Second to fourth digit ratio (2D: 4D) and prostate cancer risk in the Melbourne Collaborative Cohort Study

BACKGROUND : The ratio of the lengths of index and ring fingers (2D : 4D) is a marker of prenatal exposure to sex hormones, with low 2D : 4D being indicative of high prenatal androgen action. Recent studies have reported a strong association between 2D : 4D and risk of prostate cancer. METHODS : A total of 6258 men participating in the Melbourne Collaborative Cohort Study had 2D : 4D assessed. Of these men, we identified 686 incident prostate cancer cases. Hazard ratios (HRs) and confidence intervals (CIs) were estimated for a standard deviation increase in 2D : 4D. RESULTS : No association was observed between 2D : 4D and prostate cancer risk overall (HRs 1.00; 95% CIs, 0.92–1.08 for right, 0.93–1.08 for left). We observed a weak inverse association between 2D : 4D and risk of prostate cancer for age o 60, however 95% CIs included unity for all observed ages. CONCLUSION : Our results are not consistent with an association between 2D : 4D and overall prostate cancer risk, but we cannot exclude a weak inverse association between 2D : 4D and early onset prostate cancer risk