This concept describes the active preservation of an individual’s autonomy over their physical capabilities, encompassing strength, mobility, metabolic flexibility, and resilience against common age-related decline. It is the state where endogenous hormonal and cellular mechanisms are robust enough to resist external physiological challenges without external support. True sovereignty implies self-sufficiency in maintaining functional capacity.
Origin
‘Sovereignty’ implies supreme, independent authority, applied here to the body’s control over its own physiological integrity. ‘Maintenance’ denotes the continuous effort required to sustain this state against the natural entropy of aging. This term reflects a patient-centric view focused on enduring independence.
Mechanism
Maintenance is achieved through synergistic support of anabolic hormone production, optimizing cellular energy systems, and aggressively mitigating chronic inflammation which degrades tissue quality. The mechanism relies heavily on maintaining high sensitivity to endogenous signals, ensuring that anabolic hormones like testosterone and IGF-1 can exert their full reparative effect. This robust internal environment secures functional independence.
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