Biological Age Calculator Methodology

Outliyr Β· Methodology Β· v1

How we measure biological age.

Outliyr Biological Age composes eight published scientific frameworks into one outcome metric. Every sub-age is transparent β€” inputs, weights, reference curves, and citations are listed in the open.

← Back to the calculator

Cardiovascular

Formula version: 1.0.0

Inputs

  • vo2max β€” tier l3, weight 0.28
  • resting_hr_avg β€” tier l3, weight 0.14
  • hrv_avg β€” tier l3, weight 0.10
  • stair_climb_q β€” tier l1, weight 0.12
  • exercise_minutes_week β€” tier l1, weight 0.10
  • smoker β€” tier l1, weight 0.10
  • apob β€” tier l2, weight 0.08
  • lpa β€” tier l2, weight 0.04
  • bp_self_report β€” tier l1, weight 0.04

Citations

  • Mandsager K et al. JAMA Netw Open 2018 β€” cardiorespiratory fitness and mortality
  • Ridker PM. Circulation 2008 β€” apoB and cardiovascular risk
  • ACC/AHA 2013 β€” pooled cohort risk equations

Metabolic

Formula version: 1.0.0

Inputs

  • fasting_glucose β€” tier l2, weight 0.22
  • hba1c β€” tier l2, weight 0.22
  • homa_ir β€” tier l2, weight 0.16
  • fasting_insulin β€” tier l2, weight 0.10
  • waist_cm β€” tier l1, weight 0.14
  • fasting_tolerance_q β€” tier l1, weight 0.08
  • post_meal_crash_q β€” tier l1, weight 0.08

Citations

  • Matthews DR et al. Diabetologia 1985 β€” HOMA-IR
  • IDF 2006 β€” Metabolic Syndrome consensus

Inflammatory

Formula version: 1.0.0

Inputs

  • hs_crp β€” tier l2, weight 0.32
  • homocysteine β€” tier l2, weight 0.18
  • fibrinogen β€” tier l2, weight 0.12
  • ferritin β€” tier l2, weight 0.10
  • joint_pain_q β€” tier l1, weight 0.10
  • fatigue_q β€” tier l1, weight 0.08
  • allergy_load_q β€” tier l1, weight 0.05
  • alcohol_recovery_q β€” tier l1, weight 0.05

Citations

  • Ridker PM. Circulation 2008 β€” hs-CRP and cardiovascular risk
  • Refsum H et al. Clin Chem 2004 β€” homocysteine reference ranges

Immune

Formula version: 1.0.0

Inputs

  • illness_frequency_q β€” tier l1, weight 0.22
  • recovery_time_q β€” tier l1, weight 0.18
  • viral_reactivation_q β€” tier l1, weight 0.15
  • autoimmune_q β€” tier l1, weight 0.12
  • antibiotic_use_q β€” tier l1, weight 0.08
  • vitamin_d β€” tier l2, weight 0.15
  • neutrophil_lymphocyte_ratio β€” tier l2, weight 0.10

Citations

  • Sayed N et al. Nat Aging 2021 β€” iAge inflammatory clock
  • Shen-Orr SS et al. Cell Syst 2016 β€” IMM-AGE immune trajectory

Musculoskeletal

Formula version: 1.0.0

Inputs

  • chair_stand_30s β€” tier l1, weight 0.28
  • pushups_one_set β€” tier l1, weight 0.18
  • stair_pace_q β€” tier l1, weight 0.12
  • groceries_in_one_trip_q β€” tier l1, weight 0.08
  • grip_strength_kg β€” tier l1, weight 0.12
  • recent_injury_q β€” tier l1, weight 0.07
  • activity_load_avg β€” tier l3, weight 0.15

Citations

  • Leong DP et al. Lancet 2015 β€” grip strength + mortality
  • Bohannon RW. Percept Mot Skills 2006 β€” 30-sec chair stand reliability

Neuro-cognitive

Formula version: 1.0.0

Inputs

  • cognition_q β€” tier l1, weight 0.22
  • brain_fog_q β€” tier l1, weight 0.18
  • sleep_consistency_q β€” tier l1, weight 0.12
  • word_recall_q β€” tier l1, weight 0.10
  • homocysteine β€” tier l2, weight 0.12
  • vitamin_d β€” tier l2, weight 0.08
  • sleep_rem_avg β€” tier l3, weight 0.10
  • sleep_deep_avg β€” tier l3, weight 0.08

Citations

  • Buysse DJ et al. Psychiatry Res 1989 β€” PSQI
  • Seshadri S et al. NEJM 2002 β€” homocysteine + cognitive decline
  • Smith AD et al. Proc Natl Acad Sci USA 2010 β€” B-vitamins + brain atrophy

Hormonal / Stress

Formula version: 1.0.0

Inputs

  • pss10_total β€” tier l1, weight 0.22
  • hpa_cluster_q β€” tier l1, weight 0.14
  • energy_curve_q β€” tier l1, weight 0.08
  • testosterone_total β€” tier l2, weight 0.12
  • testosterone_free β€” tier l2, weight 0.08
  • shbg β€” tier l2, weight 0.06
  • dhea_s β€” tier l2, weight 0.06
  • cortisol_am β€” tier l2, weight 0.06
  • tsh β€” tier l2, weight 0.06
  • hrv_stress_avg β€” tier l3, weight 0.12

Citations

  • Cohen S et al. J Health Soc Behav 1983 β€” PSS-10
  • Bhasin S et al. J Clin Endocrinol Metab 2010 β€” testosterone reference

Sleep / Circadian

Formula version: 1.0.0

Inputs

  • meq_total β€” tier l1, weight 0.18
  • psqi_global β€” tier l1, weight 0.22
  • sleep_duration_hours_q β€” tier l1, weight 0.12
  • sleep_consistency_q β€” tier l1, weight 0.10
  • nocturnal_waking_q β€” tier l1, weight 0.08
  • sleep_total_avg β€” tier l3, weight 0.12
  • sleep_efficiency_avg β€” tier l3, weight 0.10
  • sleep_timing_std_hours β€” tier l3, weight 0.08

Citations

  • Horne JA, Γ–stberg O. Int J Chronobiology 1976 β€” MEQ
  • Buysse DJ et al. Psychiatry Res 1989 β€” PSQI