Biological Age Stratification is the clinical and scientific process of categorizing individuals into distinct groups based on their measured biological age, rather than solely relying on their chronological age. This stratification relies on advanced biomarkers, such as epigenetic clocks or telomere length, to assess the functional and molecular health of various organ systems. It is essential for precision medicine, allowing for the tailoring of health interventions to an individual’s true rate of aging. This method provides a more accurate prognosis for health span and disease risk.
Origin
The concept evolved from the fields of gerontology and biostatistics, recognizing that chronological age is an imperfect predictor of health span and mortality risk across populations. Stratification, derived from the Latin stratum (layer), denotes the arrangement into distinct, measurable layers or groups based on a common characteristic. The integration of “biological age” markers has moved this concept from a theoretical construct to a clinically actionable metric in longevity science.
Mechanism
Stratification is mechanistically driven by the analysis of validated aging biomarkers, which reflect cumulative cellular damage and decline across the lifespan. Epigenetic clocks, for instance, measure specific DNA methylation patterns that correlate strongly with physiological decline and all-cause mortality. By quantifying these molecular changes, clinicians can place a patient into an accelerated, normal, or decelerated aging stratum. This objective assessment then informs the selection of specific hormonal or lifestyle interventions designed to mitigate age-related risk factors.
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