Abstract

Background and MethodsBoth the concept of ‘brain-sparing’ growth and associations between relative lower limb length, childhood environment and adult disease risk are well established. Furthermore, tibia length is suggested to be particularly plastic under conditions of environmental stress. The mechanisms responsible are uncertain, but three hypotheses may be relevant. The ‘thrifty phenotype’ assumes that some components of growth are selectively sacrificed to preserve more critical outcomes, like the brain. The ‘distal blood flow’ hypothesis assumes that blood nutrients decline with distance from the heart, and hence may affect limbs in relation to basic body geometry. Temperature adaptation predicts a gradient of decreased size along the limbs reflecting decreasing tissue temperature/blood flow. We examined these questions by comparing the size of body segments among Peruvian children born and raised in differentially stressful environments. In a cross-sectional sample of children aged 6 months to 14 years (n = 447) we measured head circumference, head-trunk height, total upper and lower limb lengths, and zeugopod (ulna and tibia) and autopod (hand and foot) lengths.ResultsHighland children (exposed to greater stress) had significantly shorter limbs and zeugopod and autopod elements than lowland children, while differences in head-trunk height were smaller. Zeugopod elements appeared most sensitive to environmental conditions, as they were relatively shorter among highland children than their respective autopod elements.DiscussionThe results suggest that functional traits (hand, foot, and head) may be partially protected at the expense of the tibia and ulna. The results do not fit the predictions of the distal blood flow and temperature adaptation models as explanations for relative limb segment growth under stress conditions. Rather, our data support the extension of the thrifty phenotype hypothesis to limb growth, and suggest that certain elements of limb growth may be sacrificed under tough conditions to buffer more functional traits.

Highlights

  • The environments occupied by contemporary human populations are characterised by a wide variety of ecological stresses, including thermal load, altitude, dietary niche and disease load

  • The results do not fit the predictions of the distal blood flow and temperature adaptation models as explanations for relative limb segment growth under stress conditions

  • Our data support the extension of the thrifty phenotype hypothesis to limb growth, and suggest that certain elements of limb growth may be sacrificed under tough conditions to buffer more functional traits

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Summary

Introduction

The environments occupied by contemporary human populations are characterised by a wide variety of ecological stresses, including thermal load, altitude, dietary niche and disease load. There is evidence that total lower limb length is more plastic than head-trunk height (commonly measured as sitting height) among humans [6,7,8], but the reasons for this are unclear This heterogeneity in plasticity is relevant to health: a greater risk of various chronic diseases, including cardiovascular disease, hypertension, diabetes, obesity, liver dysfunction and dementia is associated with shorter stature and with absolutely and relatively shorter lower limbs, but is not associated with head-trunk height [9,10,11] (though see [12,13,14]).

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