This term describes the inevitable, progressive decline in the production, signaling, and efficacy of endogenous hormones that occurs as an organism ages. It represents a fundamental physiological shift characterized by reduced glandular output and diminished tissue receptor sensitivity. The attrition affects major endocrine axes, including gonadal, adrenal, and pituitary function, contributing significantly to the overall aging phenotype. Clinical manifestations include sarcopenia, reduced bone density, and changes in cognitive function.
Origin
The concept is rooted in classical endocrinology, specifically the observation of age-related changes in glandular structure and function, such as andropause and menopause. The word “attrition,” meaning a reduction in number or strength, is used clinically to emphasize the gradual, systemic loss of hormonal reserve over time. This phenomenon is a central focus of modern hormonal health research.
Mechanism
The process involves multiple cellular pathways, including a reduction in steroidogenic enzyme activity within endocrine glands and an increase in sex hormone-binding globulin (SHBG), which limits the availability of free, biologically active hormones. Furthermore, age-associated changes in hypothalamic-pituitary feedback loops contribute to dysregulated pulsatile hormone release. This systemic degradation of endocrine communication underlies the decline in physiological reserve.
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