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KMID : 0605620170240030142
Journal of Korean Society of Biological Psychiatry
2017 Volume.24 No. 3 p.142 ~ p.148
The Association of the 2nd to 4th Digit Ratio with the Age of Onset and Metabolic Factors in Korean Patients with Schizophrenia
Kim Hong-Rae

Lee Jung-Sun
Joo Yeon-Ho
Won Seung-Hee
Ryu Seung-Hyong
Hong Kyung-Sue
Kwon Jun-Soo
Lee Seung-Yeoun
Oh Hong-Seok
Choi Joon-Ho
Lee Yu-Sang
Abstract
Objectives : The ratio of second to fourth digit length (2D : 4D) could be a potential epigenetic marker of sexual dimorphism reflecting prenatal testosterone exposure. Testosterone is known to affect the development of the brain through an epigenetic mechanism. The purpose of this study was to investigate the effects of exposure to fetal testosterone on the metabolic syndrome based on 2D : 4D of schizophrenia patients and the relationship with the age of onset of schizophrenia.

Methods : A total of 214 schizophrenia patients participated in this study. The participant¡¯s physical and blood tests were performed according to the American National Cholesterol Education Program¡¯s Third Amendment of the Metabolic Syndrome Diagnostic Criteria, and the 2D : 4D was measured by the method designed by McFadden. Data were statistically analyzed by t-test, Pearson¡¯s correlation analysis and multiple regression model analysis.

Results : 2D : 4D was significantly higher in female than male in both hands, and there was a statistically significant negative correlation between 2D : 4D and the age of onset of schizophrenia in male. However, 2D : 4D did not show statistically significant correlation with metabolic factors.

Conclusions : Fetal testosterone suggests the possibility of affecting the age of onset of schizophrenia through the epigenetic mechanism, but there is no clear relationship with metabolic factors.
KEYWORD
Testosterone, 2D : 4D, Schizophrenia, Metabolic factors
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