The capacity of the central nervous system to maintain optimal cognitive function, such as memory, executive function, and processing speed, despite the physiological and hormonal changes associated with advancing chronological age. This resilience reflects a sustained integrity of neural circuits and is a key indicator of successful neuroendocrine aging. It signifies a biological robustness against the typical cognitive decline observed in later life.
Origin
This term is a construct originating from the intersection of gerontology, cognitive neuroscience, and endocrinology, emphasizing the biological factors that mediate successful cognitive aging. The concept moves beyond simply describing decline to focusing on protective mechanisms. It draws heavily on longitudinal studies of aging populations that demonstrate heterogeneity in cognitive trajectories.
Mechanism
Hormonal stability, particularly balanced levels of neurosteroids and thyroid hormones, is a primary driver of this resilience. Mechanisms include enhanced neuroplasticity, sustained cerebral blood flow, and effective management of cellular senescence and oxidative stress within the hippocampus and prefrontal cortex. The hypothalamic-pituitary-adrenal (HPA) axis regulation plays a crucial role in mitigating the neurotoxic effects of chronic elevated cortisol.
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