A sustained, adaptive alteration in the body’s inherent, tightly regulated equilibrium level for a specific physiological parameter, such as body weight, core temperature, or circulating hormone concentrations. This is a fundamental change in the homeostatic target value, often occurring in response to chronic environmental stimuli, disease states, or prolonged therapeutic intervention. The shift signifies a new stable state that the body actively defends through complex feedback loops.
Origin
The concept of a ‘set point’ originates from cybernetics and control theory, applied to physiology to describe the body’s self-regulating capacity, most famously in thermoregulation. The addition of ‘shift’ reflects the clinical observation that these homeostatic targets are not rigidly fixed but can be dynamically reset over time due to persistent physiological pressure. This phenomenon is a core principle in the endocrinology of metabolism and energy balance.
Mechanism
The shift is primarily orchestrated by central regulatory centers, notably the hypothalamus, which integrates peripheral signals like leptin, ghrelin, and thyroid hormones. Chronic changes in these signals can induce epigenetic modifications and alterations in receptor sensitivity within these central nuclei. This neuroendocrine reprogramming effectively recalibrates the feedback mechanisms, leading the body to treat the new, shifted level as the normal, desired state to maintain.
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