RESEARCH ARTICLE Productivity loss associated with functional disability in a contemporary small-scale subsistence population Jonathan Stieglitz1,2*, Paul L Hooper3, Benjamin C Trumble4,5, Hillard Kaplan3, Michael D Gurven6 1Universite´ Toulouse 1 Capitole, Toulouse, France; 2Institute for Advanced Study in Toulouse, Toulouse, France; 3Economic Science Institute, Chapman University, 1 University Drive, Orange, United States; 4Center for Evolution and Medicine, Life Sciences C, Arizona State University, Tempe, United States; 5School of Human Evolution and Social Change, Arizona State University, Tempe, United States; 6Department of Anthropology, University of California, Santa Barbara, Santa Barbara, United States Abstract In comparative cross-species perspective, humans experience unique physical impairments with potentially large consequences. Quantifying the burden of impairment in subsistence populations is critical for understanding selection pressures underlying strategies that minimize risk of production deficits. We examine among forager-horticulturalists whether compromised bone strength (indicated by fracture and lower bone mineral density, BMD) is associated with subsistence task cessation. We also estimate the magnitude of productivity losses associated with compromised bone strength. Fracture is associated with cessation of hunting, tree chopping, and walking long distances, but not tool manufacture. Age-specific productivity losses from hunting cessation associated with fracture and lower BMD are substantial: ~397 lost kcals/day, with expected future losses of up to 1.9 million kcals (22% of expected production). Productivity loss is thus substantial for high strength and endurance tasks. Determining the extent to which *For correspondence: impairment obstructs productivity in contemporary subsistence populations improves our ability to
[email protected] infer past consequences of impairment. Competing interests: The authors declare that no competing interests exist.