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Can Identical Twins Have Different Biological Ages?

Healthy Ageing Research Article 1 of 9

Epigenetic clocks are partly heritable — yet person-specific influences become increasingly visible as twins grow older.

Authors
Thomas Byman & Tobias Byman TwinPare Research
Category
Research / Healthy Ageing & Biological Age
Language
English
Status
Published
Source status
Sources reviewed for publication
Last reviewed
2026-09-21
Reading time
7 min read
Twin research on healthy ageing & biological age and the interaction between genes, environment and lived health.

Two twins can share nearly the same DNA and the same birthday — yet a laboratory algorithm may still place them on different ageing trajectories.

That apparent contradiction is exactly why twins are so useful: they show that biological-age measures are neither pure genetics nor a simple lifestyle score.

Quick answer

Can identical twins age at different biological rates?

Yes. Twin studies show both genetic and person-specific environmental contributions to epigenetic-age measures, and different clocks capture different aspects of ageing.

Key takeaways

  • Epigenetic clocks estimate patterns in DNA methylation; they do not measure a literal age hidden inside the body.
  • Twin studies report meaningful genetic influence on some clocks, but person-specific environmental influence also matters.
  • Heritability differs between clocks and can change with age.
  • A biological-age result is a research marker, not a diagnosis or a guaranteed forecast.

One birthday, several biological clocks

Horvath-, Levine- and newer methylation clocks are built from different combinations of molecular signals. Longitudinal twin work shows that their genetic and environmental architecture is not identical.

That matters because a person can look 'older' on one clock and not another without either result being false; the tools are asking different biological questions.

Why twins drift apart with age

In older twins, person-specific environmental influences account for a larger share of variation in some epigenetic-age measures than in younger twins.

'Environment' here is broad: illness, exposures, medication, behaviour, stochastic biology and measurement-specific variation can all contribute.

TwinPare perspective: trend, not verdict

The most useful interpretation is not 'my body is exactly 47.3 years old'. It is that ageing can be described through several imperfect signals that may move differently over time.

That is why longitudinal personal baselines are more interesting than one dramatic snapshot.

Source notes

The sources have been verified and editorially reviewed for this article. The limitations below show which level of conclusion the sources support.

  1. [jylhava-2019] Longitudinal changes in the genetic and environmental influences on the epigenetic clocks across old age: Evidence from two twin cohorts Juulia Jylhävä et al.. EBioMedicine, 2019. Evidence type: Longitudinal Swedish and Danish twin cohorts examining genetic and person-specific environmental influences on epigenetic clocks Limitation: Different epigenetic clocks had different heritability estimates and changed differently with age; no single clock captures all of biological ageing. PubMed DOI
  2. [sillanpaa-2019] Leisure-time physical activity and DNA methylation age-a twin study Elina Sillanpää et al.. Clinical Epigenetics, 2019. Evidence type: Finnish twin cohort and co-twin analysis of DNA methylation age Limitation: Older-twin variance in DNA methylation age acceleration showed a larger person-specific environmental component than in younger twins; long-term leisure-time physical activity showed at most a minor association with the specific clock used. PubMed DOI
Editorial source review

This section shows how the article's key factual claims are linked to the source.

Phrasings that require caution

  • Do not market epigenetic age as a diagnosis.
  • Do not promise that a lifestyle change will reverse a specific number of biological years.
IDClaimSource supportCaution