The gradual, progressive alteration in the function and output of the endocrine glands over the lifespan. This involves changes in hormone production, receptor sensitivity, and feedback loop efficiency, which collectively influence metabolic homeostasis and physiological resilience. Clinically, this shift often manifests as altered body composition, decreased energy substrate utilization, and changes in reproductive axis function. Understanding this continuum is vital for age-appropriate clinical management strategies.
Origin
Derived from the understanding of endocrinology, where “age-related” denotes temporal progression, and “shift” implies a quantifiable, non-pathological redirection of hormonal setpoints inherent to the aging human physiology. It is a descriptive term used in geriatric endocrinology to categorize expected systemic changes.
Mechanism
This process is multifactorial, involving hypothalamic-pituitary axis desensitization, reduced steroidogenesis capacity in peripheral glands, and increased cellular resistance to circulating signals. Changes in nutrient sensing pathways, such as those involving insulin signaling and adipokine release, further contribute to the overall endocrine remodeling. The net effect is a reduction in dynamic range for maintaining optimal hormonal milieu under stress.
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