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Objectives: Cortisol is an important metabolic hormone that regulates multiple physiologic systems. Cortisol metabolism is sensitive to early life environments, including that experienced prenatally. Limited research has evaluated factors that predict variation in maternal and offspring toddler hair cortisol, which is important since hair cortisol represents different dynamics of hypothalamic pituitary adrenal (HPA)‐axis function than more common salivary or serum measures. Methods: To address this gap, we longitudinally evaluated whether maternal depression measured in pregnancy and 1 month postnatal was associated with maternal and offspring hair cortisol levels approximately 15 months after birth (n = 46 mothers, 40 toddlers; mean 15.6 months postnatal, SD = 2.9 months). Results: Mean depression symptoms were highest during the prenatal period. Prenatal, but not postnatal, maternal depression was associated with offspring hair cortisol levels (B = 0.095, p =.01). Maternal hair cortisol was not associated with depression measured at either time point. Conclusions: These findings indicate that offspring hair cortisol more than a year after birth is associated with maternal prenatal depression, consistent with previous research in salivary cortisol, suggesting that long‐term offspring stress physiology may be influenced by conditions experienced in utero. These findings highlight the potential for hair cortisol—a minimally invasive and easy‐to‐collect measure— to index toddler HPA‐axis dynamics. [ABSTRACT FROM AUTHOR]

Objectives: Helicobacter pylori (H. pylori)—a gastric bacteria affecting almost 50% of the global population and leading to ulcers and cancer in severe cases—is a growing health concern among Indigenous populations who report a high burden of reported poor general health and gastrointestinal distress. We test hypothesized associations between H. pylori exposure patterns and environmental, social, and biological conditions among a sample of 212 Indigenous Awajún adults (112 males, 100 females, ages 18–65 years) living in the northern Peruvian Amazon. Materials and Methods: Dried blood spots were analyzed for H. pylori‐specific IgG using a recently developed enzyme‐linked immunosorbent assay. Resulting seropositivity rates and antibody concentrations, proxying past exposures to H. pylori were analyzed in relation to relevant environmental (toilet type, floor material, reported water quality), social (household size and education level), and biological (age, sex, BMI, blood pressure, immune and metabolic biomarkers) factors using multivariable regression analyses. Results: We found near ubiquitous seropositivity for H. pylori exposure in our sample (99.1% seropositive). In the regression analyses, elevations in H. pylori antibody concentrations were significantly higher among males compared to females (β = 0.36, p = 0.01). No associations were found with any other factors. Discussion: Anthropological research in the study communities suggests that the male bias in elevations of H. pylori antibody concentrations is related to cultural and biological factors. Future research is needed to further unravel these biocultural dynamics and determine whether elevations in H. pylori antibody concentrations have clinical relevance for gastrointestinal health outcomes in this population. [ABSTRACT FROM AUTHOR]

Objectives: Biocultural perspectives combining methods and theories from biological and cultural anthropology are needed to better understand socioeconomic and race‐based health inequities in the United States. For example, the developmental trajectories of gastrointestinal health disparities based on embodied (i.e., internalized) inequities in resource access and environmental pathogen exposure are poorly understood. Here, we present a preliminary exploration of these relationships among 20 children (aged 3–14 years) from 12 families living in a low‐resource, predominantly Black, rural Mississippi community. Methods: Relationships between fecal calprotectin levels (FC; biomarker of intestinal inflammation measured from stool samples), BMI‐for‐age/Height‐for‐age z‐scores (calculated from standard anthropometric measures), household income/size (from parent interviews), and parasitic worm (helminth) infection status (detected in stool samples by 18 s rRNA gene amplification/sequencing) were tested using bootstrap linear regression and ANOVA/ANCOVA tests. Results: About 80% of sampled children had clinically elevated FC (> 50 μg/g). BMI z‐scores (95%CI = −154.63; −7.34) and household income (95%CI = −135.90; −16.44) were negatively associated with FC levels. Household size was positively associated with FC levels (95%CI = 4.65, 101.61). Helminth infections were detected (n = 6), with positive associations between infection and the FC level (p < 0.05) that were likely driven by two infected children with very high FC levels. Conclusion: The high levels of intestinal inflammation in this small sample of children suggest that gastrointestinal health disparities may appear in childhood. We explore how these disparities may be related to inequities in environmental exposures, nutritional and socioeconomic status, and barriers to medical care and resource access. Intestinal inflammation levels (mean fecal calprotectin) were significantly higher in children infected with platyhelmints (flatworms; Figure 2A), but this relationship appears to be driven by two infected children with very high levels of inflammation (Figure 2b) and more complex, interconnected factors are likely at play. Figure captions refer in meta xml. [ABSTRACT FROM AUTHOR]

Infant social–emotional development may be impacted by the COVID‐19 pandemic. This study investigated associations between maternal pre‐ and postnatal pandemic‐related concerns and social–emotional developmental risk. Data, collected in 2020–2021, came from 220 mothers (87% white, 6% Hispanic, 1% Black, 3% Asian, 1% American Indian, Mage = 32.46 years), and infants (53.18% male, Mage = 12.98 months) in the United States. Maternal postnatal pandemic‐related concerns were associated with total risk scores (B = 6.09, p‐value <.001) and offspring risk of scoring positive for problems related to inflexibility (B = 4.07, p‐value =.006). The total score association was moderated by self‐reported social support. Infants may be detrimentally impacted by the pandemic via maternal pandemic‐related concerns. Maternal social support may buffer infants. [ABSTRACT FROM AUTHOR]

Introduction: Intestinal infections with helminths (parasitic worms) and protists (single‐celled eukaryotes) may be neglected health issues in low‐resource communities across the United States. Because they predominantly infect school‐aged children and can lead to nutritional deficiencies and developmental delays, these infections can affect lifelong health. More research is needed to understand the prevalence and risk factors of these parasitic infections in the United States. Methods: A total of 24 children (ages 0.5–14 years) from a low‐resource, rural Mississippi Delta community provided stool samples for 18s rRNA amplification and sequencing to determine infection presence. Parent/guardian interviews provided age, sex, and household size to test for associations with infection. Results: Infections were found in 38% (n = 9) of the samples. 25% (n = 6) of participants were infected with helminths (platyhelminths [n = 5]; nematodes [n = 2]), while 21% (n = 5) were infected with protists (Blastocystis [n = 4]; Cryptosporidium [n = 1]). There were no associations between infection status and age, sex, or household size. Problematically, analytical methods did not allow for more specific classifications for helminth species. Conclusions: These preliminary findings suggest parasitic infections may be overlooked health issues in the rural Mississippi Delta and emphasize the need for more research on potential health outcomes within the United States. [ABSTRACT FROM AUTHOR]

Point‐of‐care testing (POCT) allows researchers and health‐care providers to bring the lab bench to the field, providing essential health information that can be leveraged to improve health care, accessibility, and understanding across clinical and research settings. Gaps in health service access are most pronounced in what we term RIR settings—rural/remote regions, involving Indigenous peoples, and/or within resource‐limited settings. In these contexts, morbidity and mortality from infectious and non‐communicable diseases are disproportionately higher due to numerous geographic, economic, political, and sociohistorical factors. Human biologists and global health scholars are well‐positioned to contribute on‐the‐ground‐level insights that can serve to minimize global health inequities and POCT has the potential to augment such approaches. While the clinical benefits of POCT include increasing health service access by bringing testing, rapid diagnosis, and treatment to underserved communities with limited pathways to centralized laboratory testing, POCT also provides added benefits to both health‐focused researchers and their participants. Through portable, minimally invasive devices, researchers can provide actionable health data to participants by coupling POCT with population‐specific health education, discussing results and their implications, creating space for participants to voice concerns, and facilitating linkages to treatment. POCT can also strengthen human biology research by shedding light on questions of evolutionary and biocultural importance. Here, we expand on the epidemiological and research value, as well as practical and ethical challenges of POCT across stakeholders (i.e., participant, community, health researcher, and trainee). Finally, we emphasize the immense opportunities of POCT for fostering collaborative research and enhancing access to health delivery and information and, by extension, helping to mitigate persistent global health inequities. [ABSTRACT FROM AUTHOR]

Objectives: The rise and fall of the health technology startup Theranos is emblematic of the promise and peril of point‐of‐care testing (POCT). Instruments that deliver immediate results from minimally invasive samples at the location of collection can provide powerful tools to deliver health data in clinical and public health contexts. Yet, POCT availability is driven largely by market interests, which limits the development of inexpensive tests for diverse health conditions that can be used in resource‐limited settings. These constraints, combined with complex regulatory hurdles and substantial ethical challenges, have contributed to the underutilization of POCT in human biology research. Methods: We evaluate current POCT capabilities and limitations, discuss promising applications for POCT devices in resource‐limited settings, and discuss the future of POCT. Results: As evidenced by publication trends, POCT platforms have rapidly advanced in recent years, gaining traction among clinicians and health researchers. We highlight POCT devices of potential interest to population‐based researchers and present specific examples of POCT applications in human biology research. Conclusions: Several barriers can limit POCT applications, including cost, lack of regulatory approval for non‐clinical use, requirements for expensive equipment, and the dearth of validation in remote field conditions. Despite these issues, we see immense potential for emerging POCT technology capable of analyzing new sample types and used in conjunction with increasingly common technology (e.g., smart phones). We argue that the fallout from Theranos may ultimately provide an opportunity to advance POCT, leading to more ethical data collection and novel opportunities in human biology research. [ABSTRACT FROM AUTHOR]

Background: Leaving "home" to pursue fieldwork is a necessity but also a rite of passage for many biological anthropology/human biology scholars. Field‐based scientists prepare for the potential changes to activity patterns, sleep schedules, social interactions, and more that come with going to the field. However, returning from extended fieldwork and the reverse‐culture shock, discomforts, and mental shifts that are part of the return process can be jarring, sometimes traumatic experiences. A failure to acknowledge and address such experiences can compromise the health and wellbeing of those returning. Aims: We argue for an engaged awareness of the difficult nature of returning from the field and offer suggestions for individuals and programs to better train and prepare PhD students pursuing fieldwork. Materials & Methods: Here, we offer personal stories of "coming back" and give professional insights on how to best ready students and scholars for returning from fieldwork. Discussion/Conclusion: By bringing forward and normalizing the difficulty of the fieldwork‐return process, we hope that this reflection acts as a tool for future scholars to prepare to come home as successfully and consciously as possible. [ABSTRACT FROM AUTHOR]

Objective: Anemia is an important global health challenge. We investigate anemia prevalence among Indigenous Shuar of Ecuador to expand our understanding of population‐level variation, and to test hypotheses about how anemia variation is related to age, sex, and market integration. Methods: Hemoglobin levels were measured in a total sample of 1650 Shuar participants (ages 6 months to 86 years) from 46 communities between 2008 and 2017 to compare anemia prevalence across regions characterized by different levels of market integration. Results: Shuar anemia rates among children under 15 years (12.2%), adult women (10.5%), and adult men (5.3%) were less than half of those previously documented in other neo‐tropical Indigenous populations. Anemia prevalence did not vary between more traditional and market integrated communities (OR = 0.47, p =.52). However, anemia was negatively associated with body mass index (OR = 0.47, p =.002). Conclusions: Compared to other South American Indigenous populations, anemia prevalence is relatively low among Shuar of Ecuador and invariant with market integration. Understanding this pattern can provide valuable insights into anemia prevention among at‐risk populations. [ABSTRACT FROM AUTHOR]

Objectives: The COVID‐19 pandemic has led to unprecedented levels of unemployment and financial strain for many Americans. Among the individuals impacted by financial strain are pregnant women, for whom added financial stress may be particularly impactful due to the costs associated with prenatal care and providing for a newborn. Financial stress has been previously associated with elevated depression symptoms among pregnant women, which could have significant impacts on birth outcomes and long‐term offspring health. However, the impacts of COVID‐19‐associated financial stress on maternal depression in pregnancy has not been investigated. Methods: Here, we evaluated whether COVID‐19‐associated financial stress was associated with increased likelihood of a clinically significant depression score (Edinburgh Postnatal Depression Score ≥ 15) among pregnant women living in the United States during the COVID‐19 pandemic. Data come from an online survey administered to a convenience sample in April 2020 (N = 2099). Results: Forty‐three percent of participants reported experiencing financial stress as a result of the pandemic, while 24% of participants had a clinically significant depression score. COVID‐19‐related financial stress was significantly associated with increased likelihood of a clinically significant depression score, even after adjustment for covariates including participant education and income (adjusted Odds Ratio: 2.23, 95% CI = 1.80, 2.77, P <.001). Conclusions: Financial stress caused by the COVID‐19 pandemic is associated with more than two times the likelihood of depression during pregnancy, which could impact birth outcomes and long‐term offspring health. [ABSTRACT FROM AUTHOR]

Objectives: Increasing obesity rates and accelerating climate change represent two global health challenges shaped by lifestyle change and human environmental modifications. Yet, few studies have considered how these issues may interact to exacerbate disease risk. Methods: In this theory article, we explore evidence that obesity‐related disease and climatic changes share socio‐ecological drivers and may interact to increase human morbidity and mortality risks. Additionally, we consider how obesity‐climate change interactions may disproportionately affect vulnerable populations and how anthropological research can be applied to address this concern. Results: Interactions between heat stress and cardiometabolic disease represent an important pathway through which climate change and obesity‐related morbidities may jointly impair health. For example, individuals with higher body fatness and obesity‐related metabolic conditions (eg, type 2 diabetes) exhibit a reduced ability to dissipate heat. The risk of poor health resulting from these interactions is expected to be heterogeneous, with low‐ and middle‐income countries, individuals of lower socioeconomic status, and minority populations facing a greater disease burden due to relative lack of resource access (eg, air conditioning). Moreover, older adults are at higher risk due to aging‐associated changes in body composition and loss of thermoregulation capabilities. Conclusions: Few policy makers appear to be considering how interventions can be designed to simultaneously address the medical burden posed by increasing obesity rates and climate change. Anthropological research is well situated to address this need in a nuanced and culturally‐sensitive way; producing research that can be used to support community resilience, promote holistic well‐being, and improve health outcomes. [ABSTRACT FROM AUTHOR]

Energetic investment in human reproduction has long been recognized as costly, influencing developmental, physiological, and behavioral patterns in males and females. These effects are largely coordinated through the actions of reproductive hormones (eg, testosterone, estradiol, and progesterone). Here, the utility and limitations of minimally invasive sampling techniques are explored, providing a novel perspective on how reproductive hormone measurements can enhance reproductive endocrinology research. Salivary steroid measures are most commonly used, although several dried blood spot and urine assays are also available, and researchers continue to explore the efficacy of other sample types. These relatively simple measures have facilitated the collection of multiple samples from a single participant, allowing researchers to more accurately track the diurnal and cyclical variation exhibited by many reproductive hormones. Ultimately, the ability to collect fine‐grained participant data allows biological anthropologists to better test questions central to human reproductive ecology, life history theory, and public health. For example, fieldwork using these techniques suggests that testosterone profile variation across populations is influenced by energetic constraints and reproductive status. Moreover, hormone concentrations shape the development of sex characteristics, with implications for evolutionary questions related to sexual selection. Hormone levels also can be used to identify a range of medical concerns (eg, suppressed hormone production levels linked with psychosocial stress). These findings highlight how minimally invasive collection techniques can be applied to test diverse evolutionary hypotheses and identify important health concerns. Still, more work is needed to standardize collection and laboratory analysis procedures, thereby enabling more direct data comparisons between researchers. [ABSTRACT FROM AUTHOR]

Objectives: Little research exists documenting levels of intestinal inflammation among indigenous populations where exposure to macroparasites, like soil‐transmitted helminths (STHs), is common. Reduced STH exposure is hypothesized to contribute to increased prevalence of elevated intestinal inflammation in wealthy nations, likely due to coevolutionary histories between STHs and human immune systems that favored anti‐inflammatory pathways. Here, we document levels of intestinal inflammation and test associations with STH infection among the Shuar of Ecuador, an indigenous population undergoing socioeconomic/lifestyle changes that influence their hygienic environment. We predict that fecal calprotectin (FC; a measure of intestinal inflammation) will be lower in STH infected individuals and that FC will be negatively associated with infection intensity. Methods: Stool samples to analyze FC levels and STH infection were collected from 69 Shuar participants (ages 5–75 years). Children (<15 years) and adults (15+ years) were analyzed separately to understand the role of exposure in immune system development and the intestinal inflammatory response. Results: Two species of STH were present: Ascaris lumbricoides and Trichuris trichiura. The relationships between infection and intestinal inflammation were age‐ and species‐specific. While no significant relationships were found among adults, children who were singly infected with T. trichiura had lower FC levels than uninfected children. Infection intensity was not significantly associated with FC in children or adults. Conclusions: These preliminary results provide limited support for our hypotheses, documenting tentative age‐ and species‐specific associations between FC and infection status. Findings may point to the importance of species‐specific STH exposure during immune system development. [ABSTRACT FROM AUTHOR]

The article discusses research on the impact of the COVID-19 pandemic on the birth plans of pregnant women in the U.S., based on the data collected between April 16-20, 2020 for the online survey entitled "COVID-19 And Reproductive Effects (CARE)." Results include the percentage of respondents who preferred out-of-hospital birth, and the COVID-related reasons for birth plan alterations including the worry of being separated from their newborns and the restrictions on visitors.

ABSTRACT Objectives Knemometry, the precise measurement of lower leg (LL) length, suggests that childhood short-term (e.g., weekly) growth is a dynamic, nonlinear process. However, owing to the large size and complexity of the traditional knemometer device, previous study of short-term growth among children has been restricted predominantly to clinical settings in industrialized Western nations. The aim of the present study is to address this limitation and promote broader understandings of global variation in childhood development by: (1) describing a custom-built portable knemometer and assessing its performance in the field; and (2) demonstrating the potential application of such a device by characterizing childhood short-term LL growth among the indigenous Shuar of Amazonian Ecuador. Materials and Methods Mixed-longitudinal LL length data were collected weekly from 336 Shuar children age 5-12 years old using the custom portable knemometer ( n = 1,145 total observations). Device performance and Shuar short-term LL growth were explored using linear mixed effects models and descriptive statistics. Results The portable knemometer performed well across a range of participant characteristics and possesses a low technical error of measurement of 0.18 mm. Shuar childhood LL growth averages 0.47 mm/week (SD = 0.75 mm/week), but exhibits large between- and within-individual variation. Discussion Knemometry can be reliably performed in the field, providing a means for evaluating childhood short-term growth among genetically and ecologically diverse populations. Preliminary findings suggest that Shuar weekly LL growth is comparable in mean magnitude but likely more variable than reported for healthy Western children. Future work will further explore these patterns. Am J Phys Anthropol 160:353-357, 2016. © 2016 Wiley Periodicals, Inc. [ABSTRACT FROM AUTHOR]

Objectives Information concerning physical growth among small-scale populations remains limited, yet such data are critical to local health efforts and to foster basic understandings of human life history and variation in childhood development. Using a large dataset and robust modeling methods, this study aims to describe growth from birth to adulthood among the indigenous Shuar of Amazonian Ecuador. Methods Mixed-longitudinal measures of height, weight, and body mass index (BMI) were collected from Shuar participants ( n = 2,463; age: 0-29 years). Centile growth curves and tables were created for each anthropometric variable of interest using Generalized Additive Models for Location, Scale, and Shape (GAMLSS). Pseudo-velocity and Lambda-Mu-Sigma curves were generated to further investigate Shuar patterns of growth and to facilitate comparison with United States Center for Disease Control and Prevention and multinational World Health Organization growth references. Results The Shuar are small throughout life and exhibit complex patterns of growth that differ substantially from those of international references. Similar to other Amazonians, Shuar growth in weight compares more favorably to references than growth in height, resulting in BMI curves that approximate international medians. Several additional characteristics of Shuar development are noteworthy, including large observed variation in body size early in life, significant infant growth faltering, extended male growth into adulthood, and a markedly early female pubertal growth spurt in height. Phenotypic plasticity and genetic selection in response to local environmental factors may explain many of these patterns. Conclusions Providing a detailed reference of growth for the Shuar and other Amazonian populations, this study possesses direct clinical application and affords valuable insight into childhood health and the ecology of human growth. Am. J. Hum. Biol. 28:16-30, 2016. © 2015 Wiley Periodicals, Inc. [ABSTRACT FROM AUTHOR]

Objectives Changes in sleep patterns often occur in older adults. Previous studies have documented associations between sleep duration, sleep quality, and obesity risk in older individuals, yet few studies have examined these trends in lower-income countries. The present cross-sectional study uses nationally representative datasets from six countries to examine these relationships. Methods Two hypotheses related to obesity risk and sleep patterns were tested using data from the first wave of the World Health Organization's Study on global AGEing and adult health (SAGE). This longitudinal study draws on samples of older adults ( >50 years old) in six middle-income countries (China, Ghana, India, Mexico, Russian Federation, and South Africa). Self-report data were used to measure sleep duration, sleep quality, lifestyle and sociodemographic information, while anthropometric measurements were collected to assess body mass index (BMI) and waist circumference (WC). Multiple linear regressions were used to examine the relationship between sleep patterns and obesity risk while controlling for lifestyle factors. Results Shorter sleep durations in both men and women were significantly associated with higher BMI and WC measures ( P < 0.05). Low sleep quality did not significantly contribute to increased obesity risk. Surprisingly, high sleep quality was significantly associated with increased male BMI and WC in China and India ( P < 0.01). Conclusions This study documented an association between short sleep duration and increased obesity risk, which is important given the global increase of obesity-related diseases. Am. J. Hum. Biol. 26:803-812, 2014. © 2014 Wiley Periodicals, Inc. [ABSTRACT FROM AUTHOR]

Objectives Methods Results Conclusions The hypothalamic–pituitary–adrenal (HPA) axis and its primary end product, the glucocorticoid cortisol, are major components of the evolved human stress response. However, most studies have examined these systems among populations in high‐income settings, which differ from the high pathogen and limited resource contexts in which the HPA axis functioned for most of human evolution.We investigated variability in diurnal salivary cortisol patterns among 298 Indigenous Shuar from Amazonian Ecuador (147 males, 151 females; age 2–86 years), focusing on the effects of age, biological sex, and body mass index (BMI) in shaping differences in diurnal cortisol production. Saliva samples were collected three times daily (waking, 30 minutes post‐waking, evening) for three consecutive days to measure key cortisol parameters: levels at waking, the cortisol awakening response, the diurnal slope, and total daily output.Age was positively associated with waking levels and total daily output, with Shuar juveniles and adolescents displaying significantly lower levels than adults (p < .05). Sex was not a significant predictor of cortisol levels (p > .05), as Shuar males and females displayed similar patterns of diurnal cortisol production across the life course. Moreover, age, sex, and BMI significantly interacted to moderate the rate of diurnal cortisol decline (p = .027). Overall, Shuar demonstrated relatively lower cortisol concentrations than high‐income populations.This study expands the documented range of global variation in HPA axis activity and diurnal cortisol production and provides important insights into the plasticity of human stress physiology across diverse developmental and socioecological settings. [ABSTRACT FROM AUTHOR]