Clinical strategies designed to correct a gradual, sustained deviation of key metabolic parameters, such as insulin sensitivity or substrate utilization, away from an optimal, youthful set point. This drift often involves subtle shifts in the efficiency of energy partitioning between tissues. Reversal aims to restore metabolic flexibility and substrate preference.
Origin
This term describes the observable trajectory of metabolic decline common in aging populations, often preceding overt disease states like type 2 diabetes. It draws from longitudinal studies tracking changes in glucose tolerance and body composition over decades. The ‘reversal’ aspect emphasizes proactive intervention based on early trend identification.
Mechanism
Reversal is achieved by systematically addressing the drivers of metabolic inefficiency, often involving improving insulin signaling fidelity at the cellular level. This may require modulating circulating lipid species or optimizing the nutrient-sensing pathways governed by hormones like leptin and adiponectin. Restoring muscle mitochondrial function is a key component to improving systemic substrate handling.
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