title: Diffuse Idiopathic Skeletal Hyperostosis and the Osteological Paradox
abstract: Diffuse idiopathic skeletal hyperostosis (DISH) is of interest to bioarchaeologists due to its strong associations with male sex, increased age, and potential associations with obesity, related metabolic conditions, and high social status. However, these possible associations and DISH’s contested status as a pathologic condition raise issues concerning how DISH must be viewed through the lens of the osteological paradox, particularly relating to selective mortality and heterogeneity of frailty. 
journal: The University of Western Ontario Journal of Anthropology