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Fluctuating asymmetry, the random deviation from perfect symmetry, is a widely used population-level index of developmental instability, developmental noise, and robustness. It reflects a population's state of adaptation and genomic coadaptation. Here, we review the literature on fluctuating asymmetry of human populations. The most widely used bilateral traits include skeletal, dental, and facial dimensions; dermatoglyphic patterns and ridge counts; and facial shape. Each trait has its advantages and disadvantages, but results are most robust when multiple traits are combined into a composite index of fluctuating asymmetry (CFA). Both environmental (diet, climate, toxins) and genetic (aneuploidy, heterozygosity, inbreeding) stressors have been linked to population-level variation in fluctuating asymmetry. In general, these stressors increase average fluctuating asymmetry. Nevertheless, there have been many conflicting results, in part because (1) fluctuating asymmetry is a weak signal in a sea of noise; and (2) studies of human fluctuating asymmetry have not always followed best practices. The most serious concerns are insensitive asymmetry indices (correlation coefficient and coefficient of indetermination), inappropriate size scaling, unrecognized mixture distributions, inappropriate corrections for directional asymmetry, failure to use composite indices, and inattention to measurement error. Consequently, it is often difficult (or impossible) to compare results across traits, and across studies.

Many adverse environmental and genetic factors can affect stability of development during human growth. Although the level of fluctuating asymmetry (FA) may be influenced by environmental and genetic stress encountered during this period, directional asymmetry (DA) is largely attributable to differential mechanical loading during bone growth, for example, handedness. I assessed the effects of heavy working conditions and socioeconomic conditions on asymmetry levels in three groups of young human males: 1) individuals employed in the heavy industry sector (n = 104, mean age = 18.48 +/- 0.61 years), 2) individuals who had the same socioeconomic status as the laborers (n = 102, mean age = 18.39 +/- 0.58 years) but were not laborers, and 3) nonlaborers from the higher socioeconomic levels of society (n = 103, mean age = 18.43 +/- 0.67). For all subjects, hand length, hand width, elbow width, wrist width, knee width, ankle width, foot length, foot width, ear length, and ear width were measured. All measurements of the upper extremities in the labor group appeared to exhibit DA; in the other two groups only hand measurements exhibited DA. According to analysis of FA, subjects living in poor conditions exhibited more FA than their nonlaborer peers living in better conditions. In addition, biomechanical pressures due to heavy working conditions of the labor group appeared to cause increased DA in the upper extremities: DA increased with an increase in the number of years working.

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Fluctuating asymmetry (FA) is thought to increase as a result of environmental perturbations during development. A number of studies involving measures of health and developmental stability other than FA have discussed the presumed increased buffering in females relative to males. But, there is little evidence in the literature on FA to support this hypothesis. This research was conducted to determine the level of difference in terms of facial FA between sexes under different environmental conditions. Group 1 included final year students from three high schools in Yenimahalle, a slum district of Ankara (males: N = 163, mean age = 17.55, sd = 0.50; females: N = 141, mean age = 17.48, sd = 0.38). Group 2 included students with higher socioeconomic background and was composed of final year students from three different private schools located in Cankaya (N = 171, mean age = 17.44, sd = 0.26; females: N = 152, mean age = 17.38, sd = 0.31). Digital images were used to assess the degree of facial asymmetry as measured from eight paired traits and calculated as a composite score. The study shows that the male students had higher facial asymmetry than the female students. However, the present difference reaches a significant level in the low-socioeconomic status group. As a result, it could be inferred that differences in developmental stability between sexes might emerge under stressful conditions.

Historically, medical concerns about the deleterious effects of closely inbred marriages have focused on the risk posed by recessive Mendelian disease, with much less attention to developmental instability. We studied the effects of inbreeding (first-cousin marriage) on growth and fluctuating asymmetry of 200 full-term infants (101 inbred and 99 outbred) whose parents were of similar socioeconomic status in Sivas Province, Turkey. In addition to differences in their mean inbreeding coefficients (f = 1/16 for first cousins and f < 1/1,024 for unrelated parents), the consanguineous parents were less well educated (3 years, on average for both husbands and wives). We measured weight, height, head circumference, and chest circumference of the newborns, as well as four bilateral traits (ear width, ear length, and second and fourth digit lengths). After taking education into account, none of the measures of size (weight, height, head circumference, and chest circumference) and fluctuating asymmetry differed between the inbred and outbred groups. Male children of well-educated parents, however, were larger and had less fluctuating asymmetry. Female children of well-educated parents weighed more than those of less well-educated parents, but were otherwise indistinguishable for height, head circumference, chest circumference, and fluctuating asymmetry. We conclude that inbreeding depression causes neither an increase in fluctuating asymmetry of full-term newborns, nor a decrease in body size. Unmeasured variables correlated with education appear to have an effect on fluctuating asymmetry and size of male children and only a weak effect on size (weight) of female children.

Our results suggest that consanguineous marriages are associated with a fetal environment that influences morphological development and may have associated behavioral sequelae.