Red In The Face? People Use The Color Of Your Skin To Judge How Healthy You Are

People use the color of your skin to judge how healthy you are, according to researchers at the University of St Andrews. Scientists in the School of Psychology have shown that there is truth to the received wisdom that a "rosy" complexion denotes healthiness, whilst a "green" or "pale" color indicates illness.

Lead researcher Ian Stephen worked with the University's Perception Lab to determine how face color is associated with healthy looks.

Several monkey species use redness in their faces or sexual skin to advertise their health status and to attract mates. The team was keen to discover whether similar mechanisms were at work in humans.

Ian Stephen said, "Parents and doctors know that when you get ill, you can end up looking pale. Our research goes further and shows that even young, healthy university students can benefit from a complexion reflecting more blood and more oxygen in the skin."

The team from the University of St Andrews first measured how skin color varies with the amount of blood and oxygen in the blood.

These measurements were used with computer graphics to allow research participants to change the color of the faces in the photographs to look as healthy as possible. The team found that, for all faces, participants added more oxygen rich blood color to improve the healthy appearance.

Stephen continued, "Our skin contains many tiny blood vessels that carry blood laden with oxygen to the skin cells, allowing them to "breathe", and allowing us to lose heat during exercise. People who are physically fit or have higher levels of sex hormones have more of these blood vessels and flush easier than people who are unhealthy, unfit, elderly or smokers. Physically fit people also have more oxygen in their blood than people who are unfit or have heart or lung illnesses."

Professor Dave Perrett, head of the Perception Lab commented, "Our evaluators all thought that bright red blood with lots of oxygen looked healthier than darker, slightly bluer blood with lower oxygen levels. It is remarkable is that people can see this subtle difference."

"This may explain why some people with very red faces do not look so healthy; the color of their blood may be wrong. So it's not just the amount of blood that's important; it's the type of blood that determines healthy looks".

The research shows that people use the color of the blood in your skin to judge how healthy you are.

"Since your attractiveness relies upon how healthy you look, you might be able to make yourself more attractive by being kind to your heart and lungs in doing more exercise or quitting smoking," concluded Ian Stephen.

Waist Size Found To Be Predictor Of Heart Failure In Both Men And Women

Adding to the growing evidence that a person's waist size is an important indicator of heart health, a study led by investigators at Beth Israel Deaconess Medical Center (BIDMC) has found that larger waist circumference is associated with increased risk of heart failure in middle-aged and older populations of men and women.The findings, published online in the April 7 Rapid Access Report of the journal Circulation: Heart Failure, showed that increased waist size was a predictor of heart failure even when measurements of body mass index (BMI) fell within the normal range.

"Currently, 66 percent of adults in the United States are overweight or obese," explains Emily Levitan, ScD, the study's first author and a Research Fellow in the Cardiovascular Epidemiology Research Unit at BIDMC. "Knowing that the prevalence of heart failure increased between 1989 and 1999, we wanted to better understand if and how this increase in obesity was contributing to these rising figures."

A life-threatening condition that develops when the heart can no longer pump enough blood to meet the body's needs, heart failure (also known as congestive heart failure) is usually caused by existing cardiac conditions, including high blood pressure and coronary artery disease. Heart failure is the leading cause of hospitalization among patients 65 and older, and is characterized by such symptoms as fatigue and weakness, difficulty walking, rapid or irregular heartbeat, and persistent cough or wheezing.

The researchers examined two Swedish population-based studies, the Swedish Mammography Cohort (made up of 36,873 women aged 48 to 83) and the Cohort of Swedish Men (43,487 men aged 45 to 79) who responded to questionnaires asking for information about their height, weight and waist circumference. Over a seven-year period between January 1998 and December 2004 the researchers reported 382 first-time heart-failure events among the women (including 357 hospital admissions and 25 deaths) and 718 first-time heart-failure events among men (accounting for 679 hospital admissions and 39 deaths.)

Their analysis found that based on the answers provided by the study participants, 34 percent of the women were overweight and 11 percent were obese, while 46 percent of the men were overweight and 10 percent were obese.

"By any measure – BMI, waist circumference, waist to hip ratio or waist to height ratio –our findings showed that excess body weight was associated with higher rates of heart failure," explains Levitan.

Further breakdown of the numbers showed that among the women with a BMI of 25 (within the normal range), a 10-centimeter higher waist measurement was associated with a 15 percent higher heart failure rate; women with a BMI of 30 had an 18 percent increased heart failure rate. In men with a BMI of 25, a 10-centimeter higher waist circumference was associated with a 16 percent higher heart failure rate; the rate increased to 18 percent when men's BMI increased to 30.

Furthermore, adds Levitan, among the men, each one-unit increase in BMI was associated with a four percent higher heart failure rate, no matter what the man's waist size. In women, she adds, BMI was only associated with increased heart failure rates among the subjects with the largest waists. Finally, the authors found that the association between BMI and heart-failure events declined with age, suggesting that the younger the person, the greater the impact of weight to heart health.

"This study reinforces the importance of maintaining a healthy weight," says Levitan. "Previous research has looked at various types of heart disease and related health issues, and no matter the particulars of the study, they've all been pretty consistent in determining that excess body weight increases a person's risk of heart disease."

Study coauthors include BIDMC investigators Murray A. Mittleman, MD, DrPH (senior author), Amy Z. Yang, BA and Alicja Wok, DrMedSci.

The study was supported by grants from the National Institutes of Health, the Swedish Research Council and the Swedish Foundation for International Cooperation in Research and Higher Education.