Refers to the predictable, yet modifiable, paths of structural and functional decline the central nervous system follows over a lifespan. These trajectories encompass measurable changes in cognitive reserve, neuroplasticity, and the integrity of neuronal networks. Monitoring these paths is crucial for proactive neurological health management and intervention.
Origin
This term originates from longitudinal neuroimaging and cognitive epidemiology studies, which map the age-related changes in brain morphology and function. The concept is central to geroscience and the clinical study of neurodegeneration. Understanding these predictable patterns allows for the development of targeted, preemptive strategies.
Mechanism
Brain aging trajectories are significantly modulated by complex neuroendocrine factors, chronic inflammation, and oxidative stress, which collectively impact synaptic function and glial health. Hormones like estrogen and testosterone exert substantial neuroprotective effects, directly influencing the rate and severity of cognitive decline over time. Maintaining optimal endocrine balance can slow adverse trajectory shifts.
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