The 9 Hallmarks of Aging and How to Slow Them Down Naturally

Aging isn’t just about wrinkles or gray hair. It starts deep inside your cells — in the microscopic machinery that powers your body, repairs damage, and keeps you feeling strong.

Over the last few decades, scientists have identified nine core biological changes, now called the Hallmarks of Aging, that explain why our bodies break down over time. Understanding these processes can help you take targeted steps to slow them down, improve your healthspan, and possibly add years to your life.

Below, we’ll walk through each hallmark, draw connections to ancient longevity wisdom, explore dietary patterns from the world’s longest-living cultures, and review the best lifestyle strategies, exercises, and supplements for healthy aging.

1. Altered Cellular Communication

Cells constantly send and receive biochemical signals to coordinate everything from immune responses to tissue repair. When this signaling becomes disrupted — often from inflammation, hormonal imbalances, or metabolic issues — the body’s “internal messaging system” starts to break down.

For example, insulin resistance is essentially a miscommunication between cells about how to handle blood sugar. Over time, poor signaling contributes to chronic inflammation, slow healing, and immune dysfunction.

2. Microbiome Dysbiosis

Your gut is home to trillions of microbes that directly influence immunity, metabolism, mood, and inflammation. A balanced microbiome supports healthy signaling between the gut and brain, while an imbalanced one (caused by antibiotics, poor diet, or chronic stress) fuels inflammation and disease.

Studies have linked gut dysbiosis to neurodegenerative conditions, obesity, and shortened lifespan.

3. Epigenetic Imbalance

Your DNA may be fixed, but how it’s expressed is influenced by lifestyle, diet, environment, and even emotions. This is called epigenetics — the process that turns certain genes on or off.

Positive lifestyle shifts (like exercise, clean eating, and stress management) can activate longevity genes such as SIRT1 and FOXO3. Poor sleep, processed foods, and toxins push the switch toward inflammation and disease.

4. Mitochondrial Dysfunction

Your mitochondria are tiny “power plants” that generate ATP — the energy currency for your cells. With age, they become less efficient, leading to fatigue, brain fog, muscle weakness, and slower healing.

Oxidative stress, toxins, and chronic inflammation speed up this decline. Nutrients like CoQ10, PQQ, and NAD+ boosters may help restore mitochondrial performance.

5. Oxidative Stress

Free radicals are unstable molecules that damage DNA, proteins, and cell membranes. While your body naturally produces them during energy production, excess free radicals — from pollution, poor diet, or smoking — accelerate aging.

Antioxidants from foods like berries, leafy greens, and turmeric help neutralize this damage.

6. Inflammaging

This term describes low-grade, persistent inflammation that builds up over decades, even without obvious symptoms. It’s strongly linked to cardiovascular disease, autoimmune conditions, dementia, and cancer.

Key drivers include a poor diet, leaky gut, toxin exposure, chronic stress, and poor sleep.

7. Impaired Autophagy

Autophagy is your cells’ built-in “recycling program,” breaking down damaged proteins and cell parts for reuse. Without regular clean-up, waste builds up, impairing repair processes.

Fasting, exercise, and certain plant compounds (like EGCG from green tea) stimulate autophagy and support healthy aging.

8. Cellular Senescence

Senescent cells are damaged cells that no longer divide but refuse to die. They release toxic chemicals that damage surrounding healthy cells, creating a pro-inflammatory environment.

Researchers are studying senolytic compounds like fisetin and quercetin for their ability to clear senescent cells.

9. Stem Cell Exhaustion

Stem cells are your body’s master repair system. Over time, they become less active, slowing tissue regeneration and immune resilience.

Strategies like fasting, caloric restriction, and certain peptides/nutrients (e.g., NMN, GHK-Cu) may help rejuvenate stem cell activity.

Ancient Longevity Wisdom: The Three Treasures

Long before modern biology, traditional healing systems understood that health depends on balancing three core forces:

  • Jing (Essence): Inherited vitality, preserved through rest, nutrient-rich diets, and avoiding burnout.
  • Qi (Energy): Life force powered by healthy breathing, circulation, and metabolism.
  • Shen (Spirit): Emotional and spiritual well-being, nurtured through purpose, relationships, and gratitude.

These concepts mirror Ayurveda’s Prana, Ojas, and Tejas, and even Biblical principles of caring for body, soul, and spirit.

Lessons from the Blue Zones

In regions like Okinawa, Sardinia, and Loma Linda, people live measurably longer, healthier lives. Researchers found nine shared lifestyle traits, known as the Power 9, which include:

  • Moving naturally throughout the day
  • Eating mostly plant-based, whole foods
  • Maintaining strong social connections
  • Managing stress through rituals and rest
  • Having a clear sense of purpose

What Are The Best Exercises for Longevity?

Data from large, long-term studies show that racquet sports (tennis, badminton, pickleball), swimming, and cycling offer the biggest boosts in life expectancy — sometimes adding nearly a decade of healthy life.

What Are Herbs & Supplements for Healthy Aging?

Some of the most researched options include:

  • Turmeric (Curcumin) – Potent anti-inflammatory and antioxidant.
  • Ashwagandha – Supports stress resilience and hormonal balance.
  • Rhodiola – Enhances energy and mental focus.
  • CoQ10 – Supports mitochondrial energy production.
  • NAD+ Precursors (NR, NMN) – Promote DNA repair and cellular metabolism.

What Are Lifestyle Foundations for Longevity?

While supplements can help, lifestyle remains the most powerful lever for healthy aging:

  • Sleep: 7–9 hours per night
  • Social bonds: Strong connections and purpose-driven living
  • Stress management: Breathwork, meditation, prayer
  • Nature exposure: Sunlight, green spaces, grounding
  • Healthy eating: Whole foods, balanced macros, minimal processed foods
  • Fasting: Supports autophagy and metabolic health

Aging is Inevitable

Aging is inevitable — but how you age is largely within your control. By addressing the nine hallmarks of aging, drawing on both modern science and ancient wisdom, and making intentional daily choices, you can extend not just your lifespan but your healthspan — the years you feel vibrant, capable, and alive.

Dr. Josh Axe

Dr. Josh Axe DNM, DC, CNS, is a certified doctor of natural medicine, doctor of chiropractic, clinical nutritionist and founder of one of the largest natural health websites in the world, draxe.com. He is the founder of The Health Institute, bestselling author of Eat Dirt and Ancient Remedies, and the co-founder of Ancient Nutrition and founder of Leaders.com.