A clinical descriptor referring to the cumulative, long-term progression of adverse changes across multiple integrated physiological systems, typically associated with the aging process or prolonged unmanaged stress. This state is characterized by the sustained erosion of functional reserve, leading to a measurable decrease in homeostatic resilience and an increased susceptibility to age-related pathology. It is a persistent, pathological trajectory rather than an acute event, impacting hormonal balance and metabolic integrity.
Origin
This concept merges the medical term “chronicity,” denoting long duration, with the physiological term “systemic decline,” which describes the generalized deterioration of integrated bodily functions. It is a diagnostic lens used in longevity medicine to frame aging not merely as a time-based phenomenon but as a treatable accumulation of functional deficits.
Mechanism
The underlying mechanism involves the compounding effect of multiple biological hallmarks of aging, such as chronic low-grade inflammation, telomere attrition, and increasing cellular senescence. Over time, these cellular stressors overwhelm the body’s intrinsic repair and regulatory systems, including the hypothalamic-pituitary-adrenal (HPA) axis. This sustained dysregulation results in a cascade of failing feedback loops, manifesting as a pervasive and accelerating decline in overall physiological function.
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