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Resting Cerebral Blood Flow and Ethnic Differences in Heart Rate Variability: Links to Self-Reports of Affect and
Julian F Thayer1, Julian Koenig2
1Department of Psychological Science, The University of California, Irvine, Irvine, CA, USA.
Insights
African Americans (AA) exhibit higher high-frequency heart rate variability (HF-HRV) despite greater cardiovascular disease (CVD) risk. Cerebral blood flow (CBF) in the anterior cingulate cortex (ACC) shows opposite associations with HF-HRV in AA versus European Americans (EA).
Area of Science:
- Neuroscience
- Cardiovascular Physiology
- Psychophysiology
Background:
- Reduced high-frequency heart rate variability (HF-HRV) is a known risk factor for cardiovascular disease (CVD).
- African Americans (AA) have a higher CVD risk but paradoxically exhibit greater HF-HRV than European Americans (EA).
- The "Cardiovascular Conundrum" suggests differences in regional cerebral blood flow (CBF) associations with HF-HRV may explain this disparity.
Purpose of the Study:
- To investigate ethnic differences in the association between regional cerebral blood flow (CBF) and HF-HRV.
- To explore the relationship between CBF, HF-HRV, and affect regulation strategies in European Americans (EA) and African Americans (AA).
Main Methods:
- Pooled data from 452 EA and 102 AA participants.
- Examined associations between CBF in 8 regions of interest (cingulate, insula, amygdala) with HF-HRV, mean heart rate (HR), and Coefficient of Variation (CoV).
- Utilized Bayesian statistics and analyzed self-reported affect and emotion regulation.
Main Results:
- CBF, particularly in the anterior cingulate cortex (ACC), positively correlated with HF-HRV and CoV in EA.
- Conversely, CBF in the ACC was negatively associated with HF-HRV and CoV in AA.
- Emotion regulation strategies showed ethnic differences: reappraisal positively correlated with HF-HRV in AA; anger suppression/non-expression associated with higher HF-HRV in AA, while outward anger direction was linked to lower HF-HRV in AA.
Conclusions:
- The anterior cingulate cortex (ACC) plays a differential role in regulating HF-HRV between EA and AA.
- Higher HF-HRV in AA may represent a compensatory mechanism, potentially linked to emotion regulation differences.
- Findings highlight the importance of considering ethnicity in understanding cardiovascular health and neural regulation.
Abstract:
Reduced high-frequency heart rate variability (HF-HRV) is associated with a greater risk for cardiovascular disease (CVD). Although African Americans (AA) are at greater risk for CVD, they show greater HF-HRV compared to European Americans (EA). Previous studies suggest that differences in the association between regional cerebral blood flow (CBF) and HF-HRV in AA and EA may explain this surprising pattern of findings, termed the Cardiovascular Conundrum. Here we pooled data from a total of n = 452 EA and n = 102 AA, investigating differences in the association between CBF in 8 regions of interest (ROI), including the cingulate (anterior, mid, posterior), insula (anterior, posterior), and amygdala (basolateral, centromedial, superfical), with HF-HRV, mean heart rate (HR) and their Coefficient of Variation (CoV). Bayesian statistics illustrate that CBF - in particular in the anterior cingulate cortex (ACC) - is positively associated with HF-HRV and CoV in EA, but negatively associated in AA. Exploring the association between HF-HRV and CBF with self-reports of affect and affect regulation showed some differences as a function of ethnicity. The association between greater habitual use of reappraisal only showed a positive correlation with HF-HRV in AA. Similar, greater suppression or non-expression of angry emotions was associated with greater HF-HRV whereas greater outward direction of anger was associated with lower HF-HRV in AA only. Given the importance of the ACC in emotion and emotion regulation, we suggest that increased HF-HRV may serve a compensatory role in AA. Implications from these findings and suggestions for future studies are discussed.
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