Reposted from Functional Medicine University.
How old are you really? Biological Age is the measure of your inner health, which is influenced by your genetics and your lifestyle choices.
Biological age is an effective indicator or your “true” age because it measures how well you taking care of your body be rating the damage your body has undergone in its lifetime. For example, a well maintained car will run for a very long time.
The same car, poorly maintained will breakdown within a few years. Likewise, your body requires proper maintenance to support a long and health life.
The following questionnaire provides an inner profile by measuring the extent of internal damage your body has accumulated. To achieve an accurate measure of your biological age, it is important to answer the questions as accurately and honestly as possible.
The Biological Age Questionnaire is divided into six sections with a total of 26 questions.
SECTION A – Chronological Age 1: What is your current age (in years)?
_____TOTAL SCORE (SECTION A)
SECTION B – Dietary Choices
2: How frequently do you eat fried, broiled, or barbequed foods?
Often (4)
Once a day (3)
Few times per week (2)
Once a week (1)
Almost Never (-2)
3: How often do you consume nutritional oils (not fried or heated)? example flax seed oil
Never (2)
Once a week (1)
Once a day (0)
2+ times per day (-1)
4: How many servings of fruits or vegetables do you consume? (1 serving= 1 cup)
Almost Never (3)
Few time per week (2)
One per day (1)
3 per day (-1)
5+ per day (-2)
5: How often do you consume whole grains and/or natural fiber? (example: whole wheat, pysllium, brown or wild rice)
Almost Never (3)
Once a Week (2)
Few times per week (1)
Often (-2)
6: How many glasses of water do you consume daily? (Water does not include coffee, black tea, soda or alcohol)
Almost Never (3)
One per day (2)
4 per day (1)
8 per day (0)
10+ per day (-2)
7: Do you consume sugar, soda, white flour, or other processed foods? (example: canned foods, fast foods, TV dinners, foods with preservatives added)
3+ times per week (3)
Once a day (2)
Few times per week (1)
Almost Never (-1)
8: How many alcoholic drinks do you consume per week?
12+ per week (3)
8 per week (2)
4 per week (1)
2 per week (0)
Almost Never (-1)
9: How often do you add salt to you food?
All food (3)
Daily (2)
Few times per week (1)
Once a month (0)
Almost Never (-1)
______ TOTAL SCORE (SECTION B)
SECTION C- Dietary Supplementation
10: Do you take a multi-vitamin?
Almost Never (2)
Once a week (1)
Few times per week (0)
Daily (-1)
11: Do you take anti-oxidants? (example: grape seed extract, selenium)
Almost Never (3)
Once a week (2)
Few times per week (1)
Daily (-2)
______ TOTAL SCORE (SCORE C)
SECTION D – Daily Activities
12: Do you exercise (30 or more minutes of continuous activity)?
Almost Never (3)
Once a week (2)
3 times per week (-2)
5+ times per week (-3)
13: When you exercise, do you do so for more than 2 hours? (If you do not exercise, please put “0” as your answer)
Most times (4)
50% of the time (2)
Almost Never (0)
14: Do you sleep well and awake rested?
Almost Never (3)
Sometimes (2)
Usually (0)
Always (-1)
15: How often do you have normal bowel movements?
Once a week (4)
Every 4 days (3)
Every second day (2)
Daily (0)
2+ times per day (-2)
______ TOTAL SCORE (SCORE D)
SECTION E – MEDICAL HISTORY
16: Is there a history of the following conditions in your family? (cancer, diabetes, heart disease, depression, obesity, liver disease, high cholesterol, high blood pressure)
2 or more (1)
Once (0)
None (-1)
17: Have you ever had any of the following conditions? (cancer, diabetes, heart disease, depression, obesity, liver disease, high cholesterol, high blood pressure)
2 or more (3)
One (2)
None (-2)
18: How frequently do you experience the following conditions? (headache, fever, sore throats, muscle aches (not exercise induced) colds or flu, rash, swelling)
Once a day (3)
Once a week (2)
Once a month (0)
Almost Never (-1)
19: Have you ever been exposed to heavy metals or toxic substances? (examples: mechanics, hair dressers, nail technicians, etc..)
Daily (4)
Weekly (3)
Monthly (2)
Almost Never (0)
20: Have you ever been exposed to heavy metals via dental work or fillings? (example: mercury fillings or other fillings)
3+ fillings (4)
2 fillings (3)
1 filling (2)
Never (0)
______ TOTAL SCORE (SECTION E)
SECTION F – STRESS
21: How many full meals do you eat per day? (a snack is not a full meal)
Never (3)
4+ per day (2)
3 per day (0)
2 per day (1)
One per day (2)
22: At work or at home, how often are you in front of electronic equipment? (example: computers, television, live cameras, electrical wires)
8+ hours per day (3)
6+ hours per day (2)
Few hours per day (1)
Almost Never (0)
23: How often are you exposed to cigarette smoke (direct or second hand)?
All day (4)
Few times a day (3)
Few times per week (1)
Almost Never (-1)
24: Do you use a recreational or street drugs?
2+ times per day (4)
Once a day (3)
Once a week (2)
Once a month (1)
Never (0)
25: Do you drive in heavy traffic?
For a living (3)
Daily (3+ hours) (2)
Daily (1-2 hours) (1)
Almost Never (-1)
26: At work and/or home, do you experience stress?
Very High (4)
High (3)
Moderate (2)
Slight (1)
Almost none (-2)
_____ TOTAL SCORE (SECTION F)
Calculating your Biological Age :
Add your scores from the following sections together to calculate your biological age
SECTION A: Chronological Age ______
SECTION B: Dietary Choices _______
SECTION C: Dietary Supplementation _____
SECTION D: Daily Activities ______
SECTION E: Medical History ______
SECTION F: Stress ______
TOTAL: ____ This is your biological age
How did you do?
How to interpret your results:
A: Minus 11 years or greater (Biological age is eleven or more years less than your chronological age): If you are you are presently 45 years old (chronological age), and you score reflects minus 11 years, then your biological age is 45 years minus 11 years which makes you 34 years old in biological terms General health picture is excellent. The right choices are being made to ensure your continued health
B: Minus 1-10 years (Biological age one to ten years less than your chronological age) General health picture is very good. Focus on maintaining your healthy lifestyle choices, diet, exercise and stress management
C: Biological age is the same as your chronological age General health picture is good. However, changes are required to achieve optimal health and maximize energy levels
D: 1-10 years plus (Biological age one to ten years greater than your chronological age) General health picture is fair. However, following the same lifestyle will cause your biological age to rise and heighten the risk of serious health problems
E: 11-20 years plus (Biological age eleven to twenty years greater than your chronological age) General history is average, as this is the most common health picture, with a moderate risk of health complications in the next five years. Energy and mobility are starting to decline and will continue to do so.
F: 21 years plus (Biological age twenty-one years greater than your chronological age) A chronic degenerative health picture, with a high risk of developing serious health complications. Energy and mobility will seriously decline in the next five years (if they have not already).
Source:
Grisanti, Ron, D.C., D.A.B.C.O., D.A.C.B.N., M.S. “How Old Are You Really? Take This Test And Find Out.” Functional Medicine University, n.d. Web. 26 Sept. 2014.
