I don’t think it’s controversial at all. I’m in agreement with Jaoa that it’s likely characterizing secondary consequences of aging but serves as a great tool for distributing efforts across the field, studying synergies of various nodes in a complex network, and an excellent starter kit for longevity therapeutics.
That being said, it certainly isn’t all encompassing in terms of capturing the higher level complexities of aging or for capturing the influence of antagonistic pleiotropy, disposable soma, and information or triage theory. Damage accumulation across the hallmarks seems lacking as a stand alone description of aging but I do like it as a tool for developing therapeutics, discovering biomarkers,and as a multi-pronged and multi-factorial strategy for improving healthsoan