Economic access influences degenerative spine disease outcomes at rural Late Medieval Villamagna (Lazio, IT).

Autor: Kinkopf KM; Department of Geography and Anthropology, California State Polytechnic University, Pomona, Pomona, California, USA., Agarwal SC; Department of Anthropology, University of California Berkeley, Berkeley, California, USA.; Archaeological Research Facility, University of California Berkeley, Berkeley, California, USA., Goodson C; Faculty of History, University of Cambridge, King's College, UK., Beauchesne PD; Department of Behavioral Sciences, University of Michigan, Dearborn, Dearborn, Michigan, USA., Trombley TM; Department of Anthropology, University of California Berkeley, Berkeley, California, USA.; Archaeological Research Facility, University of California Berkeley, Berkeley, California, USA., Candilio F; Soprintendenza Archeologia, Belle Arti e Paesaggio per la città metropolitana di Cagliari ele province di Oristano e Sud Sardegna, Cagliari, Italy., Rubini M; Department of Archaeology, Foggia University, Foggia, Italy.; Anthropological Service, S.A.B.A.P.-RM-MET, S.A.B.A.P.-LAZ, Rome, Italy., Coppa A; Department of Environmental Biology, Sapienza University of Rome, Rome, Italy.
Jazyk: angličtina
Zdroj: American journal of physical anthropology [Am J Phys Anthropol] 2021 Mar; Vol. 174 (3), pp. 500-518. Date of Electronic Publication: 2020 Nov 28.
DOI: 10.1002/ajpa.24180
Abstrakt: Objectives: Degenerative joint disease in the spine is heavily influenced by genetic, environmental, and epigenetic factors, as well as exacerbated by physical activity and injury. The objective of this study was to investigate the multivariate relationship between known predictors of degenerative joint disease in the spine, such as age and sex, with mortuary indicators of economic access such as grave inclusions, burial location, and burial type.
Materials and Methods: The presence and severity of vertebral osteophytosis (VO) and vertebral osteoarthritis (VOA) was recorded for the vertebral columns of N = 106 adult individuals from the Late Medieval period at the rural monastery of San Pietro at Villamagna in Lazio, Italy (1300-1450 AD). Multiple skeletal indicators of degenerative joint disease, morphological sex, and age were compared with differences in mortuary treatment across four regions of the spine.
Results: There are marked differences in severe joint disease outcome between groups with more and less economic access. Relative risk ratios suggest that males and females with less economic access have elevated risk for VO and VOA in specific spine regions, although this effect is reduced among females.
Discussion: Current research on the consequences of economic and social inequality point to the important role of economic inequality in shaping disease outcomes. Our results suggest that biocultural effects of reduced economic access at the intraclass level may increase vulnerability to the downstream effects of risk exposure (e.g., biomechanical injure, physical activity, biochemical imbalance), and ultimately increase the risk and prevalence for severe degenerative disease outcomes in medieval Italy.
(© 2020 Wiley Periodicals LLC.)
Databáze: MEDLINE
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