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19 世纪中期蒙特利尔魁北克人群维生素 D 缺乏症的体验存在异质性。

Heterogeneity in experiences of vitamin D deficiency in an early to mid-19th century population from Montreal, Quebec.

机构信息

University of Montreal, Faculty of Arts and Sciences, Department of Anthropology, Canada.

University of Montreal, Faculty of Arts and Sciences, Department of Anthropology, Canada.

出版信息

Int J Paleopathol. 2024 Dec;47:1-11. doi: 10.1016/j.ijpp.2024.07.003. Epub 2024 Aug 14.

DOI:10.1016/j.ijpp.2024.07.003
PMID:39146828
Abstract

OBJECTIVE

To use the prevalence of prenatal/infancy interglobular dentine (IGD) as a proxy for suboptimal vitamin D status and explore its link to mortality, biological sex, cultural behaviours and environmental factors during the end of the pre-industrial/ beginning of the industrial period.

MATERIALS

50 skeletons from the St. Antoine cemetery (1799-1854), Montreal, Quebec with a well-preserved first mandibular molar.

METHODS

Thin sections were prepared for histological examination of IGD in crown dentine.

RESULTS

IGD prevalence was 74 % (37/50) and not significantly correlated statistically to sex and age-at-death. Most IGD occurred at birth and up to 3 years-old, six individuals were affected in utero, 54 % of the sample (27/50) presented longstanding IGD and six individuals displayed multiple IGD episodes.

CONCLUSIONS

Prenatal IGD episodes revealed suboptimal maternal vitamin D levels, which, alongside a high frequency of IGD episodes around birth/from birth until a certain age, suggest cultural influences. Multiple and longstanding IGD episodes might also reflect suboptimal seasonal vitamin D attainment.

SIGNIFICANCE

This study provides in-depth data on IGD within a relatively large archaeological North American sample, proving relevant to epidemiological studies on suboptimal vitamin status in 19th century Montreal.

LIMITATIONS

The total number of IGD episodes is underestimated due to methodological biases; first-generation migrants in this study could not be identified and excluded from the sample.

SUGGESTIONS FOR FURTHER RESEARCH

Use of a larger sample with a wider age-at-death range; further research on infants and children to investigate links between growth and lesion formation and visibility.

摘要

目的

利用产前/婴儿球间牙本质(IGD)的流行率作为维生素 D 状态不佳的替代指标,并探讨其与 19 世纪工业化前期结束时的死亡率、生物性别、文化行为和环境因素之间的联系。

材料

来自魁北克省蒙特利尔的圣安东尼公墓(1799-1854 年)的 50 具骨骼,具有保存完好的第一下颌磨牙。

方法

对牙冠牙本质进行 IGD 的组织学检查,制备薄片。

结果

IGD 的患病率为 74%(37/50),与性别和死亡年龄无显著统计学相关性。大多数 IGD 发生在出生时和 3 岁之前,有 6 人在子宫内受到影响,54%的样本(27/50)出现长期 IGD,有 6 人出现多次 IGD 发作。

结论

产前 IGD 发作表明母体维生素 D 水平不足,再加上出生前后/出生后至一定年龄期间 IGD 发作频率较高,提示存在文化影响。多次和长期的 IGD 发作也可能反映了维生素 D 季节性获取不足。

意义

本研究在相对较大的北美考古样本中提供了关于 IGD 的深入数据,对 19 世纪蒙特利尔维生素 D 状态不佳的流行病学研究具有重要意义。

局限性

由于方法学偏差,IGD 发作的总数被低估;本研究中的第一代移民无法被识别并从样本中排除。

进一步研究建议

使用具有更广泛死亡年龄范围的更大样本;进一步研究婴儿和儿童,以调查生长与病变形成和可见性之间的联系。

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