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Published on: January 7, 2013
Intrinsic and extrinsic mortality reunited
Jacob J E Koopman1, Maarten J Wensink2, Maarten P Rozing3
1Department of Gerontology and Geriatrics, Leiden University Medical Center, PO Box 9600, 2300 RC Leiden, the Netherlands; Leyden Academy on Vitality and Ageing, Rijnsburgerweg 10, 2333 AA Leiden, the Netherlands.
Aging is driven by both internal and external factors interacting, not just aging itself. Environmental interventions can modify the aging process, suggesting aging is not inevitable.
Area of Science:
- Gerontology
- Demography
- Environmental Health
Background:
- Intrinsic mortality (aging-related) and extrinsic mortality (environmental hazards) are traditionally separated to study aging.
- Both mortality types exhibit an exponential age-related increase, challenging traditional separation.
- Aging theories propose that combined intrinsic and extrinsic stressors drive mortality risk.
Purpose of the Study:
- To challenge the traditional separation of intrinsic and extrinsic mortality.
- To propose a new framework for understanding aging and mortality based on stressor interaction.
- To highlight the role of environmental factors in modulating aging.
Main Methods:
- Review of existing theories on aging and mortality.
- Analysis of epidemiological and biological data on aging stressors.
- Conceptual framework development integrating intrinsic and extrinsic factors.
Main Results:
- Intrinsic and extrinsic mortality share an exponential age-related pattern.
- Combined intrinsic and extrinsic stressors, not their separation, better explain aging and death.
- Controlling both intrinsic and extrinsic stressors can mitigate aging.
Conclusions:
- Aging and death result from the complex interaction of intrinsic and extrinsic stressors.
- Classifying mortality solely as intrinsic or extrinsic is an oversimplification.
- Aging is a malleable process influenced by environmental interactions, not an inevitable outcome.
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