The clinical objective of preserving and maintaining an individual’s peak levels of strength, endurance, mobility, and functional independence across the lifespan. This metric goes beyond mere absence of disability, quantifying the sustained ability to perform complex physical tasks and maintain a high quality of life as one ages. Retention of physical capacity is a critical measure of successful aging and a primary goal of longevity medicine.
Origin
This term is a functional metric derived from geriatrics and sports medicine, emphasizing the preservation of physiological function rather than simply treating age-related decline. The concept arose from the understanding that sarcopenia and dynapenia, the loss of muscle mass and strength, are major drivers of frailty and dependency. Retention is the active process of counteracting these degenerative forces.
Mechanism
Retention is fundamentally supported by maintaining a favorable anabolic signaling status, which prevents the net loss of muscle protein and bone mineral density. Hormones like testosterone, estrogen, and growth hormone play a crucial role in stimulating satellite cell activation and IGF-1 production, promoting muscle repair and hypertrophy. Furthermore, consistent neurological signaling and motor unit recruitment are necessary to sustain neuromuscular efficiency and coordination, all of which are influenced by neurotrophic factors.
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