Title 2D:4D indicates phimosis risk: A study on digit ratio and early foreskin development
Authors Li, Guanjian
Huo, Ying
Sun, Ke
Wang, Xiaodong
Li, Hao
Gao, Le
Ma, Bin
Affiliation Xinjiang Med Univ, Affiliated Hosp 2, Xinjiang, Peoples R China.
Peking Univ, Sch Publ Hlth, Beijing, Peoples R China.
XinJiang Med Univ, Xinjiang, Peoples R China.
393 New Doctor St, Xinjiang 830000, Peoples R China.
Keywords Digit ratio
2D:4D
Sex hormones
Foreskin
Redundant prepuce
Phimosis
Circumcision
ANDROGEN RECEPTOR GENE
2ND
TESTOSTERONE
LENGTH
PREDICTOR
FINGER
EXPRESSION
PHOTOCOPIES
SCHOOLBOYS
EXPOSURE
Issue Date 2016
Publisher EARLY HUMAN DEVELOPMENT
Citation EARLY HUMAN DEVELOPMENT.2016,99,21-25.
Abstract Background: Many researchers have adopted 2D:4D (second to fourth finger length ratio) as a noninvasive retrospective biomarker for prenatal androgen exposure in recent years. It is thought to be related to diverse traits including behavioral phenotypes, disease susceptibility, and development of urogenital system. Objective: To examine the relationship between 2D:4D and early foreskin development. Methods: We analyzed the digit ratio and foreskin condition in 176 cases (range 0-6 years). The boys were divided into four groups according to their ages: group 1, neonates (below 28 days, n = 13); group 2, infants (1-12 months, n = 45); group 3, toddlers (1-2 years old, n = 42); group 4, preschool children (3-6 years old, n = 76). We measured the lengths of the second and fourth digits of the left and right hands. The foreskin status was classified into 4 types. Type I (phimosis), type II (partial phimosis), type III (adhesion of prepuce), type IV (normal). Results: The phimosis rate was 92.3%, 82.2%, 45.2%, and 38.7% in group1 to group 4. In contrast, the proportion of normal foreskin increased from 0% in neonates to 13.2% in preschool children. The percentage of higher level of foreskin development shows a downward trend with the increase of digits ratio, and as the age grows, the percentage of normal foreskin cases also increases. Conclusions: These results suggest that a higher R2D:4D (right hand 2D:4D) is a risk factor for phimosis in the early human development. Age is also a significant influence factor of foreskin conditions. Additional research is required to identify pathophysiologic mechanisms and to determine clinical significance. (C) 2016 Elsevier Ireland Ltd. All rights reserved.
URI http://hdl.handle.net/20.500.11897/491685
ISSN 0378-3782
DOI 10.1016/j.earlhumdev.2016.05.013
Indexed SCI(E)
PubMed
Appears in Collections: 公共卫生学院

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