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The occurrence of osteoarthritis (OA) as an indicator of physical activity was explored in two Middle Neolithic samples from Gotland (c. 3400-2300 BC) in the Baltic Sea: Ajvide (n = 46) and Vasterbjers (n = 32). The difficulty in diagnosing OA is recognised and only eburnation was used as a definite criterion for OA. The relationship between eburnation lesions and Musculoskeletal Stress Markers (M
