The DHEA Decline Curve is the characteristic, age-related graphical representation illustrating the gradual and progressive reduction in the circulating levels of Dehydroepiandrosterone (DHEA) and its sulfated form, DHEA-S, which are the most abundant adrenal steroids. Production of DHEA peaks in early adulthood and then steadily diminishes across the lifespan, a process known as adrenopause. This decline is clinically significant as DHEA acts as a crucial precursor for sex steroid synthesis and exerts numerous independent effects on immune and cognitive function.
Origin
The term is rooted in clinical endocrinology and gerontology, where the predictable, steep drop in DHEA production with advancing age was first documented and recognized as a hallmark of biological aging. Understanding this curve is essential for interpreting individual hormone panels and assessing the overall functional capacity of the adrenal cortex over time.
Mechanism
The decline is primarily attributed to age-related changes within the zona reticularis of the adrenal cortex, the primary site of DHEA synthesis, and possibly to shifts in the regulatory feedback loops of the HPA axis. As DHEA levels fall, the availability of substrate for peripheral conversion into potent androgens and estrogens decreases, contributing to sarcopenia, reduced bone mineral density, and shifts in mood and energy. Clinical interventions often seek to modulate this curve to maintain DHEA levels within a youthful physiological range.
We use cookies to personalize content and marketing, and to analyze our traffic. This helps us maintain the quality of our free resources. manage your preferences below.
Detailed Cookie Preferences
This helps support our free resources through personalized marketing efforts and promotions.
Analytics cookies help us understand how visitors interact with our website, improving user experience and website performance.
Personalization cookies enable us to customize the content and features of our site based on your interactions, offering a more tailored experience.