XML Print


1- Department of Anatomy, Faculty of Basic Medical Sciences, University of Port Harcourt, Port Harcourt, Nigeria , israel.gwunireama@uniport.edu.ng
2- Department of Anatomy, Faculty of Basic Medical Sciences, University of Port Harcourt, Port Harcourt, Nigeria
Abstract:   (1504 Views)
Background: The second-to-fourth digit ratio (2D:4D), obtained by dividing the length of the index finger by that of the ring finger, varies significantly by sex, race, and ethnicity. This ratio has previously been associated with both autism spectrum disorder and Down syndrome. The current study, therefore, examined the 2D:4D digit ratio in individuals with these two neurodevelopmental conditions recruited from special needs schools in Port Harcourt, Rivers State, Nigeria.
Methods: This cross-sectional descriptive study involved 200 participants: 100 with Down syndrome and 100 with autism. Participants met specific inclusion criteria, including the absence of hand deformities and a confirmed diagnosis. The lengths of the 2nd and 4th digits were measured with a digital vernier calliper. SPSS software, version 19, was used for data analysis.
Results: Male autistic subjects showed a normal right-hand digit ratio (0.98 ± 0.12) but an elevated left-hand ratio (1.00 ± 0.01), whereas female autistic subjects displayed normal ratios bilaterally (1.00 ± 0.01 left; 1.00 ± 0.00 right). Males with Down syndrome exhibited higher-than-normal ratios on both hands (Left: 1.02 ± 0.03; right: 1.01 ± 0.01), and females showed ratios of 1.01 ± 0.01 (Left) and 1.00 ± 0.00 (Right). Mean comparisons revealed significant differences (P-Value < 0.05) between autistic and Down syndrome subjects of both sexes, with individuals with Down syndrome consistently demonstrating higher digit ratios than autistic individuals.
Conclusion: Subjects with Down syndrome had significantly higher digit ratios than autistic subjects. This finding confirms that digit ratios are sexually dimorphic and suggests hypermasculinity in autistic males because of their lower digit ratios.
     
Editorial: Original article | Subject: Basic Medical Sciences
Received: 2024/02/5 | Accepted: 2025/04/10

References
1. Fink B, Manning JT, Neave N, Grammer K. Second to fourth digit ratio and facial asymmetry. Evolution and Human Behaviour. 2004; 25;125-32. [View at Publisher] [DOI] [Google Scholar]
2. Manning JT, Barley L, Walton J, Lewis-Jones DI, Trivers D, Thornhill R, et al. The 2nd:4th digit ratio, sexual dimorphism, population differences, and reproductive success: evidence for sexually antagonistic genes. Evol Hum Behav. 2000;21(3):163-83. [View at Publisher] [DOI] [PMID] [Google Scholar]
3. Manning JT, Scutt D, Wilson J, Lewis-Jones DI. The ratio of 2nd to 4th digit length: a predictor of sperm numbers and concentrations of testosterone, luteinising hormone and oestrogen. Hum Reprod. 1998;13(11):3000-4. [View at Publisher] [DOI] [PMID] [Google Scholar]
4. Ronalds G, Phillips DIW, Godfrey KM, Manning JT. The ratio of second to fourth digit lengths: A marker of impaired fetal growth? Early Hum Dev. 2002;68(1):21-6. [View at Publisher] [DOI] [PMID] [Google Scholar]
5. Tanner JM. Foetus into Man: Physical Growth from Conception to Maturity. 1990. [View at Publisher] [Google Scholar]
6. George R. Human finger types. Anat Rec. 1930;46(2):199-204. [View at Publisher] [DOI] [Google Scholar]
7. Manning JT, Baron-Cohen S, Wheelwright S, Sanders G. The 2nd to 4th Digit Ratio and Autism. Dev Med Child Neurol. 2001;43(3):160-4. [View at Publisher] [DOI] [PMID] [Google Scholar]
8. Elsabbagh M, Divan G, Koh Y-J, Kim YS, Kauchali S, Marcín C. Global prevalence of autism and other pervasive developmental disorders. Autism Res. 2012;5(3):160-79. [View at Publisher] [DOI] [PMID] [Google Scholar]
9. Landrigan PJ. What causes autism? Exploring the environmental contribution. Curr Opin Pediatr. 2010;22(2):219-25. [View at Publisher] [DOI] [PMID] [Google Scholar]
10. Manning-Courtney P, Brown J, Molloy CA, Reinhold J, Murray D, Sorensen-Burnworth R. Diagnosis and treatment of autism spectrum disorders. Curr Probl Pediatr Adolesc Health Care. 2003;33(9):283-304. [View at Publisher] [DOI] [PMID] [Google Scholar]
11. Mandy W, Lai M-C. Annual Research Review; The role of the environment in the developmental psychopathology of Autism spectrum condition. J Child Psychol Psychiatry. 2016;57(3):271-92. [View at Publisher] [DOI] [PMID] [Google Scholar]
12. Geschwind N, Galaburda AM. Biological mechanisms, association, and pathology: a hypothesis and a program for research. Arch Neurol. 1985;42(5):428-59. [View at Publisher] [DOI] [PMID] [Google Scholar]
13. Baron-Cohen S, Wheelwright S, Skinner R, Martin J, Clubley E. The autism-spectrum quotient (AQ): evidence from Asperger syndrome/high-functioning autism, males and females, scientists and mathematicians. J Autism Dev Disord. 2001;31(1):5-17. [View at Publisher] [DOI] [PMID] [Google Scholar]
14. Baron-Cohen S. The extreme male brain theory of autism. Trends Cogn Sci. 2002; 6(6):248-54. [View at Publisher] [DOI] [PMID] [Google Scholar]
15. Auyeung B, Baron-Cohen S, Ashwin E, Knickmeyer R, Taylor K, Hackett G. Fetal testosterone and autistic traits. Br J Psychol. 2009;100(1):1-22 [View at Publisher] [DOI] [PMID] [Google Scholar]
16. Faisal A, Syed R, Bokhari A. Down Syndrome. StatPearls Publishing. 2022. [View at Publisher]
17. Suresh B, Ramakrishna A, Viveka S, Arunachalam K. Reverse Sexual Dimorphism in Digit Ratios Detected in Down Syndrome. Clin Forensic Med. 2011;1(1). [View at Publisher] [Google Scholar]
18. Viveka S, Sudha M, Ajay U, Suresh B. Digit Ratio and Down Syndrome Correlation with Perinatal Androgen Levels. International Journal of Comprehensive Medical Physiology and Research. 2014; 1(1). [View at Publisher]
19. Manning JT, Bundred PE, Flanagan BF. The ratio of 2nd to 4th digit length: a proxy for transactivation of the androgen receptor gene? Med Hypotheses. 2002;59(3):334-6. [View at Publisher] [DOI] [PMID] [Google Scholar]
20. Meera J, Ramakrishna A, Bindhu N, Rani N, Meril AS. Cross-sectional study of second- and fourth-digit ratio with physical attributes in south Indian population. Int J Anat Res. 2015;3(2):1133-37. [View at Publisher] [DOI] [Google Scholar]
21. Manning JT, Taylor RP. Second to fourth digit ratio and male ability in sport: Implications for sexual selection in humans. Evol Hum Behav. 2001;22(1):61-9. [View at Publisher] [DOI] [PMID] [Google Scholar]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2026 CC BY-NC 4.0 | Jorjani Biomedicine Journal

Designed & Developed by : Yektaweb