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Dairying barriers affect the distribution of lactose malabsorption

Gabrielle Bloom, Paul W. Sherman

1. Introduction

2. Methods

3. Results

4. Discussion

Acknowledgment

Appendix A. 

Appendix A. References

References

Copyright

1. Introduction

Most mammals stop producing lactase, the enzyme that hydrolyzes lactose, at weaning; thereafter, they are intolerant of milk (Johnson, Kretchmer, & Simoons, 1974). The cessation of lactase production at weaning and adult lactose malabsorption also predominate among humans, particularly peoples of Asian and African descent. However, some populations, particularly those of northern European and Scandanavian descent, exhibit high frequencies of lactase persistence. These people can continue to drink milk throughout life (Flatz, 1989, Flatz & Rotthauwe, 1971, Simoons, 1978, Simoons, 1982). Considerable information has recently become available about the physiological mechanisms and molecular bases of the adult lactase polymorphism (reviewed by Swallow, 2003, Swallow & Hollox, 2000).

However, the historical ecology and distribution of adult lactose absorption (LA) and malabsorption (LM) have, for decades, intrigued geneticists (e.g., Cavalli-Sforza, 1973, Flatz, 1987, Flatz, 1989, Flatz & Rotthauwe, 1971) and nutritional ecologists (Durham, 1991, Simoons, 1970, Simoons, 1971, Simoons, 1982). Genetic evidence indicates that the lactase polymorphism arose recently (5,000–10,000 years ago) and spread rapidly due to strong positive selection (Bersaglieri et al., 2004, Hollox et al., 2001). Today, lactase persistence occurs far north and south of the equator in Africa and Asia, far from its putative areas of origin (Flatz, 1987, Hollox & Swallow, 2002). Puzzlingly, in some parts of Africa and the Middle East, lactase-persistent populations have lived side-by-side with populations of lactose malabsorbers throughout recorded history (Flatz, 1987, Flatz, 1989, Simoons, 1978, Swallow, 2003).

The leading hypothesis to explain the geographical distribution of adult LA and LM is that nutritional advantages of lactose digestion confer a selective advantage on lactase-persistent phenotypes in areas where milk is reliably available throughout adult life, that is, where dairying is practiced regularly. This “culture–historical hypothesis” (McCracken, 1971, Simoons, 1970) has received considerable support (Durham, 1991, Hollox et al., 2001, Simoons, 1978, Simoons, 2001, Swallow, 2003), including, most recently, from (1) a maximum likelihood analysis that used genetic and linguistic trees to control for the effects of relatedness among subject populations (Holden & Mace, 1997) and (2) a study of single-nucleotide polymorphisms covering 3.2 Mb around the lactase gene, which indicated that alleles associated with lactase persistence have been subject to strong selection within the past several thousand years (i.e., in the setting of dairy farming: Bersaglieri et al., 2004).

The culture–historical hypothesis does not address the important antecedent question: Why is dairying practiced in some areas but not in others? Obviously, the geographical occurrence of dairying depends, proximally, on cultural traditions (McCracken, 1971, Simoons, 1970). We hypothesize that, ultimately, it depends on ecological factors that affect whether milk-producing ungulates, particularly cattle, can be raised in a given area. For example, extreme climates could make it impossible to keep dairy herds outdoors year-round, especially where forage is sparse, such as in extremely cold or hot climates (e.g., tundra, deserts, or rain forests). Moreover, in certain locales, endemic pathogens may debilitate or kill the animals, thereby making herding uneconomical, or even hazardous if the disease is transmissible to humans. Indeed, dairy herding is rare in Africa within the range of the tse-tse fly, which is the major vector of sleeping sickness (Simoons, 1982, Smith, 1992).

We evaluated this ecological “dairying barrier” hypothesis by synthesizing information on the frequencies of adult LA and LM among indigenous African, Asian, and European populations. Parallel information from indigenous peoples of North and South America and Oceania is not available. We also compiled data on latitude, climate (temperature), and the historical distributions (before 1900) of communicable and potentially fatal diseases of cattle. Relationships among these variables and lactase phenotypes were examined statistically.

2. Methods

We gathered and synthesized all published data on the frequencies of primary adult LA and LM throughout the world. Data in previous compilations by Flatz (1989), Holden and Mace (1997), Simoons, 1970, Simoons, 2001, and Swallow and Hollox (2000) were verified from original sources and augmented using online databases and searches of the primary literature. Our entire data set, which includes LA/LM information from 270 populations and their associated references, is presented as an electronic appendix (Appendix A) to this paper, to facilitate use by future investigators. We believe that it is the most comprehensive compilation of adult LA/LM information currently available.

For analyses, we subsampled the appendix database (Appendix A) to identify populations that met five criteria of accuracy, completeness, and adequacy of sample sizes: (i) n=≥20 subjects; (ii) subjects were ≥10 years old (i.e., weaned); (iii) subject population was not of “mixed” origin; (iv) subject population lived in its country of origin (i.e., nonimmigrants and nonnomadic); and (v) the country of origin was in Europe, Asia, or Africa. For each population that met all five criteria, we determined the latitude and mean annual temperature using the city where each study took place (or the closest major city) as the point of reference. Data were analyzed using Pearson correlations, partial correlations, and multiple regressions in Statview 2. Before analysis, LM frequency data were transformed (arcsine square root) to achieve normality.

Domesticated, milk-producing ungulates include goats, sheep, camels, and cattle; the latter are, by far, the most common sources of milk (Simoons, 1970, Simoons, 1971). We synthesized information on the historical geographical occurrence of communicable, deadly diseases of cattle, based on an exhaustive search of the veterinary literature, for each of the countries represented by the populations in our final sample. We used only sources that included a dated map showing the distribution of each disease and included only diseases whose geographical distribution, prior to 1900, was confirmed by ≥2 independent sources. Thus, we took into careful account the changes in the distribution of each disease due to recent spread (since 1900) and eradication efforts (generally beginning in the 1960s). We included in our analyses every disease for which it was possible to obtain appropriate and reliable information.

3. Results

LM data that fulfilled our five criteria of accuracy and completeness were available from 91 populations in 39 countries, ranging latitudinally from southern Africa to southern Greenland (Table 1). Overall, adult LM predominated (Fig. 1). In our sample, the mean frequency of LM was 61±30% (±S.D.; n=9940 subjects), with a range of 2% (Denmark) to 100% (Zambia; Fig. 2).

Table 1.

Mean adult lactose malabsorption frequencies in 39 Eurasian countries (n=number of subjects), and information on latitude, temperature, number of deadly endemic cattle diseases found there historically (pre-1900), and sources of LM data

n Average LM Average lat. Average temperature (°C) Number of diseases Reference
Afghanistan 210 0.85 35.70 12.61 5 Rahimi, Delbrück, Haeckel, Goedde, and Flatz, 1976
Austria 347 0.20 47.65 9.08 2 Rosenkranz et al., 1982
Botswana 22 0.91 24.45 15.61 6 Nurse and Jenkins, 1974
Britain 75 0.05 51.50 11.72 3 Ho, Povey, and Swallow, 1982
China 641 0.85 41.17 5.76 4 Yongfa, Yongshan, and Jiujin, 1984
Denmark 700 0.03 55.80 7.67 2 Busk, Dahlerup, Lytzen, Binder, and Gundmand-Hoyer, 1975; Gudmand-Høyer, Dahlqvist, and Jarnum, 1969
Egypt 654 0.67 28.76 20.50 3 Hussein, Flatz, Kühnau, and Flatz, 1982
Finland 293 0.18 60.10 2.50 1 Jussila, 1969, Jussila et al., 1970
France 117 0.33 45.95 12.64 3 Cuddenec et al., 1982, O'Morain et al., 1978
Gabon 20 0.60 0.40 25.50 5 Gendrel et al., 1989
Germany 1226 0.15 51.02 8.67 3 Flatz, Howell, Doench, and Flatz, 1982
Greece 700 0.56 9.00 17.64 3 Kanaghinis et al., 1973
Greenland 106 0.86 66.65 −1.39 0 Gudmand-Høyer, McNair, and Jarnum, 1973
Hungary 558 0.39 47.40 12.21 3 Czeizel, Flatz, and Flatz, 1983
India 100 0.64 18.60 26.89 5 Desai, Gupte, and Pradhan, 1970
Iran 21 0.86 35.40 16.61 4 Sadre and Karbasi, 1979
Ireland 50 0.04 53.20 9.28 1 Fielding, Harrington, and Fottrell, 1981
Israel 67 0.81 32.00 19.39 3 Gilat, Gelman, and Shochet, 1971
Italy 553 0.78 41.09 13.91 3 Burgio et al., 1984, Meloni et al., 1998, Rinaldi et al., 1984, Zuccato et al., 1983
Japan 40 0.73 40.30 10.00 4 Yoshida, Sasaki, and Goto, 1975
Jordan 204 0.76 31.40 14.25 3 Hijazi et al., 1983, Snook et al., 1976
Lebanon 74 0.78 33.50 20.61 3 Nasrallah, 1979
Namibia 40 0.92 19.60 22.00 6 Jenkins, Lehmann, and Nurse, 1974
Nigeria 72 0.78 8.86 25.75 6 Kretchmer et al., 1971, Olatunboson & Adadevoh, 1971
Pakistan 480 0.60 30.32 20.82 5 Abbas, 1984, Ahmad & Flatz, 1984
Poland 190 0.38 51.45 7.46 3 Socha and Ksiaszyk, 1984
Rwanda 86 0.77 2.00 21.00 7 Cox and Elliot, 1974
Siberia 61 0.87 61.10 −2.89 0 Lember et al., 1995
South Africa 79 0.76 26.20 16.50 6 Segal, Gagjee, Essop, and Noormohamed, 1983
Spain 265 0.15 37.10 15.22 3 Peña-Yañez, Peña-Angulo, and Juarez-Fernandez, 1971
Sri Lanka 200 0.73 7.00 23.50 5 Senewiratne, Thambipillai, and Perera, 1977
Sudan 321 0.54 14.96 25.88 7 Bayoumi, Saha, Sali, Bakkar, and Flatz, 1981
Sweden 400 0.01 59.20 7.72 1 Dahlqvist and Linquist, 1971
Thailand 315 0.98 14.71 27.67 4 Flatz & Saengudom, 1969, Flatz et al., 1969, Keusch et al., 1969
Tunisia 43 0.83 34.00 24.40 3 Filiali, Ben Hassine, and Dhouib, 1987
Turkey 480 0.71 39.50 11.39 4 Flatz, Henze, Palabiyikoglu, Dagalp, and Turkkan, 1986
Uganda 52 0.96 0.20 21.22 8 Cook and Kajubi, 1966
Zaire 52 0.95 4.20 24.50 7 Elliott, Cox, and Nyomba, 1974
Zambia 26 1.00 15.28 20.50 7 Cook, Asp, and Dahlqvist, 1973

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Fig. 1. Frequencies of primary adult LM among 91 indigenous populations (n=9940 people) from 39 countries in Africa, Asia, and Europe (see Table 1).



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Fig. 2. Distribution of primary adult LM among 91 populations (n=9940 people; see Table 1) plus 9 nomadic, low-latitude, lactose-absorbing populations (n=1077 people; these nomads were analyzed separately).


Historical (pre-1900) distributions of nine deadly cattle pathogens could be determined accurately (American Geographical Society of New York, 1951, Cliff & Haggett, 1988, Odend'hal, 1983, Rodenwaldt, 1952, Scott, 1981, World Anthrax Data Site, 2003). These diseases were anthrax, malaria, sleeping sickness, cholera, heartwater, Rift Valley fever, brucellosis, rinderpest, and theileriosis. The first four also are transmissible, and potentially fatal, to humans.

Our data revealed a significant negative correlation between adult LM frequencies and latitudes (Fig. 3a), with two extreme outliers (i.e., z scores >2.0): Siberia (61° N, in present day Russia) and Greenland (67° N). There was a significant, positive correlation between LM frequencies and mean temperatures (Fig. 3b), with Siberia and Greenland again appearing as statistical outliers. There also was a significant, positive correlation between LM frequencies and historical presence of deadly cattle diseases (Fig. 3c), again with the same two statistically identified outliers.


View full-size image.

Fig. 3. Occurrence of primary adult LM in relation to climate and historical occurrence of cattle diseases in 91 populations from 39 countries (see Table 1). (a) LM frequency vs. latitude. The negative correlation was highly significant whether the two statistically identified outliers, Siberia and Greenland (z scores >2.0), were included (r=−.56, p<.0002) or excluded (r=−.70, p<.0001). (b) LM frequency vs. mean annual temperature. The positive correlation was significant whether the two statistically identified outliers, Siberia and Greenland, were included (r=.42, p<.0086) or excluded (r=.61, p<.0001). (c) LM frequency vs. historical (before 1900) occurrence of nine cattle diseases (anthrax, brucellosis, cholera, heartwater, malaria, Rift Valley fever, rinderpest, sleeping sickness, and theileriosis). The positive correlation was significant whether the two statistically identified outliers, Siberia and Greenland, were included (r=.54, p<.0004) or excluded (r=.71, p<.0001).


Multiple regression analyses indicated that adult LM frequencies were well predicted by latitude, temperature, and diseases together, whether Siberia and Greenland were included [r=.59, F(3,31)=6.363, p<.0015] or excluded [r=.74, F(3,29)=13.15, p<.0001]. Partial correlation analyses revealed that the numbers of diseases had an independent, significant effect on LM frequencies (t=2.14, p<.03), even when latitude and temperature were held constant statistically, whereas neither latitude (t=−.85, p=.40) nor temperature (t=.55, p=.58) significantly affected LM frequencies when diseases were held constant.

4. Discussion

Humans are the only mammals that regularly drink milk as adults. However, populations differ markedly in their physiological capabilities of digesting lactose (Fig. 1). Frequencies of adult LM in populations from Eurasia and Africa decrease with increasing latitude (Fig. 2) and increase with increasing temperature and, especially, with numbers of deadly cattle diseases that were present before 1900 (Table 1, Fig. 3). The implication is that harsh climates and dangerous diseases negatively impact dairy herding, thus also geographically restricting the availability of milk.

Populations from northern Siberia and Greenland are exceptions to the latitudinal trend: Although they live far north of the equator (>60° N), they are predominantly malabsorbers. In light of our dairying barrier hypothesis, both exceptions are instructive because neither cattle nor transmissable cattle diseases can thrive in such extreme climates. As a result, those populations did not predictably have access to fresh milk. Although the now-extinct Greenland Norse population attempted to maintain dairy herds, the animals and their owners always teetered on the brink of starvation (Simoons, 2001) and died out in <500 years. The latter-day Greenland Eskimos (the population in our database), which have persisted much longer, do not keep dairy cattle, and their diet is devoid of milk or dairy products (Simoons, 2001).

Previous investigators (Bayoumi et al., 1982, Durham, 1991, Flatz, 1989, Hussein & Ezzilarab, 1994, Simoons, 1978, Swallow, 2003) identified 13 additional outlier populations, but at the other end of the latitudinal spectrum. These peoples live at low latitudes in Africa and the mid-East, but they are predominantly lactose absorbers as adults (i.e., lactase persistent). Nine of these populations have been sampled adequately to be included in our database and analyses (Fig. 2). Among them, LM frequencies are indeed low (mean=35±25%), and milk and dairy products make up a significant fraction of their diet, raising the question of how these people surmounted ecological barriers to dairying.

The most likely explanation is nomadism. All 13 populations have historically been migratory pastoralists that inhabited borders between major climatic zones in Africa (Mali, Rwanda, Uganda, Congo, Egypt, and Sudan) and the mid-East (Jordan, Saudi Arabia; Griffiths, 1972, Johnson, 1969, Smith, 1992, Swallow, 2003). Seasonal movements of these peoples coincide with the advance and retreat of the intertropical (wind) convergence zone (the ITCZ: Waliser, 2003), enabling them to locate suitable cattle forage and avoid extreme temperatures year-round (Hayward & Ogentoyinbo, 1987, Kraus & Businger, 1994). Moreover, these pastoralists typically maintain small herds, spread their cattle out, and keep them moving (Johnson, 1969), all of which should reduce pathogen transmission rates.

In present-day Africa, some sedentary populations maintain domesticated cattle, particularly among the subequatorial Bantu tribes. Although few have been adequately sampled, those that have are predominantly lactose malabsorbers (Durham, 1991; Fig. 2). These patterns seem to run counter to both the culture–historical and dairying barrier hypotheses. However, these populations traditionally did not maintain dairy cattle or have access to fresh milk. Dairy herding in subequatorial Africa is a recent (20th century) phenomenon, facilitated by control or eradication of the most devastating cattle diseases and introduction of new breeds of cattle that are tolerant of extreme heat and draught (Coetzer, Thompson, & Tustin, 1994). Moreover, even today, adults in these populations rarely drink fresh milk, instead consuming fermented milk products, such as yogurt and cheese, which have minimal lactose and thus do not require lactase to digest (Durham, 1991).

Our dairying barrier hypothesis is complementary, and not an alternative to, the culture–historical hypothesis (McCracken, 1971, Simoons, 1970), which posits that the mutations that maintain lactase into adulthood are positively selected only where dairying flourishes (Bersaglieri et al., 2004, Swallow, 2003). Results of our analyses imply that adults of Asian and African descent typically are lactose malabsorbers because dairy herding was precluded from their ancestral homes by ecological factors. Adult lactose malabsorbers or their recent ancestors were sedentary agriculturalists or hunter gatherers who lived in places that were not conducive to safe and economical maintenance of dairy herds, due especially to lethal pathogens, extreme climates or both. The historical distribution of dairying, and the resulting distribution of the adult LM phenotype, thus lend support to the assertion of Diamond (1999) that “the different historical trajectories of Africa and Europe stem ultimately from differences in their environments.”

Acknowledgments

We thank R. Booker, H. K. Reeve, S. Myles, R. J. Safran, J. S. Shellman, an anonymous reviewer, and members of the Animal Behavior Lunch Bunch at Cornell University for constructive comments. Financial support was provided by the College of Arts & Sciences and the Agricultural Experiment Station through the Hatch Grant Program (c/o D. J. Decker) at Cornell, and the Howard Hughes Medical Research Foundation (c/o L. E. Southard).

Appendix A.

Index Population Country Lat. N/S LM Ages #subj. Reference
1 Afghan–mixed urban Afghanistan 34.3 N 0.77 18–60 34 Rahimi et al. 1976
2 Afghan–Pashtun Afghanistan 34.3 N 0.79 18–60 71 Rahimi et al. 1976
3 Afghan–Hazara Afghanistan 34.3 N 0.8 18–60 10 Rahimi et al. 1976
4 Afghan–Tajik Afghanistan 34.3 N 0.82 18–60 79 Rahimi et al. 1976
5 Afgan–Pasha-I Afghanistan 38.5 N 0.87 18–60 60 Rahimi et al. 1976
6 Afghan–Uzbek Afghanistan 34.3 N 1 18–60 16 Rahimi et al. 1976
7 Indians and Eskimos Alaska 61.1 N 0.94 adults 36 Duncan and Scott 1972
8 Australian whites Australia 33.53 S 0 adults 23 Bolin and Davis 1969
9 Chinese in Australia Australia 33.53 S 0.56 3–34 34 Bolin and Davis 1970b
10 Indians in Australia Australia 0.8 adults 5 Bolin and Davis 1969
11 Australian Aborigines Australia 17.2 S 0.84 15–75 45 Brand et al. 1983
12 Chinese in Australia Australia 22.2 N 0.9 adults 30 Bolin and Davis 1969
13 New Guineans Australia 1 adults 8 Bolin and Davis 1969
14 Austria (west) Austria 47.2 N 0.15 adults 166 Rosenkranz et al. 1982
15 Austria (east) Austria 47.2 N 0.25 adults 181 Rosenkranz et al. 1982
16 Aymara (Bolivia)-children Bolivia 15.3 S 0.774 11–15 31 Balanza and Taboada 1985
17 Herero Botswana 0.9 ≥15 10 Currie et al. 1978
18 ‡hua Bushmen Botswana 24.45 S 0.91 adults 22 Nurse and Jenkins 1974
19 Brazil–caucasoid Brazil 22.5 S 0.45 20–52 40 Seva-Ereira et al. 1983
20 Brazil–Negroid Brazil 22.5 S 0.85 20–52 20 Seva-Ereira et al. 1983
21 Brazil–Mongaloid Brazil 22.5 S 1 20–52 20 Seva-Ereira et al. 1983
22 British Britain 51.5 N 0.05 11–88 75 Ho et al. 1982
23 Jews in Britain Britain 51.3 N 0.8 adults 10 Neal 1968
24 Greek Cypriots in Britain Britain 35.1 N 0.88 ad + child. 17 Mehta and Latham 1977
25 Indians and pakastanis Britain 0.93 adults 16 Neal 1968
26 Bantu Cameroon 6 N 1 adults 6 Elliott et al. 1973
27 Czechs in Canada Canada 49 N 0.18 adults 17 Leichter 1972
28 Poles in Canada Canada 0.29 adults 21 Leichter 1972
29 Punjabis Canada 31 N 0.33 adults 9 Murthy and Haworth 1970
30 Jews, Canadian and American Canada 49.2 0.69 adults 32 Leichter 1971
31 Indians in Canada Canada 0.93 adults 15 Murthy and Haworth 1970
32 Indians Canada, w.coast 52 N 0.63 adoles. 30 Leichter and Lee 1971
33 China–Kazakh China 43.5 N 0.76 16–28 195 Yongfa et al. 1984
34 China–Mongols China 40.5 N 0.88 17–46 198 Yongfa et al. 1984
35 Han (chinese) - general China 39.5 N 0.92 17–35 248 Yongfa et al. 1984
36 Chami Indians Columbia 5 N 1 adults 24 Alzate et al. 1969
37 Tussi in Congo Congo 1 S 0 adults 15 Elliott et al. 1973
38 Caucasian in Congo Congo 0.2 adults 10 Elliott et al. 1973
39 Danes Denmark 55.4 N 0.02 adults 670 Gudmand-Huyer et al. 1969
40 Danes Denmark 56.2 N 0.03 adults 91 Busk et al. 1975
41 North Sinai Egyptians (Nomadic) Egypt 30 N 0.11 72 Hussein and Ezzilarab 1994
42 New Valley Egyptians Egypt 24 N 0.51 100 Hussein and Ezzilarab 1994
43 Egypt–South Nile Egypt 26.1 N 0.6 14–34 85 Hussein et al. 1982
44 Egypt–Urban Egypt 30 N 0.67 14–34 67 Hussein et al. 1982
45 Egypt–suez canal Egypt 30 N 0.69 14–34 16 Hussein et al. 1982
46 Egypt–Nile Delta Egypt 30.6 N 0.73 14–34 291 Hussein et al. 1982
47 Egypt–North Nile Egypt 29.2 N 0.85 14–34 111 Hussein et al. 1982
48 Egyptian fellahin Egypt 30 N 0.93 16–75 14 Halsted et al. 1969
49 Ethiopian infants Ethiopia 9 N 0.61 <1 yr 26 Habte et al. 1973
50 Ethiopians/Eritreans Ethiopia 9 N 0.9 7–13 58 Habte and Hjalmarsson 1973
51 Ethiopian children Ethiopia 9 N 0.9 7–13 157 Habte et al. 1973
52 Fijians Fiji 18.1 S 1 adults 12 Masarei et al. 1972
53 Finns Finland 60.2 N 0.06 7–15 129 Launiala et al. 1971; Sahi et al. 1972
54 Swedes in Finland Finland 59.2 N 0.08 adults 91 Sahi 1974
55 Finns Finland 60.2 N 0.17 adults 159 Jussila et al. 1970
56 Finns Finland 60 N 0.18 50–70 134 Jussila 1969
57 French France 48.5 N 0.07 adults 14 Gouin et al. 1972
58 French–north France 48.5 N 0.23 18–21 62 Cuddenec et al. 1982
59 French–South France 43.4 N 0.42 20–75 55 O'Morain et al. 1978
60 French–south France 43.4 N 0.5 18–21 16 Cuddenec et al. 1982
61 Bantu Gabon 0.4 N 0.6 adults 20 Gendrel et al. 1989
62 Germany–North Germany 53.3 N 0.06 adults 100 Flatz et al. 1982
63 Germany–NW Germany 51.2 N 0.088 adults 341 Flatz et al. 1982
64 Germany–south Germany 48.1 N 0.136 adults 221 Flatz et al. 1982
65 Germany–west Germany 52.2 N 0.137 adults 182 Flatz et al. 1982
66 Germans from cent. Europe Germany 50.4 N 0.15 adults 55 Rotthauwe et al. 1972
67 Germany–East Germany 52.3 N 0.224 adults 246 Flatz et al. 1982
68 Germany–SW Germany 49 N 0.235 adults 136 Flatz et al. 1982
69 Arabs from Jordan,Syria,Saudi Arabia,Egypt,Iraq,Tunisia Germany 50.4 N 0.81 adults 26 Rotthauwe et al. 1971
70 Children Ghana 5.3 N 0.73 children 100 White and Latham 1973
71 Greeks, mainland Greece 37.6 N 0.38 adults 16 Spanidou and Petrakis 1972
72 Greeks, mainland Greece 37.6 N 0.45 adults 600 Kanaghinis et.el. 1974
73 Greeks Greece 37.6 N 0.54 7–13 24 Doxiadis and Papageorgiadis 197
74 Greek Cretans Greece 35.2 N 0.56 adults 50 Kanaghinis et el. 1974
75 Greek Cypriots Greece 35.1 N 0.67 adults 50 Kanaghinis et.el. 1974
76 Greeks Greece 37.6 N 0.67 7–13 82 Kattamis et al. 1973
77 Greenland Eskimos/nw eur.mixed Greenland 64.1 N 0.14 adults 7 Gudmand-Hoyer and Jarnum 1969
78 Greenland Eskimos/nw eur.mixed Greenland 64.1 N 0.5 adults 4 Asp et al. 1975
79 Eskimos Greenland 69.2 N 0.84 81 Gudmand-Hoyer et al. 1973
80 Eskimos Greenland 64.1 N 0.85 adults 13 Asp et al. 1975
81 Eskimos Greenland 64.1 N 0.88 adults 25 Gudmand-Huyer et al. 1973
82 Eskimos, greenland Greenland 64.1 N 0.94 18–60 19 Asp et al. 1975
83 Hungarians–west Hungary 47.3 N 0.28 17–39 100 Czeizel et al. 1983
84 Hungarians–east Hungary 47.3 N 0.29 17–39 70 Czeizel et al. 1983
85 Hungary–Matyo Hungary 47.5 N 0.37 16–54 172 Czeizel et al. 1983
86 Hungarians–mixed Hungary 47.3 N 0.41 17–39 262 Czeizel et al. 1983
87 Hungarians–NE Hungary 47.3 N 0.42 17–39 103 Czeizel et al. 1983
88 Hungary–Romai (Gypsies) Hungary 47.6 N 0.56 16–47 113 Czeizel et al. 1983
89 “Mohajirs” (mixed pkastani/dravidians) India 24.5 N 0.2 adults 15 Rab and Baseer 1976
90 Indians in Bombay India 18.6 N 0.24 adults 17 Desai et al. 1967
91 Indians in Hyderabad (Deccan) India 17.2 N 0.61 adults 18 Reddy and Pershad 1972
92 Indians in Bombay India 18.6 N 0.64 adults 100 Desai et al. 1970
93 Iranians Iran 35.4 N 0.86 20–25 21 Sadre and Karbasi 1979
94 Iraqi Jews Iraq 15 N 0.84 17–65 38 Gilat et al. 1970
95 Irish Ireland 53.2 N 0.04 16–68 50 Fielding et al. 1981
96 Jews in Israel Israel 32 N 0.54 8–46 50 Gilat et al. 1974
97 Jews in Israel Israel 32 N 0.6 adults 58 Gilat et al. 1973
98 Jews in Israel Israel 31.5 N 0.61 adults 93 Rozen and Shafrir 1968
99 Jews in israel, summary of following: Israel 32 N 0.71 17–70 215 Gilat et al. 1970
100 Sephardi, other Israel 32 N 0.72 17–69 36 Gilat et al. 1970
101 Ashkenazi Israel 32 N 0.79 20–70 53 Gilat et al. 1970
102 Arab villagers in Israel Israel 32 N 0.81 adults 67 Gilat et al. 1971
103 Jews, other orientals Israel 33 N 0.85 24–64 20 Gilat et.al 1970
104 Sicilians Italy 37.3 N 0.29 adults 100 Burgio et al. 1984
105 Italians – northern Italy 45.4 N 0.49 adults 208 Burgio et al. 1984
106 Italians Italy 45.3 N 0.8 adults 20 Zuccato et al. 1983
107 Sardinians–mts Italy 40.3 N 0.81 20–51 38 Meloni et al. 1998
108 Italians, Neapolitans Italy 40.5 N 0.84 27–70 37 Rinaldi et al. 1984
109 Sardinians–lowlands Italy 39.4 N 0.85 20–55 47 Meloni et al. 1998
110 Sardinians–north Italy 40.4 N 0.86 adults 50 Meloni et al. 2001
111 Sardinians–mts Italy 40.1 N 0.88 19–59 53 Meloni et al. 1998
112 Italians in Naples Italy 40.5 N 1 adults 9 De Ritis et al. 1970
113 Japanese Japan 40.34 N 0.73 adults 40 Yoshida et al. 1975
114 Jordanians–bedouins Jordan ? ? 0.24 17–46 162 Hijazi et al. 1983
115 Jordanians–urban Jordan 31.4 N 0.75 18–33 148 Hijazi et al. 1983
116 Jordanian Arabs Jordan 31.4 N 0.77 adults 56 Snook et al. 1976
117 Kenyans (bantu agricultural tribes) Kenya 1.17 S 0.73 5–15 71 Pieters and Van Rens 1973
118 Lebanese Lebanon 33.5 N 0.78 17–43 74 Nasrallah 1979
119 Niger–nomads (Tuareg valley) Mali ? ? 0.127 adults 118 Flatz et al. 1986b
120 Mexican Mestizos Mexico 19.2 N 0.74 18–72 100 Lisker et al. 1974
121 N. African Sephardi Morocco 32 N 0.63 19–65 32 Gilat et al. 1970
122 !Kung Bushmen Namibia 19.6 S 0.92 adults 40 Jenkins et al. 1974
123 Herero Namibia ? ? 0.978 ≥11 46 Currie et al. 1978
124 New guineans New Guinea 3.5 S 0.75 adults 32 Arnhold et al. 1981
125 Massim(NW Guinea) New Guinea 10.2 S 0.83 adults? 35 Gibney et al. 1981
126 Anglo–saxons in Nigeria Nigeria ? 0.13 adults 8 Kretchmer et al. 1971
127 Europeans in Nigeria Nigeria ? 0.22 ≥3 9 Ransome-Kuti et al. 1975
128 Yoruba/European Nigeria 6.3 N 0.44 ≥3 43 Ransome-Kuti et al. 1975
129 Hausa/Fulani Nigeria 7.2 N 0.6 adults 15 Olatunboson and Adadevoh 1971
130 Fulani (fulani/hausa), urban Nigeria 10.5 N 0.71 adults 24 Kretchmer et al. 1971
131 Hausa Nigeria 12 N 0.76 ad.+child 17 Kretchmer et al. 1971
132 Ibo Nigeria 7.2 N 0.82 adults 11 Olatunboson and Adadevoh 1971
133 Yoruba Nigeria 7.22 N 0.84 adults 48 Olatunboson and Adadevoh 1971
134 Yoruba Nigeria 6.3 N 0.98 ≥4 41 Kretchmer et al. 1971
135 S. Nigerians (mostly) Nigeria 7.2 N 1 adults 9 Olatunboson and Adadevoh 1971
136 Yoruba Nigeria 6.3 N 1 ≥3 11 Ransome-Kuti et al. 1975
137 Punjabis Pakistan 24.5 N 0 adults 9 Rab and Baseer 1976
138 Sindhis Pakistan 24.5 N 0 adults 12 Rab and Baseer 1976
139 Baloochis Pakistan 24.5 N 0 adults 4 Rab and Baseer 1976
140 Pathans Pakistan 24.5 N 0 adults 15 Rab and Baseer 1976
141 Pakistani Pakistan 33.4 N 0.516 adults 66 Abbas 1984
142 Pakistani–Sindh Pakistan 25.2 N 0.58 18–48 33 Ahmad and Flatz 1984
143 Pakastani–punjab Pakistan 31 N 0.59 18–48 322 Ahmad and Flatz 1984
144 Pakistani–Baluchistan Pakistan 28 N 0.62 18–48 32 Ahmad and Flatz 1984
145 Kashmir (pakistan) Pakistan 34 N 0.7 18–48 27 Ahmad and Flatz 1984
146 Peruvian students Peru 12 S 0.63 21–29 44 Calderon-Viacava et al. 1971
147 Peruvian Mestizos Peru 12 S 0.8 adults 50 Figueroa et al. 1971
148 Polish–mixed Poland 52.1 N 0.36 16–59 85 Socha and Ksiazyk 1984
149 Polish–east Poland 51.3 N 0.37 16–59 35 Socha and Ksiazyk 1984
150 Polish–central Poland 51.5 N 0.37 16–59 92 Socha and Ksiazyk 1984
151 Polish–south Poland 50 N 0.38 16–59 29 Socha and Ksiazyk 1984
152 Polish–northeast Poland 53 N 0.41 16–59 34 Socha and Ksiazyk 1984
153 Tussi in Rwanda Rwanda 2 S 0.08 adults 27 Cox and Elliot 1974
154 Hutu/Tussi mixed Rwanda 2 S 0.55 adults 11 Cox and Elliot 1974
155 Hutu Rwanda 2 S 0.58 adults 36 Cox and Elliot 1974
156 Twa Rwanda 2 S 0.77 adults 22 Cox and Elliot 1974
157 Shi, Bantu of Lake Kivu area Rwanda 2 S 0.96 adults 28 Cox and Elliot 1974
158 Arabs(Saudi), urban Saudi Arabia 24.41 N 0.13 adults 8 Cook and Al-Torki 1975
159 Arabs, bedouins Saudi Arabia 0.14 adults 14 Cook and Al-Torki 1975
160 Yemen Arabs Saudi Arabia 24.4 N 0.25 16–40 8 Cook and Al-Torki 1975
161 “Khadiry” (mixed african/arab) Saudi Arabia 24.41 N 0.78 14–60 9 Cook and Al-Torki 1975
162 Khants(west. Siberia) Siberia 61.1 N 0.869 14–57 61 Lember et al. 1995
163 Indians in Singapore Singapore 1.17 N 0.8 3–10 5 Chua and Seah 1973
164 Chinese Singapore 1.17 N 0.9 3–16 10 Chua and Seah 1973
165 Chinese, Malays,Indians Singapore 1.17 N 1 adults 22 Bolin et al. 1970a
166 Sotho South Africa 26.2 S 0.65 23 Segal et al. 1983
167 Zulu South Africa 26.2 S 0.81 32 Segal et al. 1983
168 Xhosa South Africa 26.2 S 0.82 17 Segal et al. 1983
169 Tswana South Africa 26.2 S 0.83 24 Segal et al. 1983
170 Swazi South Africa 26.2 S 0.86 12 Segal et al. 1983
171 Bantu of South Africa South Africa 26.1 S 0.9 N/A 31 Jersky and Kinsley 1967
172 Spaniards Spain 40.2 N 0.15 adults 265 Pena-Yanez et al. 1971
173 Ceylonese Sri Lanka 7 N 0.73 adults 200 Senewiratne et al. 1977
174 Bedja Sudan 15 N 0.111 adults 9 Bayoumi et al. 1981
175 Beja Sudan 19 N 0.17 303 Bayoumi et al. 1982
176 Gomocia Sudan 15 N 0.323 adults 31 Bayoumi et al. 1981
177 Kahli Sudan 15 N 0.381 adults 21 Bayoumi et al. 1981
178 Jaali Sudan 15 N 0.469 adults 113 Bayoumi et al. 1981
179 Baggara (sudan) Sudan 11 N 0.49 adults 53 Bayoumi et al. 1981
180 Sudanese, central Sudan 15 N 0.5 adults 56 Bayoumi et al. 1981
181 Habbani Sudan 14.5 N 0.526 adults 19 Bayoumi et al. 1981
182 Sudanese, North Nile Sudan 16.5 N 0.542 adults 24 Bayoumi et al. 1981
183 Sudanese, northern nomadic Sudan 15 N 0.565 adults 23 Bayoumi et al. 1981
184 Sydanese, southern Sudan 5.5 N 0.857 adults 13 Bayoumi et al. 1981
185 Misseri Sudan 14.5 N 0.6 adults 20 Bayoumi et al. 1981
186 Shaygi Sudan 16.5 N 0.619 adults 42 Bayoumi et al. 1981
187 Nilotic (Sudan) Sudan 5.5 N 0.667 adults 18 Bayoumi et al. 1981
188 Nubians Sudan 16.5 N 0.667 adults 21 Bayoumi et al. 1981
189 sudanese(central), aboriginal negroid Sudan 14 N 0.692 adults 26 Bayoumi et al. 1981
190 Nilotes (Dinka) Sudan 6.5 N 0.745 282 Bayoumi et al. 1982
191 Nuba Sudan 14 N 0.793 adults 20 Bayoumi et al. 1981
192 Dongolawi Sudan 16.5 N 0.813 adults 16 Bayoumi et al. 1981
193 Bush negroes Surinam 4 N 1 adults 29 Luyken et al. 1970
194 Indians in Surinam Surinam 0.66 27 Luyken et al. 1970
195 Surinam creole adults Surinam 0.71 31 Luyken et al. 1970
196 Swedes in Sweden Sweden 59.2 N 0.01 adults 400 Dahlqvist and Linquist 1971
197 Chinese in Taiwan Taiwan ? 1 adults 71 Sung et al. 1972
198 Thai/nw europ. Thailand 18.47 N 0.5 adults 6 Flatz and Rotthauwe 1971
199 Thai Thailand 13.45 N 0.96 adults 100 Flatz and Saengudom 1969
200 Thai Thailand 13.45 N 0.97 adults 140 Keusch et al. 1969
201 Thai Thailand 18.47 N 0.99 adults 75 Flatz et al. 1969
202 Thai Thailand 18.47 N 1 ad + child 9 Flatz and Rotthauwe 1971
203 Thai Thailand 18.47 N 1 4–12 24 Flatz et al. 1969
204 Thai Thailand 13.45 N 1 adults 39 Troncale et al. 1967
205 Thai Thailand 13.45 N 1 2–4 16 Varavithya et al. 1976
206 Indians from trinidad Trinidad ? 0.6 adults 25 Bartholomew and Young Pong 1976
207 Tunisians Tunisia 34 N 0.83 adults 43 Filali et al. 1987
208 Turkish Turkey 39.5 N 0.71 18–28 480 Flatz et al.1986a
209 American whites U.S. 44.6 N 0.06 adults 100 Newcomer et al. 1967
210 American whites U.S. 37.5 N 0.08 adults 12 Calloway et al. 1969
211 American whites U.S. 29.2 N 0.09 2–14 17 Woteki et al. 1976
212 American whites U.S. 39.2 N 0.1 18–54 20 Bayless and Rosensweig 1966
213 Non–Jewish American whites U.S. 41.4 N 0.11 adults 53 Tandon et al. 1971
214 American whites U.S. 29.2 N 0.13 19–57 8 Dill et al. 1972
215 Anglo–american whites U.S. 0.15 18–82 142 Woteki et al. 1977
216 American whites U.S. 39.2 N 0.16 adults 19 Cuatrecasas et al. 1965
217 American whites U.S. 31 N 0.17 adults 18 Knudsen et al. 1968
218 American whites U.S. 0.19 93 Marenco et al. 1970
219 American whites U.S. 35.3 N 0.19 3–80 145 Welsh and Rohrer 1967
220 American blacks U.S. 39.2 N 0.24 children 25 Paige et al. 1977
221 American whites U.S. 61.1 N 0.25 adults 16 Duncan and Scott 1972
222 American whites U.S. 42 N 0.25 >5 yrs 65 Lebenthal et al. 1975
223 Chippewa/nw europ.mixed U.S. 47.5 N 0.36 5–73 39 Newcomer et al. 1977b
224 American blacks U.S. 39.2 N 0.45 children 31 Paige et al. 1971
225 Mexican Americans U.S. 35.3 N 0.47 adults 17 Sowers and Winterfeldt 1975
226 Mexican Americans U.S. 29.2 N 0.53 18–94 277 Woteki et al. 1977
227 American blacks U.S. 39.2 N 0.54 6–13 89 Paige et al. 1975
228 Mexican Americans U.S. 29.2 N 0.55 18–57 11 Dill et al. 1972
229 Mexican Americans U.S. 29.2 N 0.56 2–14 75 Woteki et al. 1976
230 American blacks U.S. 39.2 N 0.59 adoles. 32 Mitchell et al. 1975
231 American Indian/anglo mixed U.S. 33.3 N 0.61 ≥4 41 Johnson et al. 1977
232 American indians mixed U.S 35.3 N 0.63 3mo–57 16 Bose and Welsh 1973
233 Orientals in US (chinese and filipino) U.S. 0.65 adults 20 Hua and Bayless 1968
234 American Jews U.S. 41.4 N 0.71 adults 41 Tandon et al. 1971
235 American blacks U.S. 39.2 N 0.73 adults 41 Cuatrecasas et al. 1965
236 American blacks U.S. 39.2 N 0.75 18–52 20 Bayless and Rosensweig 1966
237 American blacks U.S. 41.5 N 0.75 adults 24 Littman et al. 1968
238 American blacks U.S. 44.6 N 0.75 adults 8 Knudsen et al. 1968
239 American blacks U.S. 35.3 N 0.77 3–82 22 Welsh and Rohrer 1967
240 Indians in US U.S. 0.83 adults 18 Mehta and Latham 1977
241 Chippewa, Minnesota U.S. 47.5 N 0.93 5–73 15 Newcomer et al. 1977b
242 Popago U.S. 33.27 N 0.93 adults 14 Johnson et al. 1978
243 Pima U.S. 33.27 N 0.95 ≥4 62 Johnson et al. 1977
244 Indians, Oklahoma U.S. 35.3 N 0.95 adults 20 Bose and Welsh 1973
245 Orientals in US U.S. 1 adults 11 Chung and McGill 1968
246 Pima U.S. 33.27 N 1 adults 4 Johnson et al. 1978
247 Hopi U.S. 33.27 N 1 adults 21 Johnson et al. 1978
248 Apache U.S. 33.27 N 1 adults 22 Johnson et al. 1978
249 Chinese in US U.S. 39.5 N 1 adults 6 Calloway et al. 1969
250 Vietnamese in US U.S. 16 N 1 adults 31 Anh et al. 1977
251 Tussi Uganda 0.2 N 0 adults 5 Cook and Dahlqvist 1968
252 Hima Pastoralists Uganda 0.4 S 0.09 adults 11 Cook and Kajubi 1966
253 Tussi Pastoralists in Uganda Uganda 0.2 N 0.17 adults 12 Cook and Kajubi 1966
254 Iru (mixed Bantu/Hamitic) Uganda 0.2 N 0.39 13 Cook and Dahlqvist 1968
255 Nilotes, nilo–hamites in Uganda Uganda 0.2 N 0.44 adults 9 Cook and Kajubi 1966
256 Ganda Uganda 0.2 N 0.67 5–12 6 Cook et al. 1967
257 Uganda(agricultural Bantu, I.e.Ganda) Uganda 0.2 N 0.96 adults 52 Cook and Kajubi 1966
258 Ganda and others in Uganda Uganda 0.2 N 1 adults 12 Cook and Dahlqvist 1968
259 Yemen Jews Yemen 32.1 N 0.44 20–70 36 Gilat et al. 1970
260 Ibo Zaire 4.2 S 0.75 adults 4 Elliott et al. 1973
261 Bantu of various types Zaire 4.2 S 0.95 adults 52 Elliott et al. 1973
262 Bantu of Zambia Zambia 15.28 S 1 adults 26 Cook et al. 1973
263 canadian whites ? 0.06 16 Cox and Elliot 1974
264 Indians from trinidad ? 0.2 5 Murthy and Haworth 1970
265 Fulani, nomadic ? 10.5 N 0.22 ≥4 9 Kretchmer et al. 1971
266 Hutu (mixed Bantu/Hamitic) ? 0 N/S 0.33 15 Cook and Dahlqvist 1968
267 Greenland Eskimos/nw eur.mixed ? 69.2 N 0.39 1–30 97 Gouin et al. 1972
268 American Indian/anglo mixed ? 0.5 6 Gilat et al. 1974
269 Africans–north (Maghreb) ? 0.78 20–70 55 O'Morain et al. 1978
270 Dinka ? 1 5 Elliott et al. 1973

Complete data of all populations for which LM frequencies are available. ?=information could not be determined.

Appendix A. References

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Department of Neurobiology and Behavior, Cornell University, Ithaca, NY 14853, USA

Corresponding author. Tel.: +1 607 254 4333; fax: +1 607 254 4308.

PII: S1090-5138(04)00100-X

doi:10.1016/j.evolhumbehav.2004.10.002



2007:11:26