Evidence map›Paper›PMID 40344591›Full record

ArticleAmerican journal of human biology : the official journal of the Human Biology Council2025

Second to Fourth Digit Ratio (2D:4D) in Hypertension Disease.

Refik Servi, Ramazan Fazil Akkoc, Feyza Aksu, Seda Cetin, Ahmet Kavaklı, Murat Ogeturk

Abstract read
In one paragraph

Article in American journal of human biology : the official journal of the Human Biology Council, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. The 2D:4D Digit Ratio and Primary Sjögren's Syndrome: A Window Into Prenatal Hormonal Influences on Exocrine Autoimmunity.American journal of human biology : the official journal of the Human Biology Council · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Refik ServiDepartment of Anatomy, Faculty of Medicine, Firat University, Elazig, Turkey.ORCID 0000-0001-5443-4638
Ramazan Fazil AkkocDepartment of Anatomy, Faculty of Medicine, Firat University, Elazig, Turkey.ORCID 0000-0002-0559-8932
Feyza AksuDepartment of Anatomy, Faculty of Medicine, Firat University, Elazig, Turkey.ORCID 0000-0001-8595-0010
Seda CetinDepartment of Anatomy, Faculty of Medicine, Adiyaman University, Adiyaman, Turkey.ORCID 0000-0003-1952-4587
Ahmet KavaklıDepartment of Anatomy, Faculty of Medicine, Firat University, Elazig, Turkey.ORCID 0000-0003-0754-8901
Murat OgeturkDepartment of Anatomy, Faculty of Medicine, Firat University, Elazig, Turkey.ORCID 0000-0002-5744-4812

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe second to fourth digit ratio (2D:4D) is a sexually dimorphic trait thought to reflect prenatal exposure to sex hormones. 2D:4D has been proposed as a potential biomarker for various adult diseases, and evidence suggests that it may also predict cardiovascular disease risk. This study aimed to ascertain the 2D:4D of both hands in patients with hypertension and to determine whether there were any differences between this ratio and that of a control group.

methodsThe study was carried out on 400 subjects with a hypertension diagnosis, 200 males and 200 females, and the same number of 400 healthy subjects. 2D:4D was calculated by measuring the lengths of both hands' second and fourth fingers for males and females. The height, weight, and mean body mass index were also calculated for the hypertension and control groups.

resultsThe mean BMI was significantly higher in the hypertension group, in the overweight category, whereas it was in the normal weight category in the control group (p < 0.001). The 2D:4D was significantly higher in both males and females with hypertension compared to controls. In males, the 2D:4D was elevated in both the right and left hands in the hypertension group compared to controls (p = 0.001). A similar trend was observed in females, with significantly higher 2D:4D in both hands in the hypertension group (p < 0.001).

conclusionThe 2D:4D may be regarded as a significant factor in determining a person's risk of hypertension from birth, allowing those in the risk group to lead more preventive lives.

Indexed as

FingersHypertensionAdultAgedBody Mass IndexCase-Control StudiesFemaleHumansMaleMiddle AgedSex Characteristics2D:4Danthropometrydigit ratiohypertension

Identifiers

PMID40344591
PMCPMC12062922

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.