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Thus, the typical older adult has low heart rate variability (HRV) and high noradrenaline levels. Younger adults with this physiological profile tend to be unhappy and stressed. Yet, with age, emotional experience tends to improve. Why does older adults\u2019 emotional well\u2010being not suffer as their HRV decreases? To address this apparent paradox, I present the autonomic compensation model. In this model, failing organs, the initial phases of Alzheimer's pathology, and other age\u2010related diseases trigger noradrenergic hyperactivity. To compensate, older brains increase autonomic regulatory activity in the pregenual prefrontal cortex (PFC). Age\u2010related declines in nerve conduction reduce the ability of the pregenual PFC to reduce hyperactive noradrenergic activity and increase peripheral HRV. But these pregenual PFC autonomic compensation efforts have a significant impact in the brain, where they bias processing in favor of stimuli that tend to increase parasympathetic activity (e.g., stimuli that increase feelings of safety) and against stimuli that tend to increase sympathetic activity (e.g., threatening stimuli). In summary, the autonomic compensation model posits that age\u2010related chronic sympathetic\/noradrenergic hyperactivity stimulates regulatory attempts that have the side effect of enhancing emotional well\u2010being.<\/jats:p>","DOI":"10.1111\/nyas.15138","type":"journal-article","created":{"date-parts":[[2024,4,27]],"date-time":"2024-04-27T09:54:55Z","timestamp":1714211695000},"page":"13-41","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":43,"title":["The emotion paradox in the aging body and brain"],"prefix":"10.1111","volume":"1536","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4331-6112","authenticated-orcid":false,"given":"Mara","family":"Mather","sequence":"first","affiliation":[{"name":"Leonard Davis School of Gerontology, Department of Psychology, and Department of Biomedical Engineering University of Southern California Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,4,27]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2589\u20107500(20)30246\u20106"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.115.002365"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2009.12.022"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2007.03.056"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/55.12.M744"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afn292"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/078538905100073331"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1152\/ajpheart.00275.2019"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.HYP.0000160318.46725.46"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469\u20107793.2000.00407.x"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.HYP.21.4.498"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1017\/9781108552684.007"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/08039480310000266"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.3109\/10253890.2011.648247"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022\u20103999(04)00064\u20109"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11906\u2010015\u20100594\u20105"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0021285"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neubiorev.2016.07.019"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1093\/cercor\/bhv001"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neuroimage.2017.02.080"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tics.2021.01.013"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/psyp.12027"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1113\/JP282994"},{"key":"e_1_2_9_25_1","first-page":"339","article-title":"Topical review: The human respiratory gate","volume":"548","author":"Eckberg D. 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