Investigating the association between intestinal parasite infection and cribra orbitalia in the medieval population of Cambridge, UK

IF 1.3 3区 地球科学 Q3 PALEONTOLOGY International Journal of Paleopathology Pub Date : 2023-11-30 DOI:10.1016/j.ijpp.2023.11.001
Tianyi Wang , Jenna M. Dittmar , Sarah A. Inskip , Craig Cessford , Piers D. Mitchell
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Abstract

Objective

Cribra orbitalia is believed to be a skeletal indicator of chronic anaemia, scurvy, rickets or related metabolic diseases. It has been suggested that it may be used as a proxy indicator for intestinal parasite infection, as parasites often cause anaemia today. Our aim is to investigate this association in the medieval population of Cambridge, UK.

Materials

Individuals excavated from the cemeteries of the Augustinian friary and All Saints by the Castle parish church, and aged from 7 to adulthood.

Methods

We undertook parasite analysis of the pelvic sediment and control samples of 46 burials with intact orbital roofs.

Results

Human roundworm (Ascaris lumbricoides) and/or whipworm (Trichuris trichiura) were identified in the pelvic sediment of 22 individuals, and cribra orbitalia noted in 11 individuals. Barnards test showed no association between parasite infection and cribra orbitalia (p = .882).

Conclusion

We found no association between infection and cribra orbitalia infection in this medieval adult population, calling into question this hypothesis, at least for adults.

Significance

High or low cribra orbitalia prevalence in adults should not be used to infer rates of intestinal parasite infection.

Limitations

The individuals in the study were over the age of 7, with no younger children. It is possible that only parasites which cause marked anaemia (such as hookworm, schistosomiasis or malaria) may cause cribra orbitalia, while less marked anaemia from roundworm and whipworm may not do so.

Suggestions for Further Research

Repeating this study in younger children, when most cribra orbitalia appears to form.

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在英国剑桥中世纪人群中调查肠道寄生虫感染与眶嵴之间的关系
目的眼眶纹被认为是慢性贫血、坏血病、佝偻病或相关代谢性疾病的骨骼指标。有人建议它可以作为肠道寄生虫感染的替代指标,因为寄生虫经常导致贫血。我们的目的是调查英国剑桥中世纪人口的这种联系。从城堡教区教堂的奥古斯丁修道院和众圣徒的墓地中挖掘出的个体,年龄从7岁到成年。方法对46例完整眶顶墓葬的盆腔沉积物和对照样本进行寄生虫分析。结果22例患者盆腔沉积物中检出蛔虫(蛔虫)和鞭虫(毛鞭虫),11例患者眼眶中检出cribra。巴纳德检验显示,寄生虫感染与眶缘无相关性(p = .882)。结论:在中世纪成人人群中,我们没有发现感染与眶缘感染之间的关联,至少对成年人来说,这一假设受到了质疑。意义:成人眶嵴患病率的高低不应作为推断肠道寄生虫感染率的依据。研究对象的年龄都在7岁以上,没有更小的孩子。有可能只有引起明显贫血的寄生虫(如钩虫、血吸虫病或疟疾)才会引起眶纹病,而蛔虫和鞭虫引起的不太明显的贫血则不会引起眶纹病。对进一步研究的建议在年龄更小的儿童中重复这项研究,此时大部分眶嵴似乎形成了。
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来源期刊
CiteScore
2.90
自引率
25.00%
发文量
43
期刊介绍: Paleopathology is the study and application of methods and techniques for investigating diseases and related conditions from skeletal and soft tissue remains. The International Journal of Paleopathology (IJPP) will publish original and significant articles on human and animal (including hominids) disease, based upon the study of physical remains, including osseous, dental, and preserved soft tissues at a range of methodological levels, from direct observation to molecular, chemical, histological and radiographic analysis. Discussion of ways in which these methods can be applied to the reconstruction of health, disease and life histories in the past is central to the discipline, so the journal would also encourage papers covering interpretive and theoretical issues, and those that place the study of disease at the centre of a bioarchaeological or biocultural approach. Papers dealing with historical evidence relating to disease in the past (rather than history of medicine) will also be published. The journal will also accept significant studies that applied previously developed techniques to new materials, setting the research in the context of current debates on past human and animal health.
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