Comparison of 2D:4D Digit Ratios in Children with Specific Learning Disorders and Healthy Controls
Abstract
Purpose: Prenatal androgen exposure, particularly testosterone, may play a pivotal role in shaping brain development and is hypothesised to affect intelligence and learning skills.The second-to-fourth digit ratio (2D:4D) is widely recognized as a biomarker for prenatal exposure to the androgenic hormone testosterone. The present study seeks to examine 2D:4D ratios in children diagnosed with specific learning disorder (SLD) and to assess comparatively these values with those of typically developing peers.
Methods: Participants in the study were 94 children diagnosed with SLD and 57 healthy controls. Sociodemographic data were collected, and 2D:4D ratios for each hand were determined and differences between groups were examined.
Results: Children diagnosed with SLD exhibited notably reduced 2D:4D digit ratios in both hands relative to typically developing peers. In the SLD group, lower 2D:4D ratios were observed in both sexes, with the difference reaching statistical significance for females’ left hand measurements.
Conclusion: This evidence suggests that elevated testosterone exposure during the prenatal period may be implicated in the pathogenesis of SLD. By employing the non-invasive 2D:4D ratio, this study contributes to the growing body of evidence on biological markers associated with neurodevelopmental disorders.
Keywords
References
- 1. Policy, N., et al., Learning disabilities: The need for neuropsychological evaluation. Archives of Clinical Neuropsychology, 2008. 23(2): p. 217-219.
- 2. Association, A.P., Diagnostic and statistical manual of mental disorders: DSM-5. 2013: American psychiatric association.
- 3. Tirosh, E., et al., Neurodevelopmental and behavioural characteristics in learning disabilities and attention deficit disorder. European Journal of Paediatric Neurology, 2001. 5(6): p. 253-258.
- 4. Hammill, D.D., On defining learning disabilities: An emerging consensus. Journal of learning disabilities, 1990. 23(2): p. 74-84.
- 5. Görker, I., et al., Edirne il merkezi ilkokul çocuklarında özgül öğrenme bozukluğu olası yaygınlığı ve sosyodemografik özellikler. Nöropsikiyatri Arşivi, 2017. 54(4): p. 343-349.
- 6. Romano, E., et al., Genes and sex hormones interaction in neurodevelopmental disorders. Neuroscience & Biobehavioral Reviews, 2016. 67: p. 9-24.
- 7. Amestoy, A., et al., Steroid hormone pathways, vitamin D and autism: a systematic review. Journal of Neural Transmission, 2023. 130(3): p. 207-241.
- 8. Davies, W., Sex differences in attention deficit hyperactivity disorder: candidate genetic and endocrine mechanisms. Frontiers in neuroendocrinology, 2014. 35(3): p. 331-346.
Details
Primary Language
English
Subjects
Psychiatry
Journal Section
Research Article
Publication Date
January 16, 2026
Submission Date
July 26, 2025
Acceptance Date
October 27, 2025
Published in Issue
Year 2026 Volume: 17 Number: January, February, March 2026