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. 2021 Jul;58(7):e13688.
doi: 10.1111/psyp.13688. Epub 2020 Oct 10.

Cortical thickness and resting-state cardiac function across the lifespan: A cross-sectional pooled mega-analysis

Julian Koenig  1   2 Birgit Abler  3 Ingrid Agartz  4   5   6 Torbjörn Åkerstedt  7   8 Ole A Andreassen  4   9 Mia Anthony  10 Karl-Jürgen Bär  11 Katja Bertsch  12 Rebecca C Brown  13 Romuald Brunner  14 Luca Carnevali  15 Hugo D Critchley  16 Kathryn R Cullen  17 Eco J C de Geus  18 Feliberto de la Cruz  11 Isabel Dziobek  19 Marc D Ferger  3 Håkan Fischer  20 Herta Flor  21 Michael Gaebler  22   23 Peter J Gianaros  24 Melita J Giummarra  25   26 Steven G Greening  27 Simon Guendelman  28 James A J Heathers  29 Sabine C Herpertz  12 Mandy X Hu  30 Sebastian Jentschke  31   32 Michael Kaess  1   33 Tobias Kaufmann  4   9 Bonnie Klimes-Dougan  34 Stefan Koelsch  31   35 Marlene Krauch  12 Deniz Kumral  22   23 Femke Lamers  30 Tae-Ho Lee  36 Mats Lekander  7   8 Feng Lin  10 Martin Lotze  37 Elena Makovac  38   39 Matteo Mancini  40   41 Falk Mancke  12 Kristoffer N T Månsson  20   42 Stephen B Manuck  24 Mara Mather  43 Frances Meeten  44 Jungwon Min  45 Bryon Mueller  17 Vera Muench  13 Frauke Nees  21   46 Lin Nga  45 Gustav Nilsonne  8   20 Daniela Ordonez Acuna  31 Berge Osnes  35   47 Cristina Ottaviani  39   48 Brenda W J H Penninx  30 Allison Ponzio  45 Govinda R Poudel  49 Janis Reinelt  22 Ping Ren  10 Michiko Sakaki  50   51 Andy Schumann  11 Lin Sørensen  35 Karsten Specht  35   52 Joana Straub  13 Sandra Tamm  8   20   53 Michelle Thai  17 Julian F Thayer  54 Benjamin Ubani  55 Denise J van der Mee  18 Laura S van Velzen  56   57   58 Carlos Ventura-Bort  59 Arno Villringer  22   23 David R Watson  60 Luqing Wei  61 Julia Wendt  59 Melinda Westlund Schreiner  34 Lars T Westlye  4   9   62 Mathias Weymar  59   63 Tobias Winkelmann  21 Guo-Rong Wu  61 Hyun Joo Yoo  45 Daniel S Quintana  4   9
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Free article

Cortical thickness and resting-state cardiac function across the lifespan: A cross-sectional pooled mega-analysis

Julian Koenig et al. Psychophysiology. 2021 Jul.
Free article

Abstract

Understanding the association between autonomic nervous system [ANS] function and brain morphology across the lifespan provides important insights into neurovisceral mechanisms underlying health and disease. Resting-state ANS activity, indexed by measures of heart rate [HR] and its variability [HRV] has been associated with brain morphology, particularly cortical thickness [CT]. While findings have been mixed regarding the anatomical distribution and direction of the associations, these inconsistencies may be due to sex and age differences in HR/HRV and CT. Previous studies have been limited by small sample sizes, which impede the assessment of sex differences and aging effects on the association between ANS function and CT. To overcome these limitations, 20 groups worldwide contributed data collected under similar protocols of CT assessment and HR/HRV recording to be pooled in a mega-analysis (N = 1,218 (50.5% female), mean age 36.7 years (range: 12-87)). Findings suggest a decline in HRV as well as CT with increasing age. CT, particularly in the orbitofrontal cortex, explained additional variance in HRV, beyond the effects of aging. This pattern of results may suggest that the decline in HRV with increasing age is related to a decline in orbitofrontal CT. These effects were independent of sex and specific to HRV; with no significant association between CT and HR. Greater CT across the adult lifespan may be vital for the maintenance of healthy cardiac regulation via the ANS-or greater cardiac vagal activity as indirectly reflected in HRV may slow brain atrophy. Findings reveal an important association between CT and cardiac parasympathetic activity with implications for healthy aging and longevity that should be studied further in longitudinal research.

Keywords: aging; autonomic nervous system; cortical thickness; heart rate; heart rate variability; sex.

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