodies are still on the upward curve of development — even our menstrual cycles maybe more regular than in our teens! — and our brains and bones are growing to their full potential.
Your brain is changing well into your 20s, says Shanna Levine, M.D., a New York City–based internist working in private practice for Goals Healthcare. Research has shown that your prefrontal cortex — the part responsible for factors like inhibition, high-level functioning, and attention — continues growing until around age 25.
POWER UP: It’s never too early to prioritize brain health! Keep your noggin sharp through the decades with these brain-boosting tricks:
- Plan to volunteer. One study found that giving back, even for less than two hours a week, could slow cognitive decline — likely because doing so promotes social connection and mental engagement, which research has proven can help stave off dementia.
- Study a new language. It may be easier to learn one when you’re young, but studying another language at any age can “promote thinking skills, increase mental agility, and delay the aging of the brain,” found one study. Plus, if you take group classes, you get the social benefit.
- Learn to play an instrument. Even if you don’t see yourself as musically inclined, give it a shot. In one study, people 60 and over showed improvement in cognitive functions after just four months of piano lessons.
By the time you’re 18, you already have up to 90% of your peak bone mass, including strength and density. However, you’re still adding more mass than you’re losing (that changes around age 30). While the amount you develop is primarily based on set factors like race and gender, about one-quarter of it is determined by things you can control.
POWER UP: Exercise regularly, get enough calcium in your diet (about 1,000 mg per day), limit alcoholic beverages, and don’t smoke.
In Your 30's
Many people see this as their best decade. During our 30s, we’re likely getting more settled in our careers and families, and according to one study our happiness levels are still actively increasing. This is also when making real lifestyle changes can help stave off long-term issues.
You may notice that it takes extra effort to shed pounds. This is because of a slower metabolic rate — it can start to decline in our 20s and continues to decrease by 2% to 3% every 10 years. The reason you likely won’t realize that until now: This is also when we start losing muscle mass (3% to 8% per decade after age 30). This metabolic shift may translate into an increase in body fat around your middle. While you might be annoyed about how your jeans suddenly fit (or don’t), the deeper belly fat around your organs (called visceral fat) is more of a concern— it can increase your risk of things like type 2 diabetes, cardiovascular disease, and high blood pressure.
POWER UP: Eat healthfully and start a regular exercise routine; it’ll help build muscle mass, which gives your metabolism a boost.
Seeing new fine lines and wrinkles in the mirror? You can blame decreasing collagen and elastin levels. And cell turnover slows after your late 20s, so skin can look dull and tired without extra exfoliation. Our Beauty Lab recommends adding a facial peel, like top-tested Dermalogica Rapid Reveal Peel ($85),to your weekly routine. This is also when damage from past unprotected sun exposure can start to rear its ugly head.
POWER UP: Prevent future sun damage by wearing SPF 30 or higher every day — even if you’re not hitting the beach or the pool. Check out GH’s beauty scientists’ top-tested face sunscreen.
In Your 40's
Everything seems to come together when you hit your 40s. While your family life and career are likely at a high point, caring for aging parents and planning for the future can make it a stressful time.
Struggling to read the restaurant menu? Eyesight begins to weaken at this age because of changes in the eyes’ focusing ability. But you won’t see the more profound consequences for two more decades, says Dr. Levine.
POWER UP: Focus on your diet. “Just one cup of kale has more than a whole day’s worth of the carotenoids zeaxanthin, lutein, and beta-carotene, which help shield ocular tissue from harmful UV damage and may also reduce your risk of developing cataracts,” says GH Nutrition Director Jaclyn London, M.S., R.D.
“Every 10 years after the age of 40, we lose about half an inch of height” because of changes in bones, muscles, and joints, says Dr. Levine. But talk to your doctor about any rapid height loss — it could be a sign of osteoporosis.
POWER UP: Get exercise. There’s no way to fully stop shrinking, but a study found that people who did so regularly could cut the height they lost almost in half. This was true even for those who became moderately active only after 40 (compared with those who never exercised regularly and those who ended their activity as they got older).
In Your 50's
As your children head off to high school and college, now is when you think about how you would like to spend your time. Whether you focus on a new hobby, a volunteer project, or a career change, this decade is all about starting to concentrate on your own wants and needs.
The big health story during this decade? Menopause. It hits some women in their 40s, but the average age is 51. Menopause is diagnosed when you haven't had your period for over a year — and when your ovaries stop producing estrogen, the effects can be challenging both physically and emotionally. The classic symptoms include hot flashes, insomnia, mood swings, and even anxiety or depression — but not all women will experience every one of these.
POWER UP: Keep cool! While there hasn’t been much research on supplements and herbal remedies, some women have found that black cohosh eases hot flashes; one study showed that listening to relaxing music or practicing slow-breathing exercises could reduce their frequency. For many women, the end of periods — and cramps, bloating and PMS-ing — is something to celebrate!
In Your 60's
Welcome to a new concept: freedom! Whether it's thanks to becoming an empty nester, being newly retired, or just shaking off societal expectations, it’s all about you from now on. Here’s to prioritizing your mental and physical well-being!
Hearing and Vision
Along with declining vision, hearing loss is an issue: One-third of Americans in their late 60s and early 70s have hearing loss. And after 75, half of us will have difficulty hearing.
POWER UP: Ask for help, especially since this can be socially isolating. Today’s hearing aids are often more discreet than previous models, so don’t hesitate to talk with your doc about whether you’re a candidate. Only 30% of adults 70 and older who could use them ever have, reports the National Institute on Deafness and Other Communication Disorders.
Women are at higher risk of developing osteoporosis (about one-quarter of women age 65 and older in the U.S. suffer from it, versus less than 6% of men) because of rapid loss of bone density during and after menopause.
POWER UP: Take a proactive approach and get screened regularly for bone disease. You can help lower your odds of it by starting an exercise plan with weight-bearing movements (like walking, hiking, jogging, climbing stairs, weight training, and even dancing) and making sure you get enough calcium and vitamin D.
Somewhere between early adulthood and middle age, a compound in your cells called nicotinamide adenine dinucleotide (NAD+) begins a gradual decline. NAD+ helps power hundreds of metabolic processes and keeps a group of proteins called sirtuins active. You want them to stay active, since they can contribute to overall health and longevity.
Leonard Guarente, Ph.D., director of the Paul F. Glenn Center for Biology of Aging Research at MIT and chief scientist and cofounder of Elysium Health, discovered their role and importance. (Trailblazing research like this is one reason Elysium earned a GH Innovation Emblem.) He says sirtuins are the “guardians of health maintenance” in cells, which is why he and the Elysium Health team created Basis (from $40 a bottle), a supplement their research has shown boosts NAD+ levels.
While experts are able to make some generalizations about growing older, it’s a different experience for everyone. “People are very diverse in terms of their aging rates, and the level that one person hits by age 50, another may not hit until 60,” says Morgan Levine, Ph.D., assistant professor of pathology at Yale School of Medicine.
This is why many researchers also talk about biological age, a measurement focusing on biological markers that show how your systems are actually aging. “About 68% of people will have a biological age within five years of their chronological age, but you can also find individuals who are 10 years older or younger,” she explains.
You can’t stop aging, of course, but lifestyle choices make a real difference. And research is focusing on what else can be done. “People want to play an active role in their own health maintenance,” says Dr. Guarente. He and his team at Elysium Health are looking to develop a test that will let people find out and monitor their NAD+ levels.
The hypothesis is that NAD+ levels are a better measure of aging than chronological age. And in theory, knowing them would help people make profound changes. “Successful aging is not the imitation of youth,” says Dr. Rowe. “Making yourself look better on the outside won’t impact what’s going on inside.” At the end of the day, it’s internal functions that actually matter for our health and life span.