According to the BMJ Open online journal, support has been found that can connect male baldness on the top (crown) area, known as the vertex, with an added risk for coronary heart disease. Hair loss in or around the hairline is not associated with this same risk.

Six studies were found to meet analysis criteria, and therefore, included in the report. The Hamilton Scale was used to determine the degree of baldness on men in these studies. The outcomes showed that 32% of those with tremendous balding had an increased risk of CHD compared to men of the same age without hair loss. The degree of vertex baldness was also associated with an increased risk of CHD. Minor vertex baldness, modest vertex baldness, and widespread vertex baldness have increased risks of 18%, 36%, and 48% according to the studies. Younger men were also found to have a higher heart disease risks associated with hair loss in the crown area compared to older males.

More research is needed to determine why vertex baldness is associated with an increased risk for heart disease. A few theories include insulin resistance, chronic inflammation, or increased testosterone sensitivity, both of which are connected to CHD. While thinning hair carries a much lower risk of heart disease than smoking or obesity, men suffering from hair loss in the vertex region should be aware of the potential elevated risk. Overall men’s health and a healthy lifestyle should be emphasized.