June 20, 2025

Top Habits of People Who Live Past 90

Longevity isn’t luck. It’s a pattern.

While genetics account for only 20–30% of your lifespan, the rest comes down to daily decisions — the small habits that add up over decades.

Here’s what people who live well into their 90s actually do differently:

They Move Every Day

They move every day — but not in a gym. Walking, gardening, using their bodies throughout the day.

It’s consistent low-intensity movement that keeps their metabolism and joints working. This type of natural movement pattern mimics how our ancestors lived and prevents the sedentary lifestyle diseases that plague modern society.

They Stop Eating Early

The Okinawan practice of hara hachi bu (80% full) protects against overeating, insulin resistance, and metabolic dysfunction. This ancient wisdom helps maintain healthy weight and reduces the strain on digestive systems that comes with chronic overeating.

Their Diet Is Simple

Think legumes, leafy greens, olive oil, nuts, and minimal sugar. Meat is rare. Fiber is high. Food is local.

Their approach focuses on nutrient-dense whole foods that provide sustained energy without inflammatory processed ingredients.

They’re Deeply Connected

Longevity is tied to strong social bonds. Daily face-to-face connection (family, neighbors, purpose-driven communities) buffers against stress and isolation.

These meaningful relationships provide emotional support and reduce the health risks associated with chronic loneliness.

They Have Purpose

Purpose (ikigai) post-retirement is a massive predictor of health. It reduces cardiovascular risk, boosts mental clarity, and supports emotional resilience.

Having something meaningful to contribute keeps the mind sharp and provides motivation for self-care well into advanced age.

They Sleep Well

Seven to nine hours of high-quality, circadian-aligned sleep improves hormone balance, recovery, and brain health. They rise with the sun, maintaining natural sleep-wake cycles that optimize their body’s repair processes.

They Manage Stress

Breathwork, prayer, walking, and time in nature help regulate cortisol. They don’t glorify burnout — they value rhythm.

These centenarians understand that chronic stress accelerates aging, so they prioritize practices that activate their parasympathetic nervous system.

Conclusion

You don’t need biohacks to live a long, healthy life. You need consistency with the basics — the ones that actually move the needle.

Conclusion

You don’t need biohacks to live a long, healthy life. You need consistency with the basics — the ones that actually move the needle.

The path to longevity comes down to seven fundamental practices:

  • Daily movement — Natural, low-intensity activity throughout the day
  • Mindful eating — Stop at 80% full to prevent overeating
  • Simple, whole foods — Plant-rich diet with minimal processing
  • Deep connections — Strong social bonds and face-to-face relationships
  • Clear purpose — Having a meaningful reason to wake up each day
  • Quality sleep — 7-9 hours aligned with natural circadian rhythms
  • Intentional stress management — Regular practices that regulate cortisol

These aren’t complex or expensive interventions — they’re simple lifestyle choices that compound over decades into extraordinary health spans.

If you’re ready to build a lifestyle that supports high performance and health span, fill out my survey to see if I’m the right doctor for you.