The ratio of 2nd and 4th digit length in autistic children

Pongsak Noipayak1

  • 1Department of Pediatrics, Bangkok Metropolitan Administration Medical College and Vajira Hospital, Bangkok, Thailand.

Insights

Lower 2D:4D ratios in both hands were observed in autistic children compared to non-autistic children. These digit ratios between 0.96 and 1.01 indicate an increased risk factor for autism in children.

Area of Science:

  • Developmental Pediatrics
  • Autism Spectrum Disorder Research
  • Human Embryology and Endocrinology

Background:

  • Autism Spectrum Disorder (ASD) is a complex neurodevelopmental condition with multifactorial etiology.
  • Prenatal hormone exposure, particularly androgens, is hypothesized to influence neurodevelopment and is indirectly assessed via 2D:4D digit ratios.
  • Understanding potential biomarkers and risk factors for ASD is crucial for early identification and intervention.

Purpose of the Study:

  • To investigate the association between the second digit to fourth digit (2D:4D) ratio and the risk of autism in children.
  • To compare 2D:4D ratios between autistic children and typically developing controls.

Main Methods:

  • A hospital-based case-control study involving children aged 18 months to 15 years.
  • Demographic data and autism risk factors were collected via questionnaires.
  • Finger lengths (2nd and 4th digits) were measured using an electronic digital caliper to calculate the 2D:4D ratio.

Main Results:

  • Autistic children exhibited significantly lower 2D:4D ratios on both the right (0.99 ± 0.06) and left hands (0.99 ± 0.07) compared to non-autistic children (right: 1.02 ± 0.04, left: 1.01 ± 0.03).
  • A 2D:4D ratio between 0.96 and 1.01 for both hands was identified as a risk factor for autism.
  • This specific digit ratio range was associated with an increased odds of autism, ranging from 3.22 to 5.35 (p < 0.05).

Conclusions:

  • Lower 2D:4D ratios in both hands are associated with autism in children.
  • The 2D:4D digit ratio within the range of 0.96 to 1.01 serves as a potential indicator for increased autism risk in children aged 18 months to 15 years.
  • These findings suggest that prenatal hormonal influences, reflected by digit ratios, may play a role in the development of autism.
Abstract

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