The clinical assessment of the HPA axis’s capacity to respond to and recover from physiological stressors, quantified by specific cortisol dynamics and diurnal rhythm integrity. It reflects the body’s inherent ability to maintain homeostasis under challenge. This mapping provides a functional snapshot beyond static hormone levels.
Origin
Derived from endocrinological models of stress response and functional capacity evaluation. The term combines “Adrenal” referencing the glands producing cortisol and “Resilience Mapping” signifying the systematic charting of adaptive capability. It roots in understanding neuroendocrine feedback loops under duress.
Mechanism
This process involves evaluating the kinetic profile of adrenal steroidogenesis, often through salivary or serum testing across defined time points. The analysis maps the sensitivity of pituitary feedback mechanisms to hypothalamic signaling. Effective mapping illuminates bottlenecks in the cortisol awakening response and subsequent decline phases, indicating system robustness or fatigue.
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