The physiological capacity of the body’s metabolic pathways to rapidly and effectively adapt to and recover from various metabolic challenges, such as nutrient deprivation, intense exercise, or fluctuations in insulin sensitivity. A high degree of resilience indicates a flexible and robust metabolic state, which is a hallmark of youthful health and longevity. This concept is central to preventative medicine. Loss of this resilience is a driver of chronic disease.
Origin
This term synthesizes concepts from endocrinology, cellular metabolism, and stress physiology, recognizing that the body’s response to metabolic challenges is a key determinant of healthspan. The ability to switch efficiently between fuel sources, like glucose and fat, is a core component of this resilience. It reflects the overall adaptability of the bioenergetic system.
Mechanism
Resilience is fundamentally mediated by key metabolic regulators such as AMPK, sirtuins, and the insulin signaling pathway. Hormonal optimization, particularly of thyroid hormones and sex steroids, enhances the sensitivity and responsiveness of these pathways. Clinical strategies aim to improve mitochondrial function and cellular energy sensing, allowing the body to maintain energetic homeostasis even under significant metabolic load. This functional adaptability protects against metabolic syndrome.
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