These refer to the measurable, non-pathological alterations in cognitive function that occur predictably as part of the natural human aging process, impacting areas such as processing speed, working memory capacity, and certain aspects of executive function. Such shifts are distinct from pathological cognitive decline associated with neurodegenerative diseases. Understanding these physiological changes allows for targeted wellness and hormonal support strategies. These normal, expected changes are a key focus in longevity and brain health research.
Origin
This clinical descriptor originates from the fields of gerontology and cognitive neuroscience, integrating the concept of ‘age-related’ physiological change with ‘cognitive shifts,’ which denotes changes in mental processes. Within the hormonal health space, this term acknowledges the critical influence of endocrine changes, particularly declining sex hormones and neurosteroids, on brain function over the lifespan. The understanding of age as a modulator of cognitive function is a long-standing area of scientific inquiry.
Mechanism
The mechanism involves a complex interplay of neuroendocrine and structural changes, including reduced neurogenesis, decreased synaptic plasticity, and altered neurotransmitter systems, often exacerbated by shifts in steroid hormone profiles like estrogen and testosterone. Decreased cerebral blood flow and subtle changes in the hypothalamic-pituitary-adrenal (HPA) axis regulation also contribute to the observed functional changes. These biological modifications result in slower information processing and less efficient retrieval of certain memories, reflecting a normal adaptation of the aging brain.
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