A comprehensive clinical philosophy that emphasizes the proactive, intentional management of the physical body’s structural and functional integrity, encompassing musculoskeletal health, physical activity, and tissue resilience. This stewardship is recognized as an essential co-factor for optimal endocrine function and metabolic health across the lifespan. It views the physical structure as an actively managed system integral to overall longevity.
Origin
This concept synthesizes elements of physical medicine, preventative gerontology, and human physiology, where ‘somatic’ refers to the body itself and ‘stewardship’ implies responsible, continuous management. It is an acknowledgment that the musculoskeletal system is an active endocrine organ.
Mechanism
Maintaining muscle mass and bone density through physical activity is a potent endocrine signal, enhancing insulin sensitivity and promoting the release of beneficial myokines, which are muscle-derived signaling molecules. This active management of the somatic system mitigates age-related sarcopenia and frailty, which are closely linked to chronic inflammation and hormonal decline. By maintaining physical vitality, the body creates a robust, responsive environment for hormonal signaling.
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