JBM  Vol.7 No.5 , May 2019
Foot Loading Pattern Variations between Normal Weight, Overweight, and Obese Adults Aged 24 to 50 Years
Recently, health problems related to weight gain and obesity have increased in all age groups, especially adults. Overweight and obese adults are associated with psychological, metabolic and musculoskeletal problems. The aim of this study was to examine foot-loading characteristics during gait of normal-weight; overweight and obese adults aged 25 - 46 years. Methods: This paper outlined tests that were performed on 30 feet of 15 participants. The subjects were gathered in three groups according to their body mass index values, each containing five study participants: five healthy weights (age 35.4 ± 6.3 yrs, BMI 21.9 ± 1.3 kg?/m2) matched to five overweight (age 39.2 ± 6.1 yrs, BMI 27.5 ± 1.34 kg?/m2); and five obese adults (age 36.5 ± 7.8? yrs, BMI 34.5 ± 10.3 kg?/m2. The measurements were compared between these groups and the correlation of body mass index with the foot plantar pressure parameters was assessed. Results: The foot pressure measure in the obese group was greater under the metatarsal heads and the heel of the foot compared to the healthy weight group. Moreover, there were rises in pressure beneath the H, MF, second metatarsal and third metatarsal regions of the foot. It may be considered that in obese individuals, this variation resulted from greater weakness in the ligaments of the foot. As results, the obese group may suffer from discomfort in their feet. The choice of the footwear may depend on the gait and the resulting pain. In addition, they may be less likely to take part in walking or other activities. Therefore, further studies related to these issues, would be advisable. Conclusion: especially, the feet of obese individuals vary from those healthy and overweight adults, because obese subjects’ feet are wider. In the obese was established the greatest foot pressure measure in-creases beneath the heel of the foot and the metatarsal heads.
Cite this paper: Al-Magsoosi, S. and Chong, A. (2019) Foot Loading Pattern Variations between Normal Weight, Overweight, and Obese Adults Aged 24 to 50 Years. Journal of Biosciences and Medicines, 7, 34-49. doi: 10.4236/jbm.2019.75007.

[1]   Sheffler, L.R., Bailey, S.N., Gunzler, D. and Chae, J. (2014) Effect of Body Mass Index on Hemiparetic Gait. PM & R, 6, 908-913.

[2]   Anandacoomarasamy, A., Caterson, I., Sambrook, P., Fransen, M. and March, L. (2007) The Impact of Obesity on the Musculoskeletal System. Internal Medicine Journal, 37, A35.

[3]   World Health Organization (2016) Obesity and Overweight.

[4]   Rossouw, H.A., Grant, C.C. and Viljoen, M. (2012) Overweight and Obesity in Children and Adolescents: The South African problem. South African Journal of Science, 108, 1-7.

[5]   Jegede, J.A., Adegoke, B.O. and Olagbegi, O.M. (2017) Effects of a Twelve-Week Weight Reduction Exercise Programme on Selected Spatiotemporal Gait Parameters of Obese Individuals. Journal of Obesity, 2017.

[6]   Butterworth, P.A., Landorf, K.B., Smith, S.E. and Menz, H.B. (2012) The Association between Body Mass Index and Musculoskeletal Foot Disorders: A Systematic Review. Obesity Reviews, 13, 630-642.

[7]   Mickle, K.J., Munro, B.J., Lord, S.R., Menz, H.B. and Steele, J.R. (2011) Gait, Balance and Plantar Pressures in Older People with Toe Deformities. Gait & Posture, 34, 347-351.

[8]   Stuck, R.M., Sohn, M.W., Budiman-Mak, E., Lee, T.A. and Weiss, K.B. (2008) Charcot Arthropathy Risk Elevation in the Obese Diabetic Population. The American Journal of Medicine, 121, 1008-1014.

[9]   Hills, A.P., Hennig, E.M., McDonald, M. and Bar-Or, O. (2001) Plantar Pressure Differences between Obese and Non-Obese Adults: A Biomechanical Analysis. International Journal of Obesity, 25, 1674.

[10]   Riddle, D.L., Pulisic, M., Pidcoe, P. and Johnson, R.E. (2003) Risk Factors for Plantar Fasciitis: A Matched Case-Control Study. JBJS, 85, 872-877.

[11]   Irving, D.B., Cook, J.L., Young, M.A. and Menz, H.B. (2007) Obesity and Pronated Foot Type May Increase the Risk of Chronic Plantar Heel Pain: A Matched Case-Control Study. BMC Musculoskeletal Disorders, 8, 41.

[12]   Prichasuk, S. (1994) The Heel Pad in Plantar Heel Pain. The Journal of Bone and Joint Surgery: British Volume, 76, 140-142.

[13]   Birrell, S.A. and Haslam, R.A. (2009) The Effect of Military Load Carriage on 3-D Lower Limb Kinematics and Spatiotemporal Parameters. Ergonomics, 52, 1298-1304.

[14]   Smith, B., Roan, M. and Lee, M. (2010) The Effect of Evenly Distributed Load Carrying on Lower Body Gait Dynamics for Normal Weight and Overweight Subjects. Gait & Posture, 32, 176-180.

[15]   Gravante, G., Russo, G., Pomara, F. and Ridola, C. (2003) Comparison of Ground Reaction Forces between Obese and Control Young Adults during Quiet Standing on a Baropodometric Platform. Clinical Biomechanics, 18, 780-782.

[16]   Birtane, M. and Tuna, H. (2004) The Evaluation of Plantar Pressure Distribution in Obese and Non-Obese Adults. Clinical Biomechanics, 19, 1055-1059.

[17]   Deepashini, H., Omar, B., Paungmali, A., Amaramalar, N., Ohnmar, H. and Leonard, J. (2014) An Insight into the Plantar Pressure Distribution of the Foot in Clinical Practice: Narrative Review. Polish Annals of Medicine, 21, 51-56.

[18]   Dowling, A.M., Steele, J.R. and Baur, L.A. (2001) Does Obesity Influence Foot Structure and Plantar Pressure Patterns in Prepubescent Children? International Journal of Obesity, 25, 845.

[19]   Hills, A.P., Hennig, E.M., Byrne, N.M. and Steele, J.R. (2002) The Biomechanics of Adiposity-Structural and Functional Limitations of Obesity and Implications for Movement. Obesity Reviews, 3, 35-43.

[20]   Yan, S.H., Zhang, K., Tan, G.Q., Yang, J. and Liu, Z.C. (2013) Effects of Obesity on Dynamic Plantar Pressure Distribution in Chinese Prepubescent Children during Walking. Gait & Posture, 37, 37-42.

[21]   Butterworth, P.A., Urquhart, D.M., Landorf, K.B., Wluka, A.E., Cicuttini, F.M. and Menz, H.B. (2015) Foot Posture, Range of Motion and Plantar Pressure Characteristics in Obese and Non-Obese Individuals. Gait & Posture, 41, 465-469.

[22]   Filippin, N.T., Barbosa, V.L.P., Sacco, I.C.N. and Lobo da Costa, P.H. (2007) Effects of Obesity on Plantar Pressure Distribution in Children. Brazilian Journal of Physical Therapy, 11, 495-501.

[23]   Waaijman, R. and Bus, S. (2012) The Interdependency of Peak Pressure and Pressure-Time Integral in Pressure Studies on Diabetic Footwear: No Need to Report Both Parameters. Gait & Posture, 35, 1-5.

[24]   Chong, A.K., Alrikabi, R. and Milburn, P. (2017) July. Gait COP Trajectory of Left Side Hip-Dislocation and Scoliotic Patient Using Ankle-Foot Orthoses. Ninth International Conference on Digital Image Processing (ICDIP 2017), Vol. 10420, 104204S. International Society for Optics and Photonics.

[25]   Hill Jr., J.J. and Cutting, P.J. (1989) Heel Pain and Body Weight. Foot & Ankle, 9, 254-256.

[26]   Vela, S.A., Lavery, L.A., Armstrong, D.G. and Anaim, A.A. (1998) The Effect of Increased Weight on Peak Pressures: Implications for Obesity and Diabetic Foot Pathology. The Journal of Foot and Ankle Surgery, 37, 416-420.

[27]   Cousins, S.D., Morrison, S.C. and Drechsler, W.I. (2013) Foot Loading Patterns in Normal Weight, Overweight and Obese Children Aged 7 to 11 Years. Journal of Foot and Ankle Research, 6, 36.

[28]   Mickle, K., Steele, J. and Munro, B. (2006) The Feet of Overweight and Obese Young Children: Are They Flat or Fat? Obesity, 4, 1949-1953.

[29]   Messier, S.P., Ettinger, W.H., Doyle, T.E., Morgan, T., James, M.K., O’toole, M.L., Bums, R. and Snow, J.B. (1995) Obesity: Effects on Gait in an Osteoarthritic Population. Medicine & Science in Sports & Exercise, 27, S42.

[30]   McGoey, B.V., Deitel, M., Saplys, R.J. and Kliman, M.E. (1990) Effect of Weight Loss on Musculoskeletal Pain in the Morbidly Obese. The Journal of Bone and Joint Surgery: British Volume, 72, 322-323.

[31]   Cavanagh, P.R., Hennig, E.M., Rodgers, M.M. and Sanderson, D.J. (1985) The Measurement of Pressure Distribution on the Plantar Surface of Diabetic Feet. In Biomechanical Measurement in Orthopaedic Practice, Clarendon Press Oxford, 159-166.

[32]   Nyska, M., Linge, K., McCabe, C. and Klenerman, L. (1997) The Adaptation of the Foot to Heavy Loads: Plantar Foot Pressures Study. Clinical Biomechanics (Bristol, Avon), 12, S8-S8.

[33]   Periyasamy, R., Mishra, A., Anand, S. and Ammini, A. (2012) Foot Pressure Distribution Variation in Pre-Obese and Non-Obese Adult Subject While Standing. The Foot, 22, 276-282.

[34]   Gopalakrishna, K.P., Mothiram, K.P. and Srinivasan, S. (2001) A New Method of Analysis of Standing Foot Pressure Images for Detection of the Plantar Ulcers in Early-Stage Diabetic Neuropathy. Frontiers of Medical and Biological Engineering: The International Journal of the Japan Society of Medical Electronics and Biological Engineering, 11, 31-43.

[35]   Yoon, S.W., Park, W.S. and Lee, J.W. (2016) Effects of Body Mass Index on Plantar Pressure and Balance. Journal of Physical Therapy Science, 28, 3095-3098.

[36]   Putti, A.B., Arnold, G.P. and Abboud, R.J. (2010) Differences in Foot Pressures between Caucasians and Indians. Foot and Ankle Surgery, 16, 195-198.

[37]   Figueroa, J.L., Fuller, L.C., Abraha, A. and Hay, R.J. (1996) The Prevalence of Skin Disease among School Children in Rural Ethiopia: A Preliminary Assessment of Dermatologic Needs. Pediatric Dermatology, 13, 378-381.

[38]   Fuller, E. (1996) Computerised Gait Evaluation. In Clinical Biomechanics of the Lower Extremities, Mosby, London, 179-205.

[39]   Phethean, J. and Nester, C. (2012) The Influence of Body Weight, Body Mass Index and Gender on Plantar Pressures: Results of a Cross-Sectional Study of Healthy Children’s Feet. Gait & Posture, 36, 287-290.

[40]   Filippin, N.T., Bacarin, T.D.A. and Lobo da Costa, P.H. (2008) Comparison of Static Footprints and Pedobarography in Obese and Non-Obese Children. Foot & Ankle International, 29, 1141-1144.

[41]   Putti, A.B., Arnold, G.P., Cochrane, L.A. and Abboud, R.J. (2008) Normal Pressure Values and Repeatability of the Emed (R) ST4 System. Gait Posture, 27, 501-505.

[42]   Scott, G., Menz, H.B. and Newcombe, L. (2007) Age-Related Differences in Foot Structure and Function. Gait & Posture, 26, 68-75.37.