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Steven
L. Hoch
TALL TALES:
ANTHROPOMETRIC MEASURES OF WELL-BEING IN
IMPERIAL
Slavic Review 58,
no. 1 (Spring 1999)
"From the
soles of his feet to the roots of his hair, Paul Bunyan split the atmosphere
exactly
Anthropometry,
an important technique for the study of human aux-ology or growth, dates back
to the eighteenth century, though it experienced long periods of scientific
neglect. James M. Tanner revived this technique in the mid-1950s,3
and over a decade later, a small but prominent group of historians, including
Emmanuel Le Roy Ladurie and Robert Fogel, began to make use of available data
on the stature or height and, on occasion, the weight of military recruits from
the nineteenth and twentieth centuries to assess changes in well-being. In
Fogel's research, "mean height at specific ages is used as a measure of
standard of living" and is used to "supplement other evidence such as
indexes of real wages, estimates of per-capita income, and measures of food consumption."4
Others have used secular changes in stature to estimate national income;
to study changes in the standard of living, as conventionally understood, or in
a biological standard of living; to predict mortality; and to determine
aggregate well-being, though all are clearly quite distinct measures.5
It is
1. Earl
Clifton Beck, "Paul's Dinner," Legends of Paul Bunyan, comp.
and ed. Harold W. Felton (New York, 1947), 34.
2. Ivan
Benson, "The Big Blue Ox," Paul Bunyan and His Men (Rutland,
Vt., 1955), 31.
3. James
M. Tanner, "A Concise History of Growth Studies from Buffon to Boas,"
in Frank Falkner and J. M. Tanner, eds., Human
Growth, vol. 3, Neurobiology and Nutrition (New York, 1979),
515-93.
4. Robert
William Fogel, "Physical Growth as a Measure of Economic Well-Being of
Populations: The Eighteenth and Nineteenth Centuries," in Frank Falkner
and J. M. Tanner, eds., Human Growth: A
Comprehensive Treatise, 2d ed., vol. 3, Methodology, Ecological, Genetic, and Nutritional Effects on Growth (New York, 1986), 263. See also John Komlos, Nutrition and Economic Development in the
Eighteenth- Century Habsburg Monarchy: An Anthropometric History (
5. H.J.
Brinkman, J. W. Drukker, and B. Slot, "Height and Income: A New Method for
the Estimation of Historical National Income Series," Explorations in
Economic History 25 (July 1988):
227-64; John Komlos, ed., The Biological Standard of Living on Three
Continents:
Slavic
Review 58, no. 1 (Spring 1999)
62
Slavic Review
this same
method and its underlying premises that are taken up in the research here.
Boris Mironov
and Stephen G. Wheatcroft both relate observed changes in height, and in the
latter case sometimes weight, to shifts in biological status, clearly a
different measure of well-being than standard of living. Both recognize that a
complex of factors affect biological status, although these considerations are
not always consistently applied in Miro-nov's analysis. They adhere, in
principle, to the well-established medical view that "the most important
exogenous factors [non-genetic] influencing growth are nutrition and
disease."6 As Phyllis Eveleth and James Tanner write: "There
are many environmental factors which affect growth, and which combine in
various proportions to constitute the environment of poverty; but in the final
analysis most of them hinge upon the level of nutrition in conjunction with the
prevalence of childhood infection."7
The
use of anthropometric techniques to analyze time series shifts in the
biological status of a population presents a number of problems. The issues
relevant here include the validity of the actual measures used (do they measure
what they say they measure), the accuracy of the recorded data, the
periodization of the observed changes in the measures, and the causes of the
observed changes, each of which will be discussed in turn. The importance of
this discussion is to determine whether the application of anthropometric
methods to available Russian and Soviet data can sustain the conclusions
reached by Mironov and Wheatcroft.
Mironov
relies solely on data on terminal height or stature (which is generally
attained between the ages of 20-25) as an indicator of biological status,
contending that "even the most insignificant increase or decrease in
height can indicate a change in the biological status of a population."
In contrast, Wheatcroft supplements his information on terminal stature whenever
possible with available information on mortality, weight, weight-for-height or
body mass indexes, height-for-age, and birth weights, reflecting many of the
concerns medical professionals have regarding anthropometric measures,
concerns that have more recently been directed to historians as well.
Wheatcroft's approach is certainly more helpful because of the well-recognized
problem of using a single variable, especially one that is widely regarded as
imprecise, as we shall see.
Further Explorations in Anthropometric History (Boulder,
Colo., 1995); Jane Humphries, "Short Stature among Coal-Mining Children: A
Comment," Economic History Review 50, no. 3 (1997): 531-37;
Roderick Floud, Kenneth W. Wachter, and Annabel Gregory, Height, Health, and
History: Nutritional Status in the
6.
C. Van Wieringen, "Secular
Growth Changes," in Falkner and Tanner, eds., Human Growth: A
Comprehensive Treatise, 3:322; and James R. Hummert and Alan H. Goodman,
"An Assessment of the Effects of Childhood Illness on Growth in Height and
Weight," Growth 50 (1986): 371.
7.
Phyllis B. Eveleth and James M.
Tanner, Worldwide Variation in Human Growth, 2d ed. (Cambridge, Eng.,
1990), 191.
Tall Tales
63
Early
practitioners of anthropometric history focused on terminal stature or height,
as it was often the only anthropometric information available. In most of
Europe, males eligible for military service were measured for height at ages
close to their expected terminal height, as was the case in imperial
Following
earlier lines of research, Wheatcroft states: "Data on terminal height
provide a history of 'net nutrition' up to the age at which growth ceases
(normally between 20 and 24). Weight is an indicator of more recent net
nutritional status."10 Mironov holds that "an expert majority
of anthropometricians at the present time endorse the paradigm that net
consumption exerts a decisive influence on body height, and in this analysis, I
rely on that paradigm." But it is unclear how useful or sensitive final
stature alone is as a measurement of well-being, however defined. "The
major increase in the prevalence of stunting . . . occurs in the first two
years of life. After that period the curve flattens." Height-forage,
weight-for-age, and weight-for-height as anthropometric measures are perhaps
better applied to children only through the age of 7 "because from then on
genetic factors start playing a greater role in the determination of a child's
height and weight."11 To quote Eveleth and Tanner again:
"The average values of children's heights and weights reflect accurately
the state of a nation's public health and the average nutritional status of
the population of its citizens, when appropriate allowance is made for
differences, if any, in genetic potential. This is especially so in developing
or disintegrating countries."12 For these same reasons,
comparisons
8. Johanno
T. Dwyer, "Concept of Nutritional Status and Its Measurement," in
John H. Himes, ed., Anthropometric Assessment ofNutritional Status (New
York, 1991), 16 (emphasis added).
9. A. Roberto Frisancho, Anthropometric Standards for
the Assessment of Growth and Nutritional
Status (Ann Arbor, 1990).
10.
See also
Komlos, Nutrition and Economic Development, 27.
11.
Kees
Kostermans, Assessing the Quality of Anthropometric Data (Washington,
D.C., 1994), 5-6; WHO Working Group, "Use and
Interpretation of Anthropometric Indicators of Nutritional Status," Bulletin
of the World Health Organization 64, no. 6 (1986): 931.
12.
Eveleth and Tanner, Worldwide
Variation, 1 (emphasis added).
64
Slavic Review
with
populations of differing genetic background are impossible, though Mironov
attempts this. Even current research admits the difficulty of establishing
nonpopulation-specific anthropometric reference standards that can permit such
comparisons.13 Equally, the methods employed require the assumption
that the genetic composition of the population measured across the period under
observation remain relatively stable, proportionally speaking. This is true for
only some of the populations or subgroups analyzed by Wheatcroft and Mironov.
Although
data concerning final stature are unfortunately often the only data available
to historians, the dependability of this measure as an indicator of well-being
is low.14 Given the problems of relying exclusively on stature or
height, the World Health Organization noted as early as 1986: "It is
generally desirable to use more than one method of presenting and analyzing
anthropometric data."15 Heeding this caution, John Riley, using
data on height and weight to compute a body mass index for adult males
in Britain in the 1860s rather than relying on height alone, demonstrated, as
suggested by the World Health Organization, that "weight matters. The
addition of information about weight, which allows calculation of body mass,
calls into question the use of height as a gauge of quality of life,
nutritional status, and mortality risk."16 Similarly, recent
research on men of
Another
factor confounding the use of anthropometric measures, and especially of height
as a measure of well-being, is the autonomous role of infectious disease.
During the period under consideration, imperial
13. Frisancho,
Anthropometric Standards, 3.
14. Kostermans,
Assessing the Quality, 3.
15. WHO
Working Group, "Use and Interpretation," 938.
16. John
C. Riley, "Height, Nutrition, and Mortality Risk Reconsidered," Journal
of Interdisciplinary History 24, no. 3 (Winter 1994): 492.
17. John
E. Murray, "Standards of the Present for People of the Past: Height,
Weight, and Mortality among Men of
18. Joel
Mokyr and Cormac O'Grada, "Height and Health in the
Tall Tales
65
ward the end
of the last century. Measles and whooping cough may well have become more
prevalent, and scarlet fever less virulent.19 In addition, a shift
in breast-feeding practices and the increased availability of unadulterated
milk supplies may well have reduced the biggest killer of all, infant and
childhood diarrheal diseases, often implicated in stunting. All these diseases
affect quite different age groups and have differential consequences for human
growth.20 Although some of these changes in the disease environment
can be attributed to direct medical or public health interventions, others are
due to random variation in the nature of disease or shifts in the seasonal
demand for women's labor, all of which complicate any analysis of changes in
well-being.
Finally,
even to the degree that anthropometric measures are correlated to the net
nutritional status or well-being of a population, it needs to be noted that an
entitlement to food, especially on the part of the young, reflects social
values, and not simple availability.21 This is especially the case
in patriarchal societies in which wealth and status are stratified by
generation. Changes in entitlement practices resulting from fundamental shifts
in attitudes toward children can be a significant factor affecting nutritional
status and well-being, quite apart from net gain or loss in availability.
The raw data
used by Mironov and Wheatcroft present formidable problems for analysis,
especially given that the 100-year secular increase in stature under discussion
is less than
19.
Kenneth F.
Kiple, ed., The Cambridge World History of Human Disease (New York, 1993),
1063; Joseph H. Bates and William W. Stead, "Tuberculosis as a Global
Epidemic," Medical Clinics of North America 77, no. 6 (November
1993): 1208-10; Steven L. Hoch, "Famine, Disease, and Mortality Patterns
in the Parish of Borshevka, Russia, 1830-1912," Population Studies 52,
no. 3 (October 1998); K. G. Vasil'ev and A. E. Segal, Istoriia epidemii v
Rossii (Materialy i ocherki) (Moscow, 1960), 214-353; O. V. Baroian, Results
of Half a Century of Combating Infections in the USSR and Certain Urgent
Problems of Modern Epidemiology (Moscow, 1968); E. I. Chazov, ed., 70
let sovetskogo zdravookhraneniia, 1917-1987 (Moscow, 1987).
20. Hans-Joachim
Voth and Timothy Leunig, "Did Smallpox Reduce Height? Stature and Standard
of Living in London, 1770-1873," Economic History Review 49 (1996):
541-60; Ida Johnston et al., "Reading Attainment and Physical Development
after Whooping Cough,'1'Journal
ojEpidemiology and Community Health 39 (1985): 314-19; R. C. Hauspie and H.
Pagezy, "Longitudinal Study of Growth of African Babies: An Analysis of
Seasonal Variations in the Average Growth Rate and the Effects of Infectious
Diseases on Individual and Average Growth Patterns," Acta Paediatrica
Scandinavia, Supplement 350 (1989): 37-43; A. Prader, J. M. Tanner, and G.
A. Von Harnack, "Catch-up Growth Following Illness or Starvation," Journal
of Pediatrics 62 (1963): 646-69; and Hummert and Goodman, "An Assessment,"
371-77.
21. Richard
H. Steckel, "Stature and Standard of Living," Journal ojEconomic
Literature 33 (December 1995): 1904.
66
Slavic Review
is, only for
recruits who met the minimal height requirements, a level that changed over
time. Third, problems such as age-heaping, frequently encountered in
historical demography, and difficulties in obtaining accurate height
measurements, cited in many anthropometric studies, could skew their
height-for-age results. Fourth, no serial data appear to be available on
changes in the proportion of men who fell below the minimum height requirement.
This will distort any calculation of mean height in a population. Fifth, it is
unclear that recruits, especially prior to 1874, are representative of the
population as a whole. Landlords and peasant communes with good reason often
selected recruits from the poorest households.22 Finally, in much of
the nineteenth century, annual recruitment levies were regional, and Mironov
admits to regional differences in stature.
Though
both authors admit to some of these problems, they do not appear able to
correct them. They express serious reservations about the data, but proceed
anyway. Neither Wheatcroft or Mironov appear to have undertaken any internal
tests on the data to see if they conform to known distributions of stature in
Human populations. It is widely recognized that height reflects a Gaussian
distribution, and it would have been useful to know if the summary data
employed conform to this anticipated distribution.23 This would
have permitted Mironov to test for accuracy over time and to correct for shifts
in the minimal height requirements for recruitment. Finally, no evidence is
presented in Wheatcroft's essay that will allow me to agree with his claim
that "Soviet statistical data are generally far more reliable than are
normally presumed." Wheatcroft candidly admits to problems of
"censorship," "purposefully misleading data,"
"demonstrably false" claims, and "selectively reproduced
figures." But no analysis of the data on stature, either statistical or
substantive, is presented to demonstrate its reliability and justify its use.
At present, I remain unconvinced.
For all these reasons, it is not
surprising that Wheatcroft and Mironov come up with contradictory results for
the years in which their research overlaps. Wheatcroft identifies "two
fairly steady periods in which there was a distinct upward trend: 1) from the
1850s birth cohort to the late 1880s, and 2) from the mid-1930s birth cohort to
the late 1950s." In contrast, Mironov holds, "for 1821 to 1910, we
can discern three periods: in the first period, 1821-1850, or roughly thirty
years, physical stature increased; in the second, the fifteen years between
1851 and 1865, stature decreased; and in the third, between 1866 and 1910, or
forty-five years, stature again increased." Wheatcroft also identifies two
major periods of decline "1) for birth cohorts 1899-1909, and 2) for birth
cohorts 1923-1934, and possibly one minor decline for birth cohorts
1913-1918." In other words, between 1851 and 1865, Mironov has stature
decreasing and Wheatcroft has it increasing; Wheatcroft sees this increase
continuing to
22. Steven L. Hoch, Serfdom and Social Control in
23. Eveleth and Tanner, Worldwide Variation, 5;
Frisancho, Anthropometric Standards, 31.
Tall Tales
67
the late 1880s,
followed by a major decline in the first decade of the twentieth century.
Mironov sees an increase from 1866-1910.
These
discrepancies highlight the problems of trying to periodize observed changes
in final stature with shifts in either biological well-being or standard of
living. In organizing height data of 20-year-old recruits by birth cohort,
Mironov is of the view that "the difference in the height of recruits
between 1877 and 1876—that is, 1 mm—can essentially be explained by that one
year, 1856." Consequently, Mironov contends that "the annual change
in body height permits one to determine when the tendency toward increased
height is replaced by the tendency toward decreased height, and
correspondingly, when the tendency toward improved biological status is
replaced by a tendency toward declining biological status, and vice
versa." This is a serious statistical flaw that undermines the entire
discussion that follows. In essence, Mironov uses cohort analysis to draw
conclusions that can only be drawn from period analysis. Cohort (or
longitudinal) analysis traces the fate of a specific group of individuals from
the time the cohort is exposed to the risk being studied, in this instance the
risk of being short in stature which begins at age 0 and lasts until age 20-
In
other words, the final stature of a birth cohort can be affected by factors
across a considerable period of time and, thus, observed changes in height
cannot readily be periodized or fixed in time. First, Tanner has noted that a
"contributory cause of the shortness [persisting into adult life] might
have been the undernutrition of mothers much earlier, when they themselves were
children, causing stunting of size and in consequence the production of small
babies."25 Thus, we are presented with the possibility that a
cohort of short mothers born in 1820, giving birth to children largely between
1840-1860, had male sons who, when measured between 1860-1880, were found to be
of short stature.
Second,
the impact of childhood infectious diseases on final stature is quite
age-specific. In
Third,
and of greater import, as Wheatcroft recognizes, periodization is greatly
confounded by the quite varied nature of catch-up growth. Some birth cohorts
stunted at a younger age may well have had both the
24. Henry
S. Shryock and Jacob S. Siegel, The Methods and Materials of Demography (NewYork,
1976), 550-51.
25. Tanner,
"A Concise History of Growth Studies," 3:546.
68
Slavic Review
time and the
food energy to recover. Other birth cohorts may simply have lacked the time;
others may have lacked sufficient nutrition to recover all of the growth
lost. At any age, "it is difficult to determine if complete catch-up has
occurred."26 Moreover, there have been instances which
"demonstrate that the fluctuations in the share of undersized conscripts
generally coincided with the food situation in the years immediately preceding
the examination."27 Finally, tuberculosis, which first entered
the disease environment during this period, inhibits catch-up growth far more
than most other diseases, and thus would be a new random factor affecting
final stature.28
These
problems make period analysis of all but very long-term secular changes
impossible and call into question Mironov's detailed but unsup-portable
periodization of shifts in biological status and all the conclusions that
follow. For any one birth cohort, a complex of factors across a
sixty-year period needs to be taken into consideration. Wheatcroft's basic argument
does not rest on a detailed periodization of changes in final stature, though
at times he does imply one. But, in fact, the factors influencing the final
stature of a birth cohort are hard to determine and impossible to date with any
degree of accuracy. Consequently, shifts in biological well-being cannot be
determined with the chronological precision Wheatcroft and especially Mironov
suggest. As Joel Mokyr and Cormac O'Grada have cautioned: "Time-series
inferences from height data therefore remain, in our view, hazardous."29
In reference
to observed changes in stature, Mironov states: "The task of the historian
is to explain which components of this [biological] status have produced these
changes; these components would include the quality of nutrition, intensity of
work or training, illness, environment, massive and prolonged stress, and
physical overexertion." In contrast, Wheatcroft is much more cautious,
generally eschewing any discussion of causality. He is content to observe the
improved stature in the population in the long run, which he holds, serves as a
counterweight to well-known periods of demographic and economic crisis and
biological stress. Again, Wheatcroft's approach is more prudent.
To
Massimo Livi-Bacci: "Variations in height reflect not only variations in
nutrition but also differences in the frequency of contagious diseases, independently
of prevailing nutritional habits. The state of the art does not yet enable us
to unravel the causal tangle of food-hygiene-infection-height, even in current
studies."30 Similarly, attempts to weigh "the rela-
26. Jere
D. Haas and Jean-Pierre Habicht, "Growth and Growth Charts in the Assessment
of Pre-School Nutritional Status," in C. A. Harrison and J. C. Waterlow,
eds., Diet and Disease in Traditional and Developing Societies (Cambridge,
Eng., 1990), 175.
27. C.
A. Mandemakers and J. L. Van Zanden, "The Height of Conscripts and National
Income: Apparent Relations and Misconceptions," Explorations in
Economic History 30 (January 1993): 83.
28. Haas
and Habicht, "Growth and Growth Charts," 161.
29. Mokyr
and O'Grada, "Height and Health," 163.
30. Massimo Livi-Bacci, Population and Nutrition: An
Essay on European Demographic History, trans.
Tania Croft-Murray, with the assistance of Carl Ipsen (Cambridge, Eng., 1990),
108.
Tall Tales
69
tive
individual importance of such variables on growth is further complicated by
the complexity of their synergistic relationship. . . . Dietary deficits and
disease cannot be completely disassociated when evaluating their effects on
growth and development. This is undoubtedly true in underdeveloped countries in
which diseases are potentially life threatening, generally show a profoundly
negative effect on growth, and are frequently found in consort with various
forms of malnutrition."
Wheatcroft's
research into stature highlights the fact that short-term crises do not
preclude important secular improvements in well-being. In fact, recovery is
often swift. This accords with the findings of Susan Cott Watkins and Jane
Menken and of Ajit Das Gupta, as well as with my own findings.32 His
suggestion that this secular gain in well-being occurred without an improvement
in food availability implies that future lines of research should focus more
intently on public health policies and campaigns as well as changes in the
infectious disease environment. Equally significant, his description of a
long-term increase in height provides additional support for established
views. In a well-known collection of essays published in 1960 by some of
America's best cold warriors, a long-term increase in life expectancy was
recognized as the result of "in good part a genuine improvement in
conditions affecting mortality, as may be seen in data on life expectancy at
birth: 32 years in 1896-97, 44 years in 1926-27, 48 years in 1938-1940 and 67
years in 1955-1956," much attributable to a significant decline in infant
mortality, as is to be expected.33 This view has not changed in the
last forty years. A 1999 edition of a textbook on Russian and Soviet history,
in discussing the period up to 1960, states "the
On
this basis, Wheatcroft urges us to reassess "what the Soviet experience
meant to the mass of the Soviet population." He concludes, "it 'probably'
was the best time for most of its citizens." Rebuking Richard Pipes,
Zbigniew Brzezinski, and Robert Conquest, Wheatcroft prefers to stand in the
camp of our legendary logger. "Paul Bunyan was the one historian of the
useful and the beautiful; other writers of history tell only of terrible
31. Hummert
and Goodman, "An Assessment," 371.
32. Susan
Cott Watkins and Jane Menken, "Famines in Historical Perspectives," Population
and Development Review 11, no. 4 (1985): 654; Ajit Das Gupta,
"Catastrophes and Their Population Symptoms," in Hubert Charbonneau
and Andre LaRose, eds., The Great Mortalities:
Methodological Studies of Demographic Crises in the Past (
33. Warren
W. Eason, "Population Changes," in Cyril E. Black, ed., The
Transformation of Russian Society: Aspects of Social Change since 1861 (Cambridge,
Mass., 1960), 79-80.
34. David
MacKenzie and Michael W. Curran, A History of
70
Slavic Review
and dramatic
events."35 To Wheatcroft, as to many before him, the Soviet
experience is to be subjected to cost-benefit analysis. We need "to gain a
more balanced view" as we debate "the achievements of Soviet communism,
and how these should be weighed against the costs." In particular, he
argues that short-term crises, however emotionally or morally charged, must be
viewed in the perspective of significant secular improvement.
Social
scientists and historians should indeed pay attention to what the Soviet regime
accomplished. Markers of ordinary people's lives are useful and help illuminate
the views and opinions of those who lived through this period. These
achievements help us understand the social bases of support for the regime. But
good and evil, certainly familiar terrain for the historian, cannot always be
the subject of cost-benefit analysis. Even those regimes most would recognize
as evil had social welfare goals for society, and clearly Soviet ideology
demanded that. For the vast majority of Germans living between 1914 and 1950,
the early years of Nazi rule were the best of times. But none of the
accomplishments of the Nazi regime will permit me to view it in a more
beneficial light.
Although
it might be possible to use stature as an indicator of economic or biological
well-being, we need to be cautious of rhetorical slips suggesting that we can
measure intellectual and ethical health similarly. They cannot be placed in the
same ledger book. The new information provided by Wheatcroft leads him to make
moral claims. But improvements in stature or life expectancy must not be
allowed to place the Soviet experience "into some form of
perspective," rebalancing the moral ledger. Pipes, Brzezinski, and
Conquest are not simply discussing mortality data as a measure of well-being,
for which other indicators indeed might be more useful, they are describing
state policies of extermination, and we must not confuse these two distinct
aspects of life. It may be ironic that at a time of great human brutality there
was a significant gain in economic or biological well-being. But such
improvements cannot serve as a counterweight to the repressive policies of the
Soviet state. Rather, we need to be reminded of Charles Dickens: "It was
the best of times, it was the worst of times," an age of wisdom,
foolishness; belief, incredulity; Light, Darkness; hope, despair; everything
before us, nothing before us. All these were surely part of the Soviet
experience.
35. James Stevens, "The Winter
of the Blue Snow," in Paul Bunyan (New York, 1925), 11.