This is the physiological, age-related reduction in the circulating concentrations and bioactivity of key endocrine signaling molecules, including sex steroids, growth hormone, and adrenal hormones, that typically begins in the mid-to-late thirties and progresses throughout middle age. This decline is a universal aspect of human aging, encompassing distinct transitions like perimenopause in females and andropause in males. The resultant hormonal shifts contribute significantly to changes in body composition, mood, and metabolic health. It is a predictable attenuation of endocrine reserve.
Origin
The concept is fundamental to gerontology and endocrinology, arising from longitudinal studies tracking age-related changes in pituitary and gonadal hormone secretion patterns. The term specifically refers to the non-pathological, but clinically significant, attenuation of endocrine function distinct from frank deficiency states. It establishes a biological basis for many age-related symptoms. Understanding this decline is critical for proactive longevity planning.
Mechanism
The decline is primarily driven by a combination of factors, including reduced sensitivity of target tissues to trophic hormones, a decrease in the pulsatility of hypothalamic-pituitary signaling, and age-related changes in the steroidogenic capacity of the gonads and adrenal glands. This systemic reduction in anabolic and regulatory hormones disrupts homeostatic balance, leading to downstream effects such as reduced muscle protein synthesis, altered bone turnover, and compromised immune surveillance. This hormonal change accelerates the biological aging process.
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