The Sustained Performance Index is a clinical metric that quantifies an individual’s long-term capacity to maintain high-level cognitive and physical output without experiencing burnout or chronic HPA axis dysregulation. It moves beyond momentary peak performance to assess the physiological efficiency and resilience of the neuroendocrine system over extended periods. A high index indicates robust adaptive reserves and efficient energy utilization. This index is a key measure of healthspan.
Origin
This index is a composite measure derived from combining physiological data, such as heart rate variability (HRV), cortisol diurnal patterns, and objective performance metrics. It reflects the clinical imperative to shift from unsustainable exertion models to healthspan-focused optimization strategies. The term emphasizes longevity over short-term output.
Mechanism
The index’s underlying mechanism is a measure of the allostatic load placed on the body. It integrates the efficiency of the autonomic nervous system, assessed via HRV, with the appropriate rhythmic output of the HPA axis. A high index suggests a well-modulated stress response that rapidly returns to baseline, minimizing the cumulative damage of chronic stress and supporting the consistent, efficient functioning of all major hormonal systems.
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