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The prevalence of diffuse idiopathic skeletal hyperostosis in England and Catalonia from the Roman to the post-medieval periods
Navarro, L.C. ; Buckberry, Jo
Navarro, L.C.
Buckberry, Jo
Publication Date
2022-06
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© 2022 Elsevier. Reproduced in accordance with the publisher's self-archiving policy. This manuscript version is made available under the CC-BY-NC-ND 4.0 license.
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openAccess
Accepted for publication
21/02/2022
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Abstract
Objective: Evaluate the prevalence of DISH through time from the Roman to the post-Medieval period in England
and Catalonia.
Material: 281 individuals from England and 247 from Catalonia were analyzed.
Methods: Adult individuals with at least three well-preserved lower thoracic vertebral bodies were analyzed. DISH
was assessed considering the early stages of development. Diachronic and geographical dietary shifts were
investigated using reported light isotope data, archaeological reports and historical documentation.
Results: Males and older individuals showed consistently higher prevalence of DISH, however, only the English
sample showed a significant difference between males and females in the prevalence of DISH. No significant
difference was found in the prevalence of DISH though time (from Roman to post medieval periods) nor across
regions (England and Catalonia).
Conclusion: The development of DISH is probably influenced by a combination of factors including increasing age
and sex.
Significance: This is the first exhaustive analysis of DISH in ancient Catalan populations and the first that considers the early stages of DISH.
Limitations: Reduced sample size, particularly in post-medieval samples, as a result of the available excavated
samples and the inclusion criteria adopted.
Future Research: Include rural, religious and high-status samples in the analysis of DISH. Re-assess the prevalence
of DISH in post-medieval populations.
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Accepted manuscript
Citation
Navarro LC & Buckberry J (2022) The prevalence of diffuse idiopathic skeletal hyperostosis in England and Catalonia from the Roman to the post-medieval periods. International Journal of Paleopathology. 37: 9-22.
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