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  Variability in heart and brain activity across the adult lifespan

Kumral, D. (2021). Variability in heart and brain activity across the adult lifespan. PhD Thesis, Charité University Medicine Berlin, Germany.

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Name:
Deniz Kumral
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Structure and extent of this synopsis follow the doctorate regulations (“Promotionsordnung”) of the Charité – Universitätsmedizin Berlin. It summarizes five peer-reviewed publications underlying this dissertation which are abbreviated as Study 1 (Kumral et al., 2019), Study 2 (Koenig et al., 2020), Study 3 (Kumral et al., 2020), Dataset 1 (Babayan et al., 2019), and Dataset 2 (Mendes et al., 2019). For more detailed information about background, methods, results, and discussions of these studies, please see the respective publications which are inserted in their complete form in the section ‘Print versions of the selected publications’, starting on page 27.
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 Creators:
Kumral, Deniz1, Author                 
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1Charité Universitätsklinik Berlin, External Organizations, Berlin, Germany, ou_408890              

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Free keywords: heart rate variability, brain signal variability, aging, BOLD fMRI, EEG
 Abstract: The world population is rapidly aging. In Germany for example, the percentage of individuals 60 years and older is projected to be 38% in 20501. Longer lifetimes entail more progressive impairment of brain and body. It is therefore a crucial question how to assess and quantify these frequently occurring alterations associated with aging. In order to address this question, the overarching goal of this dissertation is to explore and characterize bodily and neural signals which reflect effects of aging across the adult lifespan. To this end, I performed two studies as lead investigator and contributed to three more large-scale collaborative studies.







In Study 1 (Kumral et al., 2019), I investigated the relationship of heart rate variability (HRV) to brain structure (gray matter) and resting state (rs) brain activity (functional connectivity) in a well-characterized sample of healthy subjects across the adult lifespan (N=388). For Study 2 (Koenig et al., 2020), I contributed to a mega analysis testing the association between cortical thickness and heart-rate variability (HRV) at rest, also across the lifespan (N=1218). In Study 3 (Kumral et al., 2020), I examined whether different measures of brain signal variability – identified with hemodynamic (functional magnetic resonance imaging; fMRI) or electrophysiological (EEG) methods – reflect the same underlying physiology in healthy younger and older adults (N=189). Lastly, during my dissertation work, I was part of the Mind-Body-Emotion group in Leipzig, which established two publicly available – and now widely used – datasets (Datasets 1 and 2; Babayan et al., 2019, Mendes et al., 2019), which include structural and functional MRI, EEG data as well as a range of physiological and behavioral measures.











In Study 1, I showed that age-related decreases in resting HRV are accompanied by age-dependent and age-invariant alterations in brain function, particularly located along cortical midline structures. In Study 2, we found that the age-related decrease of resting HRV was associated with cortical thinning in prefrontal brain structures. In Study 3, I demonstrated age differences in brain signal variability obtained with rs-fMRI and rs-EEG, respectively. Surprisingly, the two measures of neural variability showed no significant correlation, but rather seemed to provide complementary information on the state of the aging brain.







The present dissertation provides evidence that measures of cardiovascular and neural signal variability may be useful biomarkers for neurocognitive health (and disease) in aging. With these measures, we can further specify the dynamic interplay of the human body and the brain in relation to individual health-related factors.

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Language(s): eng - English
 Dates: 20212021-06-042021-06-04
 Publication Status: Issued
 Pages: 38
 Publishing info: Charité University Medicine Berlin, Germany
 Table of Contents: -
 Rev. Type: -
 Identifiers: -
 Degree: PhD

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Funding organization : Jahr

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