Rethinking the Inevitability of Getting Old

As we grow older, we tend to accept certain changes in our body and mind as inevitable signs of aging. We may experience a decrease in energy, aches and pains, memory lapses, and wrinkles. But what if aging itself is a disease? 


The concept of aging as a disease may seem counterintuitive, but it has gained traction among scientists and advocates of longevity. The argument is that aging is not a natural or necessary process but a result of cellular damage, genetic mutations, and environmental stressors. In other words, aging is a pathological condition that can be prevented, delayed, or even reversed with the right interventions. 


To understand why aging is a disease, we need to look at the biology of aging. Our bodies are made up of cells, and these cells have a limited lifespan. Over time, they accumulate damage and mutations that impair their function and trigger inflammation and oxidative stress. This cellular damage affects various tissues and organs, leading to a decline in their performance and an increased risk of diseases such as cancer, heart disease, and Alzheimer’s. 


However, aging is not a uniform or linear process. Some people may age faster or slower than others, depending on their genetic makeup, lifestyle choices, and environmental factors. For instance, smoking, poor nutrition, lack of exercise, and exposure to pollution can accelerate aging, while a healthy diet, physical activity, and stress management can slow it down. 


The idea of aging as a disease has important implications for our approach to health and medicine. If aging is a disease, it means that we should treat it as such, rather than accepting it as a natural or inevitable process. Instead of waiting for diseases to appear and treating them one by one, we should focus on preventing or delaying the underlying cause of most age-related diseases, which is aging itself. 


This approach, known as the longevity paradigm, involves a range of interventions that target the mechanisms of aging, such as cellular senescence, DNA repair, and mitochondrial function. These interventions include calorie restriction, exercise, supplements, and drugs that mimic the effects of a healthy lifestyle. Some of these interventions have shown promising results in animal studies and early human trials, suggesting that they may extend lifespan and health span. 


Of course, the idea of treating aging as a disease is not without controversy or challenges. Some critics argue that it could lead to ageism or discrimination against older people, as well as create unrealistic expectations or false hopes for eternal youth. Others point out that the longevity paradigm may be too narrow or reductionist, overlooking the social, psychological, and cultural dimensions of aging. 


Nonetheless, the concept of aging as a disease challenges our assumptions about what it means to grow old and opens up new possibilities for extending and improving our lives. It invites us to rethink our relationship with aging and embrace a proactive and preventive approach to health and aging. Instead of accepting the inevitability of decline and disease, we can aspire to a longer, healthier, and more fulfilling life. As the saying goes, age is just a number, but our health and vitality are priceless. 

About The Author

Dr. Coco is a highly-educated and well-qualified primary care physician who graduated from the University of the Philippines Baguio with a Bachelor of Science in Biology and her Doctor of Medicine degree from the University of the East Ramon Magsaysay Memorial Medical Center. She completed her three-year residency training in Family Medicine at Brokenshire Medical Center. She passed her diplomate exams in Family Medicine, given by the Philippine Academy of Family Physicians in 2018. 


Dr. Coco is dedicated to providing comprehensive and holistic care for her patients. She is a primary care physician who believes in delivering continuing comprehensive health care for all. To her, patients are not just a number as she takes time to analyse how she can improve their overall health every chance they can get. 

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