Temporal changes in diet: a stable isotope analysis of late Iron Age and Roman Dorset,Britain

This study investigates the relationship between diet and cultural change in late Iron Age and Romano-British populations from Dorset, England (1st century BC to the early 5th century AD). Dorset was the only region in Britain to exhibit continuity in inhumation burial rites through these periods and a wide array of environmental, archaeological and material culture evidence is available there. A sample of N = 77 human adult and N = 17 faunal rib samples were utilized for carbon and nitrogen stable isotope analysis to test the hypothesis that Romanization of the diet would result in greater dietary variation.     

Age‐related variation in isotopic indicators of diet at medieval Kulubnarti,Sudanese Nubia

This study compares trends in dietary composition in two large cemetery populations from the site of Kulubnarti (AD 550–800) in Sudanese Nubia. Bone collagen and bone apatite carbonate were analysed to characterise stable carbon, nitrogen and oxygen isotopes. Previous research on these cemeteries has suggested marked differences in nutritional status and health between the populations. Contrary to expectations, there were no significant relationships between any isotopic indicators related to sex or cemetery of burial, suggesting no isotopically‐measurable differences in diet. However, collagen δ¹³C and δ¹⁵N were significantly related to age, suggesting age‐related differences in protein intake or other factors. Weaning trends are gradual and variable, with the range in δ¹⁵N values exceeding 4‰ among infants/young children (0–3 yrs) and standard deviations exceeding 1‰ in collagen δ¹³C and δ¹⁵N for both infants/young children and subadults (4–17 yrs). This suggests varied weaning strategies among both populations and variable diets prior to adulthood. Also observed was a distinct range of isotopic carbon and nitrogen values among individuals classified as subadults (4–17 yrs), who are depleted in collagen δ¹³C and δ¹⁵N relative to adults. However, both infants/young children and subadults are slightly enriched in δ¹⁸O relative to adults, which suggests the presence of non‐local individuals or age‐related variation in water sources. While most isotopic studies of age‐related dietary trends have focused on reconstructing the weaning process, this study presents findings that indicate tripartite isotopic trends distinguishing infancy, subadulthood and adulthood as separate dietary categories. Broad similarities are evident between the results presented here and those from several earlier studies of smaller populations and to nutritional studies of modern communities. These findings suggest that further research into health disparities at Kulubnarti should focus on non‐dietary causal factors, and more generally, that greater attention should be paid to subadulthood in palaeodiet studies. Copyright © 2006 John Wiley & Sons, Ltd.     

The relationship between harris line formation and bone growth and development

The leg bones of 54 juveniles from the Romano-British cemetery at Poundbury, Dorset were examined radiographically for Harris lines. No correlation was found between presence/absence of Harris lines and femoral length, cortical index or total cortical thickness, although all three were significantly correlated with dental age for both groups. These results are compared with those of previous studies and differences are interpreted in terms of the nature of the environmental stress which gave rise to the Harris line. In the light of these findings a strategy is suggested which might be adopted for future research in this area.     

BIOARCHAEOLOGICAL ANALYSIS OF SUBSISTENCE AND HEALTH AT THE LAKE GEORGE SITE,MISSISSIPPI (22YZ557)

Abstract

Bioarchaeological investigations of subsistence and health were conducted on a skeletal population from the Lake George site (22YZ557), a large prehistoric settlement in the lower Yazoo basin of west-central Mississippi. Subsistence is inferred from oral health indicators (including dental caries, calculus, periodontal disease, abscesses, antemortem tooth loss, and macrowear) and stable carbon and nitrogen isotope ratios from bone collagen and apatite. Health is inferred from nonspecific indicators (including cranial porous lesions, enamel hypoplasias, and Harris lines). The sample includes 25 adults and 25 subadults, all of which date to the Coles Creek period (A.D. 700–1200). Frequencies of all pathological conditions are reported for the entire sample and divided by sex and age for adults. Results indicate a heavy pathology load at Lake George, but one that is not dissimilar to other Coles Creek populations. Isotope values indicate a diet that included primarily C3 plants (δ¹³C_Col = ?21.03‰, δ¹³C_Ap-Diet = ?22.06) and terrestrial protein (δ¹⁵N = 9.72‰). The sources of nonspecific pathologies are attributed to stressors associated with increasing population density and cultural complexity that occurred during the Coles Creek period.     

Isotopic evidence of dietary variability in subadults at the Usu-moshiri site of the Epi-Jomon culture,Japan

This study reconstructs adult and subadult diets of a hunter-gatherer population of the Epi-Jomon culture (approximately 2300–1700 years BP) in Japan, using the stable isotopic analysis of carbon and nitrogen. The results suggest that the Usu-moshiri adults were highly dependent on marine resources such as seals for their dietary protein intake and that no significant dietary differences existed between the sexes. Among subadults we found two types of diet on the basis of different isotopic signatures. One group consisted of individuals with δ¹³C values below than those of the adult female mean minus two standard deviations and δ¹⁵N values lower than those of subadults in the other groups. These low-δ¹³C subadults indicated relatively less enriched δ¹⁵N values by 3.5 years of age at the latest. They probably consumed more ¹³C-depleted foods during weaning than in the ordinary adult diet. In the other high-δ¹³C group, their enriched δ¹⁵N values start to decline by four years of age and fall within the two-standard-deviations range of the total adult mean around five to six years of age. Isotopic values of children in this high-δ¹³C group suggest that they would have been fed ordinary adult diets during weaning. Perinates could also be divided into two groups on the basis of the similar patterns in their carbon and nitrogen isotope ratios. Our results indicate variabilities in the diets of subadults, and similar variabilities were also seen in ethnographic studies of the Ainu populations.     

Strontium and stable isotope evidence for diet and mobility in Roman Gloucester,UK

This paper presents the results of a multi-isotopic (oxygen, strontium, carbon and nitrogen isotopes) investigation of population and dietary diversity in Roman Gloucester, focusing on individuals found in a late 2nd century AD mass burial pit at London Road, and comparing them to those found in the nearby cemetery. There were no statistical differences in isotopic composition between mass grave and cemetery burials, suggesting, in agreement with the osteological evidence, that the mass burial was the result of a catastrophic event, probably an epidemic disease. Strontium and oxygen isotope analysis demonstrated considerable diversity in the origins of the Gloucester population, with evidence for both UK and non-UK individuals. Diet was predominately terrestrial and similar to that of other Romano-British populations. Elevated δ¹³C_dentine ratios in some individuals are correlated with raised δ¹⁸O_p values and are therefore probably due to childhoods spent in warmer climates, rather than dietary variation.     

Exceptional rates of dental caries in a scandinavian Early Iron Age population—A study of dental pathology at Alvastra, Östergötland,Sweden

The dental status of Early Iron Age agricultural populations in Sweden has not been extensively documented. The aim of this study was to record caries status in human remains from an Early Iron Age burial ground, Smörkullen, at Alvastra, Östergötland, Sweden. The study included 96 adults and 50 subadults and comprised 1794 permanent teeth in the adults and 468 permanent and 221 deciduous teeth in the subadults. The caries frequency was exceptionally high, afflicting most of the adults (92.6%): 46.2% of the teeth examined showed signs of caries disease. Most of the lesions were shallow. However, around 60% of the adult individuals had moderate and severe lesions, which probably had an immediate impact on health. Lesions were most common in the cervical region and this is probably related to dietary patterns where the starchy, sticky food tended to accumulate around the necks of the teeth. Children showed low caries frequency, whereas most juveniles (91.7%) were affected. Most of the teeth with alveolar bone loss showed no signs of cervical or root caries lesions. However, in cases of moderate and severe loss of alveolar bone, seen mostly in the older age group, the frequency of cervical and root lesions was higher. Few initial caries lesions were observed, indicating an aggressive pattern of disease in this population. The lack of gender‐related differences suggests that the diet was similar for both sexes, across all age groups. Copyright © 2010 John Wiley & Sons, Ltd.     

Inferences from the human skeletal material of the Early Iron Age cemetery at Agios Dimitrios,Fthiotis, Central Greece

The Geometric cemetery of Agios Dimitrios (850–740 B.C.) yielded a human osteological sample, with an MNI of 51 and equal numbers of males and females and adults and subadults. This site is of significant archaeological importance, as it provides information on human health status, diet, and activity patterns as well as mortuary behavior for a little studied time period. The results, including a) stable carbon and nitrogen isotopic data suggesting a C₃ low-protein plant diet, b) relatively high infant mortality, c) low stature estimates, d) significant prevalence of possible anemic conditions, and e) high dental infection and loss rates, all point to a rapidly increasing, stressed, and relatively malnourished population which did not exploit nearby marine resources, experienced suboptimal living conditions, and could not reach its biological potential. Furthermore, the study of this group provides evidence of equal burial treatment of all age and sex categories, no dietary differences in terms of sex and status, and no sex differentiation in pathological conditions.     

Dental pathology and diet at Apollonia,a Greek colony on the Black Sea

Dental pathology has the potential to provide insight into the composition of the diet and to reveal dietary differences based on age, sex and social status. Human skeletal remains from the Greek colonial site of Apollonia (5^th to 2^nd centuries BC) on the Black Sea coast of Bulgaria were analysed for various forms of dental pathology in order to: assess the prevalence of dental disease in the population; compare the dental pathology data from Apollonia with dietary data derived from ancient literary texts and from previous stable isotopic analysis of the colonists' remains; explore variations in dental disease with respect to age and sex; and compare the prevalence of dental pathology in the Apollonians with that of other Greek populations. The composition of the diet, as indicated by the dental pathology data, is consistent with the stable isotopic evidence from Apollonia and with the ancient literary texts, both of which indicate the consumption of a relatively soft, high carbohydrate diet. The higher frequency of dental caries, abscesses, calculus, and antemortem tooth loss in older adults compared with younger ones reflects the age‐progressive nature of these conditions. The lack of significant sex differences in caries, abscesses, calculus and tooth loss corresponds with the stable carbon and nitrogen isotopic data derived from bone collagen, which indicate no significant sex differences in the consumption of dietary protein. In contrast, these findings conflict with the ancient literary texts, which refer to distinct dietary differences between males and females, and with the stable carbon isotopic values derived from bone carbonate, which indicate sex differences with respect to the overall diet. Despite the lack of marked sex differences in dental pathology, overall trends point to subtle dietary differences between males and females. A greater degree of tooth wear in males also hints at possible sex differences in the use of the teeth as tools. Copyright © 2007 John Wiley & Sons, Ltd.     

Diet,social differentiation and cultural change in Roman Britain: new isotopic evidence from Gloucestershire

This study uses stable isotope analyses (δ¹³C and δ¹⁵N) of human bone collagen to reconstruct the diet of three Romano-British (first to early fifth century AD) populations from Gloucestershire in South West England. Gloucestershire was an important part of Roman Britain with two major administrative centres at Gloucester (Glevum) and Cirencester (Corinium) and numerous smaller settlements and farmsteads. To investigate potential dietary differences between the rural and urban populations of Roman Gloucestershire, we compared human bone collagen stable isotope values from 32 individuals from urban Gloucester with those of 46 individuals from two rural cemeteries at Horcott Quarry and Cotswold Community, respectively. Seven individuals from urban Gloucester were buried in a mass grave; all others were buried in single inhumations. Results show small but significant differences in stable isotope ratios between the urban and rural populations which indicate that the urban population might have consumed slightly more marine and/or freshwater resources than the people living in the rural communities. We interpret this difference as a direct reflection of Rome’s influence on Gloucester’s population and the town’s economic status. Subtle differences in stable isotope ratios were also observed at the site level, as burial practice does correlate with diet in some cases. Overall, the results from this study demonstrate that diet, as reconstructed through stable isotope analysis, is a very sensitive, if settlement-specific, indicator of social differentiation and culture change.     

Using General Estimating Equations to Analyze Oral Health in the Moche Valley of Perú

This study introduces a new method for analyzing oral health indicators and thus reconstructing diet. To this end, we examined the dental remains of 173 individuals recovered from the site of Cerro Oreja in the Moche Valley of Perú, who lived during the Salinar (400–1 BC) or Gallinazo (AD 1–200) phases. The infectious and degenerative conditions analyzed include: dental caries, dental wear, dental abscess, antemortem tooth loss and dental calculus, all of which have been used to track dietary and thus subsistence‐related economic and sociopolitical changes. Data were analyzed using generalized estimating equations, an extension of generalized linear models. Significant changes in the frequency of occurrence of most dental conditions suggest that during the period of study, there was an increase in the consumption of agricultural products. However, these changes in oral health did not equally affect females and males. By the end of the Gallinazo phase, significant sex differences developed, with females more often affected by dental caries and males displaying greater mean molar wear scores. Copyright © 2011 John Wiley & Sons, Ltd.     

Oxygen and strontium isotope evidence for mobility in Roman Winchester

Artefacts and burial rites in the late Roman cemetery at Lankhills School, Winchester, southern England, were used by Clarke (1979) to distinguish between local Romano-British individuals and migrants thought to be from the Danube region, a suggestion tested through isotope analysis by Evans et al. (2006a,b). This paper reports strontium (⁸⁷Sr/⁸⁶Sr) and oxygen (δ¹⁸O) isotope data for tooth enamel sampled from a further 40 individuals from more recent excavations on the same site. Results suggest that up to a quarter of the sampled Lankhills individuals were incomers, with several individuals possibly originating from the Hungarian Basin and the Southern Mediterranean. However, there was no clear link between isotopic signature and archaeological origin attribution, suggesting that in many cases burial practice was dictated by factors other than ‘ethnicity’, such as kinship, marriage or cultural and political preferences.     

Paleodiet in northern Chile through the Holocene: extremely heavy δN values in dental calculus suggest a guano-derived signature?

Dental calculus extracted from the teeth of 28 prehistoric human skeletons from coastal and valley archaeological sites in northern Chile that date from the Archaic period (∼2300 BC) to the Late Intermediate period (AD 1476) was analyzed for stable isotope (δ¹⁵N, δ¹³C) compositions. δ¹⁵N compositions were extremely heavy (+17.8 to +33.1‰), but comparable to some studies using conventional human biomaterials (hair, nail, muscle) at other prehistoric sites in northern Chile. There was a negative correlation between δ¹⁵N and δ¹³C for coastal sites, but a positive correlation for valley sites. Results for the valley sites point to a diet that was influenced by marine resources throughout all time periods. The unusually heavy δ¹⁵N values for the coastal sites require a dietary component with a δ¹⁵N composition significantly heavier than that of marine resources. The hyper-aridity at the study area (mean annual rainfall of 0.5–0.6 mm/year) is a likely contributing factor to the production of heavy δ¹⁵N values, but is unlikely to account for the heaviest δ¹⁵N values (>+30‰). One possible explanation for the heaviest δ¹⁵N values is that dietary components were impacted by isotopically-heavy guano, which is abundant in the region. Guano may have been used as a fertilizer during crop cultivation at the onset of the Formative period, continuing through the Historic period after Spanish contact. The indirect impact of guano from abundant bird habitats in the region may have influenced wild foodstuffs harvested throughout the pre-agricultural period. Results provide support for the utility of dental calculus as a proxy for obtaining stable carbon and nitrogen isotope signatures for use in paleodietary studies.     

The Ba/Sr ratio,carious lesions,and dental calculus among the population buried in the church La Concepción (Tenerife,Canary Islands)

Certain trace elements may accumulate in bone in relation to dietary habits, so some of them are of interest in paleodietary analysis. This is the case with strontium (Sr) and barium (Ba), whose potential value as paleodietary indicators is enhanced by their relatively inert metabolic behaviour. The presence of carious lesions may indicate consumption of sugar and vegetables, whereas the etiology of dental calculus deposition is multifactorial, although some authors consider this as an indicator of protein consumption. Based on these facts we analysed (1) Ba, Sr, and calcium (Ca) content of inner cortical bone obtained from the ramus mandibularis, by atomic absorption spectrophotometry, (2) presence of teeth with carious lesions, and (3) presence of teeth with calculus deposition in 62 mandibles. All samples were obtained from the church La Concepción, an 18th century burial place in Tenerife. Gender was assessed by analysing genetic expression of amelogenin in some cases (14), and by inspection of pelvic bones when available (41 cases). We found (1) Carious lesions in 32 cases, and dental calculus, in 39; no association was observed between sex and presence of dental caries or calculus deposition, nor between the sex and the proportion of carious teeth nor the proportion of teeth with calculus deposition; (2) people buried near the altar (priests and individuals of the highest social class) showed a significantly higher proportion of teeth with dental calculus deposition (χ² = 5.36, p = 0.021); (3) bone Sr and bone Ba were significantly higher than the values observed in a control group of 10 modern omnivorous individuals; the lowest Sr values were observed among people buried near the altar; and (4) the Ba/Sr ratio was directly related with the proportion of teeth with carious lesions. These data suggest that there were differences in dietary pattern among the individuals belonging to different social classes; overall, consumption of vegetables was widespread, as shown by the high proportion of carious lesions, in relation with raised Ba/Sr ratio, whereas consumption of marine products was scarce.     

Diet,Geography and Drinking Water in Polynesia: Microfossil Research from Archaeological Human Dental Calculus,Rapa Nui (Easter Island)

Microfossil analysis of human dental calculus provides consumption‐specific and archaeologically relevant data for evaluating diet and subsistence in past populations. Calculus was extracted from 114 teeth representing 104 unique individuals from a late 16^th to early 18^th century skeletal series on Rapa Nui (Easter Island) to address questions of human–environment interactions and possible dietary preference. Scanning electron microscopy was used in lieu of optical microscopy for its superior depth of field and resolution of surface detail. The calculus microfossil recovery produced 16,377 total biogenic silica microfossils: 4733 phytoliths and 11,644 diatoms. The majority of phytoliths correspond with the Arecaceae or palm family (n = 4,456) and the minority corresponds to the Poaceae or grass family (n = 277). Because of the relatively large sample size, we were able to test hypotheses related to age cohort, sex, dental element and geographic region. Results indicate no significant difference in phytolith or diatom recovery based on age cohort or sex. The high frequency and proportion of Arecaceae phytoliths found in calculus extracted from the anterior dentition suggests consumption of soft or cooked foods containing palm phytoliths and the high frequency of diatoms recovered from the southern part of the island argue for different sources of drinking water. Copyright © 2012 John Wiley & Sons, Ltd.     

Subadult Age at Death and Health Status at Niah Cave,Borneo (1500–200 bc)

Southeast Asia's transition to rice agriculture is often used as an exception to the general pattern of health decline at the agricultural transition. Niah Cave is the largest known Southeast Asian Neolithic cemetery, providing valuable information about subadult health during the agricultural transition in this region. This study examines the health status and mortuary treatment of subadult skeletal remains (Minimum Number of Individuals (MNI) = 49) from the Neolithic cemetery of Niah Cave, Sarawak, Malaysia (1500–200 bc ). This study found that few cases of cribra orbitalia (4.6%) and porotic hyperostosis (14%). However, nonspecific infections may have been a risk factor for subadults as over half (65%) died with active cases of periosteal reactions on their long bones. Differential diagnosis determined that possible factors for this include parasite load, rickets and scurvy. Mortuary practices indicate that subadults may have been treated differently in phases 1 and 2 but were grated similar mortuary treatment in phases 3 and 4. This study suggests that changes in mobility patterns may have placed subadults at risk for increased parasite load and vitamin deficiency, while the role of subadults within the community may have changed over time. Copyright © 2017 John Wiley & Sons, Ltd.     

Diet and Oral Health of Populations that Inhabited Central Argentina (Córdoba Province) during Late Holocene

The aim of this work is to study, from a bioarchaeological perspective, the diet and oral health of the populations that inhabited Central Argentina in two periods which would reflect changes in subsistence strategies: earlier late Holocene (ca. 2500–1500 years BP) and later late Holocene (ca.1500–400 years BP). The sample is composed by 83 adult individuals from 47 archaeological sites. We considered five non‐specific indicators of stress, infectious and degenerative diseases: hypoplasia of dental enamel, dental caries, abscesses, antemortem teeth loss, and calculus. We also considered hypercementosis, dens in dens, and agenesis. We test intraobserver error by means of intraclass correlation coefficient and analysis of variance of repeated measures. We calculated prevalence by sex, age, geographic subregion, and chronological period. We applied Chi‐square (X²) to test statistical significance of observed differences. Considering the sample as a whole, low prevalence of dental caries (10.27%), abscesses (16.52%), and hypoplasia (10.84%) are coincident with values observed for populations with mixed or hunter‐gathering subsistence strategy. In later late Holocene, high incidence of caries should be considered as indicator of consumption of C4 vegetables or other carbohydrate‐rich vegetables, such as legumes of Prosopis sp. Also, moderate values of dental enamel hypoplasia should be related with metabolic‐systemic stress episodes. Summarizing, these results are coincident with isotopic, archaeological, and ethnohistorical evidences which suggest climatic, social, and demographic pressures that might have affected the lifestyle of these populations before the Spanish conquest. Copyright © 2012 John Wiley & Sons, Ltd.     

Dental status of Napoleon's Great Army's (1812) mass burial of soldiers in Vilnius: childhood peculiarities and adult dietary habits

A mass grave of the soldiers of Napoleon's Great Army, containing no less than 3269 individuals who died during the retreat from Russia in December 1812, was uncovered during an archaeological rescue excavation in 2002 in Vilnius, Lithuania. General dental analysis, including that of dental wear, tooth loss, caries, calculus, and periodontal diseases and abscesses, was used to evaluate the oral health status and possible dietary patterns of individuals who represented recruits from almost all of Western and Central Europe. Growth conditions in childhood were studied by scoring of linear enamel hypoplasia. In all, 293 individuals (6528 teeth) were selected for the analysis; 20–30 year old males made up the majority of the sample. Their general dental status is characteristic of young individuals: low dental attrition and antemortem tooth loss, as well as low prevalence of calculus and abscesses. The caries rate was average compared with late Medieval/early industrial populations and typical for individuals with diverse diets. However, a considerable amount of pulp caries and a high number of carious teeth in some individuals indicate consumption of cariogenic products (e.g. sugar, sweet drinks) and poor oral hygiene. The frequency and severity of hypoplasia was lower compared with other populations of that time, suggesting the selection of the fittest individuals for military service; this correlates with the historically known selection criteria of that period. Copyright © 2006 John Wiley & Sons, Ltd.     

Cultural Changes in Funeral Rites During the Neolithic in the Northeast of the Iberian Peninsula? The Cave of Pantà de Foix (Barcelona)

During the third millennia bc , there is a change in the funerary patterns of the populations in Catalonia. This novelty usually has been usually related to a change in the economical source of the human groups that become less sedentary as the stockbreeding becomes more important. In the present study, we analyse this change, reflected in the mortuary practices, by the study of diet and health markers such as caries, dental calculus or enamel hypoplasias and of biological affinities based on dental non‐metric traits. It has been included a total amount of 317 permanent teeth from Cova del Pantà de Foix sites, a sepulchral cave found at the south‐west of the city of Barcelona and dates from the third millennia bc . The 74.2% of them present dental calculus deposits, which are usually related to a high protein intake. Nevertheless, the high prevalence of carious lesions (15.3% of the teeth) suggests that the main dietary contribution comes from carbohydrates. Furthermore, when this group is compared with one from the Middle Neolithic Age, which presents a lower calculus prevalence, no biological differences are observed. This lack of differences among these groups denote that the origin of the high amount of calculus deposit is environmental, which is consistent with the elevated observation of hypoplasias of the crown enamel. The absence of dietary, biological and economical differences indicates that the population substrate during the Neolithic in Catalonia is the same and that the transition in the funerary rite is related to a substantial change only regarding to mortuary practices. Copyright © 2014 John Wiley & Sons, Ltd.     

Child Health in Five Early Medieval Irish Sites: A Multidisciplinary Approach

With the aim to reconstruct child health in five early medieval (5th–12th c. CE) Irish sites, an osteoarchaeological study of three biological stress indicators – cribra orbitalia, linear enamel hypoplasia (LEH) and periostitis – has been conducted on 229 skeletons. In addition, Irish early medieval written sources testifying on child health during this period were consulted. These data were furthermore combined with the results of stable isotope analyses (nitrogen and carbon) conducted on subadult bone specimens. Cribra orbitalia was found in 27.5% of the studied individuals (48.6% of subadults were affected), with only two cases active at the time of death. The prevalence of LEH per individual is 63.5% (78.9% in subadults and 59.7% in adults). The age ranges of LEH formation vary between 1.9 and 4.8 years for the maxillary teeth and between 1.8 and 6.2 years for the mandibular teeth. Periosteal inflammations were recorded in over one third of the studied subadults (36.2%) with six cases active at the time of death. The stable isotope results suggest a diet based on terrestrial food sources, with little or no marine input. The presented data strongly suggest that most of the individuals were exposed to a high level of physiological stress during their childhood, and as such does not support the so called ‘osteological paradox’ hypothesis. The observed disturbances were probably caused by a synergistic effect of various biological and socio‐cultural factors. Although the historical records indicate certain differences in diet and lifestyle between social classes and the sexes, this study showed that the children of all ages had poor health in all social classes across a wide geographical location for the full time period of the early medieval. Copyright © 2016 John Wiley & Sons, Ltd.