The principles of thermodynamics
are not confined to Bénard cells and ecosystems. They also shed
light on the functioning of that most familiar complex system, one's
self. Here we show how thermodynamics
underlies aging, and how exercise—a form of energy flow—leads
to healthier lives. Like other complex systems, human living is an
energetic process. As such it is illuminated by our gradient-based
thermodynamics.
Medical researchers consider VO2 max to be an excellent
gauge of cardiovascular health. After the age of thirty-five, athletes
lose their performance capacity as measured by this gauge at a rate
of 0.5% a year Non-exercisers by contrast lose their performance capacity
at a greater rate, 2% per year. And although the difference between
couch potatoes and exercisers may seem trivial, it is compounded! "[T]he effect of intervention
may be small . . . yet, when the 1.5% per year difference is multiplied
by decades, the difference becomes profound." What the Bortzes are
saying is that for each decade of exercise that the runner ages five
years (as measured by performance), the non-exerciser ages twenty years.
These results are astounding, and their implications should be obvious
to a global health-conscious society annually spending trillions of dollars
on health care. The first thing that these data reveal is that the average
active person will physiologically age 1% per year after the age of thirty-five.
This is normal aging. The super-athletes among us can slow that rate
to 0.5%, and the unfit of our society will physiologically age at 2%
per year. After twenty years the unfit will have physiologically aged
forty years and the fit just ten years. If this is true, a fountain of
youth has been discovered—and its thermodynamic basis is energy
flow. By pushing the body, using it energetically after the manner of
our ancestors, the effects of aging can be forestalled. Thermodynamic
systems require energy flow; inactivity, disuse of the cardiovascular
system decreases the vitality of human life.
Yates prefers the word senescence to describe damage
and harm associated with aging. "It is senescence, not aging that is the prelude to
death from old age.” Yates believes that health is a synonym for
stability. Poor health is a sign of instability, and the ultimate instability
is the collapse of the dynamics of the system that we know as death.
Yates sees senescence and death as the result of either component failure
or a total system failure. Component failure can result from the disruption
of any of a number of processes, such as healing, protecting DNA, guaranteeing
fidelity in the replication of DNA, eliminating wastes, protection against
free radicals, and the deterioration of immune abilities, as seen for
example in AIDS. "System death occurs when a constellation of interrelated
parts and processes experiences a shrinking dynamic range beyond some
critical minimum [needed] for stability in a fluctuating environment." System
death arises from changes in multiple constraints, so that stability
suddenly gives way.
Yates agrees with the Bortz use-it-or-lose-it argument. Without adequate
energy flow, biological systems atrophy. Also Yates elaborates on an
issue that all super-athletes know; one can also use it and lose it.
Yates notes that, above a range of some 2,000–3,000 kilocalories
per week of exercise, anabolic yield decreases, with oxidative damage
and wear and tear playing prominent roles. The
figure is Yates's attempt
to graph these ideas. The coordinates show increasing activity rates
of the organism—basic metabolic rate, sedentary, active, and
superactive—and energy throughput. Note that the energy flow
increases with activity. The anabolic yield curve is most interesting.
Anabolic yield measures the constructive part of metabolism, the buildup
of muscle tissue, for instance. Yates depicts it reaching an optimum
at about 2,500 kilocalories per week. Below that one is in the "use
it or lose it" range; above 2,500 kcal, one is in the "use
it and lose it" stage of hyperactivity.
Yates likens the anabolic-yield curve to the increasing efficiency
and torque in a combustion engine. Increasing revolutions per minute
helps generate more power, but only up to a point. Above that value,
increasing revolutions per minute will decrease power and efficiency.
Here is another example of a biological system operating optimally
not at a maximum or minimum but within a (narrow) range. Maximum energy
flow harms and degrades the organism and facilitates senescence. It
burns one out. Minimum energy flow leads to atrophy and stagnation,
fading away.
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Part
IV: The Human
18. Health, Vigor, and Longevity
19. Economics
20. Purpose in Life
Human
vitality and frailty scaled by maximum oxygen consumption (VO2 max) versus
age. After the age of thirty-five years, humans begin to age as measured
by loss of cardiovascular capacity, VO2 max. This is normal aging. However,
the rate of loss of cardiovascular health depends on the amount of exercise
one gets. Highly fit people lose VO2 max at 0.5% a year, the moderately
fit age at 1% a year, and the lethargic age at 2% a year. Over twenty
years the least fit will metabolically age about forty years, while the
most fit will age only ten years. Disease and injury can accelerate this
aging process. (Data from Bortz and Bortz 1996.)

The abscissa of this graph is human activity level,
exemplified by sedentary, active, and highly active people. The ordinate
is the energy throughput or energy use of the subjects. As expected,
energy throughput or use increases with activity level. Of interest is
the anabolic yield, or the constructive cell building of metabolism,
which shows that there is an optimal level of exercise or activity level.
Gene Yates estimates this optimal level to be about 2,500 kilocalories
of exercise a week. Below that level the body loses metabolic capacity, and above
that level the body starts to lose capacity through wear and tear and accelerated
metabolic breakdown. (Adapted from Yates and Benton 1995.)
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