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While genetic factors seem to play the principal role in the development and progression of androgenic alopecia, lifestyle also plays a minor role as demonstrated by the vast increase in male and female pattern baldness in Japan after World War II Pattern baldness (androgenic alopecia) was either rare or non-existent among hunter-gatherer and other, less westernized societies eating in their traditional manner.

One study did show that free testosterone is lower 24 hours after intense aerobic exercise in men who already have high endurance but it was not investigated whether that level remains lowered beyond that point, or whether that lowering affects male pattern baldness in any way. It has been suggested that weight training may have a detrimental effect on hair by increasing testosterone levels; however, there is at least one study that indicates a decline in free testosterone as result of weight training.

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