The collective biological and physiological resources inherent within an individual’s cells, tissues, and organs that determine their capacity to adapt, recover, and maintain homeostasis in the face of physical, metabolic, or psychological stressors. This reserve represents the functional margin above baseline requirements, encompassing mitochondrial density, antioxidant status, telomere length, and neuroendocrine resilience. A robust reserve is the foundation of healthspan and longevity, buffering the body against allostatic load.
Origin
This is a conceptual term used in gerontology and functional medicine, derived from the concept of “physiological reserve” and “intrinsic capacity” as defined by the World Health Organization’s framework on healthy aging. The term emphasizes the internal, non-modifiable, and modifiable biological potential that buffers the body against allostatic load. It moves beyond simple chronological age to define biological age and resilience.
Mechanism
The intrinsic capacity reserves are maintained and replenished through efficient cellular processes, including mitochondrial biogenesis, DNA repair mechanisms, and a balanced anabolic-to-catabolic signaling ratio. When the body faces a stressor, these reserves are mobilized to restore equilibrium, often involving acute hormonal shifts like a transient increase in Growth Hormone or a well-regulated cortisol pulse. Chronic depletion of these reserves leads to a reduced adaptive range and increased vulnerability to disease.
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