手法を比較

	Allostatic Load Index	Life-Course Epidemiology
分野	Social Epidemiology	Social Epidemiology
系統	Latent structure	Process / pipeline
提唱年	1997	2002
提唱者	Bruce McEwen & Eliot Stellar; Teresa Seeman, Burton Singer et al. (MacArthur Studies)	Yoav Ben-Shlomo & Diana Kuh
種類	Composite multi-system biomarker index of physiological dysregulation	Conceptual and analytic framework for long-term exposure-disease modeling
原典	Seeman, T. E., Singer, B. H., Rowe, J. W., Horwitz, R. I., & McEwen, B. S. (1997). Price of Adaptation: Allostatic Load and Its Health Consequences. MacArthur Studies of Successful Aging. Archives of Internal Medicine, 157(19), 2259-2268.	Ben-Shlomo, Y., & Kuh, D. (2002). A life course approach to chronic disease epidemiology: conceptual models, empirical challenges and interdisciplinary perspectives. International Journal of Epidemiology, 31(2), 285-293.
別名	Allostatic Load Score, Cumulative Biological Risk Index, Multi-System Dysregulation Index, Allostatic Load	Life Course Approach to Chronic Disease, Life-Course Framework, Developmental Origins Epidemiology, Biological and Social Programming Approach
関連	4	3
概要	The allostatic load index quantifies the cumulative biological cost of chronic stress by summing dysregulation across multiple physiological systems. McEwen and Stellar introduced 'allostatic load' in 1993 to name the wear and tear the body accrues when stress-response systems are repeatedly or chronically activated, extending the idea of allostasis (stability through change) over time. Seeman, Singer, Rowe, Horwitz, and McEwen operationalized it in the MacArthur Studies of Successful Aging in 1997, scoring older adults on biomarkers spanning cardiovascular, metabolic, neuroendocrine, and immune function and counting how many fell into a high-risk range, typically the worst quartile. The resulting count index predicted later cognitive and physical decline and cardiovascular disease, establishing allostatic load as a measurable marker of cumulative physiological risk that no single clinical test captures.	Life-course epidemiology is the study of how physical and social exposures across gestation, childhood, adolescence, and adult life shape later health and disease risk. Codified by Yoav Ben-Shlomo and Diana Kuh in their 2002 International Journal of Epidemiology paper and the 2003 glossary by Kuh, Ben-Shlomo, Lynch, Hallqvist, and Power, the framework supplies a set of competing conceptual models that specify how the timing and sequence of exposures matter. Rather than asking only what causes disease, it asks when exposures act and how their effects compound. Its three signature models — critical or sensitive periods, accumulation of risk, and chains of risk — give researchers a disciplined way to translate developmental and social theory into testable longitudinal hypotheses about the origins of adult chronic disease.