The narrower the difference between your biological age and actual age the lower the risk of a stroke and the health of your brain.
The study involved 250,000 people. The scientists measured the level of 18 biomarkers in their blood to obtain their biological age. Brain scans were also done to a section of individuals.
Individuals that bridged the difference between their biological and chronological ages during the intervention were 23% less likely than the rest to experience a stroke in the future.
The research does not demonstrate that the reduction of the age gap is the reason of the reduced stroke risk and positive brain health changes. It only shows an association.
According to researchers, a healthy diet, regular exercise, proper sleep and blood pressure management can contribute to the age gap in the biology of the body, although this study has not assessed any lifestyle program.
The article is a preliminary study published in March of 2026 will be presented at the American Academy of Neurology 78th Annual Meeting in April 18-22, 2026 in Chicago. It found that the closer your biological age is to your chronological age, the lower the risk of stroke and the better the signs of damage in the brain.

Betterment of age gap

The research does not demonstrate that betterment of the age gap is the reason behind better brain health; it only presents a correlation.

The researcher Cyprien Rivier of Yale University and an American Academy of Neurology member, said that efforts to “change our biological age may be one of the ways to help our brains stay healthy. Lifestyle habit, such as healthy diet, physical activity, sleep and good blood pressure management, which can help to prevent cardiovascular and metabolic disease, might help reduce the biological age difference, but we did not assess lifestyle interventions in the study.”

In the study, the biological age of 258,169 individuals of a health care research database was analyzed. They quantified 18 biomarkers in the blood, including cholesterol, average red blood cell volume and white blood cell count, to assess biological age at the beginning of the study and six years later in a sub-group of the participants. Researchers then found the participants who had a stroke after an average of 10 years. A group of the participants also administered tests on memory and thinking ability and brain scans to examine indications of brain damage.

In the beginning of the study, the biological age of the participants was 54 on average and their real age was 56. Their actual age was 62 years but on average, they were 58 years biologically six years on.

Individuals whose biological age was more than their chronological age at the conclusion of the study exhibited poorer brain scans and also poorer scores in the cognitive tests. They were also at a higher risk of stroke by 41 percent.

Those who lengthened the distance between their biological and chronological ages between the beginning of the study and the repeat measure had their risks of developing a stroke in the follow-up phase reduced by 23%.

Individuals who had some improvement also contained a smaller amount of white matter hyperintensities, an indicator of tissue damage to the white matter, by the conclusion of the study compared to those who had no amelioration in their biological age gaps. The overall amount of damage that they could do was 13 per cent less with each standard deviation of progress.

These outcomes factored in other factors that might influence the risk of stroke and damage to the brain including high blood pressure and other blood vessels conditions and socioeconomic outcomes.

Study’s Insufficiency

One of the weaknesses of the research was that although it identified correlations, it was not a causal study. In addition, only a smaller number underwent repeat blood tests and this does not allow the researcher to draw conclusions of change over time especially on cognitive tests.