Hot Topic: What Is Anti-Aging?

Anti-aging can be a difficult topic to address. A war is currently being fought over the meaning of "anti-aging" (as research, medicine, brand, or simply adjective) and thus even mentioning the term is likely to prejudice many readers. We will try to put this all into context while being as neutral as possible.

Defining Anti-Aging

Like it or not, "anti-aging" now has a number of quite different common meanings and connotations. Each is championed by a particular group or loose coalition of interests, but advocates for these groups have a way of diving into the fray without defining their terms. This makes reading about anti-aging techniques, technologies, medicine, products, and debates very confusing for the newcomer.

For the scientific community, anti-aging research refers exclusively to slowing, preventing, or reversing the aging process. There is, as of 2007, no medical technology that allows this to be done - although the jury is still out on calorie restriction in humans. Nor is there any currently available method (short of waiting for people to die) to accurately measure the effects of an alleged anti-aging therapy.

In the medical and more reputable business community, anti-aging medicine means early detection, prevention, and reversal of age-related diseases. This is quite different from tackling the aging process itself, and a wide array of strategies and therapies are currently available. Calorie restriction, for example, is a demonstrated way to lower risk for a wide range of age-related degenerative conditions.

The wider business community - including a great many fraudulent and frivolous ventures - views "anti-aging" as a valuable brand and a demonstrated way to increase sales. At the worse end of the scale, this leads to snake oil salesmen, "anti-aging" cremes that may or may not make your skin look younger, and infomercials that tout the "anti-aging" benefits of exercise machines. Broadly, and very charitably, we can look at these varied definitions of anti-aging as meaning "to look and feel younger in some way" - which has no bearing on how long you live or how healthy you actually are.

The confusion of most interest is between the first two definitions. Many interventions lengthen life span for individuals by preventing or curing specific age-related diseases that would otherwise prove fatal. For example, ask yourself whether preventing heart disease or diabetes is anti-aging medicine. This would have no effect on the aging process, but it would help many people to live longer, healthier lives. Is this anti-aging research? Scientists say no, some medical and business groups say yes.

Why Can't They All Just Get Along?

The war over the meaning of "anti-aging" is being fought over money and the perception of legitimacy. It is this perception of legitimacy that determines funding for scientific research and revenues for businesses.

Scientists feel, quite rightly, that the noise and nonsense coming from the anti-aging marketplace is damaging the prospects for serious, scientific anti-aging research. If everyone knows that anti-aging means high-priced cream from Revlon marketed to the gullible and brand-aware, no scientist is going to get funding for a serious proposal in aging research that uses the word "anti-aging." Worse than that, people start to assume that real efforts to reverse aging must be impossible - and large scale science requires public support and understanding.

Businesses in the "anti-aging" marketplace make money from the aura of legitimacy whether or not their products perform as advertised, and so a lot of effort is expended to create and maintain this perception of legitimacy.

Those businesspeople with working, accurately marketed products carry out their own fight against opportunists, frauds and "marketeers" - businesses that are damaging the market and diluting the brand. Ironically, this is much the same argument used against the more legitimate businesses by scientists.

A common objection to the way in which some anti-aging businesses establish legitimacy is that they cherry pick supportive studies in areas in which the facts are still unsure and scientists are still working towards a conclusion. A few positive studies are not enough to settle any question or recommend any course of action in the complex world of medicine.
The vast amount of money spent on products that claim to turn back the clock demonstrates that people want real anti-aging medicines. The trouble is that these real anti-aging therapies simply don't exist. Or do they? It all depends on how you define "anti-aging."