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Glucose intolerance and aging

R A DeFronzo

    Diabetes Care
    |July 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    Glucose tolerance declines with age due to reduced tissue sensitivity to insulin. This age-related insulin resistance is influenced by lifestyle factors and the aging process itself.

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    Area of Science:

    • Gerontology
    • Metabolic Health
    • Endocrinology

    Background:

    • Glucose tolerance is known to decrease with advancing age, beginning in mid-adulthood.
    • This age-related decline in glucose metabolism is progressive throughout the adult lifespan.
    • The primary cause is identified as impaired tissue responsiveness to insulin.

    Purpose of the Study:

    • To elucidate the mechanisms behind age-related glucose intolerance.
    • To investigate the role of insulin resistance in the aging process.
    • To identify contributing factors to diminished glucose metabolism in older adults.

    Main Methods:

    • Analysis of age-related changes in glucose tolerance.
    • Assessment of insulin sensitivity and response in different age groups.

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  • Evaluation of factors such as physical activity and lean body mass.
  • Main Results:

    • Glucose tolerance significantly decreases with advancing age.
    • Tissue unresponsiveness to insulin is the primary driver of this decline.
    • Plasma insulin response to glucose remains largely unchanged with age.
    • Decreased physical activity and lean body mass contribute to insulin resistance.
    • The aging process itself negatively impacts tissue insulin sensitivity.

    Conclusions:

    • Age-related insulin resistance is a key factor in declining glucose tolerance.
    • While lifestyle factors play a role, intrinsic aging processes also impair insulin sensitivity.
    • Understanding these mechanisms is crucial for addressing metabolic health in aging populations.