The Scotsman

Forehead wrinkles link to heart disease

● Furrows on the brow could raise red flag at low cost, says researcher­s

- By JENNIFER COCKERELL

People who have more deep forehead wrinkles than is typical for their age may have a higher risk of dying of cardiovasc­ular disease (CVD), researcher­s have suggested.

They said while furrows in the brow are not a better method of evaluating cardiovasc­ular risk than existing methods such as blood pressure and lipid profiles, they could raise a red flag earlier and at a low cost.

The study, which is being presented at the European Society of Cardiology (ESC) Congress in Munich, Germany, did not find a definite reason for the link, but theorises that it could have to do with atheroscle­rosis, or hardening of the arteries due to plaque build-up.

Atheroscle­rosis is a major contributo­r to heart attacks and other cardiovasc­ular events, and changes in col-

0 Researcher­s explored forehead wrinkles as a marker because it is ‘simple and visual’

lagen protein and oxidative stress seem to play a part both in atheroscle­rosis and wrinkles.

Also, blood vessels in the forehead are so small they may be more sensitive to plaque build-up meaning wrinkles

could be one of the early signs of vessel ageing.

The study analysed a group of 3,200 working adults who were all healthy and were aged 32, 42, 52 and 62 at the start.

They were examined by physicians who assigned scores

depending on the number and depth of wrinkles on their foreheads.

A score of zero meant no wrinkles while a score of three meant “numerous deep wrinkles”.

The participan­ts were followed for 20 years, during which time 233 died of various causes. Of these, 15.2 per cent had score two and three wrinkles, 6.6 per cent had score one wrinkles and 2.1 per cent had no wrinkles.

The authors found that people with a wrinkle score of one had a slightly higher risk of dying of cardiovasc­ular disease than people with no wrinkles. Those who had wrinkle scores of two and three had almost ten times the risk of dying compared with people who had wrinkle scores of zero, after adjustment­s for age, gender, education, smoking status, blood pressure, heart rate, diabetes and lipid levels.

Study author Yolande Esquirol, associate professor of occupation­al health at the Centre Hospitalie­r Universita­ire de Toulouse in France, said: “We explored forehead wrinkles as a marker because it’s so simple and visual. You can’t see or feel risk factors like high cholestero­l or hypertensi­on.

“Just looking at a person’s face could sound an alarm, then we could give advice to lower risk.”

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