Korawat photo shoot/Shutterstock
Life is undeniably brief, yet every generation seeks ways to add healthy years. According to the Centers for Disease Control and Prevention (CDC), the 2022 average life expectancy for a U.S. adult is 77.5 years. Women, on average, live slightly longer than men, at 74.8 years versus 80.2 years respectively. While genetics and unforeseen events play a role, our everyday choices wield significant influence over how long we live.
Adopting a balanced routine that nurtures the body, mind, and social connections can propel many adults toward 90 years or beyond. Eliminating harmful habits—whether they involve diet, movement, sleep, or stress—can markedly improve longevity.
Christopher Malcolm/Getty Images
Modern American life is heavily sedentary, with desks, commutes, and screens dominating our days. Regular movement is vital for all bodily systems, especially the cardiovascular system, which the CDC identifies as the primary driver of mortality. In 2022 alone, heart disease claimed 702,880 lives in the U.S. A lack of exercise is a well‑documented contributor to heart failure.
Most health experts recommend at least 150 minutes of moderate aerobic activity each week—roughly 30 minutes on most days. Activities you enjoy—walking, cycling, swimming—strengthen the heart, lower blood pressure, and reduce the risk of future cardiac events.
Luis Alvarez/Getty Images
While aerobic exercise is essential, resistance training offers complementary benefits. A study in the British Journal of Sports Medicine involving 99,713 adults found that both aerobic and resistance workouts independently lowered the risk of heart disease and cardiovascular death. The combination of the two types yielded the greatest benefit.
Aim for one to two resistance sessions per week, spaced on non‑consecutive days. These can be performed with free weights, resistance bands, body‑weight exercises, or even household tasks like gardening. Variety keeps the routine engaging and supports overall health.
New Africa/Shutterstock
Sleep is a fundamental biological need that many adults overlook. Research indicates that sleeping fewer than six hours nightly is linked to higher rates of chronic disease and shorter lifespan, including heart disease, diabetes, and even dementia. Conversely, oversleeping can also raise the risk of premature death, possibly because it replaces daytime activity or signals underlying health issues.
A consistent 6–8 hour sleep window is associated with the lowest mortality risk, though individual needs may vary. Prioritizing sleep hygiene—regular bedtime, dark environments, and reduced caffeine—can help achieve this goal.
Jordi Salas/Getty Images
Acute stress is a normal part of life, but chronic stress releases hormones like cortisol and adrenaline that can elevate blood pressure and constrict arteries. A 2022 cohort study in The Lancet linked stress disorders to increased premature death, while a 2020 JAMA Psychiatry paper found that severe anxiety and depression raised mortality risk by up to 134%.
Stress‑management practices—yoga, deep‑breathing, mindfulness, and regular physical activity—lower hormone levels and improve cardiovascular health. Cultivating a positive mindset, setting boundaries, and engaging in enjoyable hobbies also help keep stress in check.
Lyndon Stratford/Getty Images
As responsibilities grow, social time often takes a back seat. Studies reveal that chronic loneliness and perceived isolation are associated with a 32% increase in premature death across multiple decades. Loneliness also elevates cardiovascular risk, according to BMC Medicine.
Rekindle old connections with a coffee date or phone call, and consider joining volunteer groups, community clubs, or local events to meet new people and counter feelings of isolation.
Sophonnawit Inkaew/Getty Images
Smoking shortens life expectancy by an average of 10 years and remains the leading cause of preventable death in the U.S., as noted by the CDC. A 2024 NEJM editorial warned that 50–70% of the 1.1 billion smokers worldwide will die from tobacco‑related illnesses.
Smoking raises the risk of lung cancer, other cancers, coronary heart disease, and chronic obstructive pulmonary disease (COPD). Quitting at a younger age dramatically reduces these risks and extends lifespan.
Sally Anscombe/Getty Images
While moderate red wine has been associated with certain heart benefits due to resveratrol, the overall evidence is mixed. A 2023 Gallup poll found 62% of U.S. adults drink regularly, yet heavy consumption—more than 25 drinks per week—can shorten life by four to five years.
Consult your healthcare provider to assess whether moderate drinking is safe for you, and avoid initiating alcohol consumption solely for potential benefits.
Zero Creatives/Getty Images
Nearly half of U.S. adults try a new diet each year, but many diets are restrictive and unsustainable. The resulting weight cycling—yo‑yo dieting—leads to muscle loss and increases the risk of liver and heart disease. Research shows that individuals experiencing weight fluctuations are up to 40% more likely to suffer a stroke or heart attack.
Steady progress through balanced nutrition, fiber‑rich foods, regular exercise, and strength training offers a more reliable path to long‑term health and reduces the danger of premature death.
Nicoleta Ionescu/Shutterstock
Artificial sweeteners rose in popularity as calorie‑free alternatives to sugar. While they can be useful in moderation—especially for people with diabetes—studies present mixed evidence regarding cancer risk. However, some sweeteners have been linked to cardiovascular disease, stroke, and gastrointestinal disturbances.
The World Health Organization advises limiting artificial sweetener intake, as they are not proven to lower mortality and can contribute to other serious health conditions.
Photographer, Basak Gurbuz Derman/Getty Images
Excess sodium intake is a well‑established risk factor for heart disease, kidney disease, and gastrointestinal cancers. While the WHO recommends 1,500–2,300 mg per day, the average adult consumes 4,310 mg—a figure associated with 1.89 million annual deaths.
Reduce sodium by cooking at home with whole foods, using herbs and spices instead of salt, and limiting processed foods, deli meats, soups, and sauces.
Jacob Wackerhausen/Getty Images
Annual check‑ups can be challenging to schedule, especially for those without insurance. A 2018 University of Chicago survey found 40% of adults forgo medical care due to cost. Yet a yearly physical offers an opportunity to detect early signs of heart disease, cancer, diabetes, and respiratory conditions before symptoms arise.
During a comprehensive exam, clinicians review blood pressure, blood tests, cardiovascular assessment, and screening for common cancers. Identifying and treating early abnormalities can be life‑saving.