The digit ratio is the ratio of the lengths of different digits or fingers typically measured from the midpoint of bottom crease where the finger joins the hand to the tip of the finger. It has been suggested by some scientists[who?] that the ratio of two digits in particular, the 2nd (index finger) and 4th (ring finger), is affected by exposure to androgens e.g. testosterone while in the uterus and that this 2D:4D ratio can be considered a crude measure for prenatal androgen exposure, with lower 2D:4D ratios pointing to higher androgen exposure. The 2D:4D ratio is calculated by dividing the length of the index finger of the right hand by the length of the ring finger. A longer index finger will result in a ratio higher than 1, while a longer ring finger will result in a ratio of less than 1.
The 2D:4D digit ratio is sexually dimorphic: while the second digit is typically shorter in both females and males, the difference between the lengths of the two digits is greater in males than females.
A number of studies have shown a correlation between the 2D:4D digit ratio and various physical and behavioral traits.
History of digit ratio research 
That a greater proportion of men have shorter index fingers than ring fingers than do women was noted in the scientific literature several times through the late 1800s, with the statistically significant sex difference in a sample of 201 men and 109 women established by 1930, after which time the sex difference appears to have been largely forgotten or ignored. In 1983 Dr Glenn Wilson of King's College, London published a study examining the correlation between assertiveness in women and their digit ratio. This was the first study to examine the correlation between digit ratio and a psychological trait within members of the same sex. Wilson proposed that skeletal structure and personality were simultaneously affected by sex hormone levels in utero. In 1998, John T. Manning and colleagues reported the sex difference in digit ratios was present in two-year-old children and further developed the idea that the index was a marker of prenatal sex hormones. Since then research on the topic has burgeoned around the world.
A 2009 study in Biology Letters argues: "Sexual differences in 2D:4D are mainly caused by the shift along the common allometric line with non-zero intercept, which means 2D:4D necessarily decreases with increasing finger length, and the fact that men have longer fingers than women," which may be the basis for the sex difference in digit ratios and/or any putative hormonal influence on the ratios.
A 2011 paper by Zhengui Zheng and Martin J. Cohn reports "the 2D:4D ratio in mice is controlled by the balance of androgen to estrogen signaling during a narrow window of digit development." The formation of the digits in humans, in utero, is thought to occur by 13 weeks, and the bone-to-bone ratio is consistent from this point into an individual’s adulthood. During this period if the fetus is exposed to androgens, the exact level of which is thought to be sexually dimorphic, the growth rate of the 4th digit is increased, as can be seen by analyzing the 2D:4D ratio of opposite sex dizygotic twins, where the female twin is exposed to excess androgens from her brother in utero, and thus has a significantly lower 2D:4D ratio.
Importantly, there has been no correlation between the sex hormone levels of an adult and the individual’s 2D:4D, which implies that it is strictly the exposure in utero that causes this phenomenon.
A major problem with the research on this topic comes from the contradiction in the literature as to whether the testosterone level in adults can be predicted by the 2D:4D ratio, but male sexual traits that are stereotypically attributed to testosterone levels have been found in correlation with the 2D:4D. So there should either be a correlation with one or the other but not both.
Digit ratio distribution 
From a study of 136 males and 137 females:
- Males: mean 0.947, standard deviation 0.029.
- Females: mean 0.965, standard deviation 0.026.
Evidence of androgen effect on digit ratio 
- Women with congenital adrenal hyperplasia (CAH), which results in elevated androgen levels before birth, have lower, more masculinized 2D:4D on average. Other possible physiological effects include an enlarged clitoris and shallow vagina.
- Males with CAH have more masculine (smaller) digit ratios than control males, which also suggests that prenatal androgens affect digit ratios, since amniocentesis samples show that prenatal levels of testosterone are in the high normal range in males with CAH, while levels of the weaker androgen androstenedione are several fold higher than in control males. These measures indicate that males with CAH are exposed to greater prenatal concentrations of total androgens than are control males.
- Digit ratio in men correlates with genetic variation in the androgen receptor gene. Men with genes that produce androgen receptors that are more sensitive to testosterone have lower, more masculine, digit ratios.
- XY individuals with androgen insensitivity syndrome (AIS) due to a dysfunctional gene for the androgen receptor present as women and have feminine digit ratios on average, as would be predicted if androgenic hormones affect digit ratios. This finding also demonstrates that the sex difference in digit ratios is unrelated to the Y chromosome per se.
- The sex difference in 2D:4D is present before birth in humans, which rules out any social influences that might affect digit growth differentially in the two sexes. Because all somatic sex differences in mammals to date have been found to be due to either androgenic masculinization or effects of the sex chromosomes, and as the AIS finding rules out a role for sex chromosomes in the sex difference in digit ratios, the prenatal sexual dimorphism also indicates that androgens act before birth to affect digit ratios.
- The ratio of testosterone to estradiol measured in 33 amniocentesis samples correlates with the child's subsequent 2D:4D ratio.
- In pheasants, the ratio of the 2nd to 4th digit of the foot has been shown to be influenced by manipulations of testosterone in the egg.
- Studies in mice indicate that prenatal androgen acts primarily by promoting growth of the fourth digit.
The level of estrogen in the amniotic fluid is not correlated with higher 2D:4D, and when examined researchers found no difference in estrogen levels between males and females.
Explanation of the digit ratio effect 
It is not clear why digit ratio ought to be influenced by prenatal hormones. There is evidence of other similar traits, e.g. otoacoustic emissions and arm-to-trunk length ratio, which show similar effects. Hox genes responsible for both digit and penis development have been implicated in this pleiotropy. Direct effects of sex hormones on bone growth might be responsible, either by regulation of Hox genes in digit development or independently of such genes. Likewise, it is unclear why digit ratio on the right hand should be more responsive than that on the left hand, as is indicated by the greater sex difference on the right than the left.
Geographic and ethnic variation in 2D:4D 
Manning and colleagues have shown that 2D:4D ratios vary greatly between different ethnic groups. This variation is far larger than the differences between sexes; in Manning's words, "There’s more difference between a Pole and a Finn than a man and a woman."
Correlation between digit ratio and traits 
Some authors suggest that digit ratio correlates with health, behavior, and even sexuality in later life. Below is a non-exhaustive list of some traits that have been either demonstrated or suggested to correlate with either high or low digit ratio.
Physiology and disease 
- Lowered sperm counts and high digit ratio
- Increased risk for heart disease in males and high digit ratio
- Increased risk of obesity and metabolic syndrome in males and high digit ratio
- Reduced risk for prostate cancer and high digit ratio
- Reduced birth size in males and high digit ratio
Psychological disorders 
- Reduced rate of autism and Asperger syndrome and high digit ratio
- Increased risk for depression in males and high digit ratio
- Increased rate of schizophrenia and high digit ratio
- Increased rate of ADHD in males and low digit ratio
- Reduced risk in females for anorexia nervosa and in males for eating disorders and low digit ratio
- Increased rate of psychopathy in females and high digit ratio
- Reduced risk of alcohol dependency and high digit ratio
- Increased Anxiety in males and high digit ratio
Physical and competitive behavior 
- Reduced performance in sports and high digit ratio
- Reduced financial trading ability and high digit ratio
- Right handedness Skills and high digit ratio
Cognition and personality 
- Assertiveness in females and low digit ratio
- Aggression in males and low digit ratio
- Masculinity of Handwriting and low digit ratio
- Perceived 'dominance' and masculinity of man's face and low digit ratio
- Personality traits correlated with low or high digit ratio
- Higher exam scores among male students and high digit ratio
- Musical ability in males and low digit ratio
Sensory Perception 
- Smell perception and high digit ratio
- Color perception and high digit ratio
- Tactile perception and high digit ratio See also: Hormonal Quotient
Sexual orientation 
- Bem female sex role score in women and low digit ratio; "feminine" erotic sex role preference in gay men and low digit ratio.
- Lesbians vs. straight women and low digit ratio; butch vs. femme lesbians and low digit ratio.
- Gay vs straight men, but most studies find very little difference in digit ratio between gay and straight men. One study found that gay men with several older brothers tend to have different digit arrangements. Some studies correlate male homosexuality and 2D:4D positively, others negatively.
- Difference in digit ratio between identical female twins discordant for sexual orientation.
- Fraternal birth order effect on digit ratio.
- Paraphilic (or extreme fetish) sexual interest in males and high digit ratio. (see also: List of paraphilias)
- A recent study in Germany has found a correlation between digit ratio and male to female transsexualism. Male to female transsexuals (trans women) were found to have a higher digit ratio than control males, but one that was comparable to control females.
Digit ratio and development 
There is some evidence that 2D:4D ratio may also be indicative for human development and growth. Ronalds et al. (2002) showed that men who had an above average placental weight and a shorter neonatal crown-heel length had higher 2D:4D ratios in adult life. Moreover, studies about 2D:4D correlations with face shape suggest that testosterone exposure early in life may set some constraints for subsequent development. Prenatal sex steroid ratios (in terms of 2D:4D) and actual chromosomal sex dimorphism were found to operate differently on human faces, but affect male and female face shape by similar patterns. However, exposure to very high levels of testosterone and/or estrogen in the womb may have negative effects as well. Fink et al. (2004) found that men with low (indicating high testosterone) and women with high (indicating high estrogen) 2D:4D ratios express greater levels of facial symmetry.
Digit ratio and palaeolithic hand stencils 
Digit ratio research in animals 
- Dennis McFadden and collaborators have demonstrated sexual dimorphism in hind limb digit ratio in a number of great apes, including gorillas and chimpanzees.
- Emma Nelson and Susanne Shultz are currently investigating how 2D:4D relates to primate mating strategies and the evolution of human sociality.
- Sexual dimorphism in hind limb 2D:4D has been demonstrated in mice by two studies by both John Manning and Marc Breedlove's research groups. There is some evidence to suggest that this effect is not seen in all mouse strains.
- Nancy Burley's research group has demonstrated sexual dimorphism in zebra finches, and found a correlation between digit ratio in females and the strength of their preference for sexually selected traits in males.
- Front limb D2:D3 has shown to be influenced by prenatal alcohol exposure in female rats.
- Alžbeta Talarovičová and collaborators found in rats that elevated testosterone during the prenatal period can influence 4D length, the 2D:4D ratio, and open field motor activity.
- Peter L. Hurd, Theodore Garland, Jr., and their students have examined hindlimb 2D:4D in lines of mice selectively bred for high voluntary wheel-running behavior (see experimental evolution). These high-runner mice exhibit increased 2D:4D. This apparent "feminization" is opposite to the relation seen between 2D:4D and physical fitness in human beings, and is difficult to reconcile with the idea that 2D:4D is a clear proxy for prenatal androgen exposure in mice. The authors suggest that 2D:4D may more accurately reflect effect of glucocorticoids or other factors that regulate any of various genes.
See also 
- Anogenital distance
- Waist–hip ratio
- Body mass index
- Handedness and sexual orientation
- Chiromancy — Pseudoscientific Hand analysis
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