Evidence map›Paper›PMID 30631158›Full record

ArticleHypertension research : official journal of the Japanese Society of Hypertension2019

The association between digit ratio (2D:4D) and blood pressure among children and adolescents.

Yifei Zhang, Yanni Zhou, Ting Li, Zhiqiang Li, Lu Wu, Yanqiu Meng, Yuan Wang, Rongying Yao, Hui Han, Lianguo Fu

Abstract read
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In one paragraph

Article in Hypertension research : official journal of the Japanese Society of Hypertension, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.2field-weighted citation impact, top 49% of its field
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

4 citing papers in PubMed, 9 citations in OpenAlex.

  1. Review
  2. Article
  3. Second to Fourth Digit Ratio (2D:4D) in Hypertension Disease.American journal of human biology : the official journal of the Human Biology Council · 2025
    Article
  4. Review
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

10 authors at 1 institution in 1 country.

Yifei ZhangDepartment of child and adolescent health, School of Public Health, Bengbu Medical College, Bengbu, China.
Yanni ZhouDepartment of child and adolescent health, School of Public Health, Bengbu Medical College, Bengbu, China.
Ting LiDepartment of child and adolescent health, School of Public Health, Bengbu Medical College, Bengbu, China.
Zhiqiang LiDepartment of child and adolescent health, School of Public Health, Bengbu Medical College, Bengbu, China.
Lu WuDepartment of child and adolescent health, School of Public Health, Bengbu Medical College, Bengbu, China.
Yanqiu MengDepartment of child and adolescent health, School of Public Health, Bengbu Medical College, Bengbu, China.
Yuan WangDepartment of child and adolescent health, School of Public Health, Bengbu Medical College, Bengbu, China.
Rongying YaoDepartment of child and adolescent health, School of Public Health, Bengbu Medical College, Bengbu, China.
Hui HanDepartment of child and adolescent health, School of Public Health, Bengbu Medical College, Bengbu, China.
Lianguo FuDepartment of child and adolescent health, School of Public Health, Bengbu Medical College, Bengbu, China. lianguofu@163.com.
Bengbu Medical College · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Digit ratio (2D:4D) is a biomarker of prenatal hormone exposure levels; this biomarker is negatively related to prenatal androgen exposure and positively related to prenatal estrogen exposure. We investigated the correlation between digit ratio (2D:4D) and blood pressure. A school-based survey of 687 adolescents aged 8-15 years was conducted. The ring finger (4D) and index finger (2D), systolic blood pressure (SBP), diastolic blood pressure (DBP), testosterone, and estradiol levels were measured. Their dietary behaviors and physical and sedentary activity time were surveyed. The results showed the 2D:4D ratio was not significantly related to SBP, DBP, or testosterone in boys and girls. However, it was significantly positively correlated with serum estradiol levels in boys. The 2D, 4D, multiplied index of digit ratio and length (MIDRL) and average of the index finger and ring finger (AIR) were directly related to SBP in both sexes (βs in boys were 4.16, 5.49, 2.95, and 5.25, respectively, P < 0.01; βs in girls were 3.43, 2.71, 3.02, and 3.36, respectively, P < 0.01) and were also indirectly associated with SBP through testosterone (P < 0.05). The 2D, 4D and AIR were indirectly related to DBP in girls through testosterone (P < 0.05). In conclusion, there were direct and indirect associations between finger-length indicators and blood pressure, which implies that prenatal hormone levels might be correlated with blood pressure in children and adolescents.

Indexed as

AdolescentBlood PressureBlood Pressure DeterminationChildDietEstradiolFemaleFingersHumansMaleSedentary BehaviorSurveys and QuestionnairesTestosteroneEstradiolTestosterone2D:4DBlood pressureChildren and adolescents

Identifiers

PMID30631158
OpenAlexW2908681057

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.