Biochemical assessment of the nutritional status of the Eskimos of Wainwright, Alaska

High prevalence of Helicobacter pylori in the Alaska native population and association with low serum ferritin levels in young adults

Iron deficiency anemia is a common public health problem in the Alaska Native population. Yet, a clear etiology has eluded researchers for decades. Previous studies suggested a link between Helicobacter pylori infection, gastrointestinal blood loss due to hemorrhagic gastritis, and generalized iron deficiency anemia in adult Alaska Natives. Therefore, we examined the association between the prevalence of H. pylori-specific immunoglobulin G (IgG) and serum ferritin levels, a marker of iron deficiency. A random sample of 2,080 serum samples from Alaska Native residents drawn between 1980 and 1986 from residents in 13 regions was selected, and the samples were stratified by age, sex, and region. Overall, 75% were positive for H. pylori-specific IgG. The rate of H. pylori seropositivity increased with age; by age 14 years, 78% of the residents were positive. There were no gender differences in H. pylori seropositivity. However, marked regional differences were observed. Serum ferritin levels of <12 ng/ml were found most commonly among persons <20 years of age and among women of childbearing age. A significant association between low serum ferritin levels and prevalence of H. pylori-specific IgG was found, particularly for people aged less than 20 years. H. pylori may be a factor contributing to the iron deficiency anemia in the Alaska Native population.

Skeletal evidence of health and disease in pre-contact Alaskan Eskimos and Aleuts

There have been relatively few paleopathological studies of arctic populations to date, compared to other regions of North America. Studies aimed at elucidating patterns of health and disease in arctic peoples prior to contact and assessing inter- and intraregional differences in disease patterns have been particularly few. In the present study, five pre-contact skeletal samples (N = 193), representing 4 Eskimo populations from northern coastal Alaska and 1 Aleut population from the eastern Aleutian Islands, were examined macroscopically for the following indicators of health status: cribra orbitalia, porotic hyperostosis, trauma, infection, dental caries, abscesses, antemortem tooth loss, periodontal disease, and dental attrition. In addition, archeological and epidemiological data were used to help reconstruct the health of these populations. The goals of the analysis were 2-fold: 1) to assess the pre-contact health of North Alaskan Eskimos and Aleuts in order to provide a baseline comparison for the post-contact health of these groups, and 2) to determine if any differences in disease patterns exist between the Eskimos and Aleuts that might be related to differences in their physical environment, subsistence patterns, and cultural practices. The analysis revealed that both groups suffered from a variety of health problems prior to contact, including iron deficiency anemia, trauma, infection, and various forms of dental pathology. Statistical comparisons of the 2 groups revealed that Eskimos and Aleuts had different patterns of health and disease prior to contact. Most notably, the Aleuts had a significantly higher frequency of cranial trauma and infracranial infection than the Eskimos, while the latter had a significantly higher frequency of enamel hypoplasia. An examination of the physical and cultural environment of the 2 groups reveals several possible explanations for these differences, including warfare, subsistence pursuits, and housing practices. The documentation of these differences indicates that variability in pre-contact disease patterns can be identified between hunter-gatherer populations living in similar environments and exhibiting similar general lifestyles.

Effects of age and sex on the amount and distribution of mineral in Eskimo tibiae

The bone mineral content (BMC), bone width, and cross-sectional moment of inertia (CSMI) of 141 Alaskan Eskimo tibias were measured using photon absorptiometry. The effects of age and sex on the bones' structural properties were studied. It was found that in women, BMC decreased by 50% between the third and sixth decades, but that of the males did not decline significantly with age. This was true of the CSMI as well, for bending in both the anteroposterior (AP) and mediolateral (ML) planes. This result is different than that in some other prehistoric native American populations, where tibia CSMI increases with age in both sexes. The CSMI values were significantly higher in men than in women. Also, in men the AP CSMI was 55% larger than the ML CSMI; in women this difference was only 25%, and declined with age. Since the tibia is preferentially loaded in the AP plane by locomotor activities, the platycnemic differences between the sexes may reflect sex-related differences in activity which become more pronounced with age. The non-destructive method for obtaining data on the cross-sectional geometry of dry bones which is described here may be useful in studying other archaeological collections.

Differences in intracortical bone remodeling in three aboriginal American populations: possible dietary factors

Cross sections of intracortical bone revealed differences among three early American populations--Eskimo, Arikara, and Pueblo--in the frequency of a form of remodeling called, here, type II. This remodeling appears to occur exclusively within the walls of haversian canals of well-mineralized osteons. The populations are known to have differed in their nutrition. The Eskimo, with a high-protein diet, exhibited the most frequent type II remodeling, whereas the Pueblo, with a low-protein diet, showed the least. Type II remodeling probably reflects the physiological state of the group. Variation in frequency of classic intracortical bone remodeling was not apparent.