A systematic, progressive strategy designed to enhance the structural integrity, functional strength, and adaptive capacity of the skeletal muscles, bones, tendons, and ligaments against mechanical and metabolic stress. Building this resilience is critical for maintaining mobility, preventing injury, and ensuring the endocrine health of bone tissue and muscle, which is a major site of metabolic regulation. It is a fundamental component of physical longevity.
Origin
The concept is a convergence of orthopedics, physical therapy, and exercise physiology, emphasizing the protective and adaptive qualities of the musculoskeletal system. The integration into hormonal health is driven by the recognition that muscle tissue is an endocrine organ (releasing myokines) and that bone health is inextricably linked to sex steroid and growth hormone status. ‘Resilience’ highlights the capacity for sustained, high-level function.
Mechanism
Resilience building is primarily mediated by progressive overload, which stimulates mechanosensors in muscle and bone, leading to tissue hypertrophy and increased bone mineral density. This mechanical stimulus upregulates anabolic signaling pathways, including IGF-1 and mTOR, and enhances the sensitivity of muscle cells to insulin and androgens. Adequate protein synthesis and vitamin D status are essential cofactors, ensuring that the structural and hormonal responses to the stimulus are maximized.
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