The natural, progressive decline in the functional capacity or output of physiological systems, particularly the endocrine axis, that occurs over the lifespan. This process involves a measurable reduction in hormone production, receptor sensitivity, or overall homeostatic efficiency. It signifies the gradual loss of biological resilience and reserve as a consequence of chronological time.
Origin
A descriptive term combining the concept of biological aging, “Age-Related,” with the scientific term for reduction in force, effect, or value, “Attenuation.” It originates from the intersection of gerontology and endocrinology, providing a precise clinical descriptor for systemic decline. The term helps to distinguish normal age-related changes from acute pathological processes.
Mechanism
Attenuation is driven by cellular senescence, cumulative oxidative stress, and telomere shortening within glandular tissues. The hypothalamus-pituitary-adrenal (HPA) and gonadal (HPG) axes exhibit reduced pulsatility and amplitude of releasing hormones. This leads to lower circulating levels of key hormones like DHEA, growth hormone, and sex steroids, compromising tissue repair and metabolic regulation across the body.
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