The Preservation of Functional Reserve: A Control Systems Framework for Human Aging
Abstract · CC BY
The dominant clinical manifestation of aging is not mortality but the progressive depletion of functional reserve-the surplus physiological capacity separating independent function from disability. Existing geroscience frameworks describe molecular aging in detail yet give the point-of-care clinician little basis for prioritizing targets.
- Cellular senescence
- Chronic inflammation
- Epigenetic alterations
- Loss of proteostasis
- Mitochondrial dysfunction
- Stem cell exhaustion
- Telomere attrition
- mTOR signalling
- Homo sapiens
The paper
The Preservation of Functional Reserve: A Control Systems Framework for Human Aging
O'Leary RT
Life · 31 Aug 2026