Objectives: This study evaluated chronological changes in physiological stress and levels of habitual loading of Ibizan populations from the Late Roman-Early Byzantine (LREB) to the Islamic period (300-1,235 AD) using measures of body size and bone cross-sectional properties to compare Urban LREB, Urban Medieval Islamic, and Rural Medieval Islamic groups. It also explored the effect of diet, modeled using stable isotopes, on physiological stress levels and behavior. Materials and methods: The sample comprised individuals from three archeological populations: Urban Late Roman-Early Byzantine (LREB) (300-700 AD), Medieval Urban Islamic (902-1,235 AD), and Medieval Rural Islamic. Bone lengths, femoral head dimensions, and cross-sectional properties, diaphyseal products and circumferences, were compared to assess differences in body size and habitual loading in 222 adult individuals. Ordinary least squares regression evaluated the correlations between these measures and carbon (δ 13 C) and nitrogen (δ 15 N) stable isotope ratios in 115 individuals for whom both isotope values and osteological measures are available. Results: The Medieval Rural Islamic group had shorter stature and reduced lower limb cross-sectional properties compared to the two urban groups. Limb shape differs between Urban LREB and Urban Medieval Islamic groups. Measures of body size length were positively correlated with δ 13 C values in all individuals and separately in the Urban LREB and Rural Medieval Islamic groups. δ 15 N showed a positive correlation with left humerus shape in the Urban LREB sample. Conclusions: The low stature and cross-sectional properties of the Medieval Rural Islamic group may be an indicator of greater physiological stress, potentially due to poorer diet. Positive correlations between measures of body size and δ 13 C values further suggest that greater access to C 4 resources improved diet quality. Alternatively, this relationship could indicate greater body size among migrants from areas where individuals consumed more C 4 resources. K E Y W O R D S behavior, bone functional adaptation, dietary reconstruction, Ibiza, Mediterranean, stable isotopes