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Johnston RA, Cowgill LW. The path less traveled: Using structural equation modeling to investigate factors influencing bone functional morphology. AMERICAN JOURNAL OF BIOLOGICAL ANTHROPOLOGY 2024; 185:e24999. [PMID: 39049572 DOI: 10.1002/ajpa.24999] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/08/2023] [Revised: 05/01/2024] [Accepted: 07/09/2024] [Indexed: 07/27/2024]
Abstract
OBJECTIVES The relationship between an organism's mechanical environment and its bone strength has been long established by experimental research. Multiple intrinsic and extrinsic factors, including body mass, muscle strength, genetic background, and nutritional and/or hormonal status, are likely to influence bone deposition and resorption throughout the lifespan, complicating this relationship. Structural equation modeling (SEM) is uniquely positioned to parse this complex set of influences. MATERIALS AND METHODS Data from the Third National Health and Nutrition Examination Survey, including sex, total body mass, lean body mass, exercise frequency, peak body mass, and age, were analyzed using SEM to determine how they affect bone strength both individually and combined. RESULTS Body mass is typically the driver of cross-sectional area, but body mass and lean mass have similar effects on the polar moment of area (J). Peak body mass had a strong direct effect on J, despite decreasing strongly with increases in lean mass. Exercise also did not confer a large direct effect on cross-sectional area or J but did modify body mass and lean mass. In females, intentional weight loss was associated with decreased exercise levels. DISCUSSION SEM is a useful tool for parsing complex systems in bone functional morphology and has the potential to uncover causal links in the study of skeletal remodeling, including factors like weight loss or exercise that may have secondary effects.
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Affiliation(s)
- Rob'yn A Johnston
- Department of Anthropology, University of Missouri, Columbia, Missouri, USA
| | - Libby W Cowgill
- Department of Anthropology, University of Missouri, Columbia, Missouri, USA
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2
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Ruff CB, Wallace IJ, Abeyta-Brown A, Butler M, Busby T. Technical note: Prediction of body mass from stature and pelvic breadth. AMERICAN JOURNAL OF BIOLOGICAL ANTHROPOLOGY 2024; 185:e25004. [PMID: 39056207 DOI: 10.1002/ajpa.25004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/03/2024] [Revised: 06/07/2024] [Accepted: 07/09/2024] [Indexed: 07/28/2024]
Abstract
Equations for predicting body mass from stature and bi-iliac (maximum pelvic) breadth have been developed, but have had variable success when applied to living or recently deceased individuals, calling into question their general applicability. Here we test these equations on a large, ethnically diverse sample. Skeletal and anthropometric data for 507 recently deceased Indigenous, Hispanic, and non-Hispanic White adults were obtained from the New Mexico Decedent Image Database. The body mass of individuals with a "normal" body mass index (BMI = 18.5-24.9) is very accurately predicted, with an average directional bias of about 1% and an average random error of less than 8%. Underweight individuals (BMI < 18.5) are overpredicted, while overweight (BMI = 25-29.9) and especially obese (BMI≥30) individuals are underpredicted. Within BMI categories, there is a strong and isometric relationship between predicted and true body mass. Individual body mass prediction errors using the stature/bi-iliac method are mainly dependent on variation in BMI. Because earlier humans were more likely to fall within or close to the normal BMI range, the equations should be applicable, on an individual basis, in archeological and paleontological contexts. Because of the prevalence of obesity in many modern populations, these equations are not applicable in a general forensic context. We derive new equations from nonobese individuals in our sample (n = 338), which produce reasonable average prediction errors. If obese individuals can be identified using other skeletal parameters, these equations may be useful in estimating body mass in nonobese forensic cases.
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Affiliation(s)
- Christopher B Ruff
- Center for Functional Anatomy and Evolution, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
| | - Ian J Wallace
- Department of Anthropology, University of New Mexico, Albuquerque, New Mexico, USA
| | - Amaya Abeyta-Brown
- Department of Anthropology, University of New Mexico, Albuquerque, New Mexico, USA
| | - Madison Butler
- Department of Anthropology, University of New Mexico, Albuquerque, New Mexico, USA
| | - Taylor Busby
- Department of Anthropology, University of New Mexico, Albuquerque, New Mexico, USA
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3
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Sylvester AD, Zbijewski W, Shi G, Meckel LA, Chu EY, Cunningham DL, Wescott DJ. Macroscopic differences in adult human femora are linked to body mass index. Anat Rec (Hoboken) 2024; 307:2846-2857. [PMID: 38284320 DOI: 10.1002/ar.25397] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2023] [Revised: 01/10/2024] [Accepted: 01/13/2024] [Indexed: 01/30/2024]
Abstract
Bone functional adaptation is routinely invoked to interpret skeletal morphology despite ongoing debate regarding the limits of the bone response to mechanical stimuli. The wide variation in human body mass presents an opportunity to explore the relationship between mechanical load and skeletal response in weight-bearing elements. Here, we examine variation in femoral macroscopic morphology as a function of body mass index (BMI), which is used as a metric of load history. A sample of 80 femora (40 female; 40 male) from recent modern humans was selected from the Texas State University Donated Skeletal Collection. Femora were imaged using x-ray computed tomography (voxel size ~0.5 mm), and segmented to produce surface models. Landmark-based geometric morphometric analyses based on the Coherent Point Drift algorithm were conducted to quantify shape. Principal components analyses were used to summarize shape variation, and component scores were regressed on BMI. Within the male sample, increased BMI was associated with a mediolaterally expanded femoral shaft, as well as increased neck-shaft angle and decreased femoral neck anteversion angle. No statistically significant relationships between shape and BMI were found in the female sample. While mechanical stimulus has traditionally been applied to changes in long bong diaphyseal shape it appears that bone functional adaptation may also result in fundamental changes in the shape of skeletal elements.
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Affiliation(s)
- Adam D Sylvester
- Center for Functional Anatomy and Evolution, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
| | - Wojciech Zbijewski
- Department of Biomedical Engineering, The Johns Hopkins University, Baltimore, Maryland, USA
| | - Gengxin Shi
- Department of Biomedical Engineering, The Johns Hopkins University, Baltimore, Maryland, USA
| | - Lauren A Meckel
- Department of Cell Biology and Anatomy, Louisiana State University Health Science Center, Baton Rouge, Louisiana, USA
| | - Elaine Y Chu
- Department of Anthropology, Texas State University, San Marcos, Texas, USA
| | | | - Daniel J Wescott
- Department of Anthropology, Texas State University, San Marcos, Texas, USA
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Mongillo J, Vescovo G, Bramanti B. Belly fat or bloating? New insights into the physical appearance of St Anthony of Padua. PLoS One 2021; 16:e0260505. [PMID: 34932567 PMCID: PMC8691610 DOI: 10.1371/journal.pone.0260505] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2021] [Accepted: 11/10/2021] [Indexed: 11/19/2022] Open
Abstract
Over the centuries, iconographic representations of St Anthony of Padua, one of the most revered saints in the Catholic world, have been inspired by literary sources, which described the Saint as either naturally corpulent or with a swollen abdomen due to dropsy (i.e. fluid accumulation in the body cavities). Even recent attempts to reconstruct the face of the Saint have yielded discordant results regarding his outward appearance. To address questions about the real appearance of St Anthony, we applied body mass estimation equations to the osteometric measurements taken in 1981, during the public recognition of the Saint's skeletal remains. Both the biomechanical and the morphometric approach were employed to solve some intrinsic limitations in the equations for body mass estimation from skeletal remains. The estimated body mass was used to assess the physique of the Saint with the body mass index. The outcomes of this investigation reveal interesting information about the body type of the Saint throughout his lifetime.
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Affiliation(s)
- Jessica Mongillo
- Department of Environmental and Prevention Sciences, University of Ferrara c.so Ercole I d’Este n.32, Ferrara, Italy
| | - Giulia Vescovo
- Department of Environmental and Prevention Sciences, University of Ferrara c.so Ercole I d’Este n.32, Ferrara, Italy
| | - Barbara Bramanti
- Department of Environmental and Prevention Sciences, University of Ferrara c.so Ercole I d’Este n.32, Ferrara, Italy
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5
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Novak JM, Bruzek J, Zamrazilova H, Vankova M, Hill M, Sedlak P. The relationship between adolescent obesity and pelvis dimensions in adulthood: a retrospective longitudinal study. PeerJ 2020; 8:e8951. [PMID: 32435530 PMCID: PMC7224231 DOI: 10.7717/peerj.8951] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2019] [Accepted: 03/20/2020] [Indexed: 11/20/2022] Open
Abstract
Background The effect of fat tissue on a developing individual is fundamentally different from the effect on an adult. Several changes caused by obesity during sexual maturation have an irreversible and severe negative effect (lower fertility, reduced final height, type 2 diabetes mellitus) even for those who have subsequently lost weight. Our study was focused on monitoring the skeletal structure substantially influenced by sex hormones—the pelvis. The adult pelvis is strongly sexually dimorphic, which is not the case for the juvenile pelvis; skeletal differences between sexes are not so prominent and start to manifest with the onset of puberty. Evidence from animal models and case studies of treatment of gender dysphoria suggests that estrogens have a stimulatory effect on the growth plates present on the pelvis, leading to morphological change. Male obesity, especially in puberty, is connected with hypogonadism, manifesting in low levels of testosterone, and high levels of estrogens. The goal of our study was to evaluate the influence of obesity during adolescence on the morphology of the adult pelvis in the context of androgen and estrogen status. Sample and Methods Our sample consists of 238 individuals (144 females, 94 males) observed after an 8 year follow-up (mean age during enrollment 15.2 years, follow-up 23.3 years). Anthropometry and body composition using bioimpedance analysis (BIA) were obtained. During the follow-up, saliva samples from male participants were also collected to estimate testosterone and estradiol levels using the salivary ELISA kit (Salimetrics LLC, State College, PA, USA). Results The body fat (percentage of body fat estimated using BIA) was strongly positively associated with relative pelvic breadths in adulthood (males r = 0.64; females r = 0.56, both with p < 0.001). Adulthood pelvic breadth was a highly sensitive (0.81) and specific (0.74) retrospective marker of obesity during adolescence. The complex regression model (with reduction of dimensionality) including testosterone, estradiol to testosterone ratio and body fat (adolescent and adulthood) was able to describe 54.8% variability of pelvic breadth among males. Discussion We observed that adults with a history of obesity from adolescence tend to have a wider dimension of the bony pelvis in adulthood. Based on the parameters of the adult pelvis, the history of obesity can be determined with satisfactory sensitivity and specificity (<70%). One of the explanations for this observation can be the influence of relatively elevated estrogens levels connected with excessive adiposity leading to a wider pelvis. However, the biomechanical stress connected with elevated body mass also has to be considered, as does the influence of physical activity and gait pattern on the skeletal build.
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Affiliation(s)
- Jan M Novak
- Department of Anthropology and Human Genetics, Faculty of Science, Charles University, Prague, Czech Republic
| | - Jaroslav Bruzek
- Department of Anthropology and Human Genetics, Faculty of Science, Charles University, Prague, Czech Republic
| | | | | | - Martin Hill
- Institute of Endocrinology, Prague, Czech Republic
| | - Petr Sedlak
- Department of Anthropology and Human Genetics, Faculty of Science, Charles University, Prague, Czech Republic
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Lacoste Jeanson A, Santos F, Villa C, Banner J, Brůžek J. Architecture of the femoral and tibial diaphyses in relation to body mass and composition: Research from whole-body CT scans of adult humans. AMERICAN JOURNAL OF PHYSICAL ANTHROPOLOGY 2018; 167:813-826. [DOI: 10.1002/ajpa.23713] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/13/2018] [Revised: 08/27/2018] [Accepted: 08/29/2018] [Indexed: 11/08/2022]
Affiliation(s)
- Alizé Lacoste Jeanson
- Laboratory of 3D Imaging and Analytical Methods, Faculty of Natural Sciences, Department of Anthropology and Human Genetics; Charles University; Praha 2 Czech Republic
| | - Frédéric Santos
- PACEA, UMR 5199, CNRS; Université de Bordeaux, Bâtiment B8; Talence Allée Geoffroy Saint Hilaire, CS 50023, Talence France
| | - Chiara Villa
- Section of Forensic Pathology, Department of Forensic Medicine, Faculty of Health and Medical Sciences; University of Copenhagen; Copenhagen Ø Denmark
| | - Jytte Banner
- Section of Forensic Pathology, Department of Forensic Medicine, Faculty of Health and Medical Sciences; University of Copenhagen; Copenhagen Ø Denmark
| | - Jaroslav Brůžek
- Laboratory of 3D Imaging and Analytical Methods, Faculty of Natural Sciences, Department of Anthropology and Human Genetics; Charles University; Praha 2 Czech Republic
- PACEA, UMR 5199, CNRS; Université de Bordeaux, Bâtiment B8; Talence Allée Geoffroy Saint Hilaire, CS 50023, Talence France
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Maijanen H, Jeong Y. Discrepancies between reported and cadaveric body size measurements associated with a modern donated skeletal collection. HOMO-JOURNAL OF COMPARATIVE HUMAN BIOLOGY 2018; 69:86-97. [PMID: 30007497 DOI: 10.1016/j.jchb.2018.06.005] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/05/2017] [Accepted: 06/20/2018] [Indexed: 12/01/2022]
Abstract
Body mass and stature estimation methods used in biological anthropology require materials with known body size information. There are several types of body size data that can be associated with skeletal collections. However, discussion regarding the reliability and suitability of these types of information for anthropological research is scarce. This paper focuses on differences between reported and recorded cadaver weights and heights associated with a modern donated skeletal collection, similar to these commonly used in anthropological research. In addition, the study identifies factors that may influence these discrepancies. The results show statistically significant differences between reported and cadaver body size information. Generally, reported weights, statures and body mass indices (BMI) were greater compared to the cadaver information in this sample. However, potential effects on these discrepancies varied depending on sex and information type. Age was found to influence stature discrepancy in females, and donation type had an effect on the female weight discrepancy. The results also show that body size range (weight, stature and BMI) can contribute to these discrepancies. Even though the differences between reported and cadaver data may not be significant at the population level, the individual variation can cause misclassifications of individuals depending on the data used. This study encourages researchers using modern documented collections and their body size information to openly acknowledge the types of weight and stature data used and to discuss potential problems associated with them.
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Affiliation(s)
- H Maijanen
- University of Oulu, Archaeology, PO Box 1000, 90014 University of Oulu, Finland.
| | - Y Jeong
- Middle Tennessee State University, Biology, PO Box 60, Murfreesboro, TN 37132, USA
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8
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Persson PB, Bondke Persson A. Metabolism, obesity and the metabolic syndrome. Acta Physiol (Oxf) 2018; 223:e13096. [PMID: 29754459 DOI: 10.1111/apha.13096] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Affiliation(s)
- P. B. Persson
- Charité - Universitätsmedizin Berlin; Humboldt-Universität zu Berlin, and Berlin Institute of Health; Institute of Vegetative Physiology; Berlin Germany
| | - A. Bondke Persson
- Charité - Universitätsmedizin Berlin; Humboldt-Universität zu Berlin, and Berlin Institute of Health; Berlin Germany
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9
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Pomeroy E, Mushrif-Tripathy V, Kulkarni B, Kinra S, Stock JT, Cole TJ, Shirley MK, Wells JCK. Estimating body mass and composition from proximal femur dimensions using dual energy x-ray absorptiometry. ARCHAEOLOGICAL AND ANTHROPOLOGICAL SCIENCES 2018; 11:2167-2179. [PMID: 31565085 PMCID: PMC6743672 DOI: 10.1007/s12520-018-0665-z] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/15/2018] [Accepted: 06/04/2018] [Indexed: 06/10/2023]
Abstract
Body mass prediction from the skeleton most commonly employs femoral head diameter (FHD). However, theoretical predictions and empirical data suggest the relationship between mass and FHD is strongest in young adults, that bone dimensions reflect lean mass better than body or fat mass and that other femoral measurements may be superior. Here, we generate prediction equations for body mass and its components using femoral head, neck and proximal shaft diameters and body composition data derived from dual-energy x-ray absorptiometry (DXA) scans of young adults (n = 155, 77 females and 78 males, mean age 22.7 ± 1.3 years) from the Andhra Pradesh Children and Parents Study, Hyderabad, India. Sex-specific regression of log-transformed data on femoral measurements predicted lean mass with smaller standard errors of estimate (SEEs) than body mass (12-14% and 16-17% respectively), while none of the femoral measurements were significant predictors of fat mass. Subtrochanteric mediolateral shaft diameter gave lower SEEs for lean mass in both sexes and for body mass in males than FHD, while FHD was a better predictor of body mass in women. Our results provide further evidence that lean mass is more closely related to proximal femur dimensions than body or fat mass and that proximal shaft diameter is a better predictor than FHD of lean but not always body mass. The mechanisms underlying these relationships have implications for selecting the most appropriate measurement and reference sample for estimating body or lean mass, which also depend on the question under investigation.
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Affiliation(s)
- Emma Pomeroy
- School of Natural Sciences and Psychology, Liverpool John Moores University, Byrom Street, Liverpool, L3 3AF UK
| | | | | | - Sanjay Kinra
- Department of Non-communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK
| | - Jay T. Stock
- ADaPt Project, PAVE Research Group, Department of Archaeology and Anthropology, University of Cambridge, Cambridge, UK
| | - Tim J. Cole
- UCL Great Ormond Street Institute of Child Health, UCL, London, UK
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10
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Lacoste Jeanson A, Santos F, Dupej J, Velemínská J, Brůžek J. Sex-specific functional adaptation of the femoral diaphysis to body composition. Am J Hum Biol 2018; 30:e23123. [DOI: 10.1002/ajhb.23123] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2017] [Revised: 01/19/2018] [Accepted: 02/24/2018] [Indexed: 01/15/2023] Open
Affiliation(s)
- Alizé Lacoste Jeanson
- Department of Anthropology and Human Genetics, Faculty of Natural Sciences; Charles University - Viničná 7; 128 43 Prague 2 Czech Republic
| | - Frédéric Santos
- PACEA, UMR 5199, CNRS, Université de Bordeaux - Bâtiment B8, Allée Geoffroy Saint Hilaire, CS 50023; F-33 400 Talence France
| | - Ján Dupej
- Department of Anthropology and Human Genetics, Faculty of Natural Sciences; Charles University - Viničná 7; 128 43 Prague 2 Czech Republic
- Department of Software and Computer Science Education, Faculty of Mathematics and Physics; Charles University - Malostranske Namestí 25, 118 00 Prague 1, Czech Republic; Prague Czech Republic
| | - Jana Velemínská
- Department of Anthropology and Human Genetics, Faculty of Natural Sciences; Charles University - Viničná 7; 128 43 Prague 2 Czech Republic
| | - Jaroslav Brůžek
- Department of Anthropology and Human Genetics, Faculty of Natural Sciences; Charles University - Viničná 7; 128 43 Prague 2 Czech Republic
- Department of Software and Computer Science Education, Faculty of Mathematics and Physics; Charles University - Malostranske Namestí 25, 118 00 Prague 1, Czech Republic; Prague Czech Republic
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11
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Peacock SJ, Coats BR, Kirkland JK, Tanner CA, Garland T, Middleton KM. Predicting the bending properties of long bones: Insights from an experimental mouse model. AMERICAN JOURNAL OF PHYSICAL ANTHROPOLOGY 2018; 165:457-470. [PMID: 29154456 PMCID: PMC5823733 DOI: 10.1002/ajpa.23363] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/30/2017] [Revised: 10/25/2017] [Accepted: 10/31/2017] [Indexed: 01/12/2023]
Abstract
OBJECTIVES Analyses of bone cross-sectional geometry are frequently used by anthropologists and paleontologists to infer the loading histories of past populations. To address some underlying assumptions, we investigated the relative roles of genetics and exercise on bone cross-sectional geometry and bending mechanics in three mouse strains: high bone density (C3H/He), low bone density (C57BL/6), and a high-runner strain homozygous for the Myh4Minimsc allele (MM). METHODS AND MATERIALS Weanlings of each strain were divided into exercise (wheel) or control (sedentary) treatment groups for a 7-week experimental period. Morphometrics of the femoral mid-diaphysis and mechanical testing were used to assess both theoretical and ex vivo bending mechanics. RESULTS Across all measured morphological and bending traits, we found relatively small effects of exercise treatment compared to larger and more frequent interstrain differences. In the exercised group, total distance run over the experimental period was not a predictor of any morphological or bending traits. Cross-sectional geometry did not accurately predict bone response to loading. DISCUSSION Results from this experimental model do not support hypothesized associations among extreme exercise, cross-sectional geometry, and bending mechanics. Our results suggest that analysis of cross-sectional geometry alone is insufficient to predict loading response, and questions the common assumption that cross-sectional geometry differences are indicative of differential loading history.
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Affiliation(s)
- Sarah J Peacock
- Department of Pathology and Anatomical Sciences, University of Missouri, Columbia, Missouri
| | | | - J Kyle Kirkland
- Department of Kinesiology, Michigan State University, East Lansing, Michigan
| | | | - Theodore Garland
- Department of Evolution, Ecology, and Organismal Biology, University of California, Riverside, California
| | - Kevin M Middleton
- Department of Pathology and Anatomical Sciences, University of Missouri, Columbia, Missouri
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12
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Novais EN, Shefelbine SJ, Kienle KP, Miller PE, Bowen G, Kim YJ, Bixby SD. Body Mass Index Affects Proximal Femoral but Not Acetabular Morphology in Adolescents Without Hip Pathology. J Bone Joint Surg Am 2018; 100:66-74. [PMID: 29298262 DOI: 10.2106/jbjs.17.00377] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
BACKGROUND Increased mechanical load secondary to a large body mass index (BMI) may influence bone remodeling. The purpose of this study was to investigate whether BMI is associated with the morphology of the proximal part of the femur and the acetabulum in a cohort of adolescents without a history of hip disorders. METHODS We evaluated pelvic computed tomographic (CT) images in 128 adolescents with abdominal pain without a history of hip pathology. There were 44 male patients (34%) and the mean patient age (and standard deviation) was 15 ± 1.95 years. The alpha angle, head-neck offset, epiphysis tilt, epiphyseal angle, and epiphyseal extension were measured to assess femoral morphology. Measurements of acetabular morphology included lateral center-edge angle, acetabular Tönnis angle, and acetabular depth. BMI percentile, specific to age and sex according to Centers for Disease Control and Prevention growth charts, was recorded. RESULTS BMI percentile was associated with all measurements of femoral morphology. Each 1-unit increase in BMI percentile was associated with a mean 0.15° increase in alpha angle (p < 0.001) and with a mean 0.03-mm decrease in femoral head-neck offset (p < 0.001). On average, a 1-unit increase in BMI percentile was associated with a 0.0006-unit decrease in epiphyseal extension (p = 0.03), a 0.10° increase in epiphyseal angle (p < 0.001), and a 0.06° decrease in tilt angle (p = 0.02; more posteriorly tilted epiphysis). There was no detected effect of BMI percentile on acetabular morphology including lateral center-edge angle (p = 0.33), Tönnis angle (p = 0.35), and acetabular depth (p = 0.88). CONCLUSIONS Higher BMI percentile was associated with increased alpha angle, reduced head-neck offset and epiphyseal extension, and a more posteriorly tilted epiphysis with decreased tilt angle and increased epiphyseal angle. This morphology resembles a mild slipped capital femoral epiphysis deformity and may increase the shear stress across the growth plate, increasing the risk of slipped capital femoral epiphysis development in obese adolescents. BMI percentiles had no association with measurements of acetabular morphology. Further studies will help to clarify whether obese asymptomatic adolescents have higher prevalence of a subclinical slip deformity and whether this morphology increases the risk of slipped capital femoral epiphysis and femoroacetabular impingement development.
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Affiliation(s)
- Eduardo N Novais
- Departments of Orthopedic Surgery (E.N.N., P.E.M., G.B., and Y.-J.K.) and Radiology (S.D.B.), Boston Children's Hospital, Boston, Massachusetts
| | - Sandra J Shefelbine
- Department of Mechanical and Industrial Engineering and Department of Bioengineering, Northeastern University, Boston, Massachusetts
| | - Karl-Philipp Kienle
- Department of Orthopaedic Surgery, Inselspital, University Hospital Bern, Bern, Switzerland
| | - Patricia E Miller
- Departments of Orthopedic Surgery (E.N.N., P.E.M., G.B., and Y.-J.K.) and Radiology (S.D.B.), Boston Children's Hospital, Boston, Massachusetts
| | - Garrett Bowen
- Departments of Orthopedic Surgery (E.N.N., P.E.M., G.B., and Y.-J.K.) and Radiology (S.D.B.), Boston Children's Hospital, Boston, Massachusetts
| | - Young-Jo Kim
- Departments of Orthopedic Surgery (E.N.N., P.E.M., G.B., and Y.-J.K.) and Radiology (S.D.B.), Boston Children's Hospital, Boston, Massachusetts
| | - Sarah D Bixby
- Departments of Orthopedic Surgery (E.N.N., P.E.M., G.B., and Y.-J.K.) and Radiology (S.D.B.), Boston Children's Hospital, Boston, Massachusetts
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13
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Lacoste Jeanson A, Santos F, Villa C, Dupej J, Lynnerup N, Brůžek J. Body mass estimation from the skeleton: An evaluation of 11 methods. Forensic Sci Int 2017; 281:183.e1-183.e8. [PMID: 29174051 DOI: 10.1016/j.forsciint.2017.10.026] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2017] [Revised: 09/13/2017] [Accepted: 10/16/2017] [Indexed: 11/28/2022]
Abstract
Estimating an individual body mass (BM) from the skeleton is a challenge for forensic anthropology. However, identifying someone's BMI (Body Mass Index) category, i.e. underweight, normal, overweight or obese, could contribute to identification. Individual BM is also known to influence the age-at-death estimation from the skeleton. Several methods are regularly used by both archaeologists and forensic practitioners to estimate individual BM. The most commonly used methods are based on femoral head breadth, or stature and bi-iliac breadth. However, those methods have been created from mean population BMs and are therefore meant to estimate the average BM of a population. Being that they are based on individual BM data and estimated femoral cortical areas, the newest published methods are supposed to be more accurate. We evaluated the accuracy and reliability of the most commonly used and most recent BM estimation methods (n=11) on a sample of 64 individuals. Both sexes and all BMI categories are represented, as well as a wide range of BM. Ages in this sample range from 20 to 87 years of age. Absolute and real differences between actual BM and estimated BM were assessed; they determined the accuracy for individual BM estimation and for average BM estimation of a population, respectively. The proportion of the sample whose estimated BM falls within ±10% and ±20% of their actual BM determines the reliability of the methods in our sample for, respectively, individual BM estimation and average BM of a population. The tested methods result in an absolute difference of 11kg-26kg±10kg with regards to prediction of individuals actual BM. The real differences are very variable from method to method, ranging from -14kg to 25kg. None of the tested methods is able to estimate BM of half of the sample within ±10% of their actual BM but most of them can estimate BM of more than half of the sample within ±20% of their actual BM. The errors increase with increasing BM, demonstrating a bias in all the methods. No bone variable tested correlated with BM. BMI categories were correctly predicted for less than 50% of the sample in most cases. In conclusion, our study demonstrates that the 11 methods tested are not suited for estimating individual BM or for predicting BMI categories. However, they are accurate and reliable enough for estimating the average BM of a population.
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Affiliation(s)
- Alizé Lacoste Jeanson
- Charles University, Laboratory of 3D Imaging and Analytical Methods, Department of Anthropology and Human Genetics, Faculty of Natural Sciences, Viničná 7, 128 43 Prague 2, Czech Republic.
| | - Frédéric Santos
- Université de Bordeaux, PACEA, UMR 5199, CNRS - Bâtiment B8, Allée Geoffroy Saint Hilaire, CS 50023, F-33400 Talence, France
| | - Chiara Villa
- University of Copenhagen, Laboratory of Biological Anthropology, Department of Forensic Medicine, Faculty of Health Sciences, Frederik d. 5.'s Vej 11, DK-2100 Copenhagen Ø, Denmark
| | - Ján Dupej
- Charles University, Laboratory of 3D Imaging and Analytical Methods, Department of Anthropology and Human Genetics, Faculty of Natural Sciences, Viničná 7, 128 43 Prague 2, Czech Republic; Charles University, Department of Software and Computer Science Education, Faculty of Mathematics and Physics, Malostranské Náměstí 25, 118 00 Prague 1, Czech Republic
| | - Niels Lynnerup
- University of Copenhagen, Laboratory of Biological Anthropology, Department of Forensic Medicine, Faculty of Health Sciences, Frederik d. 5.'s Vej 11, DK-2100 Copenhagen Ø, Denmark
| | - Jaroslav Brůžek
- Charles University, Laboratory of 3D Imaging and Analytical Methods, Department of Anthropology and Human Genetics, Faculty of Natural Sciences, Viničná 7, 128 43 Prague 2, Czech Republic; Université de Bordeaux, PACEA, UMR 5199, CNRS - Bâtiment B8, Allée Geoffroy Saint Hilaire, CS 50023, F-33400 Talence, France
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Merritt CE. Inaccuracy and bias in adult skeletal age estimation: Assessing the reliability of eight methods on individuals of varying body sizes. Forensic Sci Int 2017; 275:315.e1-315.e11. [PMID: 28359575 DOI: 10.1016/j.forsciint.2017.03.003] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2017] [Revised: 03/06/2017] [Accepted: 03/10/2017] [Indexed: 11/15/2022]
Abstract
Accurate age estimations are essential for identifying human skeletal remains and narrowing missing persons searches. This study examines how BMI, body mass, and stature influence inaccuracy and bias in adult skeletal age estimations obtained using eight methods. 746 skeletons from the Hamann-Todd and William Bass Collections were used. Underweight BMI, light body mass, and short-stature individuals have the most error associated with their age estimates and are consistently under-aged between 3 to 13years. Obese BMI, heavy body mass, and tall-stature individuals are consistently over-aged between 3 to 8.5years. The most reliable methods for smaller-bodied individuals are Kunos et al. (first rib) and Buckberry-Chamberlain (auricular surface); for individuals in the average range, İşcan et al. (fourth ribs) and Passalacqua (sacrum); and for larger-bodied individuals, İşcan et al., Passalacqua, and Rougé-Maillart et al. (auricular surface and acetabulum). Lovejoy et al. (auricular surface) and Suchey-Brooks (pubic symphysis) produce consistent inaccuracy and bias scores across all body size groups. The least reliable method for smaller-bodied individuals is İşcan et al.; for larger-bodied individuals, Buckberry-Chamberlain; and across all body size groups, DiGangi et al. (first rib).
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Affiliation(s)
- Catherine E Merritt
- University of Toronto, Department of Anthropology, 19 Russell Street, Toronto, Ontario M5S 2S2, Canada.
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15
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Wescott DJ, Drew JL. Effect of obesity on the reliability of age-at-death indicators of the pelvis. AMERICAN JOURNAL OF PHYSICAL ANTHROPOLOGY 2014; 156:595-605. [DOI: 10.1002/ajpa.22674] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/23/2014] [Revised: 11/12/2014] [Accepted: 11/13/2014] [Indexed: 11/11/2022]
Affiliation(s)
- Daniel J. Wescott
- Department of Anthropology, Forensic Anthropology Center at Texas State (FACTS); Texas State University; San Marcos TX 78666
| | - Jessica L. Drew
- Department of Anthropology; Florida Atlantic University; Boca Raton FL 33431
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16
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Harrington KI, Wescott DJ. Size and shape differences in the distal femur and proximal tibia between normal weight and obese American Whites. J Forensic Sci 2014; 60 Suppl 1:S32-8. [PMID: 25274066 DOI: 10.1111/1556-4029.12579] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2013] [Revised: 11/14/2013] [Accepted: 12/14/2013] [Indexed: 11/30/2022]
Abstract
This study tests for differences in articular and diaphyseal size and shape of the distal femur and proximal tibia between normal weight and obese individuals, and discusses the effects of obesity on the patterns of sexual dimorphism and secular change in the skeletal morphology of the knee. Measurements of the femur and tibia were recorded for 143 American White adult males and females born in the 20th century. The sample was divided into normal and obese weight categories based on the body mass index. Results show differences between normal weight and obese individuals in the size and shape of the femoral shaft and the medial side of the knee joint, none of which affect the pattern of sexual dimorphism. While changes in skeletal morphology associated with obesity may be observed in recent secular changes, its role is still unclear because of the relatively recent increase in obesity prevalence.
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17
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Merritt CE. The influence of body size on adult skeletal age estimation methods. AMERICAN JOURNAL OF PHYSICAL ANTHROPOLOGY 2014; 156:35-57. [DOI: 10.1002/ajpa.22626] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/11/2014] [Revised: 09/15/2014] [Accepted: 09/15/2014] [Indexed: 11/10/2022]
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18
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Pietak A, Ma S, Beck CW, Stringer MD. Fundamental ratios and logarithmic periodicity in human limb bones. J Anat 2013; 222:526-37. [PMID: 23521756 DOI: 10.1111/joa.12041] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/25/2013] [Indexed: 11/29/2022] Open
Abstract
Fundamental mathematical relationships are widespread in biology yet there is little information on this topic with regard to human limb bone lengths and none related to human limb bone volumes. Forty-six sets of ipsilateral upper and lower limb long bones and third digit short bones were imaged by computed tomography. Maximum bone lengths were measured manually and individual bone volumes calculated from computed tomography images using a stereologic method. Length ratios of femur : tibia and humerus : ulna were remarkably similar (1.21 and 1.22, respectively) and varied little (<7%) between individuals. The volume ratio of femur : tibia was approximately half that of humerus : ulna (1.58 and 3.28, respectively; P < 0.0001). Lower limb bone volume ratios varied much more than upper limb ratios. The relationship between bone length and volume was found to be well described by power laws, with R(2) values ranging from 0.983 to 0.995. The most striking finding was a logarithmic periodicity in bone length moving from distal to proximal up the limb (upper limb λ = 0.72, lower limb λ = 0.93). These novel data suggest that human limb bone lengths and volumes follow fundamental and highly conserved mathematical relationships, which may contribute to our understanding of normal and disordered growth, stature estimation, and biomechanics.
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Affiliation(s)
- Alexis Pietak
- Department of Chemical Engineering, Queen's University, Kingston, Ontario, Canada
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19
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Godde K, Taylor RW. Distinguishing body mass and activity level from the lower limb: Can entheses diagnose obesity? Forensic Sci Int 2013; 226:303.e1-7. [DOI: 10.1016/j.forsciint.2013.01.027] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2011] [Revised: 07/27/2012] [Accepted: 01/22/2013] [Indexed: 11/29/2022]
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