In 250 men (21.4 ± 2.9 years; BMI 24.2 ± 3.0 kg∙m-2) commencing arduous military training during winter, we investigated the effect of 12 weeks vitamin D supplementation on lower body (pelvic girdle, sacrum, coccyx, and lower limb) overuse musculoskeletal injury risk in a randomised, placebo-controlled trial. Participants received either simulated sunlight (1.3× standard erythemal dose in T-shirt and shorts, three times per week for 4 weeks and then once per week for 8 weeks), oral vitamin D3 (1000 IU∙d-1 for 4 weeks and then 400 IU∙d-1 for 8 weeks), or placebo for each intervention. Serum vitamin D metabolites and bone metabolism biomarkers were measured at baseline, week 5, and 12. At baseline, 29% of participants were vitamin D sufficient (25-hydroxyvitamin D ≥50 nmol∙L-1). Vitamin D supplementation achieved vitamin D sufficiency in 95% of participants after 4 weeks. During 6 months of training and subsequent 3 years of military service, 100 lower body overuse musculoskeletal injuries were diagnosed by clinicians. Frailty models indicated no difference in injury risk between vitamin D and placebo during military training (HRplacebo:vitamin D = 1.23 [95% CI: 0.57–2.66], P = 0.597) or military service (HRplacebo:vitamin D = 0.94 [95% CI: 0.60–1.46], P = 0.782). Both safe simulated sunlight and oral vitamin D3 were effective in achieving and maintaining vitamin D sufficiency in almost all. There was no clear evidence for vitamin D to affect the risk of lower body overuse musculoskeletal injury during 6 months of military training or subsequent 3 years of military service.

This study investigated changes in serum folate and B12, and associations with endurance performance and bone outcomes, in women during military training. Women (n 137) had serum folate and B12, haematological markers and endurance performance (2·4 km run) measured at the start (week 1) and end (week 13) of British Army basic training. Whole-body areal bone mineral density and markers of bone metabolism were measured at week 1. Training decreased serum folate (mean change (95 % CI), −2·3 (−3·0, −1·6) nmol ∙ l−1, P < 0·001), B12 (−16 (−32, 0) pmol ∙ l−1, P = 0·042), Hb (−0·7 (−0·9, −0·5) g ∙ dl−1, P < 0·001) and erythrocyte count (−0·2 (−0·3, −0·2) × 10^9 ∙ l−1, P < 0·001), but had no effect on mean corpuscular volume (P = 0·438) or erythrocyte distribution width (P = 0·088). There was no association between serum folate, serum B12, Hb or erythrocyte count with run time (P ≥ 0·518). Serum B12 was not associated with areal bone mineral density or bone metabolism at week 1 (P ≥ 0·152). Higher serum folate was associated with lower plasma c-telopeptide cross-links of type I collagen (standardised β (95 % CI) = −0·31 (−0·48, −0·15), P < 0·001), but not whole-body bone mineral density or plasma procollagen type I N-terminal propeptide (P ≥ 0·152). Serum folate and B12 decreased after military training in women, resulting in a high prevalence of folate deficiencies at the end of training. Low serum folate may contribute to increased bone resorption, the implications of which are unclear.

Fossils and more recent remains of dead organisms serve as natural archives of Earth’s recent and ancient history. It is often the case that small or fragmented specimens, especially microvertebrate bones, go unstudied. Accurate identification of such remains to a specific taxonomic level can help address a wide range of questions spanning paleontology, paleoecology, zooarchaeology, ecology, conservation science, forensics, and biogeography. Geometric morphometrics demonstrates significant potential for identifying fragmented lizard fossils to at least the family level based on shape differentiation. Our proof-of-concept study using lizard maxillae of extant species within the Pacific Northwest, USA, accurately identified fragmented maxillae with as few as six comparative specimens per genus. These findings establish a framework for addressing taxonomic challenges in fragmented bone specimen identification for taxa whose curated comparative specimens are small in number and unequal in representation.

A small group of late Roman ‘spoon-shaped’ objects with weapon terminals and a westerly distribution add to the growing evidence of ‘regionality’ in material culture within Roman Britain. While their function remains uncertain, the presence of weapon-shaped terminals can be seen alongside the increasing numbers of model objects recorded from the province.

Intramural adult human remains, whether articulated or disarticulated, from Roman towns in Britain are uncommon. There is evidence for some remains to have been deliberately curated and/or treated post mortem in a particular way before final deposition. This paper focuses on the disarticulated human remains from late Iron Age and Roman Silchester (Calleva Atrebatum), noting the parts of the skeleton represented, their contexts, and whether there is evidence for curation or treatment post mortem. Twenty-one examples have been radiocarbon dated, enabling an assessment of changes in spatial patterning over time. An early and a late cluster are identified. The results from Silchester follow a review of comparable evidence from the major towns of Roman Britain. This reveals a broad similarity in patterning between Silchester and the Romano-British countryside. There are several urban parallels for Silchester’s late cluster, but only London for the early grouping.

The present study investigated whether dietary n-3 very-long-chain PUFA (n-3 VLC-PUFA) could increase skin and bone mineralisation in Atlantic salmon (Salmo salar) in vivo and examined their potential effects on human osteoblast proliferation and differentiation in vitro. Atlantic salmon were fed different dietary levels of n-3 VLC-PUFA, and changes in tissue n-3 VLC-PUFA composition, skeletal morphology, skin and bone mineral content, bone mineral density (BMD) and gene expression patterns were examined. Additionally, in vitro experiments using human foetal osteoblast cells were conducted to investigate the potential influence of n-3 VLC-PUFA supplementation on cell proliferation, osteogenic differentiation and cytokine expression. The results demonstrated that increasing the dietary levels of n-3 VLC-PUFA increased the mineral content of vertebrae and BMD in salmon, with subtle yet significant impacts on the expression of genes involved in bone-related processes. Furthermore, in vitro experiments showed a potential contextual influence of n-3 VLC-PUFA supplementation on gene expression of osteogenic markers and cytokine expression. Our findings indicate for the first time that n-3 VLC-PUFA may influence processes related to bone mineralisation.

During excavations of a Roman villa at Fordham, Essex, a remarkable series of decorated bone and antler veneer plaques were recovered from villa destruction deposits. They are datable to the later fourth or fifth centuries a.d. and probably once adorned a casket holding bathing equipment and jewellery. Spread through the three main rooms of the villa, fragments were recovered from at least 10 metres apart, so the object is likely already to have been broken when deposited. The plaques are decorated with ‘late antique’ style figural, zoomorphic, vegetal and architectural motifs on a cross-hatched background, with the best-preserved design probably relating to female bathing.

Osteoarthritis (OA), a disease with a multifactorial aetiology and an enigmatic root cause, affects the quality of life of many elderly patients. Even though there are certain medications utilised to reduce the symptomatic effects, a reliable treatment method to reverse the disease is yet to be discovered. Zinc is a cofactor of over 3000 proteins and is the only metal found in all six classes of enzymes. We explored zinc’s effect on the immune system and the bones as OA affects both. We also discussed zinc-dependent enzymes, highlighting their significant role in the disease’s pathogenesis. It is important to note that both excessive and deficient zinc levels can negatively affect bone health and immune function, thereby exacerbating OA. The purpose of this review is to offer a better understanding of zinc’s impact on OA pathogenesis and to provide clarity regarding its beneficial and detrimental outcomes. We searched thoroughly systematic reviews, meta-analysis, review articles, research articles and randomised controlled trials to ensure a comprehensive review. In brief, using zinc supplementation in the treatment of OA may act as a doubled-edged sword, offering potential benefits but also posing risks.

This study was conducted to determine the effect of reducing calcium (Ca) and available phosphorus (AvP) on performance, carcass yield, tibia traits and jejunum histomorphology in broilers. For this purpose, 480 one-day-old Ross 308 male chicks were distributed into four trial groups with eight subgroups. During the starter period, birds were fed with recommended or reduced Ca and AvP contents of 66.7 and 62.5 g/kg, respectively. Calcium and AvP contents of the groups were as follows: control: 8.70 g/kg Ca, 4.40 g/kg AvP for grower and 7.80 g/kg Ca, 3.90 g/kg AvP for finisher; LCP1: 8.30 g/kg Ca, 4.20 g/kg AvP for grower and 7.10 g/kg Ca, 3.50 g/kg AvP for finisher; LCP2: 7.90 g/kg Ca, 4.00 g/kg AvP for grower and 6.00 g/kg Ca, 3.00 g/kg AvP for finisher; LCP3: 7.00 g/kg Ca, 3.80 g/kg for grower and 5.00 g/kg Ca, 3.00 g/kg AvP for finisher. Performance variables have been calculated from the data of each period, and samples were obtained from the slaughtered birds on the final day of the trial (42nd day) for carcass and tibia traits and jejunum histomorphology. Reducing dietary Ca and AvP did not affect the broiler performance, carcass yield and mortality. Tibia ash decreased in LCP2 and LCP3 groups (P < 0.01). Villus width and villus surface area increased in LCP2 and LCP3. Overall, feeding with a diet 100 g/kg lower than the recommended Ca and AvP did not affect performance in broilers, but improved jejunal development.

This study investigated sex differences in Fe status, and associations between Fe status and endurance and musculoskeletal outcomes, in military training. In total, 2277 British Army trainees (581 women) participated. Fe markers and endurance performance (2·4 km run) were measured at the start (week 1) and end (week 13) of training. Whole-body areal body mineral density (aBMD) and markers of bone metabolism were measured at week 1. Injuries during training were recorded. Training decreased Hb in men and women (mean change (–0·1 (95 % CI –0·2, –0·0) and –0·7 (95 % CI –0·9, –0·6) g/dl, both P < 0·001) but more so in women (P < 0·001). Ferritin decreased in men and women (–27 (95 % CI –28, –23) and –5 (95 % CI –8, –1) µg/l, both P ≤ 0·001) but more so in men (P < 0·001). Soluble transferrin receptor increased in men and women (2·9 (95 % CI 2·3, 3·6) and 3·8 (95 % CI 2·7, 4·9) nmol/l, both P < 0·001), with no difference between sexes (P = 0·872). Erythrocyte distribution width increased in men (0·3 (95 % CI 0·2, 0·4)%, P < 0·001) but not in women (0·1 (95 % CI –0·1, 0·2)%, P = 0·956). Mean corpuscular volume decreased in men (–1·5 (95 % CI –1·8, –1·1) fL, P < 0·001) but not in women (0·4 (95 % CI –0·4, 1·3) fL, P = 0·087). Lower ferritin was associated with slower 2·4 km run time (P = 0·018), sustaining a lower limb overuse injury (P = 0·048), lower aBMD (P = 0·021) and higher beta C-telopeptide cross-links of type 1 collagen and procollagen type 1 N-terminal propeptide (both P < 0·001) controlling for sex. Improving Fe stores before training may protect Hb in women and improve endurance and protect against injury.

In two forensic cases, radiocarbon (14C) bomb-pulse datings of human bones have been performed and analyzed using detailed models to correct for collagen-carbon turnover rates and reservoir effects. The modeled corrections are discussed and the resulting 14C ages compared to later information on actual time of birth and death of the individuals. Simple time lag corrections of bone dates are found to be inadequate, whereas modeling based on age dependent turnover rates and bomb-pulse levels through life combined with substantial reservoir age corrections can explain the observed 14C results.

The small finds discovered during the 1948–1951 excavations by Katherine M. Kenyon and John B. Ward-Perkins at Sabratha were scattered after the 1950s and have taken some time to be re-assembled. The following report on the small objects includes material in silver, copper alloy, iron, lead, glass, semiprecious stones, clay and stone, with a separate report on the substantial bone artefact assemblage. As well as providing the basic data on the objects, some of which are unique to Roman Libya, efforts have been made to put them into their Empire-wide context.

Nutrition is a key determinant of bone health and attainment of peak bone mass. Excess oxidative stress induces bone loss while increasing antioxidant capacity promotes protective effects on bone. Nuts are rich in antioxidants; therefore, we tested the hypothesis that compared to a control diet high in fat (40 % energy) and cholesterol, diets containing isocaloric amounts of pistachios (8·1 % g/g) or mixed nuts (7·5 % g/g) for 8 weeks would result in greater bone health in male adolescent (3 weeks; a state of continued skeletal growth) Sprague-Dawley rats. We found no difference in bone mechanical properties among groups. Tibial apparent density was ~5 % higher in the pistachio and mixed nuts groups v. control (P < 0·05) with no clear difference detected for the femur. Expressions of genes known to impact bone turnover and serum bone turnover biomarkers were unaffected by either diet relative to control. Serum antioxidant capacity was ~2-fold higher in the pistachio and mixed nuts groups compared with control (P < 0·05) but were similar between groups. Therefore, pistachios and mixed nuts may increase tibial density, in part, due to increasing antioxidant capacity. Longer dietary interventions may be necessary to elicit detectable changes in other bones (e.g. femur) and to detect potential mechanisms for the possible bone protective effects of nuts.

Female athletes follow a strict diet and perform rigorous exercise to boost their performance, which induces health issues called the female athlete triad (FAT), defined as the combination of disordered eating, amenorrhoea and low bone mineral density. It is known to have a significant effect on bones. However, its effects on the small intestine, which is responsible for nutrient uptake into the body, remain unclear. In this study, we created an animal model of FAT to examine its effects on digestive and absorptive molecules in the small intestine. Thirty 5-week-old female Sprague-Dawley (sd) rats with an initial body weight of about 147 g were divided into control (Con, n = 7), exercise (Ex, n = 7), food restriction (FR, n = 8) and exercise plus food restriction (FAT, n = 8) groups. The rats were subjected to 4 weeks of wheel running (Ex, FAT) and 50–40 % food restriction (FR, FAT) to examine the effects on bone and typical digestive enzymes and transporters in the jejunum. Two-way ANOVA and the Kruskal–Wallis test were used for statistical analysis of normal and non-normal data, respectively. Four weeks of exercise and food restriction decreased bone weight (vs. other group P < 0·01) and bone breaking power (vs. other group P < 0·01). Villus height decreased in the jejunum (vs. other group P < 0·01), but the expression of typical macronutrients digestive enzyme and absorptive molecules remained unchanged. In contrast, sucrase-isomaltase gene (v. Ex P = 0·02) and protein expression were increased (vs. other group P < 0·05). The study findings show that FAT affects sucrase-isomaltase without histone methylation changes.

Machu Picchu, in Cuzco, is one of the most famous archaeological sites in South America. The precise dating of the monumental complex, however, relies largely on documentary sources. Samples of bone and teeth from individuals buried in caves at four cemeteries around Machu Picchu form the basis for a new programme of AMS radiocarbon-dating. The results show that the site was occupied from c. AD 1420–1532, with activity beginning two decades earlier than suggested by the textual sources that associate the site with Emperor Pachacuti's rise to power in AD 1438. The new AMS dates—the first large set published for Machu Picchu—therefore have implications for the wider understanding of Inca chronology.

We aimed to compare the efficacy of daily v. low dose depot oral vitamin D3 for treating nutritional rickets. We conducted a randomised controlled trial in the department of paediatrics of a tertiary care hospital catering to semi-urban and rural population in Delhi, India. We randomised sixty-six children aged 3 months to 5 years with nutritional rickets to receive either daily oral vitamin D3 drops (3–12 months: 2000 IU; > 12 months to 5 years: 4000 IU; n 33) for 12 weeks duration or a single oral depot dose of vitamin D3 granules (3–12 months: 60 000 IU; > 12 months to 5 years: 150 000 IU; n 33). Participants in both groups had comparable demographic characteristics, laboratory features and radiological severity of rickets. Thirty-three participants in each group received the assigned intervention and all were followed up till 12 weeks. At 12 weeks follow-up, children in both groups showed a significant improvement in all biochemical parameters (serum Ca, P, alkaline phosphatase (ALP), parathormone and 25(OH) vitamin D levels) as well as radiological healing. At 12 weeks, the mean serum 25(OH) vitamin D levels (nmol/l) were statistically comparable in both groups (daily: 120·2 (sd 83·2), depot: 108 (sd 74), P = 0·43) and 31 (93·9 %) children in each group had radiological healing (Thacher score < 1·5). Two children in each group persisted to have raised ALP, and one child each in the daily group continued to have hypocalcaemia and hypophosphataemia at 12 weeks. Low dose oral depot vitamin D3 is an effective alternative to daily oral vitamin D3 for nutritional rickets.