The predictable, age-related sequence and timing of alterations in the production, clearance, and receptor sensitivity of key endocrine hormones throughout the human lifespan. This chronology outlines the systemic decline in anabolic hormones and the shifts in regulatory hormones, which collectively contribute to the physiological manifestations of aging. Understanding this precise sequence allows for proactive, phase-specific hormonal health interventions.
Origin
This concept merges ‘chronology’ (the arrangement of events in time) with the well-established scientific field of endocrinology and its study of hormonal decline, often termed ‘somatopause’ or ‘andropause.’ The origin is rooted in clinical observations of puberty, reproductive cycles, and the subsequent age-related decrease in hormones like growth hormone, testosterone, and estrogen. It provides a necessary framework for accurate clinical assessment.
Mechanism
The mechanism involves a complex interplay of hypothalamic-pituitary-gonadal/adrenal axis changes, often beginning with altered feedback loop sensitivity. The hypothalamus may reduce its pulsatile release of releasing hormones, leading to decreased stimulation of peripheral glands. Concurrently, peripheral tissues may exhibit receptor down-regulation or increased clearance rates, further reducing the effective biological action of circulating hormones, even when total levels appear within range.
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