Growth and health status of children and adolescents in medieval Central Europe

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Subadult growth and health have been analyzed in three cemetery samples from medieval Poland, including two early-urban sites: Cedynia dated to the 10t-14th centuries AD, and Ostrów Lednicki dated to the 13th-15th centuries AD, and a rural site Słaboszewo dated to the 14th-17th centuries AD. The nutritional status was not expected to have substantially differed among the settlements, due to the culturally induced undiversified diet of children, and predominant share of medium-to-low status individuals. However, city life and village life were supposed to differ in factors correlated with the spread of infections, and as such it was expected to find significant differences in respiratory health among early-urban and rural dwellers.The prevalences of diet-dependent diseases, scurvy and rickets, were found to be statistically indistinguishable among the three studied populations, while higher frequency of skeletal signs of poor respiratory health was observed in early-urban Cedynia than rural Słaboszewo. Slightly lower prevalences of skeletal stress indicators were found for the rural than the early-urban site. Skeletal growth profiles and the dynamics of long bone growth were found to be remarkably similar for the early-urban samples (Cedynia and Ostrów Lednicki), with the rural subadults having the shortest diaphyseal lengths, and lower growth dynamics.It can be concluded that adverse factors associated with the urban settlement were more detrimental to respiratory health than those in the village. A variety of factors are potentially responsible for this pattern, including population density, building structure, quality of air and water, sanitation, and occupation. Perhaps, the key factor in response to environmental and socio-cultural constraints was the stability of living conditions in the village, which allowed the inhabitants to develop sufficient adaptive mechanisms. In contrast, the history of strongholds such as Cedynia was changeable due to political situation, military threats and migrations of people.

Agnew AM, Justus HM, Stout SD. 2008. Evidence of scurvy in medieval Eastern Europe: A possible case from Giecz, Poland. Available at: [Accessed 8 October 2013].

Armelagos GJ, Mielke JH, Owen KH, Van Gerven DP, Dewey JR, Mahler PE. 1972. Bone growth and development in prehistoric populations from Sudanese Nubia. J Hum Evol 1:89- 119.

Beaumont J, Montgomery J, Buckberry J, Jay M. 2015. Infant mortality and isotopic composition: new approaches to stress, maternal health, and weaning. Am J Phys Anthropol 157:441-57.

Bennike P, Lewis ME, Schutkowski H, Valentin F. 2005. Comparison of child morbidity in two contrasting medieval cemeteries from Denmark. Am J Phys Anthropol 128:734-46.

Benninger MS. 2010. The pathogenesis of rhinosinusitis. In: PW Flint, BH Haughey,VJ Lund, JK Niparko, MA Richardson, KT Robbins, JR Thomas, editors. Cummings Otolaryngology. Head and Neck Surgery 1. Mosby, Philadelphia: Elsevier. 703-08.

Bibby K, Peccia J. 2013. Identification of viral pathogen diversity in sewage sludge by metagenome analysis. Environ Sci Technol 47(4):1945-51.

Bogin B. 1999. Patterns of Human Growth. Cambridge: Cambridge University Press.

Bollet AJ. 2004. Plagues and Poxes: The Impact of Human History on Epidemic Disease. New York: Demos Medical Publishing.

Boocock PA, Roberts CA, Manchester K. 1995a. Maxillary sinusitis in medieval Chichester, England. Am J Phys Anthropol 98:483-95.

Boocock PA, Roberts CA, Manchester K. 1995b. Prevalence of maxillary sinusitis in leprous individuals from a medieval leprosy hospital. Int J Lepr Other Mycobact Dis 63:265-68.

Brickley M, Ives R. 2008. The bioarchaeology of metabolic bone disease. London: Academic Press.

Britton K, Fuller BT, Tütken T, Mays S, Richards MP. 2015. Oxygen isotope analysis of human bone phosphate evidences weaning age in archaeological populations. Am J Phys Anthropol 157:226-41.

Bruce N, Perez-Padilla R, Albalak R. 2001. The Health Effects of Indoor Air Pollution Exposure in Developing Countries. Geneva: World Health Organization.

Bruintjes TD. 1990. The auditory ossicles in human skeletal remains from a leper cemetery in Chichester, England. J Archaeol Sci 17:627-33.

Buckley HR. 2000. Subadult health and disease in prehistoric Tonga, Polynesia. Am J Phys Anthropol 113:481-505.

Buikstra JE, Ubelaker DH. 1994. Standards for data collection from human skeletal remains. Proceedings of a seminar at the field Museum of Natural History. Arkansas: Archaeological Survey Research Series 44.

Buko A. 2011. Archeologia Polski wczesnośredniowiecznej: odkrycia, hipotezy, interpretacje. Warszawa: Wydawnictwo Trio.

Cardoso HFV. 2007. Environmental effects on skeletal versus dental development: using a documented subadult skeletal sample to test a basic assumption in human osteological research. Am J Phys Anthropol 132:223-33.

Casselbrant M, Mandel E. 2010. Acute otitis media and otitis media with effusion. In: C Cummings, J Frederickson and L Harker, editors. Otolaryngology: Head & Neck Surgery. Mosby, Philadelphia: Elsevier. 2761-77.

Cesaretti R, Lobo H, Bettencourt LMA, Ortman SG, Smith ME. 2016. Population-area relationship for Medieval European cities. PLOS-One 11:(10) e162678.

Chole RA, Sudhoff HH. 2010. Chronic otitis media, mastoiditis and petrositis. In: C Cummings, J Frederickson and L Harker, editors. Otolaryngology: Head & Neck Surgery. Mosby, Philadelphia: Elsevier. 1963-78.

Chwalba A. 2005. Obyczaje w Polsce: od średniowiecza do czasów współczesnych. Warszawa: Wydawnictwo Naukowe PWN.

Cook DC, Buikstra JE. I979. Health and differential survival in prehistoric populations: Prenatal dental defects. Am J Phys Anthropol 51:649-64.

Cullen Doyle AP, Judd MA. 2015. The forgotten pathology: Middle ear disease at Mount Nebo, Jordan. Am J Phys Anthropol 156:113-14.

Cutress TW, Suckling GW. 1982. The assessment of non-carious defects of enamel. Int Dent J 32:117-22.

Dąbrowski P, Domagała Z, Kurlej W, Kacała R, Woźniak S, Porwolik M, et al. 2014. Enamel hypoplasia in an early medieval population of Prząsław (11-12th century), Jędrzejów municipality, Świętokrzyskie province, Poland. In: M Szpringer and R Starz, editors. Wellness and society. Lublin: Neuro- Centrum. 33-48.

Dąbrowski P, Gronkiewicz S. 1996. Hypoplazja szkliwa zębów stałych wczesnośredniowiecznej populacji z Milicza. Studia Antropologiczne III. Wrocław: Wydawnictwo Uniwersytetu Wrocławskiego. 61-73.

Delanghe JR, De Buyzere ML, Speeckaert MM, Langlois MR. 2013. Genetic aspects of scurvy and the European famine of 1845-1848. Nutrients 5:3582-88.

Delimata M. 2004. Dziecko w Polsce średniowiecznej. Poznań: Wydawnictwo Poznańskie.

Dembińska M. 1999. Food and Drink in Medieval Poland: Rediscovering a Cuisine of the Past. Pennsylvania: University of Pennsylvania.

DeWitte SN, Stojanowski CM. 2015. The osteological paradox 20 years later: past perspectives, future directions. J Archaeol Res 23:397-450.

Djuric M, Milovanovic P, Janovic A, Draskovic M, Djukic K, Milenkovic P. 2008. Porotic lesions in immature skeletons from Stara Torina, late medieval Serbia. Int J Osteoarchaeol 18:458-75.

Dowiat J. 1985. Kultura Polski średniowiecznej X-XIII w. Warszawa: Państwowy Instytut Wydawniczy.

Eveleth PB, Tanner JM. 1990. Worldwide variation in human growth. Cambridge: Cambridge University Press.

File TM. 2006. Sinusitis: epidemiology. In: I Brook, editor. Sinusitis. From microbiology to management. New York, London: Taylor & Francis. 1-14.

Fleischer Michaelsen K, Weaver L, Branca F, Robertson A. 2000. Feeding and nutrition of infants and young children: guidelines for the who European region, with emphasis on the former Soviet countries. World Health Organization, regional publications. Copenhagen: European series 87.

Garcin V, Velemínský P, Trefný P, Alduc-Le Bagousee A, Lefebvre A, Bruzek J. 2010. Dental health and lifestyle in four early mediaeval juvenile populations: Comparisons between urban and rural individuals, and between coastal and inland settlements.HOMO 61:421-39.

Gawlikowska-Sroka A, Dąbrowski P, Szczurowski J, Staniowski T. 2013. Analysis of interaction between nutritional and developmental instability in mediaeval population in Wrocław. Anthropol Rev 76(1): 51-62.

Geber J, Murphy E. 2012. Scurvy in the Great Irish Famine: evidence of vitamin C deficiency from a mid-19th century skeletal population. Am J Phys Anthropol 148(4):512-24.

Gładykowska-Rzeczycka J. 1989. Schorzenia ludności prehistorycznej na ziemiach polskich. Gdańsk: Muzeum Archeologiczne w Gdańsku.

Gładykowska-Rzeczycka J. 2009. Zdrowie - choroby nie tylko w pradziejach. Folia Praehistorica Posnaniensia 15:37-74.

Gładykowska-Rzeczycka J, Wrzesińska A, Wrzesiński J. 2003. Rzadkie znalezisko torbieli pasożyta z wczesnośredniowiecznego cmentarzyska w Dziekanowicach. Archeologia Polski XLVIII:57-74.

Goodman AH. 1993. On the interpretation of health from skeletal remains. Curr Anthropol 34:281-88.

Goodman AH, Armelagos GJ. 1989. Infant and childhood morbidity and mortality risks in archaeological populations. World Archaeol 21(2):225-43.

Goodman AH, Martin DL. 2002. Reconstructing health profiles from skeletal remains. In: RH Steckel and JC Rose, editors. The Backbone of History. Health and Nutrition in the Western Hemisphere. New York, USA: Cambridge University Press. 11-60.

Goodman AH, Rose JC. 1990. Assessment of systemic physiological perturbation from dental enamel hypoplasias and associated histological structures. Yearb Phys Anthropol 33:59-110.

Gowland RL. 2015. Entangled lives: Implications of the developmental origins of health and disease hypothesis for bioarchaeology and the life course. Am J Phys Anthropol 158(4): 530-40.

Gronkiewicz S, Kornafel D, Kwiatkowska B, Nowakowski D. 2001. Harris’s lines versus children’s living conditions in medieval Wrocław, Poland. Variability and Evolution 9:45-50.

Halcrow SE, Harris NJ, Beavan NJ, Buckley HR. 2014. First bioarchaeological evidence of probable scurvy in Southeast Asia: Multifactorial etiologies of vitamin C deficiency in a tropical environment. Int J Paleopathol 5:63-71.

Halcrow SE, Tayles N. 2008. The bioarchaeological investigation of childhood and social age: Problems and prospects. J Archaeol Method Th 15:190-215.

Halcrow SE, Ward SM. 1017. Bioarchaeology of Childhood.” In: H Montgomery, editor. Oxford Bibliographies in Childhood Studies. New York: Oxford University Press.

Havelková P, Velemínský P, Likovský J, Dobisíková M. 2008: Harris lines in the non-adult Great Moravian population from Mikulcice - the comparison of inhabitants of the castle and sub-castle area. In: P Velemínský and L Polácek, editors. Studien zum Burgwall von Mikulcice. Brno: Archäologisches Institut der Akademie der Wissenschaften der Tschechischen Republik. 209-22.

Henneberg M. 1977. Proportion of dying children in paleodemographical studies: estimation by guess or by methodical approach. Przegląd Antropologiczny 43:105-14.

Hertler MA, Mitchell RB, Laza RH. 2006. Pathophysiology and etiology of pediatric rhinosinusitis. In: RT Younis, editor. Pediatric sinusitis and sinus surgery. New York: Taylor & Francis. 15-28.

Hillson S. 2014. Tooth development in human evolution and bioarchaeology. New York: Cambridge University Press.

Hoppa RD. 1992. Evaluating human skeletal growth: an Anglo-Saxon example. Int J Osteoarchaeol 2:275-88.

Hughes RE. 2000. Scurvy. In: KF Kiple and KC Ornelas, editors. The Cambridge World History of Food. Cambridge: Cambridge University Press 1:988-1001.

Humphrey LT. 2000. Growth studies of past populations: An overview and an example. In: M Cox and S Mays, editors. Human osteology in archaeology and forensic science. London: Greenwich Medical Media. 23-38.

Ilechukwu G, Ilechukwu C, Ubesie A, Ojinnaka C, Emechebe G, Iloh K. 2014. Otitis media in children: Review article. Open J Pediatr 4:47-53.

Jerszyńska B. 2004. Procesy wzrastania i rozwoju oraz ich uwarunkowania w średniowiecznych populacjach ludzkich. Poznań: Wydawnictwo Naukowe UAM.

Jerszyńska B, Nowak O. 1996. Application of Byers method for reconstruction of age at formation of Harris lines in adult from a cemetery of Cedynia (Poland). Variability and Evolution 5:75-82.

Jerszyńska B, Piontek J. 2005. Częstość występowania cribra orbitalia oraz cribra femoralia i humeralia na szkieletach dziecięcych ze średniowiecznego cmentarzyska w Cedyni. Anthropol Rev, Supplement 4: 42.

Johnston FE. 2002. Social and economic influences on growth and secular trends. In: N Cameron, editor. Human Growth and Development. San Diego: Academic Press Elsevier. 197-211.

Johnston FE, Zimmer LO. 1989. Assessment of growth and age in the immature skeletons. In: MY Iscan and K Kennedy, editors. Reconstruction of Life from the Skeleton. New York: Alan R. Liss. 1121.

Kaczmarek M. 1995. Wpływ warunków życia na wzrastanie i rozwój człowieka. Seria Antropologia 20. Poznań: Wydawnictwo Naukowe UAM.

Kaczmarek M, Skrzypczak M. 2011. Health-related factors of natural and socio-economic environments in Wielkopolska Province, 2005-2009. In: M Kaczmarek, editor. Health and Quality of Life in Adolescence. Part I Physical Health and Subjective Well-Being. Poznań: Bogucki Wydawnictwo Naukowe. 47-86.

Kaczmarek M. 2013. Stan zdrowia średniowiecznej ludności opisany na podstawie badań serii szkieletowych pochodzących z cmentarzysk Wielkopolski. Studia nad Dawną Polską 3:157-82.

Kaupová S, Herrscher E, Velemínský P, Cabut S, Poláček L, Brůžek J. 2014.Urban and rural infant-feeding practices and health in early medieval Central Europe (9th-10th Century, Czech Republic). Am J Phys Anthropol 155:635-51.

King SE, Ulijaszek SJ. 1999. Invisible insults during growth and development: contemporary theories and past populations. In: RD Hoppa and CM FitzGerald, editors. Human growth in the past. Studies from bones and teeth. Cambridge: Cambridge University Press. 161-82.

Kozieł S, Bose K. 2012. Biological effects of economic transition in Poland. In: J Merrick, editor. Public Health Yearbook. New York: Nova Science Publishers. 351-74.

Kozłowski T. 2012. Stan biologiczny i warunki życia ludności in Culmine na Pomorzu Nadwiślańskim (X-XIII wiek). Studium antropologiczne. Mons Sancti Laurentii 7. Toruń: Wydawnictwo Naukowe UMK.

Kozłowski T, Witas H.W. 2011. Metabolic and endocrine diseases. In: AL Grauer, editor. A Companion to Paleopathology. Oxford, UK: Wiley-Blackwell. 401-19.

Krenz M, Piontek J. 1996. Hypoplazja szkliwa w średniowiecznej populacji ze Słaboszewa. Przegląd Antropologiczny 59:87-90.

Krenz-Niedbała M. 2009. Skeletal health and growth indicators in medieval children from Ostrów Lednicki, western-central Poland. Anthropologie XLVII(3):255-65.

Krenz-Niedbala M. 2016. Did children in Medieval and Post-Medieval Poland suffer from scurvy? Examination of the skeletal evidence. Int J Osteoarchaeol 26(4):633-47.

Krenz-Niedbała M, Kozłowski T. 2013. Comparing the chronological distribution of enamel hypoplasia in Rogowo, Poland (2nd century AD) using two methods of defect timing estimation. Int J Osteoarchaeol 23(4):410-20.

Krenz-Niedbala M, Łukasik S. 2016. Prevalence of chronic maxillary sinusitis in children from rural and urban skeletal populations in Poland. Int J Paleopathol 15:103-12.

Krenz-Niedbała M, Łukasik S. Early View. Skeletal evidence for otitis media in Mediaeval and Post-Mediaeval children from Poland, Central Europe. Int J Osteoarchaeol. Available at:

Kuchowicz Z.1972. Z badań nad stanem biologicznym społeczeństwa polskiego od schyłku XVI do końca XVIII wieku. Łódzkie Towarzystwo Naukowe. Łódź: Polska Akademia Nauk 74.

Kurek M, Borowska-Strugińska B, Mazurkiewicz J, Nieczuja-Dwojacka J, Żądzińska E. 2009. Pattern of dental caries in the historical human population of Kujawy in the Polish Lowland (North-Central Poland). Front Oral Biol 13:173-77.

Kwiatkowska B. 2005. Mieszkańcy średniowiecznego Wrocławia. Ocena warunków życia i stanu zdrowia w ujęciu antropologicznym. Wrocław: Wydawnictwo Uniwersytetu Wrocławskiego.

Kwiatkowska B, Gronkiewicz S. 2003. Anthropological characteristic of skeletal series from Ołbin cemetery in Wrocław (XII-XIII C.). Variability and Evolution 11:31-46.

Leszczyński W. 2012. Żywieniowa wartość ziemniaka i przetworów ziemniaczanych (przegląd literatury). Biuletyn Instytutu Hodowli i Aklimatyzacji Roślin 266:5-20.

Leung RS, Katial R. 2008. The diagnosis and management of acute and chronic sinusitis. Prim Care 35:11-24.

Lewis ME. 1999. The Impact of Urbanization and Industrialization in Medieval and Post-medieval Britain. An Assessment of the Morbidity and Mortality of Non-adult Skeletons from the Cemeteries of Two Urban and Two Rural Sites in England (850 CE-1859). Bradford, UK: University of Bradford.

Lewis ME. 2002. Impact of industrialization: Comparative study of child health in four sites from medieval and postmedieval England (A.D. 850-1859). Am J Phys Anthropol 119:211-23.

Lewis ME. 2007. The bioarchaeology of children: Perspectives from biological and forensic anthropology. Cambridge: Cambridge University Press.

Lewis ME. 2010. Life and death in a civitas capital: metabolic disease and trauma in the children from late Roman Dorchester, Dorset. Am J Phys Anthropol 142(3):405-16.

Lewis ME, Roberts CA, Manchester K. 1995. Comparative study of the prevalence of maxillary sinusitis in later Medieval urban and rural populations in northern England. Am J Phys Anthropol 98:497-506.

Lovász G, Schultz M, Gödde J, Bereczki Z, Pálfi G, Marcsik A, Molnár E. 2013. Skeletal manifestations of infantile scurvy in a late medieval anthropological series from Hungary. Anthropol Sci 121:173-85.

Łubocka Z. 2003. Wyznaczniki stresów a środowisko życia wczesnośredniowiecznej populacji z Ostrowa Lednickiego. Wrocław: Monografie Zakładu Antropologii PAN.

Łukasik S. 2011. Analiza zaburzeń rozwoju osobniczego w populacji średniowiecznej i wczesnonowożytnej na podstawie oceny pojawiania sie hipoplazji szkliwa. In: B Borowska-Strugińska, M Kurek and A Spinek, editors. Nic co ludzkie nie jest mi obce - środowisko biologiczne i kulturowe człowieka na przestrzeni wieków. Łódź: Wydawnictwo Uniwersytetu Łódzkiego. 32-37.

Łukasik S, Krenz-Niedbała M. 2014. Age of linear enamel hypoplasia formation based on Massler and colleagues’ and Reid and Dean’s standards in a Polish sample dated to 13th\18th century CE. HOMO 65(4):296-310.

Mahoney-Swales D, Nystrom P. 2009. Skeletal manifestation of non-adults scurvy from Early Medieval Northumbria: The Black Gate Cemetery, Newcastle-upon-Tyne. In: ME Lewis and M Clegg, editors. Proceedings of the 9th Annual Conference of the British Association for Biological Anthropology and Osteoarchaeology, University of Reading. Archaeopress: Oxford, England: BAR International Series 1918:31-41.

Makowiecki D, Makowiecka M. 2014. The character of animal exploitation and the environment at the Polish/Prussian frontier in the Medieval Period: A case study. Archaeologica Baltica 20:91-116.

Mays SA. 1999. Linear and appositional long bone growth in earlier human populations: A case study from Mediaeval England. In: RD Hoppa and CM Fitzgerald, editors. Human growth in the past: Studies from bones and teeth. Cambridge: Cambridge University Press. 290-312.

Mays SA. 2002. The Archaeology of Human Bones. London, New York: Taylor & Francis e-Library.

Mays S. 2014. The palaeopathology of scurvy in Europe. Int J Paleopathol 5:55-62.

McCullagh CB. 2000. Bias in historical description, interpretation. Hist Theory 39(1):39-66.

Melikian M, Waldron T. 2003. An examination of skulls from two British sites for possible evidence of scurvy. Int J Osteoarchaeol 13:207-12.

Meloni M, Testa G. 2014. Scrutinizing the epigenetics revolution. Biosocieties 9:431-56.

Mensforth RP, Lovejoy CO, Lallo JW, Armalagos GJ. 1978: The role of constitutional factors, diet, and infectious disease in the etiology of porotic hyperostosis and periosteal reactions in prehistoric infants and children. Med Anthropol 2:1-59.

Merrett DC, Pfeiffer S. 2000. Maxillary sinusitis as an indicator of respiratory health in past populations. Am J Phys Anthropol 111:301-18.

Miszkiewicz J J. 2015. Linear enamel hypoplasia and age-at-death at Medieval (11th-16th Centuries) St. Gregory’s Priory and Cemetery, Canterbury, UK. Int J Osteoarchaeol 25:79-87.

Miśkiewicz M. 2010. Życie codzienne mieszkańców ziem polskich we wczesnym średniowieczu. Warszawa: Wydawnictwo Trio.

Mitchell LE. 2007. Family Life in the Middle Ages. Westport, USA: Greenwood Press.

Moore MK. 2013. Sex estimation and assessment. In: EA DiGangi and MK Moore, editors. Research methods in human skeletal biology. Oxford: Academic Press Elsevier. 91-116.

Moorrees CFA, Fanning EA, Hunt EE. 1963a. Formation and resorption of three deciduous teeth in children. Am J Phys Anthropol 21:205-13.

Moorrees CFA, Fanning EA, Hunt EE. 1963b. Age variation of formation stages for ten permanent teeth. J Dent Res 42:1490-502.

Musiał-Morsztyn D, Bogdał G, Królak-Olejnik B. 2014. Karmienie piersią na przestrzeni dziejów. Część I - od starożytności do współczesności. Pielęgniarstwo i Zdrowie Publiczne 4(1):60-4.

Novak M, Martinčić O, Strinović D, Slaus M. 2012. Skeletal and dental indicators of health in the late mediaeval (12-15th century) population from Nin, southern Croatia. HOMO 63(6):435-50.

Nowak O, Miłosz E, Piontek J. 2013. Anthropological characteristics of skeletal material from the cemetery of St. Nicholas Church in Elblag (13th century). Poznań: Instytut Antropologii UAM.

Nowak O, Piontek J. 2012. Does the presence of Harris lines affect the final stature in a medieval population?. Anthropologie 49(2):117-123.

Nowakowski P. 2015. Architektura i ergonomia kuchni domowych na tle ewolucji zwyczajów kulinarnych. Wrocław: Oficyna Wydawnicza Politechniki Wrocławskiej.

Obertová Z. 2005: Environmental stress in the early medieval Slavic population at Borovce (Slovakia). HOMO 55:283-91.

Obertová Z, Thurzo M. 2004.: Cribra orbitalia as an indicator of stress in the early medieval Slavic population from Borovce (Slovakia). Anthropologie XLII:189-94.

Okoh AI, Sibanda T, Gusha SS. 2010. Inadequately treated wastewater as a source of human enteric viruses in the environment. Int J Env Res Pub He 7(6):2620-37.

Ortner D. 2003. Identification of pathological conditions in human skeletal remains. Second edition. San Diego: Academic Press.

Ortner DJ, Butler W, Cafarella J, Miligan L. 2001. Evidence of probable scurvy in subadults from archeological sites in North America. Am J Phys Anthropol 114: 343-51.

Ortner DJ, Ericksen MF. 1997. Bone changes in the human skull probably resulting from scurvy in infancy and childhood. Int J Osteoarchaeol 7:212-20.

Ortner DJ, Kimmerle EH, Diez M. 1999. Probable evidence of scurvy in subadults from archeological sites in Peru. Am J Phys Anthropol 108:321-31.

Oxenham MF, Cavill I. 2010. Porotic hyperostosis and cribra orbitalia: The erythropoietic response to iron-deficiency anemia. Anthropol Sci 118(3):199-200.

Palubeckaitė Ž, Jankauskas R, Boldsen J. 2002. Enamel hypoplasia in Danish and Lithuanian Late Medieval/Early Modern samples: a possible reflection of child morbidity and mortality patterns. Int J Osteoarchaeol 12(3):189-201.

Pētersone-Gordina E, Gerhards G, Jakob T. 2013. Nutrition related health problems in a wealthy 17-18th century German community in Jelgava, Latvia. Int J Paleopathol 3:30-38.

Pinhasi R. 2008. Growth in archaeological populations. In: R Pinhasi and S Mays, editors. Advances in Human Palaeopathology. Chichester, England: John Wiley & Sons, Ltd. 363-8.

Pinhasi R, Shaw R, White B, Ogden D. 2006. Morbidity, rickets, and long bone growth in post-medieval Britain - a cross-population analysis. Ann Hum Biol 33:372-89.

Pinhasi R, Timpson A, Thomas M, Šlaus M. 2014. Bone growth, limb proportions and non-specific stress in archaeological populations from Croatia. Ann Hum Biol. 41(2):127-37.

Piontek J. 1981. Biologiczna charakterystyka średniowiecznej populacji wiejskiej ze Słaboszewa, woj. Bydgoskie. In: A Malinowski, editor. Źródła do badań biologii i historii populacji słowiańskich. Seria Antropologia 10. Poznań: Uniwersytet im. Adama Mickiewicza w Poznaniu. 39-83.

Piontek J. 1992. Stres w populacjach pradziejowych: założenia, metody, wstępne wyniki badań. Biologia Populacji Ludzkich Współczesnych i Pradziejowych. Słupsk: 321-45.

Piontek J. 2014. Ludność dorzecza Odry i Wisły od późnej starożytności do średniowiecza. Warunki życia i stan biologiczny. Poznań: Monografie Instytutu Antropologii UAM 16.

Piontek J, Jerszyńska B. 1993. Częstość występowania linii Harrisa i cribra orbitalia w trzech populacjach średniowiecznych z terenu Polski. Człowiek w czasie i przestrzeni, Gdańsk. 381-85.

Piontek J, Jerszyńska B, Nowak O. 2001. Harris lines in subadult and adult skeletons from the mediaeval cemetery in Cedynia, Poland. Variability and Evolution 9:33-43.

Piontek J, Kozłowski T. 2002. Frequency of cribra orbitalia in the subadult medieval population from Gruczno, Poland. Int J Osteoarchaeol 12:202-08.

Piontek J, Mucha E. 1983. Cmentarzysko średniowieczne w Cedyni. Analiza antropologiczna. Materiały Zachodniopomorskie 24:75-144.

Pronczuk-Garbino J. 2005. Children’s health and the environment. Global perspective. Geneva: World Health Organization.

Qureishi A, Lee Y, Belfield K, Birchall JP, Daniel M. 2014. Update on otitis media-prevention and treatment. Infection and Drug Resistance 7:15-24.

Qvist M, Grøntved AM. 2000. Auditory ossicles in archaeological skeletal material from medieval Denmark. Acta Otolaryngol 120:83-5.

Reitsema LJ, Crews DE, Polcyn M. 2010. Preliminary evidence for medieval Polish diet from carbon and nitrogen stable isotopes. J Archaeol Sci 37:1413-23.

Reitsema LJ, Kozłowski T. 2013. Diet and society in Poland before the state: stable isotope evidence from a Wielbark population (2nd c. AD). Anthropol Rev 76(1):1-22.

Ribot I, Roberts C. 1996. A study of non-specific stress indicators and skeletal growth in two mediaeval subadult populations. J Archaeol Sci 23:67-79.

Roberts C. 2000. Infectious disease in biocultural perspective: Past, present and future work in Britain. In: M Cox and S Mays, editors. Human osteology in archaeology and forensic science. London: Cambridge University Press. 145-62.

Roberts CA. 2007. A bioarcheological study of maxillary sinusitis. Am J Phys Anthropol 133: 792-807.

Roberts CA, Lewis ME. 2002. Ecology and infectious disease in Britain from prehistory to the present: The case of respiratory infection. In: P Bennike, E Bodzsar and C Susanne, editors. Ecological aspects of past human settlements in Europe. Budapest: Eotvos University Press. 179-92.

Roberts CA, Manchester K. 2005. The archaeology of disease. Third edition. Stroud: Sutton Publishing Ltd.

Robinson S, Nicholson R, Pollard A, O’Connor T. 2003. An evaluation of nitrogen porosimetry as a technique for predicting taphonomic durability in animal bone. J Archaeol Sci 30:391-403.

Samsonowicz H. 2001a. Życie miasta średniowiecznego. Poznań: Wydawnictwo Poznańskie.

Samsonowicz H. 2001b. Złota jesień polskiego średniowiecza. Poznań: Wydawnictwo Poznańskie.

Saunders SR. 2000. Subadult skeletons and growth-related studies. In: MA Katzenberg and SR Saunders, editors. Biological anthropology of the human skeleton. New York: Wiley-Liss. 135-62.

Saunders S R, Hoppa R, Southern R. 1993. Diaphyseal growth in a nineteenth century skeletal sample of subadults from St Thomas’ Church, Belleville. Int J Osteoarchaeol 3:265-81.

Schaefer M, Black S, Scheuer L. 2009. Juvenile Osteology, a Laboratory and Field Manual. Amsterdam: Elsevier Academic Press.

Scheuer L, Black SM. 2000. Developmental Juvenile Osteology. San Diego, London: Elsevier Academic Press.

Scheuer L, Black SM. 2004. The Juvenile Skeleton. San Diego, London: Elsevier Academic Press.

Schultz M. 2001. Paleohistopathology of bone: A new approach to the study of ancient diseases. Yearb Phys Anthropol 44:106-47.

Schultz M, Timme U, Schmidt-Schultz T. 2007. Infancy and childhood in the pre-Columbian North American Southwest-first results of the palaeopathological investigation of the skeletons from the Grasshopper Pueblo, Arizona. Int J Osteoarchaeol 17:369-79.

Smith BH. 1991. Standards of human tooth formation and dental age assessment. In: MA Kelley and CS Larsen, editors. Advances In Dental Anthropology. New York: Wiley-Liss. Inc. 143-68.

Staniowski T, Dąbrowski P, Kaczmarek U. 2004. Występowanie hipoplazji szkliwa w średniowiecznej populacji rolniczej z Sypniewa. Czasopismo Stomatologiczne 57(12):763-71.

Stloukal M, Hanáková H. 1978. Die Länge der Längsknochen altslawischer Bevölkerungen unter besonderer Berücksichtigung von Wachstumsfragen. HOMO 29:53-69.

Stuart-Macadam P. 1985. Porotic hyperostosis: representative of a childhood condition. Am J Phys Anthropol 66:391-98.

Sundman EA, Kjellström A. 2013a. Chronic maxillary sinusitis in Medieval Sigtuna, Sweden: a study of sinus health and effects on bone preservation. Int J Osteoarchaeol 23:447-58.

Sundman EA, Kjellström A. 2013b. Signs of sinusitis in times of urbanization in Viking Age-Early Medieval Sweden. J Archaeol Sci 40:4457-65.

Suter S, Harders M, Papageorgopoulou C, Kuhn G, Szekely G, Ruhli FJ. 2008. Technical note: standardized and semiautomated Harris lines detection. Am J Phys Anthropol 137(3):362-6.

Swischuk LE, Hayden Jr CK, Dillard RA. 1982. Sinusitis in children. Radiographics 2:241-52.

Szostek K, Gleń-Haduch E, Głąb H, Kaczanowski K, Krywult M. 1998. Dynamika akumulacji pierwiastków śladowych i biogenów w zębach stałych człowieka nowożytnych i średniowiecznych populacji ludzkich w aspekcie diety i stanu biologicznego. Społeczne Kontrasty w Stanie Zdrowia Polaków. Warszawa: Akademia Wychowania Fizycznego Józefa Piłsudskiego. 119-31.

Szostek K, Głąb H, Pudło A. 2009. The use of strontium and barium analyses for the reconstruction of the diet of the early medieval coastal population of Gdańsk (Poland): A preliminary study. HOMO 60(4): 359-72.

Šereikiene I, Jankauskas R. 2004. Lithuanian children’s growth patterns in the past - an updated medieval sample. Papers on Anthropology XIII:226-38.

Šlaus M. 2000. Biocultural analysis of sex differences in mortality profiles and stress levels in the late medieval population from Nova Raca, Croatia. Am J Phys Anthropol 111:193-209.

Šlaus M. 2008. Osteological and dental markers of health in the transition from the Late Antique to the Early Medieval period in Croatia. Am J Phys Anthropol 136:455-69.

Šlaus M, Kollmann D, Novak SA, Novak M. 2002. Temporal trends in demographic profiles and stress levels in Medieval (6th-13th century) population samples from Continental Croatia. Croat Med J 43(5):598-605.

Temple DH, Goodman AH. 2014. Bioarcheology has a “health” problem: Conceptualizing “stress” and “health” in bioarcheological research. Am J Phys Anthropol 155(2):186-91.

Teul I. 2015. Zmiany kostne w zatokach szczękowych i wyrostkach sutkowych kości skroniowych jako wskaźnik przebytych zakażeń górnych dróg układu oddechowego oraz nieswoiste wyznaczniki stresu w ocenie kondycji zdrowia w populacjach pradziejowych i historycznych. Szczecin: Wydawnictwo Pomorskiego Uniwersytetu Medycznego.

Teul I, Lorkowski J, Lorkiewicz W, Nowakowski D. 2013. Sinusitis in people living in the medieval ages. Adv Exp Med Biol 788:133-38.

Tomczyk J, Szostek K, Komarnitki I, Mańkowska- Pliszka H, Zalewska M. 2013. Dental caries and chemical analyses in reconstruction of diet, health and hygienic behaviour in the Middle Euphrates valley (Syria). Arch Oral Biol 58(6):740-51.

Trefný P, Velemínský P. 2008. Linear enamel hypoplasia in an Early Medieval population of Great Moravia. In: P Velemínský and L Polácek, editors. Studien zum Burgwall von Mikulcice. Brno: Archäologisches Institut der Akademie der Wissenschaften der Tschechischen Republik. 141-49.

Tyszkiewicz J. 1983. Ludzie i przyroda w Polsce średniowiecznej. Warszawa: Państwowe Wydawnictwo Naukowe.

Velemínský P, Dobisíková M, Stránská P, Trefný P, Likovský J. 2009: The health status of the Early Medieval population of Greater Moravia in relations to social and economic structures. Acta Universitatis Carolinae CLVI:91-101.

Waldron T. 1994. Counting the dead: the epidemiology of skeletal populations. Chichester: John Wiley & Sons.

Waldron T. 2009. Palaeopathology. Cambridge, New York: Cambridge University Press.

Walker PL. 2008. Bioarchaeological Ethics: A Historical Perspective on the Value of Human Remains: In: MA Katzenberg and SR Saunders, editors. Biological Anthropology of the Human Skeleton. Hoboken, New Jersey: John Wiley & Sons, Inc. 3-40.

Walker PL, Bathurst RR, Richman R, Gjerdrum T, Andrushkova VA. 2009. The causes of porotic hyperostosis and cribra orbitalia: A reappraisal of the iron-deficiency-anemia hypothesis. Am J Phys Anthropol 139:109-25.

Wall CE. 1991. Evidence of weaning stress and catch-up growth in the long bones of a central California Amerindian sample. Ann Hum Biol 18(1):9-22.

Wapler U, Schultz M, Crubezy E. 2004. Is cribra orbitalia synonymous with anemia? Analysis and interpretation of cranial pathology in Sudan. Am J Phys Anthropol 123(4):333-39.

Weston DA. 2012. Nonspecific infection in paleopathology: interpreting periosteal reactions. In: AL Grauer, editor. A Companion to Paleopathology. Oxford, UK: Wiley-Blackwell. 492-512.

Wood JW, Milner GR, Harpending HC, Weiss KM. 1992. The osteological paradox: problems of inferring prehistoric health from skeletal samples. Curr Anthropol 33:343-70.

World Health Organization. 2014. WHO Indoor Air Quality Guidelines: Household Fuel Combustion. Geneva, Switzerland: WHO Document Production Services. Available at: [Accessed February 10, 2016].

Ygberg S, Nilsson A. 2012. The developing immune system - from foetus to toddler. Acta Paediatr 101(2):120-7.

Zhang LC, Tong B, Wang ZM, Sha Y, Zhang F, Lao Z, Zhang TY. 2014. A comparison of three MDCT postprocessing cols: Preoperative assessment of the ossicular chain in otitis media. Eur Arch Otorhinolaryngol 271:445-54.

Żądzińska E, Lorkiewicz W, Kurek M. 2015. Accentuated lines in the enamel of primary incisors from skeletal remains: A contribution to the explanation of early childhood mortality in a medieval population from Poland. Am J Phys Anthropol 157/ (3):402-10.

Żołądź-Strzelczyk D. 2002. Dziecko w dawnej Polsce. Poznań: Wydawnictwo Poznańskie.

Żołądź-Strzelczyk D, Kabacińska-Łuczak K. 2012. Codzienność dziecięca opisana słowem i obrazem. Życie dziecka na ziemiach polskich od XVI do XVIII wieku. Warszawa: Wydawnictwo DiG.

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