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Relationship Between Second to Fourth Digit Ratios and Benign Prostatic Hyperplasia in Aging Men
Hanumanthaiah Honnamachanahalli Sudhakar1, Revanna Manjunatha2, Heragu Rangegowda Madhusudhana3
1Professor and Head, Department of Physiology, Kempegowda Institute of Medical Sciences , Banashankari 2nd Stage, Bangalore, India .
A lower second to fourth digit ratio (2D:4D), indicating higher prenatal androgen exposure, is linked to an increased risk of benign prostatic hyperplasia (BPH). Conversely, a higher 2D:4D ratio suggests a reduced risk of developing BPH.
Area of Science:
- Urology
- Endocrinology
- Human Anatomy
Background:
- Benign prostatic hyperplasia (BPH) is a common condition in aging men, with testosterone implicated in its development.
- The second to fourth digit ratio (2D:4D) serves as a marker for prenatal androgen exposure.
- A lower 2D:4D ratio is associated with higher prenatal androgen exposure.
Purpose of the Study:
- To investigate the potential causal relationship between the 2D:4D ratio and the incidence of benign prostatic hyperplasia (BPH).
Main Methods:
- A comparative study involving 35 BPH patients, 35 non-BPH subjects, and 35 controls.
- Measurement of the 2D:4D ratio from scanned images of both hands for all participants.
- Clinical and radiological evaluation to determine BPH status.
Main Results:
- BPH patients exhibited a lower 2D:4D ratio in both hands compared to non-BPH subjects.
- BPH patients had a significantly lower right-hand 2D:4D ratio compared to controls.
- Non-BPH subjects showed a higher left-hand 2D:4D ratio compared to controls, though not statistically significant.
Conclusions:
- Individuals with lower 2D:4D ratios demonstrate a higher risk of developing BPH.
- Conversely, a higher 2D:4D ratio is associated with a lower risk of BPH incidence.
- The 2D:4D ratio may serve as a predictive marker for BPH risk.
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