Longevity.top

Evidence directory

Longevity interventions in the site’s house currency — years of life expectancy — with the confidence honesty the rest of the internet skips. The data supports what it supports.

Physical Activity & Cardiorespiratory FitnessEvidence A
Behaviour

The single most reliable dial you control: moving from unfit to fit buys years, and the biggest jump is off the bottom of the distribution.

≈ +4 years for the sedentary→fit shift, smaller with age

Smoking & QuittingEvidence A
Behaviour

The largest single modifiable mortality effect we know of, and one of the few where the recovery on quitting is almost as dramatic as the damage.

~10 years lost by current smokers; most recoverable if you quit before 40

Body Weight & BMIEvidence A
Body

A J-shaped mortality curve where the cost of high BMI is real and graded, and the apparent benefit of being slightly heavy is mostly sick people who lost weight.

J-shaped; roughly −2 to −8 years across the obesity bands vs normal BMI

Sleep DurationEvidence B
Behaviour

A U-shaped curve where both ends cost you, but the long-sleep arm is largely sick people sleeping more, not sleep making them sick.

U-shaped; short and long sleep each cost ~1–2 years

AlcoholEvidence B
Behaviour

The famous J-curve was mostly a statistical mirage; the honest reading is that risk rises with dose and the "healthy glass of red" was wishful thinking.

heavy drinking ~−3 years; the 'moderate benefit' is largely confounding

GLP-1 Agonists (Semaglutide, Tirzepatide)Evidence B
Pharmacology

A genuinely effective drug class whose mortality benefit is real, modest, and mostly routed through weight and metabolic risk the calculator already prices — so we do not double-count it.

no direct life-expectancy RCT yet; cardiovascular-mortality signal (SELECT trial) is real but modest, and it acts largely THROUGH weight and metabolic risk we already count

RapamycinEvidence C
Pharmacology

The most interesting molecule in the longevity conversation and the one with the least human evidence — genuinely impressive in mice, entirely unproven in people, and given zero calculator years on purpose.

no human life-expectancy evidence; strong in mice, unproven in people — shown here as directory content, NOT as a year-effect in the calculator