The Structural Accretion Timeline is a conceptual model that describes the cumulative process of building and maintaining physiological structure, including bone density, muscle mass, connective tissue integrity, and organ reserve, throughout the lifespan. This timeline is heavily influenced by the balance of anabolic and catabolic endocrine signals, such as testosterone, growth hormone, and cortisol. Optimal accretion is a critical determinant of healthspan and resilience, while a negative balance accelerates biological aging and frailty.
Origin
This term is a clinical metaphor derived from geology and physics, applied to human physiology to emphasize the long-term, incremental nature of biological structure maintenance. The concept highlights that the peak physiological reserve achieved in early adulthood is a finite resource that must be actively preserved. It serves as a guiding principle for interventions focused on hormonal and musculoskeletal longevity.
Mechanism
The mechanism is governed by the continuous interplay between mechanical stimuli, nutritional status, and anabolic hormones, which promote protein synthesis and cellular regeneration. For example, adequate levels of endogenous steroids and growth factors signal stem cells and tissue-specific cells to lay down new matrix and cellular components. When catabolic signals, like chronic high cortisol from stress adaptation priority, dominate, the timeline shifts toward net degradation, leading to sarcopenia, osteopenia, and impaired tissue repair.
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