Obese children experience higher plantar pressure and lower foot sensitivity than non-obese

Rocha, Emmanuel Souza da; Bratz, Denise Tiane Klein; Gubert, Larissa Colaço; David, Ana Cristina de; Carpes, Felipe P.

doi:10.1016/j.clinbiomech.2014.05.006

Cited by 32 publications

(51 citation statements)

References 32 publications

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“…A secure and more controlled gait pattern would allow more time for sensory exploration, attenuate the sensation of uncertainty, and potentially reduce the severity of any possible perturbations. Thus, the cautious gait pattern also compensates, to some extent, the sole sensory impairments in obese [3]. …”

Section: Discussionmentioning

confidence: 99%

“…Given the inherent invert-pendulum nature of the human body, the extra mass may require more effort to stabilize the body. Additionally, the greater pressure values and larger contact areas beneath the feet among people with obesity may impair the sensory capability from the plantar mechanoreceptors which is of the essence for balance control [3]. Therefore, obesity may cause an elevated postural instability [4], increasing the risk of falls and injuries among obese [5].…”

Section: Introductionmentioning

confidence: 99%

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Obesity May Not Induce Dynamic Stability Disadvantage during Overground Walking among Young Adults

Liu

Yang

2017

PLoS ONE

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Obesity has been related to postural instability during static standing. It remains unknown how obesity influences stability during dynamic movements like gait. The primary aim of this study was to investigate the effects of obesity on dynamic gait stability control in young adults during gait. Forty-four young adults (21 normal-weight and 23 obese) participated in this study. Participants walked five times at their self-selected gait speeds on a linear walkway. Their full-body kinematics were gathered by a motion capture system. Compared with normal-weight group, individuals with obesity walked more slowly with a shorter but wider step. People with obesity also spent an elongated double stance phase than those with normal weight. A reduced gait speed decreases the body center of mass’s velocity relative to the base of support, leading to a reduction in dynamic stability. On the other hand, a shortened step in accompanying with a less backward-leaning trunk has the potential to bring the center of mass closer to the base of support, resulting in an increase in dynamic stability. As the result of these adaptive changes to the gait pattern, dynamic gait stability among people with obesity did not significantly differ from the one among people with normal weight. Obesity seems to not be inducing dynamic stability disadvantage in young adults during level overground walking. These findings could provide insight into the mechanisms of stability control among people affected by obesity during dynamic locomotion.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Obesity May Not Induce Dynamic Stability Disadvantage during Overground Walking among Young Adults

Liu

Yang

2017

PLoS ONE

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“…However, there is little evidence of the impact of isolated components of body mass, such as fat mass, the structure of the feet, and their function [32]. da Rocha et al research also confirmed that obese children experience higher plantar pressure and have lower sensitivity than nonobese [33]. …”

Section: Discussionmentioning

confidence: 99%

Analysis of Relationship between the Body Mass Composition and Physical Activity with Body Posture in Children

Wyszyńska

Podgórska‐Bednarz

Drzał–Grabiec

et al. 2016

BioMed Research International

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Introduction. Excessive body mass in turn may contribute to the development of many health disorders including disorders of musculoskeletal system, which still develops intensively at that time. Aim. The aim of this study was to assess the relationship between children's body mass composition and body posture. The relationship between physical activity level of children and the parameters characterizing their posture was also evaluated. Material and Methods. 120 school age children between 11 and 13 years were enrolled in the study, including 61 girls and 59 boys. Each study participant had the posture evaluated with the photogrammetric method using the projection moiré phenomenon. Moreover, body mass composition and the level of physical activity were evaluated. Results. Children with the lowest content of muscle tissue showed the highest difference in the height of the inferior angles of the scapulas in the coronal plane. Children with excessive body fat had less slope of the thoracic-lumbar spine, greater difference in the depth of the inferior angles of the scapula, and greater angle of the shoulder line. The individuals with higher level of physical activity have a smaller angle of body inclination. Conclusion. The content of muscle tissue, adipose tissue, and physical activity level determines the variability of the parameter characterizing the body posture.

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“…A separate study found that children with overweight (like age‐matched peers with obesity) showed greater midfoot and forefoot loading than peers with healthy weight . The pervasive notion is that increased foot loading in children with obesity may magnify the risk of foot pathologies and altered plantar sensitivity . Perhaps relatedly, 26% of a previous sample of overweight and obese children presented with foot pain .…”

Section: Introductionmentioning

confidence: 99%

Obesity, but not overweight, is associated with plantar light touch sensation in children aged 8 to 16 years: A cross‐sectional study

Ajisafe

Gilson

Garcia

et al. 2020

Obesity Science & Practice

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Summary Objective Increased foot‐ground contact loading engenders adaptive glabrous skin thickening and can decrease mechanoreceptor acuity and alter plantar cutaneous sensation. There has not been any research on whether overweight and obesity are similarly associated with normal plantar cutaneous sensation scores in children. This study investigated the associations between normal plantar cutaneous sensation scores and weight status (i.e., healthy weight, overweight, and obesity) in a sample of youth. Methods Plantar sensation was tested among 122 participants aged 8 to 16 years (10.3 ± 1.8 years; 140.0 ± 11.2 cm; 44.2 ± 16.0 kg) across the forefoot, midfoot, and rearfoot using Semmes‐Weinstein pressure aesthesiometry (0.07 g and 0.4 g monofilaments). Weight status was determined using the Centers for Disease Control and Prevention growth charts. Age‐ and sex‐adjusted models were used to explore the relationships between normal plantar sensation scores and weight status. Significant two‐tailed tests were set at p < .05. Results Only obesity was inversely associated with normal plantar sensation scores on the left (β = −.241; p = .009) and right (β = −.222; p = .018) forefeet, left (β = −.322; p = .001) and right (β = −.253; p = .007) midfeet, and left (β = −.286; p = .002) and right (β = −.228; p = .014) wholefeet (relative to healthy weight) when using the 0.07 g monofilament. There was no association between obesity and plantar sensation when using the 0.4 g monofilament. Conclusions Obesity is associated with diminished light touch plantar sensation. Considering previously reported higher mechanical loading and the fact that Merkel cells and the Aβfibers that innervate them are superficial to the hypodermis, adaptive glabrous skin thickening (rather than fat pad thickness) may underlie this association. Contrary to previous suggestions, overweight is not associated with decreased plantar cutaneous sensation.

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Obese children experience higher plantar pressure and lower foot sensitivity than non-obese

Cited by 32 publications

References 32 publications

Obesity May Not Induce Dynamic Stability Disadvantage during Overground Walking among Young Adults

Obesity May Not Induce Dynamic Stability Disadvantage during Overground Walking among Young Adults

Analysis of Relationship between the Body Mass Composition and Physical Activity with Body Posture in Children

Obesity, but not overweight, is associated with plantar light touch sensation in children aged 8 to 16 years: A cross‐sectional study

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