The 2nd-4th digit ratio (2D:4D) and neck circumference: implications for risk factors in coronary heart disease

Int J Obes (Lond). 2006 Apr;30(4):711-4. doi: 10.1038/sj.ijo.0803154.

Abstract

Background: The ratio of the lengths of the 2nd and 4th digit (2D:4D) is negatively related to prenatal and adult concentrations of testosterone (T). Testosterone appears to be a protective against myocardial infarction (MI) in men as men with low 2D:4D are older at first MI than men with high 2D:4D, and men with coronary artery disease have lower T levels than men with normal angiograms. Neck circumference (NC), a simple and time-saving screening measure to identify obesity is reported to be positively correlated with the factors of the metabolic syndrome, a complex breakdown of normal physiology characterized by obesity, insulin resistance, hyperlipidemia, and hypertension, and is therefore likely to increase the risk of coronary heart disease (CHD).

Objective: To investigate possible associations between 2D:4D ratios and NC in men and women.

Research methods and procedures: 2D:4D ratios, NC, along with measures of waist and hip circumferences, body mass index (BMI), and waist-to-hip ratio was recorded from 127 men and 117 women.

Results: A significant positive correlation between 2D:4D and NC and was found for men but not for women after controlling for body mass index (BMI); the higher the ratio the higher the NC.

Discussion: This finding supports the suggestion of NC to serve as a predictor for increased risk for CHD as previously suggested. In addition, the present association suggests a predisposition for men towards CHD via 2D:4D as proxy to early sex-steroid exposure.

MeSH terms

  • Adolescent
  • Adult
  • Body Mass Index
  • Coronary Disease / diagnosis*
  • Female
  • Fingers / anatomy & histology*
  • Humans
  • Male
  • Neck / anatomy & histology*
  • Predictive Value of Tests
  • Risk Factors
  • Sex Characteristics
  • Waist-Hip Ratio