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The transition from a human diet based exclusively on wild plants and animals to one involving dependence on domesticated plants and animals beginning 10,000 to 11,000 y ago in Southwest Asia set into motion a series of profound health, lifestyle, social, and economic changes affecting human populations throughout most of the world. However, the social, cultural, behavioral, and other factors surrounding health and lifestyle associated with the foraging-to-farming transition are vague, owing to an incomplete or poorly understood contextual archaeological record of living conditions. Bioarchaeological investigation of the extraordinary record of human remains and their context from Neolithic Çatalhöyük (7100–5950 cal BCE), a massive archaeological site in south-central Anatolia (Turkey), provides important perspectives on population dynamics, health outcomes, behavioral adaptations, interpersonal conflict, and a record of community resilience over the life of this single early farming settlement having the attributes of a protocity. Study of Çatalhöyük human biology reveals increasing costs to members of the settlement, including elevated exposure to disease and labor demands in response to community dependence on and production of domesticated plant carbohydrates, growing population size and density fueled by elevated fertility, and increasing stresses due to heightened workload and greater mobility required for caprine herding and other resource acquisition activities over the nearly 12 centuries of settlement occupation. These changes in life conditions foreshadow developments that would take place worldwide over the millennia following the abandonment of Neolithic Çatalhöyük, including health challenges, adaptive patterns, physical activity, and emerging social behaviors involving interpersonal violence.

The bioarchaeological record of human remains viewed in the context of ecology, subsistence, and living circumstances provides a fundamental source for documenting and interpreting the impact of plant and animal domestication in the late Pleistocene and early to middle Holocene. For Western Asia, Çatalhöyük (7100-5950 cal BC) in central Anatolia, presents a comprehensive and contextualized setting for interpreting living circumstances in this highly dynamic period of human history. This article provides an overview of the bioarchaeology of Çatalhöyük in order to characterize patterns of life conditions at the community level, addressing the question, What were the implications of domestication and agricultural intensification, increasing sedentism, and population growth for health and lifestyle in this early farming community? This study employs demography, biogeochemistry, biodistance analysis, biomechanics, growth and development, and paleopathology in order to identify and interpret spatial and temporal patterns of health and lifestyle under circumstances of rapid population growth and aggregation and changing patterns of acquiring food and other resources. The record suggests that the rapid growth in population size was fueled by increased fertility and birthrate. Although the household was likely the focus of economic activity, our analysis suggests that individuals interred in houses were not necessarily biologically related. Predictably, the community employed resource extraction practices involving increased mobility. Although oral and skeletal indicators suggest some evidence of compromised health (e.g. elevated subadult infection, dental caries), growth and development of juveniles and adult body size and stature indicate adjustments to local circumstances.