Doctor of Philosophy (PhD), Ohio University, 2024, Translational Biomedical Sciences
The global population is rapidly aging, creating a significant public health challenge as aging is associated with a myriad of health concerns, including an increased prevalence of osteoporosis, cardiovascular disease, and neurodegenerative conditions such as Alzheimer's and Parkinson's disease. Additionally, aging often threatens independent living, as adults over age 60 are more likely to experience muscle weakness, reduced mobility, difficulties with activities of daily living, and a higher incidence of falls. To address these aging-related health crises, the field of geroscience has shifted focus toward capturing the hallmarks of biological aging, with the goal of mitigating physiological processes that contribute to functional decline. Among the emerging biomarkers of aging, biological brain age—derived from neuroimaging techniques and machine learning models—has shown great promise as an indicator of global brain health. By comparing brain age to chronological age, one can assess the rate of brain aging, with accelerated brain aging (brain age > chronological age) linked to several conditions, including Alzheimer's disease, schizophrenia, cognitive impairments, and slower gait speed. I conducted preliminary cross-sectional analyses and leveraged data from the Baltimore Longitudinal Study of Aging (BLSA), a large, well-characterized longitudinal dataset, to examine the complex relationships between brain aging, muscle strength, and physical function. I found that accelerated brain aging was associated with slower gait speed, longer time to complete five consecutive chair stands, and difficulty completing a narrow walking task, demonstrating brain age's predictive value for physical function. Moreover, I identified a relationship between an accelerated rate of brain aging and elevated levels of interleukin-6 (IL-6), a pro-inflammatory cytokine implicated in inflammaging—the chronic, low-grade systemic inflammation observed in older adults. To further explore the (open full item for complete abstract)
Committee: Brian Clark (Advisor); Dustin Grooms (Committee Member); Julie Suhr (Committee Member); Janet Simon (Committee Chair); Graciela Muniz-Terrera (Committee Member)
Subjects: Aging; Epidemiology; Neurosciences