The strategic application of therapeutic and lifestyle protocols aimed at prolonging the period of life during which an individual maintains optimal metabolic function, free from diseases such as insulin resistance, dyslipidemia, and visceral adiposity. This extension focuses on preserving cellular energy efficiency and glucose homeostasis, which are fundamental to overall healthspan and longevity. It is a core objective of preventative and anti-aging medicine.
Origin
This concept synthesizes the gerontological term “healthspan”—the period of life spent in good health—with the specific clinical domain of “metabolic” function. It acknowledges that metabolic dysfunction is a primary driver of age-related disease pathology. The term shifts the focus from merely extending lifespan to ensuring that the extended years are characterized by high functional metabolic capacity.
Mechanism
Interventions work by enhancing insulin sensitivity, improving mitochondrial biogenesis and function, and modulating nutrient sensing pathways like mTOR and AMPK. By optimizing these pathways, the body can more efficiently process and utilize macronutrients, maintain stable blood glucose levels, and reduce the accumulation of metabolically toxic fat stores. This enhanced metabolic flexibility is key to systemic resilience.
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