Blog

30

4

This issue comes up frequently in nutrition circles, for obvious reasons. And the answer may seem obvious as well: Of course you can judge whether someone's diet is helping them or hurting them by how they look. But I'm not so certain.

There are a couple of arguments on the "yes" side. One is that in addition to morbidity and mortality info (such as is available), we (especially the "we" in the Paleosphere) give some consideration to the issue of how attractive traditional people eating traditional diets look. Even before Weston Price codified some of the markers of health/attractiveness in the groups he studied, explorers and missionaries remarked repeatedly upon the "vigorous" and "handsome" appearance of the so-called primitives they journeyed among.

Another argument relies on insights into sexual selection from evolutionary biology: Attractiveness is a serious proxy for health in this view. It's how members of a species determine who owns the highest-quality genetic material, and whether it's worth it to hit that.

And deteriorations in health are very often accompanied by unmistakable deteriorations in attractiveness, no matter how undiminished the beauty of the sufferer's soul remains.

There may be more arguments for the "yes" column, and that's one of the things I'm looking for in this question, I guess. I'd like to hear what you all think those are.

Here are the arguments I've got in the "no" column. The first and most persuasive to me is that attractiveness as a proxy for biological fitness -- defined as how well-adapted an organism is to its environment -- is about the organism's adaptedness to its entire environment, not just to its current diet. The entire environment includes things like air quality, sleep, sunshine, social well-being, plus a whole raft of things we've not yet identified as having an impact on health.

Making it even more unreliable as a marker for the healthfulness of the subject's current diet is the fact that we now know that what your parents did before you were born will have an impact on your health -- and what their parents did, and so on, and so on. And in the modern industrial world, many of us may be paying for the sins of people we haven't even met. (I could have bundled this with my expansion of the word "environment," but that graf was getting too long.)

While we're on evolutionary biology, Michael Rose explains very clearly the problem of adaptive pressure ceasing once a subject is past the reproductive stage. This very simple but clever insight may be behind the whole process of ageing -- we may get old simply because there's nothing telling our bodies what to do after we spawn. And this may be why middle age often hits women so much harder than men in the attractiveness department (when does the reproductive stage end for men?).

Finally, there's a less abstract argument: We all know people who look great no matter what they shove in their pie-holes. I'm chuckling as I write this, thinking of one slender woman in particular who recently got some notoriety when she was mentioned by name in a recent post by a prominent blogger (who was writing about a recent prominent kerfuffle, lol). I first "met" her as a fellow zero-carber, when she was puting herself out on FB and other places as an example of how fit ZC could make a person. She's now a VLCer and decries her former diet as being unhealthy, and tells people how much healthier she is now that she's including more carbs in her diet. But by her own admission, she looked much the same ten years ago, when she was eating processed junk food; five or so years ago, when she was a vegetarian, and I can vouch that she looks no different on VLC than she did on ZC. I don't doubt her report that she feels better, but my point is you couldn't tell by looking at her.

Okay, I've run my keyboard enough for one question. What do you guys think -- do looks tell the tale of a diet's healthfulness? Is "attractiveness" a fair index?

P.S. Although this question was inspired by it, I don't mean this to be a referendum on the discussion of whether it's socially appropriate to weigh in publically on various individuals' hot/notness, which came up in a different question. I mean this in the much more general sense implied by the title of my question.

flag
6 
Rose, you write amazing questions. – sherpamelissa Sep 8 2011 at 1:43
1 
You'd get a +1 from me anyway, but I especially loved your "hot/notness" phrasing. – kinetic Sep 8 2011 at 2:20
1 
Well, this proves beyond a shadow of a doubt the ZCers ask the most intelligent questions. – edrice Sep 8 2011 at 2:40
2 
Plus you can never go wrong with the word "kerfluffle." – BaconHealsChic Sep 8 2011 at 3:55
1 
rose, this is a wonderful question. erudite and compassionate and interesting to boot. – being Sep 8 2011 at 15:09
show 5 more comments

17 Answers

11

I feel like it is a good indicator of health in a population but not on an individual level. Outliers, bell curves and all that jazz.

link|flag
1 
This isn't an answer that generated a lot of emotion one way or the other, but after mulling it over for quite a while, I think that this perspective, plus Ambimorph's comment to Patrik's answer, below (paleohacks.com/questions/63435/…), captures the nature of the problem very well. Other answers have been "emotionally" correct, or have offered good technical perspectives, but issue really boils down to how much insight into dietary health can be gleaned from physical attractiveness. – Rose Sep 8 2011 at 19:36
1 
Applying this to human populations, I think Curated Wellness and Ambimorph have the right perspective: You need to slice up the data (population groups) by diet type and at least one other variable (pick any environmental factor), and make sure you've got enough population in each slice to be meaningful. – Rose Sep 8 2011 at 19:42
3 
* cries in the corner humiliated * – No more. Sep 9 2011 at 3:27
4 
Nah, it's not a cop-out. It describes the facts accurately. My father-in-law had a 98 Buick that ran great until he sold it. My 98 Buick needed three transmissions. Until you see the larger set of data, you'd really have no basis for saying that an entire decade of Buicks were crap (they were; their loss ratio as a group is execrable. It's just my father-in-law's was apparently made on a rare good day by a rare good crew). When it comes to assessing the health of someone's diet, I think hard-wired instincts got us about as far as the industrial food revolution; now we need numbers. – Rose Sep 9 2011 at 3:33
4 
P.S. The question isn't can you judge someone's health by how they look, but can you judge the health of their diet? I'm not trying to be clever here, but I am trying to get some light on the question of whether any given individual's appearance is an advertisement for or against a way of eating. And I think nothing in this thread has made the case that it is -- for that, you really do need a larger data set. – Rose Sep 9 2011 at 3:54
show 8 more comments
14

"ZCers ask the most intelligent questions"

I love this topic.

It helps to break down the aspects of growth that make our bodies beautiful. There are two major organ systems we use for evaluating appearance: skeleton and skin/subQ fat. Diet affects both until our growth plates fuse. After our growth plates fuse, our diets cannot alter skeletal growth (other than to keep the bones strong enough to prevent collapsing into themselves to cause kyphosis, or dowager hump--the old age curves of the spine), so from this time on, diet affects our appearance primarily because it can modify how our skin looks, how much fat we have and where the fat gets distributed.

The funny thing is, most of us talk openly about our skin/fat-related beauty. With a few exceptions, people tend to agree that acne and scars are disfiguring and that boobs belong on women not men. But when it comes to the evaluation of skeletal beauty, things like the shape of a face or the width of the pelvis, suddenly that's cultural?

Naaw.

Skeletal beauty (in humans) is characterized by long limbs, a long waist, a wide face, and wide hips in women and shoulders in men. The shape of a person's skeleton is dependent partly on genetics and partly on spontaneous chemical reactions that are driven by the same forces that shape crystals in caves and ripples in sanddunes. In other words, skeletal growth is a kind of controlled crystalization process. And like all crystallization processes when uninterrupted they obey a certain pattern that has to do with a profoundly interesting mathematic equation called phi.

For more info, check out http://www.beautyanalysis.com/

link|flag
1 
"...driven by the same forces that shape crystals in caves and ripples in sanddunes." ::swoon:: Seriously, that gave me chills. Fascinating link, too. – Rose Sep 8 2011 at 15:05
2 
i like this answer. so the beauty you're referring to is structural. see, i can see how this would coincide with evolutionary advantages attained through bone structure. i don't see how slight adiposity, acne, or other superficialities coincide with that being that they're culturally unappealing but have nothing to do with gaining a structural advantage. – luckybastard Sep 8 2011 at 15:08
1 
Uh oh, Deep Nutrition all up in paleohacks! Dr. Cate, I'm going to ask a really complicated question about joints at some point, and you have to answer. This means you'll have to periodically check paleohacks, okay? It's going to be related to this: paleohacks.com/questions/28181/… – Kamal Sep 8 2011 at 16:56
1 
Don't worry Kamal -- I have been pulling Dr. Cate into PH via email. :) – Patrik Sep 8 2011 at 18:53
1 
Excellent. Spread, paleohacks tentacles, spread! I can't believe we've had postings from Jaminet, Masterhack, Kurt Harris, Dr. Rosedale, etc etc. – Kamal Sep 8 2011 at 20:06
show 5 more comments
12

Do looks tell the tale of a diet's healthfulness? No

Is "attractiveness" a fair index? No

That pretty much sums it up for me ;-)

link|flag
6 
No. I think we cannot look at someone and draw any conclusions about who they are and how they live based on their appearance. yes a healthy diet can make many look "better" but what is better? I look a hell of a lot better than I did before but to see me without having seen my "before" you might think I needed to cut down the carbs a bit or hire a new trainer. I think a red face can just as easily be sunburn or rosacea as it can be some indictment of one's diet. And as well all know you can look hot as hell and eat like a disgusting pig. – Shari Bambino Sep 8 2011 at 3:38
4 
@Patrick I think before and after may tell you something but w/o context it's hard to pass judgement. If it's a guru telling you that you can look healthy and strong and they are falling apart externally, yeah judge away. But if someone's just doing there things, there's too many variables to make it an adequate assessor. – No more. Sep 8 2011 at 3:45
3 
Patrick and Shari- I wouldn't actually think it's that complicated. There is an mild to moderate correlation between looks and health. A cross-sectional study could look at this, if the NIH was crazy enough to fund it, and find out what the (very roughly estimated) correlation coefficient is for different aspects of "looks" and different aspects of health. In some societies, the correlation is probably quite high. In the US, I'd guess not so much. There are just too many ways to circumvent the correlation (chronic cardio and borderline anorexia, stress-related overeating, etc etc). – Kamal Sep 8 2011 at 3:52
7 
I will say this though-- the correlation between how much you genuinely smile and how healthy you are is probably stronger than the correlation between looks and health. That is because stress and chillaxamatude is such an under-rated aspect of health maintenance. – Kamal Sep 8 2011 at 3:57
4 
people who are wealthy are perceived to be more attractive. people who smile are perceived to be more attractive. and, im sure that people who are "paleo" cringe are perceived to be more attractive by individuals who are stakeholders in the "paleo movement". – being Sep 8 2011 at 15:17
show 25 more comments
8

In my experience, people look better as their health improves. I don't mean that they suddenly become attractive by societal standards necessarily, but that they have a "glow"; clear skin, shiny hair, bright eyes, relaxed...I definitely use my eyes as part of my tool bag when seeing clients. Often they look so much better at a follow up appointment, that their improvement is obvious to anyone who has ever seen them. When I see a client again, and they look grey, tired and dull, I know we need to step it up...even a person who always seems to look good no matter what lifestyle choices they seem to make give physical feedback that is visible to the naked eye, we just need to look more carefully.

link|flag
I'm sure this kind of before and after comparison can be useful in a practice. It's one of the pieces of data a lot of the rest of us lack when we aren't well acquainted with people, and judge them on a single appearance (or, ancestors forbid, over the internet). – Rose Sep 8 2011 at 5:43
Yes, but I see people using weight in that scenario almost exclusively...weight can be an indicator of health, but like you said, there are plenty of fit looking people who eat SAD, and there are people who eat well, and still have excess body fat. – Rogue Nutritionist Sep 8 2011 at 15:56
8

Physical appearance/looks are one way to measure gene expression and health -- which is really what we want to hack, if we are eating Paleo.

Is it a perfect indicator? OF COURSE NOT!

But to claim it has nothing or very little to do with health is remarkably silly. Let me give you an example -- I have a Paleo toddler, his physical appearance is ONE of the many ways I measure whether or not he is healthy AND whether I am being a good parent by meeting his nutritional (and other) needs.

Is his skin smooth or does he have pimples? If the latter, maybe I have exposed him a food to which he is intolerant. Are his teeth growing straight? Is he relatively well-muscled & strong?

Let's get personal: me. Eating Paleo has vastly improved my health & appearance -- facial inflammation from wheat/gluten has disappeared and I have lost weight (I was never obese but carried a few more pounds than I should have).

Where am I now? My appearance is good/decent shape, but not great. Why? Cuz I don't get enough sleep or exercise and have too much stress. Cortisol is through the roof. My appearance is telling me this.

Also, I have also had what some people call "allergic shiners" since I was a child -- they are MUCH less prominent on Paleo -- but I suspect I have some unknown sensitivity that I still need to hack.

Bottom line: physical appearance DOES indicate information about health -- it certainly isn't perfect, but don't throw the baby out with the bathwater by letting perfect be the enemy of good.

PS I don't believe the "healthy at any size" BS.

PPS WE ARE BIOLOGICALLY WIRED TO MATE WITH HEALTHY LOOKING PEOPLE.

link|flag
4 
healthy at some variation of sizes, with an upper limit, is my opinion. You end up with causes like this nydailynews.com/news/national/2011/09/02/… "Then, as an adult, Simpson said she found the Internet and got pulled into the "Gaining Community," a group of like-minded, like-bodied adults who embraced their curves." in my experience the HAES community can be as rabid as the vegan animal rights community in their unwillingness to see what's unhealthy – Bread-Eating Beelzebub Sep 8 2011 at 4:21
4 
LOL! Well that's one way to look at it Patrik. Can you not see how while studies make show some correlation you cannot look at a particular individual and draw any conclusions about their health? Well you can but you may very well be wrong. You want free reign to look at someone and make assumptions about them. Fine. Do that. But please don't say there's some kind of scientific reasoning to that on an individual basis. As you said "...Imperfect? Yes. Highly variable? Yes. Maybe even false at times? Yes...." We agree on that. – Shari Bambino Sep 8 2011 at 4:57
8 
Well, I do think some of this back and forth here is happening because the "sides" are operating from different premises. One single look at someone may not be enough to judge health or fitness, but seeing someone over time may provide better data. – Rose Sep 8 2011 at 5:47
5 
Agreed, Rose. I also think the the different sides may be looking at individuals vs. collectives. Obviously if you are talking about the population as a whole or a person over time, then Patrik is right. Obviously if you take one snapshot of a person, then Shari is right. The reason this is still a good question, IMO, is that we are often guilty of conflating the two. You can use your judgment reliably on yourself and your toddler because you have a baseline. You can't use it as reliably on a stranger at the store. – Ambimorph Sep 8 2011 at 17:47
4 
Also, it is simply not true, and not true in any field of this kind, that someone who is selling a "weightloss book" and is "pudgy" doesn't have the knowledge to guide others to very successful weightloss. Knowledge and appication of knowledge are two entirely different things. What we apply in life is governed by alot of complex and often competing factors. – Atkins-witha-loincloth Sep 9 2011 at 0:43
show 25 more comments
8

Some markers of beauty are cultural, such as these folks which have done things to themselves that our culture does not consider beautiful, but that their culture deems to be very desirable and even a requisite for marriage...despite the fact that they can cause serious health issues!

lip plating teeth filing tight lacing

But some are biological markers selected for because they help us acquire a healthy mate. Some of these are inborn either due to genetics or early development. Others can be altered. They can be affected by diet and lifestyle. I think when these crop up they should be addressed. I actually had my first acne outbreaks after a year of doing paleo. It was quite alarming and was definitely a signal that something was wrong and needed to be questioned.

But other women have written to me telling me they have stubborn backside fat that they want to get rid of. I tell them that they need to examine whether or not this is a marker of poor health or not. Turns out it is a marker of good health and fertility and older women with that sort of fat are healthier than stick skinny folks.

People may be criticized if they write books on how to be thin that proclaim the superiority of their method while attacking other methods... while remaining pudgy themselves. I think the solution is for those people to write more honestly and then no one would even ever dare to mention it. Sorry, I'm not going to write a book about ultimate solutions on how to get rid of acne or stretch marks because it's something I struggle with and I would be a hypocrite. But if someone mentioned my terrible crooked teeth I would say I was born that way and only plastic surgery could alter that. You also can't change certain things from your past. Maybe if I had known better a long time ago I never would have gotten stretch marks in the first place, but they are there and they are not going away, though I'd be happy to hear tips about getting rid of them.

I also think it's quite amusing that people have consistently critiqued the appearances of people like Campbell and Fuhrman and no one has complained. But god forbid you point out someone low-carb/paleo who is promoting their diet for weight loss and tarnishing other diets and telling people what to do is chubby.

Here are just a few things that most humans consider attractive that have been tied to health/andor fertility:

link|flag
1 
I very much like the way you distinguished between cultural and biological markers of beauty (former English lit grad student here, and the blind refusal to consider biology real in any meaningful way is what made me leave -- true story). The difficulty of teasing them apart reminds me a bit of the difficulty distinguishing satiation from satiety in food reward theory, lol. So good job giving me something to chew on. – Rose Sep 8 2011 at 2:33
1 
After puberty stretch marks, weight training/muscle stretch marks and pregnancy stretch marks...I can tell you that they fade over time--almost to disappearing. – BaconHealsChic Sep 8 2011 at 2:33
BaconHealsChic, mine are caused by weight loss. Do those go away? It's been four years now :( – Bread-Eating Beelzebub Sep 8 2011 at 2:37
Melissa - no actual culture thinks the woman on the far right is beautiful. There might be a few ppl who do -- but she is not a beauty ideal (biological or cultural). Interestingly enough, what women think is beautiful (wrt women )is often very different than what men think is beautiful. See diffs in women in fashion mags & porn mags. Both are caricatures of beauty -- but vastly different. – Patrik Sep 8 2011 at 3:20
Yes...mine went away in my mid 30's--after my skin became more elastic...bittersweet. For example, when the skin is tight during pregnancy you can see them all purple and perfectly...after the skin is slack again you can't see them over after a period of time. That is my experience anyway. – BaconHealsChic Sep 8 2011 at 3:30
show 5 more comments
6

This is entirely anecdotal of course but it has repeated itself many, many times over the years. Ever since I started the Zone over 15 years ago I began looking at people in grocery store lines and matching them to what I guessed would be going down the conveyor belt. And more often than not, it would be something akin to a plump, pasty-skinned bruisy-legged mother with plump kids and the check-out counter was stacked with refined starches, white bread, biscuits, cookies and sodas and all manner of deleterious nasties and not much even resembling something with a vitamin in it.

That really proves nothing but as another matter of similar interest, here is an excerpt from an email that my sister wrote to Catherine shanahan (Dr Cate), author of Deep Nutrition, which she had read a year earlier -

"Like you I have suffered from plantar fasciitis, achilles tendonitis and a myriad of other sports injuries off and on for 30 years. I always attributed it to running too much, being active, getting older etc. I too was terrifed of fat, ate 100 calorie packs of kibbles n bits, skinless chicken and the like. It was a mess of a diet and I felt like a hot mess most of the time. Deep Nutrition has given me the generational knowledge all wrapped up in one tidy package. The reason for my writing however is that not only did the the broth heal my ailing joint and tendons but my skin looks amazing! A friend I hadn't seen in a year asked me if I had done botox, and I said "no, I did bone broth!" That coupled with the anti-inflammatory diet has cleared up my adult cystic acne as well and we are well into the dog days of summer in Atlanta. Usually by this time of year my skin is a mess as and I am happy to say it looks and feels great."

Dr Cate wrote back too and said, "Bone-Broth not Botox! I may have to steal that line."

As another point of reference I owned a vegetarian restaurant for a year and as a result knew lots of vegetarians, including my girlfriend who ran it with me. I can tell you that this was, on the whole, not the healthiest looking group of people. It could be said that that many were vegetarians because they were trying to deal with some issues, which is fair. But my own personal experience was that it was a disaster and my health deteriorated, much like Robb Wolf's description in his book. I was told I did not look healthy and I didn't. I was told that I looked much better after I stopped that crap, and I did. My girlfriend soldiered on with it and gained weight - I was so skinny at the time I had to run around in the shower to get wet - but she was not the picture of the healthy looking girlfriend I was going with and this was only a few years later.

I do draw some conclusions from all this, but they are not always foolproof.

Ed

Added 9/8/11- Here's a page from the above-mentioned book, Deep Nutrition, that touches upon some aspects of looking healthy -

alt text

link|flag
2 
I've always thought over the years that the people who shop in natural food stores (where I shop) did not look healthy and had a sometimes emaciated or worn-out skin look. I assume, though i don't know that a lot of them were vegetarians or attempting to be vegetarians. – BaconHealsChic Sep 8 2011 at 3:25
I also draw some non-foolproof conclusions from my observations, lol. When I moved to Eugene (veggieville) a few years ago, I noticed that folks here didn't look quite as healthy as in the Bay Area. I still think there are a lot of factors besides diet (sunshine is a big one, and there was way more unemployment here than there at the time). But I've never been wrong yet when I've surmised that someone watery-looking is a veg*n (or when an unhealthy dog is kibble-fed, lol). The reverse isn't always true, however; lots of people and dogs look fine on those diets. – Rose Sep 8 2011 at 13:22
1 
I don't know if it makes him a hypocrite per se, but it makes him a bad gambler, lol. And his followers, too. – Rose Sep 8 2011 at 16:36
1 
Dr Cate goes heavily into the generational aspects of diet. She had one very interesting example of 4 generations of one Hawaiian family simultaneously standing in her office and describing the general decline of each succeeding generation, from the great-grandmother with perfect skin and teeth, to the snaggle-toothed great granddaughter with skin problems. – edrice Sep 8 2011 at 17:03
1 
I can't believe that dude up there is actually 60, I would pass him for 40. (not Ornish) – ROB Sep 8 2011 at 19:05
show 12 more comments
5

This is kind of an N=1 study, but the lady I'll soon describe isn't the only person I've ever met that is like this. There is an older woman named Nora at my CF box and she is a beast. This woman in her fifties can lift way more weight than I can, can run for longer (though not faster) than a lot of the girls, and is regularly "hacking" our dietary issues and handing out great advise. She's an awesome lady and an "institution", as it were, at our box. But attractiveness wise she looks like your average grandma. She's got strong legs but she's a little barrel in the middle, she doesn't look especially young for her age, while you can tell she's muscular she's just as likely as any granny to show up in the locker room in a breezy linen pants suit. She's definitely healthy and solid and I'm pretty sure that she and her husband will workout together until the day they die. Hopefully, they will continue to workout with us. But there are so many variables, and honestly our society's markers of attractiveness are unsustainable on any kind of "normal" diet with "reasonable" exercise.

link|flag
Perfect example. Thank you. – Shari Bambino Sep 8 2011 at 2:15
+1 - So, so, real. My generation was supposed to be the generation that has the totally unrealistic emphasis on being "forever young." PH has completely and totally disporven that, lol as Baby Boomers are in a very clear minority here. Anyhow, great answer! – Atkins-witha-loincloth Sep 8 2011 at 2:50
She sounds awesome! And I especially agree about the number of variables in play. – Rose Sep 8 2011 at 13:14
4

The theory (actually, the actuality!) of assortive mating has been fascinating to me since the early 90's. I worked in a specialty area where I was near constantly convinced of it as a very, very powerful force, and got to see outcomes and clear evidence of it in my daily work with families, through at least 2 to 3 generations, and sometimes more, via gathering family medical, social and psychological history.

Certainly, assortive mating can result in an emphasis on physical characteristics that evolutionarily may signal health. But assortive mating is FAR, FAR more complex than this, and in my opinion, often completely ignores, in the extreme, the characteristics that some think are the main evolutionary drivers of mating.

Take the following article, for example...

"One provocative hypothesis that might account for the rise of spectrum disorders in technically adept communities like Silicon Valley, some geneticists speculate, is an increase in assortive mating. Superficailly, assortive mating is the blond gentleman who prefers blonds; the hyperverbal intellectual who meets her soul mate in the therapist's waiting room. There are additional incentives and pressures for autistic people to find companionship - if they wish to do so- with someone who is also on the spectrum. Grandin writes, "Marriages work out best when two people with autism marry, or when a person marries a handicapped or eccentric spouse...they are attracted because their intellects work on a similar wavelength."

"In another age, these men would have been monks developing new ink for printing presses. Suddenly they're reproducing at a much higher rate."

"At clinics and schools in the valley, the observation that most parents are engineers and programmers who themselves display autistic behavior is not news. And it may not be news to other communities either.Last January Microsoft became the first major US corporation to offer its employees insurance benefits to cover the cost for behavioral training for their autistic children. One Bay Area Mother told me that when she was planning a move to Minnesota with her son who has Asperger's syndrome, she asked the school district there if they could meet her son's needs. "They told me that the northwest quadrant of Rochester, where the IBMers congregate has a large volume of Asperger's kids," she recalls. "It was recommended that I move to that part of town."

http://www.wired.com/wired/archive/9.12/aspergers_pr.html

Additionally, consider, as some have already, that characteristics which are drivers of mating in humans may change greatly over time as humans evolve and cultures change.

My point here is that for many, many people, it is at best a gross oversimplfication, and is outright wrong, often, as well, to view physical characteristics as the main drivers of mating behavior. As the future unfolds, I believe that this will be increasingly true.

Additional Non-Random Mating link for info:

http://anthro.palomar.edu/synthetic/synth_8.htm

link|flag
2 
I don't think this issue was about whether or not we'd mate with people who don't look healthy. I think it was about whether or not there are any markers in someone's appearance that tell us whether or not they are healthy. Clearly my nerdly looks are a result of assortive mating, but the acne breakouts I've suffered periodically are a result of unbalanced diet and hormones. – Bread-Eating Beelzebub Sep 8 2011 at 18:01
2 
My point is that it is being repeatedly asserted that we are hardwired to seek out, in mates, physical indicators of ostensible health. First of all health is a big category. Secondly, there are huge numbers of people who are very obviously overiding usually totally unconsciously this hardwiring. This was only a single example of a very specific group, but also a very (imho) very evolutionarily important group. I will be the first to say that diet is very important. But a physical appraisal is still a very inadequate yardstick, although certainly not without significance. And... – Atkins-witha-loincloth Sep 9 2011 at 1:13
1 
(con't) Furthermore, it is my assertion that we are going to be seeing more and more of this "biological hardwiring" for ostensible health (as in repro/fecundity) being overridden due to evolutionary necessity. Evolutionary necessity is not static. We are shaping it. We may not be happy with where we "get to" but nonetheless, we are going there. – Atkins-witha-loincloth Sep 9 2011 at 1:40
@mem -- they aren't overriding anything. Mating is not about absolutes, it is about what you can actually get on the mating market - which is often different. Those same male nerds who are mating with their nerdy females are definitely attracted to females found in porn (i.e. hardwired for WHR etc etc) but they cannot get it. – Patrik Sep 9 2011 at 18:48
2 
@Patrik: Ah, yes...life as the meat market...how very reptilian of you... Yes, it is true, many do choose to live there" - to function out of their reptilian brains only. Yes, it is clearly a choice and one that is dominant in poorly integrated humans. – Atkins-witha-loincloth Sep 9 2011 at 22:42
3

I don't know that I can add much to your already thorough arguments. Just a couple of small ideas:

Your point about the slender woman is related to another one, which is "look good on their current diet compared to what other diet"? Even if a person has a broader range of looks based on what they are eating, they probably don't go from looking horrific to looking spectacular. Someone who has a propensity to having acne, for example, may go from acute to mild symptoms based on diet, but never have the clear skin that another is blessed with no matter what he eats. We all have different weaknesses, and some are more in plain sight than others, which brings me to another point: Maybe they look relatively good, but they're depressed, or constipated, or have terrible blood glucose control. Health is not always visible.

Also, the effects of a diet can take time to show up. For instance, now that I have the experience of having lost a lot of weight, when I see a fat person, I don't automatically necessarily think they have a bad diet. For all I know they have lost 50 lbs this year so far, and their diet is fantastically healthy.

Finally, there are people who are the opposite of your example. Some people have metabolic, genetic or other physiological problems that are beyond the scope of just dietary intervention and aren't looking very different no matter what they eat either.

link|flag
3 
Yeah, these are the kinds of things I'm getting at, where the visible data is an imperfect proxy for invisible things. And your point about metabolic or genetic problems makes me realize that my whole question could have been rephrased as: Does health depend entirely on diet? Which makes me further realize that my own answer is that a good diet is possibly a necessary but by no means sufficient condition for health. Which leads to: no, you can't tell if a person's diet is healthy by how they look. Too many other variables are in play. – Rose Sep 8 2011 at 5:36
I agree you can't go by weight, as I've lost about 30 lbs but still have 50 lbs to go. However, I do think you can tell by looks--brighter skin, healthy hair/nails. Those have been significant changes for me and I've noticed slim people with sickly skin tone and limp hair. I've actually lost a little of my gray; I was pretty even silver when I started and I now have steel gray streaks. My skin got MUCH brighter and it faded in my July 4th splurge but got brighter again within a week. My nails are tougher too. – Nance Sep 8 2011 at 18:42
True, Nance, those seem to respond faster. – Ambimorph Sep 8 2011 at 19:29
3 
Rose, I was suddenly reminded of something Charles Washington said. I don't agree with him about everything, but I still think it was a particularly clever point that "only the lucky ones get fat." That is, often it takes an affront to our looks that is not resolved by conventional wisdom to create the impetus to learn what's really going on. The implication being that there are slim people eating the SAD whose health is deteriorating, and they'll never find out, because it hasn't drawn their attention. – Ambimorph Sep 8 2011 at 19:32
2 
I agree with that saying of his too, Ambimorph. And not only in the sense that he apparently meant it in, of fat being the spur to analysis and action, but I've often thought of excess fat accumulation as being the body's preferred strategy for combatting even worse insults, in the same way that cholesterol is -- they are maybe more firefighter than fire. I've even wondered if that's why a slightly higher BMI is correlated with a bit more longevity; slimmer people may suffer the same dietary/environmental insults, but lack the "safety" strategy of fat storage. – Rose Sep 8 2011 at 20:44
show 1 more comment
3

Can't judge a book by it's cover.

I would suspect (unless you are a modern hunter/gatherer) attractivness never serves as a marker for health whatsoever...I say that only because I would think epigenetic advantages no longer apply due to modernity.

Environmental factors would now outweigh any selectivity that promulgates good health/attractiveness passed down in populations/individuals.

The individual of selective superior health sets the baseline I guess. Modern deteriorating effects of food choice, stress, environmental toxins and pharma damage reduce health--but I would think we cannot assume the attractive, selected populations health will deteriorate at a slower rate than those who started out with a lower health baseline. The baseline is therefore no longer an effective measurement.

Modernity sets a new baseline that has nothing to do with centuries old selectivity. In other words... thanks to modernity...we're all screwed (attractive and unattractive alike) despite our ancestral advantages.

If the above were true I guess it exposes even more clearly the benefit of eschewing modern foods, beauty products, pharma and and stressful lifestyle. Maybe shirking modernity is the tabula rasa needed to regain the ancient/ancestral ideal health we have lost.

link|flag
2 
I probably wrote it poorly and maybe not being clear...what I'm saying is that our wired ancestral tendency to "select" healthy/attractive mates no longer applies due to the health damages under the hood from our "modern" diet. What we took years to perfect through selection has been wiped out in the last 10 K by bad eating. In other words...gorgeous people get sick. THAT is irrefutable. – BaconHealsChic Sep 8 2011 at 4:11
1 
BHC - see Melissa's comment on Shari's answer above. Plenty of work/studies showing correlation between attractiveness & health. Facical symmetry through diet or lack of parasite load. Seriously, one could spend years reading just about that. – Patrik Sep 8 2011 at 4:32
1 
Believe me Patrik it would be a lot easier for everyone if appearance and attractiveness indicated health level--health costs could be decreased substantially. I'm sorry. I just don't think it's persuasive in present day. There are too many variables. – BaconHealsChic Sep 8 2011 at 4:43
2 
Patrik. I think your passion is great. Don't let this get the best of you and make your answers come off as brash maybe? I'd like to verbally rip you to shreds right now but I don't think you're trying to be a jerk--you just aren't using a lot of diplomacy. You're going more and more ad hominum and that just distracts from the discourse. – BaconHealsChic Sep 8 2011 at 6:15
1 
No. I don't want to argue with you anymore. I'll look up the studies and I'll be back and we'll see if you respond. In the meantime I'll send you a copy of "How to Make Friends and Influence People." :). Joking aside I can see about your cortisol levels. You are intense! I miss this from my college debate days so I loved it up until the part where you implied I'm an idiot. I AM grateful for the back and forth with you, Melissa and others. I plan on learning and coming back. (you think best to respond to you in these little boxes after i study? Add or edit my answer? What is protocol?) – BaconHealsChic Sep 8 2011 at 7:04
show 19 more comments
3

I'm not overweight, but I do have skin problems that prevent people from thinking I am a healthy eater. They actually use my defects to support their argument that the way I eat isn't healthy. Who knows maybe it isn't for me, but I can't ignore the science. Health is one huge puzzle and sometimes the last piece is very hard to find.

link|flag
but have they gotten worse on your diet? That's the question to ask IMHO. – Bread-Eating Beelzebub Sep 8 2011 at 19:21
1 
Well said. Just because you haven't solved everything, doesn't mean you haven't come a long way. – Ambimorph Sep 8 2011 at 19:34
2

Alberto Salazar is a picture of health here, although we suspect his coronary arteries are teeming with inflammation.

Valid XHTML.

Looks >< Health. Evolution might favor your choice of mates based on looks, but your impression could be wrong. No matter how fit a person might look, you do not know his HS CRP number.

link|flag
3 
he doesn't look good to me. Ladies can you weigh in? I certainly am not attracted. Very skinny, bad posture, nothing particularly interesting about the face, doesn't have the attractive V-shape most women like. The woman is much hotter, though still not really really hot or anything. Not much in the way of WHR. – Bread-Eating Beelzebub Sep 8 2011 at 5:33
4 
Is that a nike "swish" tattoo on his shoulder? That is a blatant sign of a bad mate. And maybe high CRP too. – Kamal Sep 8 2011 at 5:36
1 
oops, swoosh. i guess i need to become more of a nike fan. – Kamal Sep 8 2011 at 5:37
1 
I do not want to be mean. Ok. barrel chest, bird legs not great combo. I wouldn't call picture of health. Wow! That chic looks fantastic though. And I think it is a swoosh Kamal. – BaconHealsChic Sep 8 2011 at 5:58
2 
@NambyPamby, 1) that dude doesn't look the picture of health. He looks totally mediocre. If you want to make the point of someone who does look healthy, but might be messed up inside -- try Dean Karnazes - tosic.com/wp-content/uploads/2011/02/… 2) Nobody is arguing that any one impression could be wrong! There are WHOLE INDUSTRIES (plastic surgery etc etc) built on fooling the oppposite sex because the good health signal IS WORTH FAKING TO GET BETTER MATES BECAUSE LOOKS SIGNAL HEALTH!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! – Patrik Sep 8 2011 at 6:01
show 1 more comment
1

I was "looking" at some of the female competitors at the recent IAAF World track and field championships, I can imagine many of them are pretty conventional and high carb in their approach, but some of the female long jumpers, sprinters and pole vaulters were, well my inner Grok liked it a lot: strong fit bodies, nice skin (HDTV shows it well) and some were very beautiful. Diet wise, you know they aren't chowing on Krispy Kremes and bon bons, even if they are conventional eaters, they are at elite level of fitness and exude a aura of 'being healthy'.

Obviously at the primal level all the boxes were checked for a potential mating partner - at the neolithic level - personality and intelligence, we can't really know.

link|flag
0

I don't know, when I used to skip my insulin and had no control of my type 1 diabetes and was almost to the point of being physically ill some days, was eating a crappy diet and was hardly exercising at all, this did not stop heaps of lads from heading my way. As soon as I began to give my insulin again and changed to a paleo diet, I gained weight and since then no boys ... :( hahahah

link|flag
0

Strictly from my point of view, a healthy person has: (1) good posture, (2) smooth, unblemished skin, (3) clear eyes, (4) shiny hair, (5) hard, well-formed fingernails and clean straight teeth, (6) flat belly or minimal abdominal adiposity, (7) a rounded (not flat) rump, (8) gender-appropriate muscular proportionality, and (9) low or middle-range BF %.

As a rule, healthy people have good flexibility, mobility and physical coordination, do not sweat excessively in warm conditions or breathe heavily, unless exerting themselves, and have strong, vascular hands.

link|flag
0

The short answer would be no. You can't tell for sure how healthy a person is by looking at them. My dad eats cheap, low quality processed meats for breakfast, a sandwich or burrito for lunch, has pasta with dinner and a huge slice of pie for dessert. He's fairly athletic and thin, and has full head of dark hair at nearly 60. While my mom has always struggled with weight and still does. Her skin isn't great. She will have eggs for breakfast, snack on fruitts, vegetables and a little dairy all day, and probably include meat with dinner and rarely eat dessert. My mom is also completely gluten free.

link|flag

Your Answer

Not the answer you're looking for? Browse other questions tagged or ask your own question.