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Objectives: To analyze differences in knee height (KH) between adult Maya mothers and daughters in Merida City,
Mexico, and determine if these differences are associated with their childhood socioeconomic conditions.
Methods: From September 2011 to January 2014, we measured KH and collected data on childhood conditions (place
of birth, type of drinking water, family size, and fathers occupation) from a sample of 180 Maya mother-daughter
dyads. Mean KH intergenerational difference was calculated and compared for each category of socioeconomic variables and a multiple regression model was used to assess the association between childhood conditions and KH
difference.
Results: A relative increase of 1.05 cm (SD 5 2.3 cm) or 0.45 standard deviations (effect size of difference) was
observed in KH between generations. Place of birth was significantly associated with KH. With three other variables
statistically adjusted for, the intergenerational KH difference was 1.5 cm greater when mothers born outside Merida
but daughters born in the city. Piped water consumption by mother-daughter dyads was associated with 1.5 cm of
increase in KH difference compared with dyads who consumed well water (P 5 0.058).
Conclusions: The relative increase in KH between mothers and daughters represents a portion of the expected
change in growth in a group that has experienced few substantial improvements in their living conditions. Some
improvements in childhood living conditions resulting from the intergenerational transition from rural to urban environments seem to be linked to a modest, but statistically significant intergenerational increase in KH among Maya
C 2015 Wiley Periodicals, Inc.
V
women in Merida. Am. J. Hum. Biol. 00:000000, 2015.
INTRODUCTION
Intergenerational changes in human growth are usually assessed using changes in the mean heights of a
population at different points of time; however, some
studies suggest that positive changes in adult stature
between populations are mainly explained by increases
in lower body segments (Bogin et al., 2002, Cole, 2003;
Bogin, 2013; Garn, 1987, Hauspie et al., 1997; Himes,
1979; Moore, 1970; Tanner et al., 1982). Specifically,
lower limb distal segments may be more sensitive than
lower limb upper segments during prepubertal growth
periods (Bailey et al., 2007; Lampl et al., 2003; Pomeroy et al., 2012). In addition, distal limb segments,
especially the tibia, tend to exhibit more variation than
the proximal segments (femur) within and between
populations (Auerbach and Sylvester, 2011; Holliday
and Ruff, 2001). Tibia length is a notoriously difficult
parameter to measure in living people, but knee height
(KH) can be used as a proxy for this segment (Bogin
et al., 2014).
Knee height is particularly useful in the evaluation of
intergenerational (i.e., parents-offspring) differences in
growth attained as adults. It has been estimated that the
cumulative height reduction from 30 to 70 years of age
is, on average, 3 cm for men and 5 cm for women, and
further accelerates afterward (Sorkin et al., 1999). However, loss in adult height is less pronounced in lower
body segments than in trunk (Chumlea et al., 1985). The
KH tends to be relatively stable from early adulthood to
senescence and some studies report that this segment is
the most closely associated with total height in adults
C 2015 Wiley Periodicals, Inc.
V
H. AZCORRA ET AL.
Daughters
Mothers
P-value
41.1%
58.9%
7.2 (SD 5 2.4)
7.2%
92.8%
8.2 (SD 5 3.2)
P < 0.001
28.3%
71.7%
93.9%
6.1%
P < 0.001
22.6%
77.4%
78.9%
21.1%
P < 0.001
P < 0.001
H. AZCORRA ET AL.
Mean
(cm)
SD
Test
and P-value
0.53
2.00
F 5 8.16
1.98
2.44
P < 0.001
0.88
2.13
0.81
1.03
2.36
2.30
2.33
2.29
F 5 2.05
P 5 0.132
0.57
1.04
2.00
2.29
F 5 1.69
P 5 0.170
1.63
2.78
B 5 20.03
P 5 0.558
TABLE 3. Multiple regression model of socioeconomic parameters experienced by mothers and daughters in childhood for intergenerational dif-
ferences in KH
Variable
Place of birth
Ref 5 Mother and daughter out of Merida
Mother out of Merida/Daughter in Merida
Mother and daughter in Merida
Type of water to drink
Ref 5 Mother and daughter well
Mother well/daughter piped
Mother and daughter piped
Fathers occupation
Ref 5 Mother and daughter peasant
Mother peasant and daughter nonpeasant
Mother and daughter nonpeasant
Family size (Daughters FS Mothers FS)
Constant
Coefficient
S. E.
CI 95%
1.48
20.03
0.42
0.78
3.56
20.04
<0.001
0.966
0.66
21.57
2.30
1.50
0.12
1.54
0.41
0.81
0.29
1.91
0.774
0.058
20.70
20.05
0.94
3.13
20.02
0.38
20.05
0.31
0.48
0.61
0.05
0.43
20.04
0.63
21.03
0.72
0.970
0.532
0.303
0.474
20.98
20.82
20.14
20.54
0.94
1.59
0.04
1.15
S.E.: standard error; R2 5 0.16, Shapiro-Wilk residual normality test P 5 0.888; Breusch-Pagan/Cook-Weisberg homoscedasticity test P 5 0.180; mean variance inflation factor 5 1.39.
families
[mean
mothers 5 8.2,
(SD 5 3.2);
mean
daughters 5 7.2, (SD 5 2.4)]. Decreases in FS between two
generations in our study may be associated with more
individual resources for feeding, better access to high
quality health services, and decreased crowding in the
household and better growth status among offspring could
be expected. However, it is possible that FS do not have
the same implications for growth in such generations.
Our analysis shows that paternal occupation was not
significantly associated with the differences in KH. However, the greatest difference in KH (mean 5 1.63 cm
[SD 5 2.8]) was observed when both mothers and their
daughters reported having a nonpeasant father and least
(mean 5 0.57 cm, SD 5 2) when both generations had a
peasant father during their childhood. Most of nonpeasant men were employed in Merida and outside the city as
salaried workers such as masons, laborers, and poorly
qualified employees. It is possible that the relatively better income of nonpeasant fathers the daughters generation allowed better average conditions in those
participant families and thus the expression of larger differences in KH.
As far as we know, very few studies have investigated
changes in lower body segments between parents and offspring and their associations to childhood conditions
(Bogin et al., 2014; Sohn, in press; Floyd, 2007; Himes,
1979). In their study among Taiwanese families living in
Auckland, New Zealand, and Taipei, Taiwan, during
2003, Floyd (2007) found that parent-offspring differences
in subischial leg length tended to be less when both generations experienced disadvantaged living conditions in
early years of development; more noticeable changes were
observed when conditions experienced by parents were
relatively more unprivileged than their offspring and differences were less evident when parents and offspring
experienced relatively well-off circumstances in childhood. Our results are consistent with findings reported by
Floyd (2007) in the sense that greater differences in KH
were observed when daughters experienced better conditions than their mothers, as is the case of place of birth.
In their study with Bangladeshi mothers and daughters
living in Bangladesh and in the UK, Bogin et al. (2014)
found that daughters born and living in the UK were
3.8 cm taller than daughters living in the UK but born in
Bangladesh, with KH values accounting for 53% (2 cm) of
the total difference in height. The authors suggest that
these differences are due to that (1) living conditions experienced by women in Bangladesh were worse than in the
UK during childhood, and (2) the daughters born in Bangladesh experienced more emotional stress due to the
migration, including the fact that fathers usually
migrated first, leaving mothers and children behind for
some months or years. In our study, Mayan daughters
born in Merida were around 1.5 cm taller than daughters
born outside of Merida; the differences in KH being about
0.6 cm. The magnitude of the differences compared with
the differences reported by Bogin and collaborators with
Bangladeshi women are consistent with differences in the
amounts of change in developmental settings. We suggest
that living conditions in the UK of Bangladeshi women
after migration were substantially better than circumstances experienced by Maya women in the city of
Merida.
In summary, childhood living conditions experienced by
Mayan daughters were somewhat better than that their
mothers experienced, which is consistent with their positive difference in KH (mean 5 1.05 cm [SD 5 2.33]). Our
analysis suggests that differences are associated with
rural-to-urban migration experienced by mothers as a
result of the sisal agro-industry crisis and its collapse in
Yucatan from the 1960s to the 1980s and by the differences in FS between generations influenced by official policies toward birth control. Our results suggest that present
living conditions of Mayan women remain generally
unfavorable, constituting a continuation of those experienced by their ancestors since, at least, the 19th Century
in the sisal zone, a period of time known locally as The
Slavery Time, as one informant reported to one of us (FD)
in 1978.
ACKNOWLEDGMENTS
The authors thank two anonymous reviewers for their
criticism and suggestions. The authors also thank Ms.
Graciela Valentn and Ms. Adriana V
azquez-V
azquez for
assisting with somatic measurements, questionnaire
application and field work organization, and Ms. Frida
Gutierrez, Ms. Paulina Cauich, and Ms. Samantha
S
anchez for collaborating in the field work. Ms. Ina Susan-Lopez and Ms. Adriana V
azquez-V
azquez
ana Falf
developed the dataset and took part in participant recruitment design. The authors also thank the mothers and
daughters who agreed to participate in the study. Mr.
John Lindsay improved our written English.
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