The measurable rate at which an individual’s physiological and molecular functions decline over time, a metric quantified by various biomarkers like epigenetic clocks, which differs from chronological age. This progression reflects the cumulative impact of genetic predispositions, environmental stressors, and lifestyle choices on the body’s systemic health. Clinical efforts in longevity medicine are focused on decelerating this rate to extend the duration of healthspan.
Origin
This concept originates from the field of gerontology and the clinical application of longevity science, drawing a clear distinction between the actual wear and tear on biological systems, defined as “biological age,” and the simple passage of time. The term “progression” emphasizes the dynamic, measurable nature of this age-related decline in functional capacity.
Mechanism
Biological age progression is mechanistically driven by the accumulation of various forms of cellular damage, including telomere attrition, impaired mitochondrial function, and increasing genomic instability. Hormonal declines, particularly in growth hormone and sex steroids, significantly accelerate this process by impairing efficient tissue repair and metabolic regulation. Mitigating this mechanism requires optimizing cellular repair pathways, enhancing antioxidant defenses, and supporting hormonal signaling to reduce the burden of senescence and maintain youthful tissue function.
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