Enamel hypoplasia in Danish and Lithuanian Late Medieval/Early Modern samples: a possible reflection of child morbidity and mortality patterns

Numerous studies and various interpretations of the prevalence of linear enamel hypoplasias (LEH) based on populations living in different cultural and economic conditions are causing some confusion and raising doubts about whether or not such LEH are reliable indicators of life conditions. An analysis of LEH prevalence patterns was performed on the adults of three populations: Tirup—a Danish Medieval rural population of the 12–14th centuries (131 individuals), Subačiaus str. in Vilnius—a Lithuanian Late Medieval urban population of the 16–17th centuries (88 individuals), and the aristocracy—a Lithuanian pooled sample population from several churches of the 15–18th centuries (66 individuals). Statistical testing of the influence of population affinity, sex and age at death was also performed. Since the same investigator scored all the samples, possible inter‐observer error bias was minimized. In all the populations, LEH formation ages were similar. Statistically significant sex differences were found only in the aristocratic sample (with higher male frequency). It was found that the town population was characterized by the highest frequency of affected individuals, with the highest severity and highest number of stress episodes per individual. A reliable relationship with age at death was found only in the town sample: individuals with more numerous and more marked LEH had shorter life expectancies in adulthood. Different “most vulnerable years” for subsequent life expectancies were noted for different populations. A tentative explanation of these differences could be the pooled effect of differential morbidity and mortality. It seems that the rural population experienced the highest morbidity and nutrition deficiency as well as the highest child mortality whereas, in the urban sample, high morbidity was accompanied by a lower child mortality. Both lower morbidity and mortality seem to be characteristic for the aristocracy. Copyright © 2002 John Wiley & Sons, Ltd.