Hip fractures in the Portuguese archaeological record

Curate, Francisco; Assis, Sandra; Lopes, Célia; Silva, Ana Maria

doi:10.1537/ase.100211

Cited by 17 publications

(34 citation statements)

References 54 publications

(84 reference statements)

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“…Low bone mass is reported in bioarcheology studies of historic skeletal collections, but evidence of osteoporotic fracture itself is uncommon (108). However, evidence of their incidence in the archaeological record is growing (109). It is important to consider that most skeletal populations do not have known age and that age determination of older skeletons comes with challenges (106).…”

Section: Evidence Of Osteoporosis and Fractures In Skeletal Collectionsmentioning

confidence: 99%

Evolutionary Perspectives on the Developing Skeleton and Implications for Lifelong Health

Kralick

Zemel

2020

Front. Endocrinol.

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Osteoporosis is a significant cause of morbidity and mortality in contemporary populations. This common disease of aging results from a state of bone fragility that occurs with low bone mass and loss of bone quality. Osteoporosis is thought to have origins in childhood. During growth and development, there are rapid gains in bone dimensions, mass, and strength. Peak bone mass is attained in young adulthood, well after the cessation of linear growth, and is a major determinant of osteoporosis later in life. Here we discuss the evolutionary implications of osteoporosis as a disease with developmental origins that is shaped by the interaction among genes, behavior, health status, and the environment during the attainment of peak bone mass. Studies of contemporary populations show that growth, body composition, sexual maturation, physical activity, nutritional status, and dietary intake are determinants of childhood bone accretion, and provide context for interpreting bone strength and osteoporosis in skeletal populations. Studies of skeletal populations demonstrate the role of subsistence strategies, social context, and occupation in the development of skeletal strength. Comparisons of contemporary living populations and archeological skeletal populations suggest declines in bone density and strength that have been occurring since the Pleistocene. Aspects of western lifestyles carry implications for optimal peak bone mass attainment and lifelong skeletal health, from increased longevity to circumstances during development such as obesity and sedentism. In light of these considerations, osteoporosis is a disease of contemporary human evolution and evolutionary perspectives provide a key lens for interpreting the changing global patterns of osteoporosis in human health.

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Section: Evidence Of Osteoporosis and Fractures In Skeletal Collectionsmentioning

confidence: 99%

Evolutionary Perspectives on the Developing Skeleton and Implications for Lifelong Health

Kralick

Zemel

2020

Front. Endocrinol.

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“…The difference is also decreasing in European populations (Wu et al, 2011). Furthermore, cases of proximal femur fractures were also recorded in males from archaeological populations (Curate et al, 2011;Ives et al, 2017).…”

Section: Discussionmentioning

confidence: 83%

Proximal femur fractures among a medieval Christian population of northern Sudan: prevalence and aetiology

Ciesielska

Stark

2020

Intl J of Osteoarchaeology

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“…Notwithstanding, a substantial number of vertebral compression fractures in men was observed in younger individuals and probably were not fragility fractures. In archeological contexts, fragility fractures of any type are usually associated with older individuals (Curate, Assis, Lopes, & Silva, ; Curate, Lopes, & Cunha, ; Ives, Mant, de la Cova, & Brickley, ; Lovell, ; Mays, ; Umbelino et al, ).…”

Section: Discussionmentioning

confidence: 99%

Metacarpal cortical bone loss and osteoporotic fractures in the Coimbra Identified Skeletal Collection

Curate

Perinha

Silva

et al. 2018

Intl J of Osteoarchaeology

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There has been considerable progress in recent years in our understanding of the patterns of cortical bone loss in the second metacarpal in archeological skeletal samples. Nevertheless, cortical data from reference skeletal collections are insufficient, and the possible connection of metacarpal cortical parameters with osteoporotic fractures has not been thoroughly addressed. As such, this article aims to identify and explain sex‐specific and age‐associated metacarpal cortical bone loss in a large sample (N = 302; females: 154/males: 148) from the Coimbra Identified Skeletal Collection. Another objective is to evaluate the association of cortical and demographic features with osteoporotic fractures. Age‐related endocortical bone loss is significant in women but not evident in men. Periosteal accretion of the bone is absent in both sexes. Overall, there is a net loss of the cortical bone in women, whereas cortical bone strength seems to be preserved in men. The prevalence of osteoporotic fractures is similar in both sexes, with age at death significantly influencing the probability of exhibiting a fracture. Metacarpal cortical index does not seem to be an independent risk factor for osteoporotic fractures in this sample.

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Hip fractures in the Portuguese archaeological record

Cited by 17 publications

References 54 publications

Evolutionary Perspectives on the Developing Skeleton and Implications for Lifelong Health

Evolutionary Perspectives on the Developing Skeleton and Implications for Lifelong Health

Proximal femur fractures among a medieval Christian population of northern Sudan: prevalence and aetiology

Metacarpal cortical bone loss and osteoporotic fractures in the Coimbra Identified Skeletal Collection

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