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Investigating dietary patterns and organisational structure by using stable isotope analysis: a pilot study of the Danish medieval leprosy hospital at Næstved

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Abstract

During the 12th and 13th centuries, numerous leprosy hospitals were founded in Europe. Given that leprosy was not considered infectious, this may reflect social dimensions of the disease. Aiming at exploring the impact of leprosy on medieval people and the organisation of the Danish leprosarium at Næstved, we reconstructed the diet of twenty patients using stable isotopes, and compared our results with relevant historical data. The isotope results revealed a terrestrial C3 diet with a small contribution of aquatic foods. Contrary to historical evidence of daily fish consumption in the leprosy hospital, only six individuals consumed relatively large amounts of freshwater fish. Leprosaria have been considered monastic institutions, and thus a varied diet, poor in aquatic protein, questions the monastic nature of the hospital and points to a social stratification. A multi-isotope analysis of a larger sample set would add to our understanding of the diet of the leprosy patients, as well as their treatment in the leprosarium.

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Dietary patterns of leprosy patients from the medieval leprosarium at Odense (Denmark) were investigated via carbon isotope ratio analysis of individual amino acids (δ¹³CAA) in bone collagen. The aim of this research was to explore in detail the consumption of aquatic resources (freshwater and marine) by these individuals; especially during the last few years of life, which were likely spent in the leprosy hospital. The analysis was conducted on ribs (n = 30) and long bones (n = 10) from 30 individuals, as well as on 9 local and contemporary faunal samples. A comparison of the Odense δ¹³CAA results with published δ¹³CAA values from the Baltic Sea region indicate that the diet was primarily terrestrial, but 12 of the 30 individuals (40%) consumed a mixed terrestrial-aquatic diet based on Δ¹³CVal-Phe values. Further, comparison of the rib-long bone pairs from 10 individuals found statistically significant differences in the Δ¹³CVal-Phe and Δ¹³CGly-Phe results, but not the δ¹³CLys results. This intra-individual dietary difference is also supported by MLA-PCA, and tentatively suggests these leprosy patients increased their consumption of marine protein over the last few years of life, indicating perhaps an institutional dietary program in the leprosarium. This work represents one of the largest archaeological δ¹³CAA studies in Europe and the first to compare bones with different turnover rates. Compound specific isotope analysis of δ¹³CAA has great potential to reveal subtle intra-individual dietary shifts that may remain undetected by bulk isotopic analysis.
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This study investigates the diet of the Roman and Late Roman population of Leptiminus on the Mediterranean coast of Tunisia. Stable carbon and nitrogen isotope analysis of human bone collagen and carbonate samples obtained from individuals buried in four cemeteries at Leptiminus was conducted in order to reconstruct the diet of the population, investigate the relative importance of marine vs. terrestrial resources, explore sex-, age-, and status-based variations in diet, examine temporal changes in the types of foods consumed, and compare the diet at Leptiminus with that of other Roman populations. The results of this study indicate that the residents of Leptiminus consumed a diet that was heavily reliant on terrestrial plant resources with the addition of a significant amount of marine resources. There were no significant sex differences in isotope values. In contrast, distinct dietary differences were seen between the adults and children. Nitrogen isotope values suggest that weaning began before the age of two and was completed by about 3 years of age, a finding consistent with previous isotopic studies of Roman samples. A temporal shift in diet is suggested by the nitrogen isotope values measured in samples from the most recent cemetery. A comparison of the data from Leptiminus with that derived from other Roman sites indicates that regional variability in diet existed within the Empire.
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In this pilot-study, which was designed to assess the range of isotopic variation in English medieval populations, we present the results of stable isotope analysis of carbon and nitrogen of human and animal bone collagen from three later medieval sites in Northern England.The isotopic values observed for the rural hospital of St. Giles by Brompton Bridge (N. Yorks.), the Augustinian Friary at Warrington and a mass-grave with casualties from the Battle of Towton (N. Yorks.) are significantly different from those reported for other archaeological populations in Britain, namely by their very enriched δ15N ratios which are combined with almost entirely terrestrial carbon signals. We discuss possible explanations for the unusual human data and argue on grounds of the available faunal data, that a mixed diet of terrestrial, marine and freshwater resources is most likely. This may indicate the significant impact of the medieval fasting regulations on everyday subsistence. We conclude that stable isotope analysis can complement the available historical information on diet in the Middle Ages.
Article
The aim of this research is to explore regional and temporal patterning in diet in medieval Danish populations. δ15N, δ13Ccoll, δ13Cap values were obtained from 154 human bone samples from three sites located in the Jutland peninsula of Denmark. These sites span the medieval period. The results suggest that the medieval Danish diet was composed of C3 plants, terrestrial animals, and freshwater and marine fish in varying amounts. The data also suggest some regional patterning in diet, but little temporal differences in the composition of diet.
Article
Archaeological samples of human and faunal remains dating from the Viking (9–11th century AD) and Early Christian (11–12th century AD) periods of Gotland, Sweden were assayed through stable carbon and nitrogen isotope analysis in order to investigate whether changes in subsistence occurred between these periods, particularly regarding the importance of seafood. The study was concerned with how the dietary regime of the Baltic trading port and farming settlement at Ridanäs, Gotland was affected by the widespread environmental and sociocultural transformations that characterized the end of the Viking Age. More generally, the research considers how changes in both food procurement and preference may account for observed differences in the dietary regimes of individuals from the Viking Age and the Early Christian period.
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The increasing application of the Bayesian approach for the interpretation of radiocarbon dates over the past decade has led to the production of more precise chronologies for archaeological sites. This has highlighted the practical significance of some scientific aspects of radiocarbon dating. The potential importance of one of these, the sources of the carbon component of human bone collagen, is demonstrated by a recent application of radiocarbon dating in medieval Norwich.
Article
A systematic dietary investigation during Danish Roman Iron Age (1-375AD) is conducted by analyzing stable isotope ratios of carbon (δ(13) C) and nitrogen (δ(15) N) in the collagen of human and animal bone. The human sample comprises 77 individuals from 10 burial sites. In addition 31 samples of mammals and fish were analyzed from same geographical area. The investigation characterizes the human diet among different social groupings and analyses dietary differences present between sex, age, and site phase groups. Diachronically, the study investigates the Roman influences that had an effect on social structure and subsistence economy in both the Early and Late Period. Geographically the locations are both inland and coastal. The isotopic data indicate extremely uniform diet both between and within population groups from Early and Late Roman periods and the data are consistent throughout the Roman Iron Age. Protein consumption was dominated by terrestrial animals with no differences among social status, age, sex, or time period, while terrestrial plant protein only seems to have contributed little in the diet. Furthermore, the consumption of marine or aquatic resources does not seem to have been important, even among the individuals living next to the coast.