Variation in Osteon Circularity and Its Impact on Estimating Age at Death Thesis Presented in Partial Fulfillment of the Requirements for the Degree Master of Arts in the Graduate School of The Ohio State University By Jesse Roberto Goliath, B.A. Graduate Program in Anthropology The Ohio State University 2010 Thesis Committee: Dr. Sam D. Stout, Advisor Dr. Douglas E. Crews Dr. Clark Spencer Larsen Copyright by Jesse Roberto Goliath 2010 Abstract Researchers have implemented many histomorphometric techniques to estimate age at death for human skeletal remains. While previous studies have reported relations between osteon size and age, few studies have focused on the shape of secondary osteons. Osteon circularity (On.Cr) is a factor potentially affecting histological estimations. Additionally, with age the numbers of observable osteons and osteon fragments increase and an asymptotic value for osteon population density (OPD) is eventually achieved. The cortex of bones reaches asymptote by 60 years of age, but it can occur as early as age 50. Once asymptote is reached, histological methods can no longer produce reliable age at death estimations. The purpose of this study is to establish if circularity differs between young and old age groups, and whether observed On.Cr is due to the effects of increasing OPD per unit area and osteon size (area; On.Ar) on the shape of osteons. To determine circularity, osteons were measured from thin (~100µm) cross-sections of femora and ribs of 29 individuals under and over the age of 50 from a modern cadaver sample of known age at death. The observed results support the observations of Currey (1964) and Britz et al. (2009) that osteon cross-sectional shape becomes more circular with age. With the increase in the number of osteons and their fragments per unit area (OPD) with age, the probability of eccentric and larger osteons surviving to be measured decreased considerably. This finding may be useful to help identify if a bone has reached its OPD asymptote, or even help refine our ability to estimate age for older individuals. ii Dedication I dedicate this thesis to my family. Without their patience, understanding, support and most of all love, the completion of this work would have not been possible. I also want to dedicate this to my Notre Dame family for encouraging me and keeping me grounded. iii Acknowledgements I would like to express my thanks to Dr. Sam Stout, my advisor, for all his direction and guidance in this project. I acknowledge Dr. Douglas E. Crews and The Ohio State Statistical Consulting Service of The Ohio State University for their assistance in the statistical analysis of the research data. Additionally, special thanks go to Dr. Clark Spencer Larsen for his suggestions and advice on earlier drafts of this thesis. iv Vita May 2003…………………………………...Charleston Catholic High School 2006…………………………………………Induction into the Lambda Alpha Honor Society May 2007…………………………………...B.A., Anthropology Honors, University of Notre Dame 2008…………………....................................The Ohio State University Graduate Enrichment Fellow 2009 to present……………………………..Graduate Teaching Associate, Department of Anthropology, The Ohio State University Fields of Study Major Field: Anthropology v Table of Contents Abstract…………………………………………………………………..…………..…..ii Dedication………………………………………………………………………….….…iii Acknowledgments………………………………………………..………………..…….iv Vita………………………………………………………………………………………..v List of Tables……………………………………………………………………………vii List of Figures……………………………………………………………………….....viii Chapter 1: Introduction…………………………………………………………………1 Chapter 2: Methodology…………………………………………………………………6 Chapter 3: Results………………………………………………………………………14 Chapter 4: Discussion…………………………………………………………………..21 Chapter 5: Conclusion………………………………………………………………….26 References……………………………………………………………………………….27 vi List of Tables Table 1. Summary of sample data..................................................................................7 Table 2. Descriptive Statistics for the sample data.......................................................12 Table 3. One-sample Kolmogorov-Smirnov Test for all histomorphometric parameters........................................................................................................................13 Table 4. Summary of statistics from univariate analysis in relation to age................15 Table 5. Summary of statistics from univariate analysis in relation to sex…………19 Table 6. Summary of statistics from paired T-test and correlation............................20 vii List of Figures Figure 1. Example of the point at which OPD asymptote is reached……………..…..4 Figure 2. Examples of intact and fragmentary osteons………………………………..9 Figure 3. Images of osteons using programs Spot Basic 3.5.9.1 and ImageJ……….11 Figure 4. Osteon Circularity (On.Cr) for the sample data…………………………..16 Figure 5. Osteon Population Density (OPD) for the sample data……….…………...17 Figure 6. Mean Osteonal Area (On.Ar) for the sample data………………………...18 viii Chapter 1: Introduction Several histological methods have been developed for age estimation of archaeological and forensic skeletal remains (Kerley, 1965; Kerley and Ubelaker, 1978; Ahlqvist and Damsten, 1969; Thompson, 1980; Stout and Paine, 1992; Cho et al., 2002). Because these methods rely upon well-established increases in the number of intact and fragmentary osteons within defined fields or per unit area with age, osteon size (On.Ar) and circularity (On.Cr) potentially affect histological age estimates. The dimensions of osteons have been reported to vary with age, notably an age-dependent decrease in osteon size in humans (Jowsey, 1968; Singh and Gunberg, 1970; Ortner, 1975; Evans, 1976; Stout and Simmons, 1979; Martin et al., 1980; Thompson, 1980; Thompson and Galvin, 1983; Pfeiffer, 1998; Watanabe et al., 1998; Streeter and Stout, 2003). This decrease has been found in macaques as well (Burr, 1992; Havill, 2004). However, few studies have focused on the relationship between age and shape of osteons. Moreover, when aspects of On.Cr are examined the results are frequently limited to qualitative associations in regards to strain mode (Skedros et al., 1994) and location with the cortex (Pfeiffer, 1998). Some notable exceptions include Currey (1964) and Britz et al. (2009). Currey (1964) reported that the osteons of older individuals are nearly circular whereas younger individuals have more irregularly shaped osteons. Britz and colleagues (2009) found that circularity increased with age in the femur. Because osteons are histomorphological 1 products of bone remodeling, a brief review of the remodeling process will be given before the present study is discussed. Bone Remodeling During skeletal development, the processes of growth, modeling (shape change) and remodeling (turnover) work together to adapt bone for its typical peak biomechanical demands. After the completion of longitudinal and radial growth, a bone’s potential for significant modeling activity is greatly reduced. Bone remodeling, however, is continuous throughout the life of the individual. Remodeling is considered to exist in two basic forms. Systemic remodeling is stochastic and most likely serves a metabolic function, e.g., mineral homeostasis. Many authors have suggested a second form of bone remodeling that is primarily biomechanical in function and targeted to repair microdamage in bone (Parfitt 1983; Burr, 1993; Bentolila et al., 1998). The breakdown and renewal of bone that occurs during remodeling aids in skeletal maintenance, and helps alleviate mechanical stresses such as weight, posture, and physical activity (Wolff, 1892; Woo et al., 1981; Kumar et al., 2005). Bone is remodeled via a complex multicellular unit that tunnels longitudinally through cortical bone. This basic multicellular unit (BMU) consists of osteoclasts and osteoblasts. Osteoclasts resorb existing bone, leaving a tunnel-like cutting cone or resorptive bay behind them. At the edges of the resorptive bay, mononuclear cells lining the resorptive bay deposit a special 2 thin layer of matrix called a reversal (cement) line, which separates an osteon from the surrounding cortex. Osteoblasts then move in and begin to lay down new matrix in concentric lamellae, starting from the edges of the resorptive bay and moving to the inside of the tunnel, where a central canal is left (Frost, 1969; Parfitt, 1990; 1994). These canals are known as Haversian canals, and they house blood vessels. The entire structural unit of reversal line, lamellae, and Haversian canal formed by this process is known as an osteon or Haversian system (Cooper et al., 1966; Frost, 1969; Widmaier et al., 2001). Based on its morphology, the osteon can be regarded as an independent bone unit because it contains its own cellular and blood supply systems. Because bone remodeling begins at or before birth and continues until death, the number of secondary osteons increases per unit area with age (Stout and Gehlert, 1979). However, as the numbers of observable osteons and osteon fragments increase with age, an asymptotic value for osteon population density (OPD) is eventually achieved (Fig. 1). OPD is the sum of the observed intact and fragmentary osteons per unit area for a bone sample (Wu et al., 1970; Stout and Teitelbaum, 1976). The OPD asymptote is the number of osteons/mm2 at which new osteons begin to remove the evidence of preexisting ones (Frost, 1987). The cortex of bones usually reaches asymptote by 60 years of age, but it can occur as early as age 50 (Wu et al., 1970; Frost, 1987). Robling and Stout (2000) point out that once asymptote is reached, histological methods can no longer produce accurate age estimations. 3 Figure 1. Image showing the point at which OPD asymptote is reached (Robling and Stout, 2000) There are many factors affecting bone-remodeling rates. It is well established that bone-remodeling rate increases in both males and females in their seventh decade, and then declines during the next two decades (Martin et al., 2004). Heavy mechanical loading, for example can accelerate remodeling rates in certain bones and thus potentially yield estimates above actual age (Wolff, 1892; Woo et al., 1981, Kumar et al., 2005). Additionally, remodeling rates can be altered through decreased levels of physical activity or decreased responsiveness to loading (Kohrt, 2001; Pearson and Lieberman, 2004). Diet may also be a factor affecting remodeling rates. Cao and colleagues (2010) suggest that obesity induced by a high fat diet increases bone resorption that may dampen any positive effects of increased body weight on bone. Numerous pathological conditions can also affect remodeling rates and, in turn, age estimations. Diabetes tends to slow remodeling, and hyperparathyroidism tends to accelerate it (Robling and Stout, 2000). These factors have received considerable attention in the literature, and a number of 4 researchers have attempted to account for pathological conditions in age estimations (Ericksen, 1991; Robling and Stout, 2000; Paine and Brenton, 2006). Hypothesis Osteon circularity is a variable potentially affecting age at death estimation that is still not well understood. This is one of the first studies quantitatively examining osteon shape using a circularity index in both femoral and rib bone. The purpose of this study is to evaluate the impact osteon shape (circularity) has on age at death estimations. More specifically, I hypothesize that osteon circularity will increase with age in both femur and rib cross-sections, and that because OPD increases and osteon area decreases, smaller more circular osteons are more prevalent as age increases and OPD asymptote is reached. This is due to the greater likelihood of smaller more circular osteons surviving intact for measurement. 5 Chapter 2: Methodology Sample Material The study sample includes 12 males and 17 females, ages 17-82 years (with a mean age of 60.4 years). The 29 individuals are a subset of a dissecting room cadaver collection obtained from Washington University, St. Louis, Missouri. The slides of bone cross-sections were previously prepared for another study comparing cortical bone remodeling rates among three archaeological populations and a modern autopsy sample (Stout and Lueck, 1995). Undecalcified sections were dehydrated and embedded in methylmethacrylate. Transverse sections, approximately 200µm in thickness, were cut with a high-speed rotary saw, ground manually to a thickness of approximately 100 µm, and mounted on glass slides (Frost, 1958). Age at death, sex, and cause of death are known for the individuals (Table 1). The subset contained only individuals of European ancestry. Each individual was represented by femur and rib sections. All rib samples were taken from the middle-third of the rib and all femur samples were taken from the mid-shaft of the femur. These two sampling sites were chosen because they represent bones of different size and biomechanical loading histories (Robling and Stout, 2000), both factors that affect bone remodeling rate, and therefore age at which OPD asymptote is reached. 6 Table 1. Summary of sample data Individual 1 Bones Examined Femur, Rib Age 17 Sex M 2 Femur, Rib 35 F 3 Femur, Rib 39 F 4 Femur, Rib 47 F 5 6 7 8 Femur, Rib Femur, Rib Femur, Rib Femur, Rib 52 53 53 54 M M M F 9 Femur, Rib 55 F 10 11 12 13 Femur, Rib Femur, Rib Femur, Rib Femur, Rib 57 59 59 60 F F F M 14 15 Femur, Rib Femur, Rib 60 61 F F 16 17 Femur, Rib Femur, Rib 62 65 F F 18 19 20 21 22 Femur, Rib Femur, Rib Femur, Rib Femur, Rib Femur, Rib 66 66 67 68 68 M F M M M 23 24 25 Femur, Rib Femur, Rib Femur, Rib 70 72 72 M F F 26 27 Femur, Rib Femur, Rib 75 77 M F 28 Femur, Rib 81 F 29 Femur, Rib 82 M 7 Cause of Death Aspiration of gastric contents Seizure disorder Diabetes mellitus (Liver failure) Hemorrhage Metastatic Breast Cancer Suicide (Drug overdose) Carcinomatosis Pending Carcinomatosis Intracerebral hemorrhage Metastatic Colon Cancer Liver Failure Ovarian Cancer Breast Cancer Cardiac Arrest Bladder Cancer Cerebral Hemorrhage Cardiac Arrest Metastatic Breast Cancer Lung Cancer Carcinomatosis Heart Attack Pneumonia Chronic Congestive Heart Failure Lung Cancer Pending Metastic Breast Cancer Gastric Carcinoma Cerebrovascular Accident Cerebral Hemorrhage Ventricular Fibulation Histomorphometric Variables Intact and fragmentary osteons (Fig. 2) were defined and counted following a point-count grid method in order to determine osteon population density (OPD, osteons/mm2). Half or more of an osteon’s area had to fall within the counting field (square grid) of the eyepiece reticule to be counted (Pirok et al., 1966; Wu et al., 1970; Stout and Teitelbaum, 1976). Osteon population density is defined as the number of intact and fragmentary osteons per unit area (Wu et al., 1970; Stout and Teitelbaum, 1976). An intact osteon is an osteon in which at least 90% of the Haversian canal exhibits no evidence of remodeling by subsequent osteon generations. Fragmentary osteons are those in which the evidence of formation or resorption is present in more than 10% of its Haversian canal (Cho et al., 2002). For determining osteon circularity (On.Cr, unitless), only structurally complete intact osteons with round haversian canals were measured. On.Cr was measured using circularity index (4*pi*area/square root of perimeter) the shape factor that indicates to what extent a measured object is similar to a true circle. One represents a true circle and values approaching zero represent increasingly elongated shapes (Russ, 1990). Osteon area represented the total area contained within the cement lines of structurally complete osteons for each specimen. For determining mean osteonal area (On.Ar, mm2) the average area of 30-35 osteons per individual/per bone (femur/rib) was calculated. Histomorphometric analyses were 8 performed according to standard criteria (Parfitt et al., 1987) and all abbreviations are according to the standard nomenclature described by Parfitt et al. (1987). Figure 2. Intact and fragmentary osteons. Photomicrograph of an unstained nondecalcified transverse section of a tibia. Thin arrows point to the cement line of an intact osteon (i) that has partially eliminated an earlier formed osteon to create an osteon fragment (f). Open arrow indicates a Haversian canal. Heavy arrows point to the cement line of the osteon fragment. At a 10x magnification (Stout, 1982). 9 Image Analysis Thirty to thirty-five osteons were measured for each of the femur and rib thin sections. As osteon size tends to vary in different areas of the bone cortex, perhaps relating to regional differences in strain levels (van Oers et al., 2008a, b), osteons were sampled from throughout the entire thin section to obtain representation from all regions. The prepared slides of bone thin (~100µm) sections were all examined under transmitted light with an Olympus BX51 research microscope with integrated eyepiece grid to allow microscopic field delineation and perform area measurements (Kimmel and Jee, 1983). A camera mounted on the microscope captured polarized and semi-polarized images of the slides and transmitted them to a computer. Using SPOT Basic 3.5.9.1 software (Diagnostic Instrument Inc.) and ImageJ software platform (v 1.42; National Institutes of Health), an outline of each osteon was manually drawn, from which the computer calculated osteon circularity and area (Fig. 3). A drawing pen tablet (Intuos3, Wacom Co. Ltd., Japan) was employed for manual outlining of osteon boundaries. Each individual osteon was outlined separately and served the basis for the calculation of osteon geometric properties. All osteons which had well defined boundaries were outlined. This included osteons with ‘classic’ circular shapes and more ‘irregular’ elongated shapes. Where the majority of an osteon outline (≥ 75%) was visible and the remainder could be inferred, it was also included. This inclusive approach was taken because it avoided 10 subjective judgment regarding circularity. Calibration at 10x was established with a stage micrometer. All histomorphometric variables are measured using a 10x magnification. Figure 3. Spot Basic images from the cortex of the rib of a 17 yr old male at a magnification of 10x. The second image shows two examples of manually drawn outlines used to calculate area and circularity. Statistics Statistical analyses were performed using SPSS 17.0 (SPSS Inc., Chicago, IL, USA). Mean values for On.Cr, On.Ar, and OPD were calculated for each individual and these were employed in subsequent analyses. Summary descriptive statistics for the sample are provided in Table 2. Komolgorov-Smirnov 1-sample tests confirmed that the 11 collection of mean values was distributed normally for all histomorphometric variables (Table 3). Univariate analysis of variance was conducted to evaluate the relationship between osteon geometry and age (fixed factor). The same analysis was done using sex as a factor. Additionally, a paired T-test and paired correlations were utilized to evaluate relationships between femur osteon geometry and rib osteon geometry. For all analyses, significance level was set at p < 0.05 and log-transformed age was used to improve the linearity of the relationship with the histomorphometric variables. Table 2. Descriptive Statistics for the sample data Descriptive Statistics Std. N Minimum Maximum Statistic Statistic Statistic Mean Statistic Std. Error Deviation Variance Statistic Statistic Age (yrs) 29 17 82 60.41 2.583 13.912 193.537 Femur On.Cr 29 .8327 .9272 .902286 .0048094 .0258996 .001 29 .0138 .0653 .034074 .0022828 .0122934 .000 29 9.718 41.100 23.43614 1.173137 6.317534 39.911 29 .857 .924 .90268 .003111 .016753 .000 Rib On.Ar (mm2) 29 .01230 .04255 .0248192 .00178163 .00959435 .000 Rib OPD 29 12.59 42.33 22.9106 1.16426 6.26971 39.309 (unitless) Femur On.Ar 2 (mm ) Femur OPD 2 (osteons/mm ) Rib On.Cr (unitless) 2 (osteons/mm ) Valid N 29 12 Table 3. One-sample Kolmogorov-Smirnov Test for all histomorphometric parameters One-Sample Kolmogorov-Smirnov Test N Normal Parameters a Mean Std. Femur Femur Femur On.Cr On.Ar OPD Rib On.Cr Rib On.Ar Rib OPD 29 29 29 29 29 29 .902286 .034074 23.43614 .90268 .0248192 22.9106 .0258996 .0122934 6.317534 .016753 .00959435 6.26971 Deviation Most Extreme Absolute .223 .158 .091 .172 .155 .131 Differences Positive .168 .158 .091 .101 .155 .131 Negative -.223 -.063 -.067 -.172 -.096 -.074 1.201 .851 .492 .924 .837 .708 .112 .464 .969 .360 .486 .699 Kolmogorov-Smirnov Z Asymp. Sig. (2-tailed) a. Test distribution is Normal. 13 Chapter 3: Results As predicted, there is an age related increase in circularity in both femoral and rib bones. In addition, osteon circularity was significantly related to age (p=0.000), as were OPD (p=0.002) and On.Ar (p=0.056) (Table 4). This relation was positive for On.Cr and OPD and negative for On.Ar. That is circularity and density increased with age while osteonal area decreased with age. Scatter plots of the relationships among all variables with age (untransformed) are provided in Figures 4-6. As reported by Britz et al. (2009), this study found no significant relationship between sex and circularity (p=.735). Moreover, there was no statistically significant relationship between sex and On.Ar (p=0.142) nor between sex and OPD (p=0.841) (Table 5). A comparison between femur and rib osteon geometry found all three histomorphometric variables significantly correlated (p= < 0.05), and a paired T-test showed no significant difference in means for On.Cr (p=0.845) or OPD (p=0.631). However, there was a significant difference for On.Ar (p=0.000), with the femur having larger osteons. Results of the paired T-test and correlations are provided in Table 6. 14 Table 4. Summary of statistics from univariate analysis in relation to age Tests of Between-Subjects Effects Dependent Type III Sum of Source Variable Corrected Model On.Cr .024a 22 .001 13.853 .000 On.Ar .004b 22 .000 1.813 .056 1433.672c 22 65.167 2.893 .002 On.Cr 42.935 1 42.935 547528.801 .000 On.Ar .047 1 .047 438.325 .000 26757.808 1 26757.808 1187.716 .000 On.Cr .024 22 .001 13.853 .000 On.Ar .004 22 .000 1.813 .056 1433.672 22 65.167 2.893 .002 On.Cr .003 35 7.842E-5 On.Ar .004 35 .000 OPD 788.508 35 22.529 On.Cr 47.266 58 On.Ar .058 58 33368.407 58 On.Cr .027 57 On.Ar .008 57 2222.180 57 OPD Intercept OPD LogAge OPD Error Total OPD Corrected Total OPD Squares df a. R Squared = .897 (Adjusted R Squared = .832) b. R Squared = .533 (Adjusted R Squared = .239) c. R Squared = .645 (Adjusted R Squared = .422) 15 Mean Square F Sig. Figure 4. Osteon Circularity Index (unitless). As age increased, there was an increase in circularity index for both rib and femoral bones. 16 Figure 5. Osteon Population Density (osteons/mm2). As age increased, there was an increase in the osteon population density for both rib and femoral bones. 17 Figure 6. Osteonal Area (mm2). As age increased, there was a decrease in mean osteonal area for both rib and femoral bones. 18 Table 5. Summary of statistics from univariate analysis in relation to sex Tests of Between-Subjects Effects Dependent Type III Sum of Source Variable Corrected Model On.Cr 5.502E-5a 1 5.502E-5 .116 .735 On.Ar .000b 1 .000 2.220 .142 OPD 1.603c 1 1.603 .040 .841 On.Cr 45.818 1 45.818 96504.877 .000 On.Ar .050 1 .050 362.587 .000 30144.521 1 30144.521 760.205 .000 On.Cr 5.502E-5 1 5.502E-5 .116 .735 On.Ar .000 1 .000 2.220 .142 OPD 1.603 1 1.603 .040 .841 On.Cr .027 56 .000 On.Ar .008 56 .000 2220.577 56 39.653 On.Cr 47.266 58 On.Ar .058 58 33368.407 58 On.Cr .027 57 On.Ar .008 57 2222.180 57 Intercept OPD Sex Error OPD Total OPD Corrected Total OPD Squares df Mean Square a. R Squared = .002 (Adjusted R Squared = -.016) b. R Squared = .038 (Adjusted R Squared = .021) c. R Squared = .001 (Adjusted R Squared = -.017) 19 F Sig. Table 6. Summary of statistics from paired T-test and paired correlation Paired Samples Correlations N Correlation Sig. Pair 1 Femur On.Cr & Rib On.Cr 29 .961 .000 Pair 2 Femur On.Ar & Rib On.Ar 29 .557 .002 Pair 3 Femur OPD & Rib OPD 29 .572 .001 Paired Samples T-Test Paired Differences Sig. (2Mean Std. Deviation Std. Error Mean t df tailed) Pair 1 Femur On.Cr - Rib On.Cr -.0003969 .0108261 .0020104 -.197 28 .845 Pair 2 Femur On.Ar - Rib On.Ar .00925528 .01056866 .00196255 4.716 28 .000 Pair 3 Femur OPD - Rib OPD .525586 5.821087 1.080949 .486 28 .631 20 Chapter 4: Discussion These results support the hypothesis that age is significantly associated with osteon shape in both rib and femoral bone. Observed results support the observations of Currey (1964) and Britz et al. (2009) that osteon cross-sectional shape becomes more circular with age. Additionally, increase is continuous in this sample and continues beyond the point at which cortical bone reaches OPD asymptote. Further, the observed increase in circularity with age is consistent with a suggestion by Takahashi and colleagues (1965) that the decreasing osteon area with age is because larger osteons are more likely to be overlapped by subsequent remodeling events. Moreover, an increase in osteon population density in both femur and rib bone cross-sections with age is observed. An increase in OPD per unit area with age, decreases the probability that eccentric and larger osteons survive to be measured. More secondary osteons appear with age, creating more and more osteon fragments. The largest osteons are therefore the most vulnerable to having part of their area removed by new osteons and are the least likely to survive intact as the individual ages (Robling and Stout, 2000). Conversely, the osteonal area decreased with age in both rib and femoral bones sampled. As previously stated, a decrease in osteon size with age is well documented in the literature. In this study, there was a significant difference in rib and femoral osteonal area. Ribs have a relatively thin cortex, are less affected by physical activity than are load-bearing long bones, like the femur (Raab et al., 1991; Tomerrup et al., 1993). As 21 reported in this study, Pfeiffer (1998) found that the mean osteonal area of ribs was significantly smaller than the mean osteonal area of femora. Pfeiffer argues that osteon size is correlated with bone size, for example, smaller bones have smaller osteons. The increase in OPD and a decrease in On.Ar with age appears to result in symmetrical, more circular shaped osteons. Additionally, it is important to consider the effect of mechanical loading, especially when dealing with a load-bearing bone, such as the femur. Compression or tensile loading increases cross-sectional circularity while torsion resistance forms osteon shapes that are less resistant to bending (e.g. ellipse) (Alexander, 1968; Rothschild and Panza, 2007). Also, van Oers and colleagues (2008a, 2008b) found that smaller osteons were located in areas of higher strains. Furthermore, the presence of reversal lines permits them to act as 'crack stoppers'. Smaller, more circular osteons may improve the fatigue life of cortical bone as it relates to microdamage. As age increases, the density of microcrack damage increases in both males and females (Schaffler et al., 1995). Microcrack propagation will tend to follow cement lines and lamellar boundaries along the tensile side of a strained element (Martin and Burr, 1982). It has been suggested that the concentric organization of Haversian lamellae also acts to limit the progression of a microcrack (Currey, 1962; Saha and Hayes, 1977; Martin and Burr, 1982; O’Brien et al., 2005; Gibson et al., 2006). Extending fatigue life through Haversian remodeling is considerably more efficient metabolically than the alternative of dramatically increasing cross-sectional area (i.e., 22 bone thickness) (Lipson and Katz 1984). In biomechanics, circularity implies optimum resistance to "all strain-inducing modes" (Lovejoy et al., 1976: 505). This and previous studies show that osteons in cortical bone vary in size, even between two adjacent osteons (Landeros and Frost, 1964; Martin and Burr, 1989; Qiu et al., 2003). The mechanism(s) for the formation of different sized osteons remains unclear. It has been suggested that osteon size is determined by the quantity of bone removed by osteoclasts in one resportive tunnel (Landeros and Frost, 1964; Takahashi and Frost, 1965). However, a change in osteon size may be considered a desirable adaptive response. For example, while Moyle and colleagues (1978) found no significant relation between osteon diameter and toughness in canine femoral bone, specimens that failed testing had significantly larger osteons. Additionally, a decrease in osteoclastic activity may contribute to this trend (van Oers et al., 2008a). Van Oers et al. (2008a, 2008b) propose that strain-induced osteocyte signals inhibit osteoclast activity and therefore affect osteon size. If there is a decreased responsiveness to loading (Kohrt, 2001; Pearson and Lieberman, 2004) with age, one might expect an increase in osteon size. However, Martin and colleagues (1980) have linked a decrease in osteon size to a decrease in osteoclastic activity, and Tappen (1977) observed that resorption events do not always occupy all the space (e.g. highly mineralized older bone) available to them. Finally, another potential benefit of decreased osteon size may be that, as bone density 23 increases, the introduction of smaller spaces reduces the size of temporary defects, which might contribute to bone failure. To eliminate the potential effects of ancestry on the results, I restricted the examination to only individuals of European ancestry. There is evidence that ancestral differences exist for bone mass and structure (Ericksen, 1979; Pollitzer and Anderson, 1989; Parfitt, 1997; Cho et al., 2002). In looking at the bone samples themselves there were some assumptions made. Since autopsies had been performed, it is assumed that the listed cause of death correctly reflects the state of health for each individual. It is also assumed that the accident victims represent typical bone turnover rates for their cohort. Chronically ill individuals probably do not represent typical bone turnover rates, but they were retained in this sample to insure the broadest data set. This seemed appropriate as these findings are meant to be applied to unidentified modern skeletal remains or to archaeological skeletal specimens, which are not necessarily healthy populations. This data set is particularly well suited to forensic anthropology, since forensic cases would be from a population similar in age and health distribution to the sample individuals. In examining the data, there were also some contributing factors that may have affected the results of this study. Osteon accumulation is limited by the fact that osteons soon begin to overlap one another as more and more are added (Martin et al., 2004). As osteons overlap each other it is more difficult to accurately measure circularity. An earlier generation of osteon may appear to be a fragment but may in fact be a circular intact 24 osteon that has been partially covered. The impact of menopause is another confounding factor. Older females in the sample were post-menopause. Bone loss associated with an imbalance in remodeling and cortical thinning (which increases with menopause) is accelerated in females (Kaptoge et al., 2003; Russo et al., 2006). With an increase in remodeling, younger menopausal females may have a higher circularity index at an earlier age. Finally, it is unclear whether the BMUs themselves actually form smaller osteons as age increases or whether the observed smaller osteons are merely a factor of osteon crowding with age. Further research should continue to address the study of osteon shape and its potential applications using circularity index as an additional variable to examine with current aging methods. For example, in this study, a circularity index of 0.89 and greater was a clear indication mark for identifying an individual over the age of 60. 25 Chapter 5: Conclusion In summary, it was found that with age there is a decrease in osteon size and an increase in circularity and osteon density. Additional research is needed to better clarify the underlying cause of the link between age and osteon shape as well as changing osteon size with age. The present study suggests that the observed increase in osteon circularity with age can be explained by the effects of increasing osteon population density and/or decreased osteon size on the shape of osteons. With the increase in osteon population density (OPD) per unit area with age, the probability of eccentric and larger osteons surviving to be measured decreases. Those left to measure are smaller and more circular in shape. 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