How Hyperbaric Oxygen Therapy (HBOT) May Reverse the Biology of Aging
- peyton baumgartel
- Dec 4
- 3 min read

Science has long sought ways to slow down, or even reverse, the aging process. While traditional approaches focus on lifestyle or supplements, a growing body of research is uncovering something far more profound: hyperbaric oxygen therapy (HBOT) may have the power to influence aging at the genetic level.
Recent studies show that HBOT doesn’t just help wounds heal or boost recovery; it can also affect how our genes behave, improving cellular repair, reducing inflammation, and even reversing biological age.
Oxygen and the Epigenetic Clock
Our biological age, how “old” our cells really are, doesn’t always match the number of candles on our birthday cake. Instead, scientists measure aging using epigenetic markers, chemical tags on our DNA that control which genes turn on or off. Over time, these tags shift in ways that cause our cells to function less efficiently, leading to aging and disease.
A groundbreaking study recently examined how different HBOT pressures, high pressure (2.0 ATA) versus mild pressure (1.3 ATA), influence these epigenetic patterns. Using genome-wide analysis, researchers tracked how HBOT changed gene activity and biological age over time.
The findings were remarkable.
During the early sessions, the high-pressure group showed a brief increase in aging markers, likely due to short-term oxidative stress. But by the 50-hour mark, that same group experienced a greater reversal of biological age than the mild-pressure group. Meanwhile, the mild-pressure group showed a steady and consistent reversal throughout the treatment period.
Both groups got younger, just in different ways.
Different Pressures, Different Benefits
HBOT influences the body’s gene expression differently depending on the pressure:
High-pressure HBOT (2.0 ATA) triggered changes in over 1,000 epigenetic sites linked to DNA repair, mitochondrial function, and tumor suppression, all crucial factors for longevity.
Mild-pressure HBOT (1.3 ATA) activates genes that reduce inflammation, balance immune function, and support neurological health.
These findings suggest that HBOT at different pressures may target distinct pathways in the body, both leading to healthier, more resilient cells.
Reprogramming the Cells for Health
Every cell in our body contains the same DNA, but not every cell reads the same “pages” of that genetic manual. The epigenome acts like an editor, determining which genes are active and which stay silent. Aging can disrupt that editing process, causing confusion at the cellular level.
HBOT appears to restore that control. By supplying oxygen under pressure, HBOT enhances mitochondrial function, promotes cellular repair, and improves gene regulation, essentially helping the body remember how to function as it did at a younger age.
More Than Just Oxygen: A Metabolic Shift
Beyond gene expression, researchers found that HBOT supports a powerful metabolic shift. Cells became better at burning fat instead of sugar for energy, producing more ATP, the body’s cellular fuel. This improved energy production supports tissue repair and resilience across the body.
Even the mild-pressure sessions were linked to early signs of soft tissue and bone repair, confirming what clinicians often observe: HBOT promotes healing at every level, from microvascular repair to full-body regeneration.
Among the Top Longevity Interventions
In a recent Yale-led meta-analysis of 51 longevity interventions, both high- and low-pressure HBOT ranked among the top four most effective strategies for improving biological age. The only treatments ranking higher were life-saving medications for chronic illnesses such as HIV (retroviral medication) and diabetes (metformin).
Retroviral medication for patients with HIV/AIDS
Metform for Diabetics
High-Pressure HBOT
Low-Pressure HBOT
That means for healthy individuals looking to extend their health span, the number of years lived in good health, HBOT may very well be one of the most powerful, natural options available today.
A Personalized Approach to Longevity
One of the most intriguing outcomes of this research is the idea that different HBOT pressures produce different benefits. There may not be a one-size-fits-all protocol. Instead, rotating between mild and higher pressures could unlock complementary effects on cellular health and repair.
This individualized approach, tailoring HBOT to each person’s biology and goals, is the future of regenerative and longevity medicine.
The Takeaway
Hyperbaric oxygen therapy is proving to be far more than a recovery tool. By influencing the body’s genetic programming and cellular metabolism, it holds the potential to slow, and even reverse, biological aging.
While more research continues, the results so far are clear: HBOT is helping us rethink what’s possible for human health, performance, and longevity.
At Capital Health & Iowa HBOT, we value personalized care, education, and integrative therapies, such as HBOT. We guide each person toward a sustainable, whole-body approach to wellness. If you’re curious if HBOT might be right for you, our team can help you explore your options and create a treatment plan tailored to your health journey.
Schedule a complimentary consultation today by calling us at 515-421-4018.
Check out our blog page here to see the many conditions HBOT can help with.
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