The clinical objective of prolonging the period of life during which an individual maintains optimal cognitive function, including memory, executive processing, and intellectual acuity, free from significant neurodegenerative decline. This focus shifts the goal from mere lifespan extension to maximizing the duration of high-quality mental performance. It is a central aim in preventative neurology and hormonal longevity medicine.
Origin
This phrase synthesizes the concept of ‘healthspan,’ a term from gerontology and anti-aging research, with ‘cognitive function,’ a core construct in neuroscience. The ‘Extension’ component underscores the therapeutic and lifestyle interventions designed to actively push the boundaries of mental vitality beyond typical aging trajectories. It emerged from the growing understanding of modifiable risk factors for cognitive decline.
Mechanism
Extension is achieved through the maintenance of neuroplasticity, enhanced cerebral blood flow, and the prevention of chronic neuroinflammation. Hormonal balance, particularly optimal levels of neurosteroids like estrogen and testosterone, supports synaptic integrity and neuronal signaling. Furthermore, promoting efficient mitochondrial function within glial cells and neurons ensures the high energy demands of complex cognitive tasks are met consistently.
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