A proactive, multi-system strategy aimed at significantly slowing the cumulative wear and tear, or ‘attrition,’ on the body’s tissues, organs, and cellular structures that typically occurs with chronological aging and chronic metabolic stress. Mitigation involves targeted interventions to actively preserve functional capacity and structural integrity across the entire biological landscape. This clinical goal is fundamental to extending healthspan and maintaining a youthful physiological state.
Origin
The concept combines the biological reality of physiological attrition, the gradual loss of function and mass in systems over time, with mitigation, a term emphasizing a deliberate, preventative strategy. It is a cornerstone of preventative and longevity medicine, focusing on delaying the onset of age-related decline.
Mechanism
Mitigation is achieved by reducing the primary drivers of cellular damage, including chronic low-grade inflammation (inflammaging), oxidative stress, and the accumulation of senescent cells. Interventions often focus on optimizing nutrient sensing pathways, such as mTOR and AMPK, to enhance cellular repair and waste removal processes like autophagy. By systematically minimizing the damaging effects of daily metabolic activity and environmental exposure, the rate of decline in organ reserve and tissue quality is significantly decelerated.
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