The progressive, physiological impairment of the body’s ability to maintain its core temperature within a narrow, healthy range as a consequence of advancing age. This decline compromises the homeostatic mechanisms responsible for balancing heat production and heat loss, making older adults more susceptible to thermal stress, such as hypothermia or hyperthermia. It is a critical aspect of geriatric physiology, often exacerbated by chronic conditions and certain medications.
Origin
This term is a clinical and physiological descriptor, combining the biological process of aging with the specific physiological function of thermoregulation, which originates from Greek thermē (heat) and Latin regulātiō (a rule or governing). The concept highlights the measurable reduction in efficiency of this essential homeostatic control system over the lifespan.
Mechanism
The decline involves structural and functional changes across multiple systems, notably a blunted hypothalamic response to thermal challenges, which acts as the central thermostat. Diminished sympathetic nervous system activity reduces peripheral vasoconstriction and shivering responses to cold, while impaired eccrine sweat gland function and reduced cutaneous blood flow hinder heat dissipation. Hormonal shifts, particularly in thyroid and sex steroids, further contribute to a lower basal metabolic rate, thereby decreasing endogenous heat generation.
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