14 research outputs found

    Rural Rickets: Vitamin D Deficiency in a Post-Medieval Farming Community from the Netherlands

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    ABSTRACT Rickets is caused by vitamin D deficiency as a result of limited exposure to sunlight and inadequate diet. In the 19 th century, rickets was endemic in most northern European cities. In post-Medieval Netherlands, rickets is documented in low frequencies in a few urban samples, but has not been studied in contemporaneous rural populations. Beemster is a rural farming community in the Netherlands that was established in the 17 th century upon drained land, with the Middenbeemster cemetery in use until 1866 AD. Ninety-five individuals from the ages of 32 weeks in utero to 15 years were examined for rickets in order to understand factors that can cause vitamin D deficiency in rural, non-industrialized populations. To identify rickets in the Beemster sample, ten features were scored, with bending deformities of the lower limb and one other feature, or at least three non-bending features, having to be present in order for diagnosis. Nine individuals (9.5%) had evidence of rickets-a high prevalence, especially for a rural community where ample sunlight was available. The two and three year old Beemster infants were most heavily affected with an age-specific prevalence of 30.4%. Two three-month-old infants also had rickets. Some of the affected may have developed rickets secondarily, as a result of a different illness, but cultural practices including prolonged swaddling, occlusive clothing, and keeping the young indoors, are suggested to have contributed to this high rickets prevalence. Dietary variables including poor weaning foods and common episodes of malnutrition may have also contributed to vitamin D deficiency. This study demonstrates the value of careful analysis of pathological conditions in subadults and highlights that rickets was not only a disease of cities, but affected populations that would appear to have been at low risk, because of maladaptive cultural practices

    Acts of life : assessing entheseal change as an indicator of social differentiation in postmedieval Aalst (Belgium)

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    Lower levels of physical activity are often linked to higher socio-economic status (SES) in past societies. As an activity marker, changes at muscle attachment sites known as entheseal changes (ECs) have been used with varying efficacy. This study investigates this proposed link between EC as a physical activity marker and SES within one well-defined temporo-geographic context. EC data from 16 entheses in three skeletal collections from the postmedieval town of Aalst, Belgium, were evaluated using the Coimbra method. The skeletal assemblages represent distinct socio-economic groups, evidenced by historical and dietary isotope data. The Louis D'Haeseleerstraat sample represents lower class individuals (n = 46), the Hopmarkt sample middle-class individuals (n = 110), and the Saint Martin's church (n = 13) higher class individuals. EC data are tested for correlation to status, age, and sex. EC patterns did not differ significantly between the SES groups at any entheses except the musculus (M.) iliopsoas and common extensor, where the higher class showed more EC. Within the populations, at the Hopmarkt, sexual differences were only observed in the Achilles tendon attachment, whereas at the Louis D'Haeseleerstraat, sexual differences were present in the M. triceps brachii, M. brachioradialis, and quadriceps entheses. Only some entheses showed a significant correlation with age, and these were inconsistent between populations. ECs are not a reliable indicator of SES in postmedieval Aalst. This could suggest that the hypothesis that the wealthy were less physically active oversimplifies the lives of people in the past. It could also suggest that EC is not a suitable proxy for physical activity, or that it cannot be used without in-depth knowledge of the types of activities performed by various socio-economic groups in addition to consideration of all other aetiological factors. This study illustrates the caution necessary when using EC as a proxy for social status in past societies

    Osteochondritis Dissecans of skeletal elements of the foot in a 19th century rural farming community from The Netherlands

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    Osteochondritis Dissecans (OD) is a pathological condition of the subchondral bone and surrounding cartilage of synovial joints, associated with strenuous activity and/orĀ trauma. Reports of OD in archaeological skeletal remains are few and the majority demonstrate low OD prevalence (lesionsĀ in non-pedal elements, yet 12.9% of individuals suffered from pedal OD. Few archaeological and clinical reports specify the prevalence of pedal OD. According to the few that do, the Middenbeemster pedal OD prevalence is distinctly high. Several factors could have contributed to this. First, the rural Beemster community was centered around cattle farming, requiring extensive outside work and animal maintenance; thus, increasing the chances of acute/repetitive trauma in the foot. Second, the footwear worn during that period in the Netherlands was the wooden clog. It is suggested that the hard and inflexible clog, which is poor at absorbingĀ shockĀ and limits the movement of the foot, could have resulted in repetitive microtrauma. These two factors combined may have caused a high frequency of OD.Bioarchaeolog

    A recording method for sixteen nonadult muscle entheses

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    Bioarchaeology lacks a system for recording the morphology of muscle and ligament attachment sites, called entheses, in growing individuals. Such information is useful in investigating factors that affect bone growth and development, including sex, age, puberty, pathology, and activity. This paper presents a standardized recording method for nonadult entheses based on 29 archaeological individuals of archivally known sex and age-at-death, ranging from two to 17 years. This paper (a) assesses the range of osseous changes of 16 entheses in the upper and lower limbs of growing individuals, and (b) presents a scoring method for each enthesis, which is evaluated through inter-and intra-observer comparisons. Nonadult entheses show a wide range of morphological variation. Method reproducibility is established. This method will allow researchers to further investigate factors affecting bone development in nonadult skeletal remains

    Gender-related vitamin D deficiency in a Dutch 19th century farming community

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    The most common cause of vitamin D deficiency is inadequate dermal exposure to sunlight. Residual rickets is nonadult vitamin D deficiency still evident in an adult individual, whereas osteomalacia occurs in adulthood. Previous research on the Beemster population, a 19th century rural community in the Netherlands, identified rickets in 30.4% of the nonadults between the ages of two and four years (n=7/23). Because the sex of these nonadults was not known it was not possible to determine if there were differences between boys and girls. To overcome this gap in our knowledge, the aim of this paper is to determine if there are gender related differences in vitamin D deficiency in the Beemster skeletal collection, based on adults with residual rickets and osteomalacia. Out of 200 adults (100 females; 100 males) no cases of osteomalacia were detected. However, there were 29 cases of residual rickets (14.5%), with 21 of those cases in females (21.0%; 21/100). A complex interplay of multiple factors is proposed to have affected vitamin D levels in nonadults, including sociocultural variables such as gender-based labour norms. This research highlights the importance of continuing to explore gender-based health differences in past populations

    Diet and urbanisation in medieval Holland. Studying dietary change through carious lesions and stable isotope analysis

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    In the late medieval period, Holland experienced substantial socio-economic change. While the region was largely undeveloped prior to 1200 CE, the period after was characterised by extensive urbanisation and flourishing international trade, changes that would have impacted many aspects of life. This paper investigates the effect of these changes on diet by comparing skeletal collections from the early/central medieval rural village of Blokhuizen (800ā€“1200 CE) to the late medieval urban town of Alkmaar (1448ā€“1572 CE) using a combination of the prevalence and location of carious lesions (nteeth = 3475) and stable carbon and nitrogen isotope data (n = 50). Results show that the urban Alkmaar population had a significantly higher caries frequency (7.4% vs. 16.1%), starting at a younger age. Moreover, Alkmaar had significantly more approximal caries. These results point to increased consumption of cariogenic products, such as sugars and starches, by the urban citizens. Dietary differences are also demonstrated by the stable isotope data. Alkmaar individuals have significantly enriched Ī“15N ratios and more variable Ī“13C ratios compared with rural Blokhuizen. The elevated Ī“15N values may be due to increased consumption of fish or animals such as omnivorous pigs and chickens. The combination of caries and isotopic data points to clear changes in diet suggesting that urban individuals in the late medieval period had a substantially different diet compared with early rural inhabitants from the same area. Specifically, an increase in market dependence, availability of international trade products, and the growth of commercial fishing in the late medieval period may have contributed to this dietary shift. Future research should include a late medieval rural population to better understand the effects of late medieval socio-economic developments outside of the urban environment. This study demonstrates that the integration of palaeopathology and stable isotopic research provides a more complete understanding of dietary changes in medieval Holland

    Temperature estimations of heated bone:A questionnaire-based study of accuracy and precision of interpretation of bone colour by forensic and physical anthropologists

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    The colour of thermally altered bone, recovered from archaeological and forensic contexts, is related to the temperature(s) to which it was exposed. As it is heated bone changes in colour from ivory white, to brown and black, to different shades of grey and chalky white. It should be possible to estimate exposure temperature based on visually observable changes in colour. In forensic casework the temperature that human remains have been subjected to can reveal information about the existence and nature of foul play. Therefore, it is important to understand the accuracy and precision of visual methods of temperature estimation. Twenty-eight forensic and/or physical anthropologists estimated the temperature that fourteen bone samples had been subjected to based only on their colour via an online questionnaire. Bone samples shown in the questionnaire ranged from unheated to having been heated at 1200 degrees C. Respondents were given two options to base their estimates on, resulting in a multiple response analysis. The results suggest it is difficult to identify the correct temperature range based solely on colour. Most respondents felt confident enough to opt for a single option, which may have contributed to a relatively high number of incorrect estimates. Low accuracy and precision were found for most of the temperature ranges, especially in the lower and middle categories. This study demonstrates that caution should be taken in the reliance upon temperature estimates of thermally induced colour changes in bone and the need for further research and improved method
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