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Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
Hallmarks of Health
Carlos López-Otín1, Guido Kroemer2
1Departamento de Bioquímica y Biología Molecular, Instituto Universitario de Oncología (IUOPA), Universidad de Oviedo, Oviedo, Spain; Instituto de Investigación Sanitaria del Principado de Asturias (ISPA), Oviedo, Spain; Centro de Investigación Biomédica en Red de Cáncer (CIBERONC), Madrid, Spain.
This study redefines health beyond the absence of disease, focusing on the dynamic biological processes that maintain physiological balance and resilience. It highlights key features like compartmentalization, homeostasis, and stress responses as crucial for overall well-being.
Area of Science:
- Physiology
- Systems Biology
- Homeostasis
Background:
- Traditional definitions of health focus on the absence of pathology.
- A dynamic, organizational perspective offers a more comprehensive understanding of physiological well-being.
Purpose of the Study:
- To propose a new definition of health based on organizational and dynamic features.
- To identify the biological hallmarks that maintain physiological function.
Main Methods:
- Conceptual analysis of biological systems.
- Identification of key homeostatic and resilience mechanisms.
Main Results:
- Health is characterized by spatial compartmentalization, maintenance of homeostasis over time, and adequate responses to stress.
- Key features include barrier integrity, recycling and turnover, circuit integration, rhythmic oscillations, homeostatic resilience, hormetic regulation, and repair/regeneration.
- Disruption of these features leads to pathology.
Conclusions:
- Health is an active, dynamic process defined by the system's ability to maintain physiological integrity.
- Understanding these hallmarks provides a framework for assessing and promoting health.
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