This refers to the clinical strategy of maintaining or enhancing the muscular strength and power necessary for performing activities of daily living and maintaining physical independence throughout the lifespan. It emphasizes not just the size of the muscle, but its quality, neuromuscular control, and ability to generate force quickly and efficiently. Preserving functional strength is a critical objective in longevity medicine to prevent frailty and metabolic decline.
Origin
The concept is a core tenet of geriatric medicine and physical therapy, now integrated into hormonal health to highlight the protective role of muscle mass against age-related metabolic disease. It is distinct from purely aesthetic or maximal strength goals. The clinical focus is on sustained, practical physical capability.
Mechanism
Preservation relies on the continuous stimulation of muscle protein synthesis, a process heavily regulated by anabolic hormones like testosterone, growth hormone, and insulin-like growth factor 1 (IGF-1). Targeted resistance and power training protocols are used to maintain motor unit recruitment and muscle fiber quality. Sustained hormonal support and adequate protein intake are necessary to counteract the catabolic signals that drive sarcopenia and functional decline.
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