The potential adverse health outcomes associated with significant deviations from physiological hormonal norms in advanced age, including risks linked to both profound deficiency and inappropriate exogenous supplementation. These risks encompass accelerated bone mineral density loss, cardiovascular events, increased cancer incidence, and cognitive decline, all influenced by the changing endocrine landscape. A clinical approach mandates a nuanced, risk-stratified strategy for hormonal management in older adults.
Origin
This term is a clinical and public health concept, evolving from large-scale studies on aging populations and the long-term effects of hormone replacement therapies. “Late-life” establishes the demographic context, and “risks” acknowledges the complex, non-linear relationship between hormones and disease pathology in senescence. The focus is on balancing the desire for longevity benefits against established safety data.
Mechanism
The underlying mechanism for deficiency risks involves the loss of protective, trophic, and anti-inflammatory effects previously afforded by youthful hormone levels, leading to accelerated tissue atrophy and system-level vulnerability. Conversely, the mechanism for supplementation risks often relates to non-physiological dosing, inappropriate molecule selection, or delayed initiation, which can activate pro-mitotic pathways or thrombotic cascades in aged tissues with pre-existing pathology.
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