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Heavy Alcohol Use Linked to Greater Epigenetic Age in Women

GrimAge yielded conclusive results that other clocks did not.

Elderly woman drinking alcoholElderly woman drinking alcohol

A study funded by the National Institutes of Health has found that excessive alcohol consumption increases the epigenetic age of non-Hispanic White women according to the GrimAge epigenetic clock.

A large study with a few conclusive results

This study, the first of its kind to show a relationship between alcohol use and epigenetic age, consisted of 2,316 women with a median age of 55.3 years. It used four epigenetic clocks: Hannum, Horvath, PhenoAge, and GrimAge, a recently developed clock that has been vaunted for its accuracy. The difference between a person’s chronological age and epigenetic age is known as acceleration: the “Accel” of each clock. 

While neither recent alcohol consumption nor a history of binge drinking were shown to have any epigenetic effects, according to GrimAgeAccel, an additional 135 alcoholic drinks per year over a lifetime were responsible for an average of four additional months of epigenetic aging when other lifestyle and economic factors, such as exercise, education, BMI, waist-to-hip ratio, and smoking, were controlled for.

However, these conclusive results actually came from the highest quintile of drinkers. All of the other quintiles, even with GrimAgeAccel, had inconclusive results; even women who drank a lifetime average of slightly less than one alcoholic drink every other day were not shown to experience any additional epigenetic aging. The highest quintile of drinkers drank an average of 327 drinks a year, and when their measurements were controlled for other factors, they were shown to have an average GrimAgeAccel of approximately nine months over people in the first quintile, who only drank an average of 7 drinks a year.

Study results on alcohol and epigenetic age

The only other conclusive results from this study came from the Hannum clock, which reported that current drinkers were physically a year older than their never-drinking counterparts, and additional GrimAge results showing that former drinkers were a year older than their never-drinking counterparts. However, women who never drank alcohol only constituted 3% of this study’s participants, and they may have also been engaged in other healthy behaviors that reduce their epigenetic age.


Epigenetic age acceleration is considered a measure of biological aging based on genome-wide patterns of DNA methylation. Although age acceleration has been associated with incidence of diseases and death, less is known about how it is related to lifestyle behaviors. Among 2,316 women, we evaluate associations between self-reported alcohol consumption and various metrics of epigenetic age acceleration. Recent average alcohol consumption was defined as the mean number of drinks consumed per week within the past year; lifetime average consumption was estimated as the mean number of drinks per year drinking. Whole blood genome-wide DNA methylation was measured with HumanMethylation450 BeadChips and used to assess four epigenetic clocks (Hannum, Horvath, PhenoAge, GrimAge) and their corresponding metrics of epigenetic age acceleration (Hannum AgeAccel, Horvath AgeAccel, PhenoAgeAccel, GrimAgeAccel). Although alcohol consumption showed little association with most age acceleration metrics, both lifetime and recent average consumption measures were positively associated with GrimAgeAccel (lifetime, per additional 135 drinks/year: β=0.30 years, 95% CI: 0.11, 0.48, p=0.002; recent, per additional 5 drinks/week: β=0.19 years, 95% CI: 0.01, 0.37, p=0.04). In a mutually adjusted model, only average lifetime alcohol consumption remained associated with GrimAgeAccel (lifetime, per additional 135 drinks/year: β=0.27 years, 95% CI: 0.04, 0.50, p=0.02; recent, per 5 additional drinks/week: β=0.05 years, 95% CI: -0.16, 0.26, p=0.64). Although alcohol use does not appear to be strongly associated with biological age measured by most epigenetic clocks, lifetime average consumption is associated with higher biological age assessed by the GrimAge epigenetic clock.


This study showed conclusive results in only a few areas, and its lack of results in other areas can be taken to support the idea that moderate alcohol use does not significantly affect epigenetic aging. Additionally, while this study controlled for many factors, it is conceivable that the heaviest alcohol drinkers were also engaged in other negative behaviors that had effects on epigenetic age.

However, this study was specifically on the effects of alcohol use on epigenetics and not any other biomarker, and it obviously does not invalidate the fact that alcoholism often leads to serious psychological and physical problems that can drastically shorten lifespan. It also does not have anything to do with the catastrophic and frequently fatal consequences of inebriation under adverse circumstances (such as drunk driving).

Therefore, while light and moderate drinkers are unlikely to be noticeably epigenetically aging themselves through their alcohol consumption, they must always keep in mind that many things that are not directly related to aging can still put an abrupt halt to their quest for longevity.

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About the author
Josh Conway

Josh Conway

Josh is a professional editor and is responsible for editing our articles before they become available to the public as well as moderating our Discord server. He is also a programmer, long-time supporter of anti-aging medicine, and avid player of the strange game called “real life.” Living in the center of the northern prairie, Josh enjoys long bike rides before the blizzards hit.
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