Musculoskeletal aging refers to progressive decline in structure, strength, and functional integration of muscles, bones, joints, and connective tissues. With advancing age, muscle mass and strength decrease, bone density declines, and joint flexibility is reduced. These changes arise from cumulative cellular damage, reduced regenerative capacity, altered hormonal signaling, and chronic low-grade inflammation. Musculoskeletal aging impairs mobility, balance, and physical endurance, increasing risk of falls, fractures, and disability. Interactions between muscle loss, bone fragility, and joint degeneration amplify functional decline. Reduced mechanical loading further accelerates tissue deterioration. Musculoskeletal aging strongly influences independence and quality of life in older adults. Understanding this process highlights the importance of preserving tissue integrity and coordination across musculoskeletal components to maintain functional health during aging.
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