tractThe case of early aging in small-scale farmers is becoming increasingly common among labour-intensive farming systems in sub-Saharan Africa. This study aimed to analyse premature aging predictors among cocoa farmers in Ikom as well as the restorative potential of ecotourism. Cross-sectional research methods involving 320 farmers were applied, and data collection was conducted through surveys, interviews and focus groups, using descriptive and regression analysis of results. High percentages of fatigue (72.5%), joint pains (68.1%) and stress (66.9%) were identified among farmers, with working hours and agrochemical use being associated with a higher risk of aging and income and better access to healthcare being protective factors. Only 31.9% participated in ecotourism, although farmers experienced less fatigue and stress as well as higher income from the activity.Keywords: Premature aging, Cocoa farmers, Occupational health, Ecotourism, Rural livelihoods, Ikom