Environmental Factors Play Larger Role than Genetics in Lifespan and Age-Related Diseases, Study Finds

A groundbreaking study by researchers at Oxford University and other institutions has revealed that environmental and lifestyle factors substantially influence lifespan and age-related diseases more than genetic predisposition. The research, published in Nature Medicine, analyzed data from nearly half a million participants in the UK Biobank.

The study found that while genetic risk factors explained only about 2% of the variation in mortality rates beyond age and sex, environmental exposures – including factors like smoking, physical activity, sleep patterns, and socioeconomic conditions – accounted for an additional 17%. This suggests that modifiable lifestyle factors are much more significant in determining longevity than inherited genetic risks.

“Our findings demonstrate that environment-focused interventions are possibly the most strategic starting point for ameliorating premature mortality and most age-related morbidity,” the researchers noted. The study identified 25 key environmental factors that independently influenced mortality risk and biological aging, with smoking, socioeconomic status, physical activity, and sleep patterns emerging as particularly important.

The research also revealed interesting patterns in how genes versus environment influence different diseases. Genetic factors had a more substantial influence on conditions like breast cancer, prostate cancer, Alzheimer’s disease, and dementia. However, environmental factors played a much more significant role in lung, heart, and liver diseases.

These findings help explain a remarkable historical observation: human lifespan has nearly doubled over the past 200 years, while our genetic makeup has remained essentially unchanged. This dramatic improvement in life expectancy can be attributed to changes in environmental conditions and lifestyle factors rather than genetic evolution.

The study’s comprehensive approach sets it apart from previous research. By simultaneously analyzing genetic data, environmental exposures, and health outcomes in such a large population, the researchers could map out the relative contributions of nature versus nurture in unprecedented detail.

These results suggest that public health initiatives focusing on modifiable lifestyle factors and environmental conditions could substantially impact extending healthy lifespans. While we cannot change our genetic inheritance, we have considerable control over many environmental factors that influence our longevity and health as we age.

The study’s findings reinforce the importance of maintaining healthy lifestyle habits and addressing socioeconomic factors that affect health outcomes. They also suggest that personalized medicine approaches might be more effective if they consider genetic and environmental factors to assess disease risks and develop prevention strategies.

Reference: Argentieri MA, Amin N, Nevado-Holgado AJ, Sproviero W, Collister JA, Keestra SM, Kuilman MM, Ginos BNR, Ghanbari M, Doherty A, Hunter DJ, Alvergne A, van Duijn CM. Integrating the environmental and genetic architectures of aging and mortality. Nat Med. 2024 Feb 19.