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Load Transference with the Gain of Excessive Body Mass: A Two-Year Longitudinal Study

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  • Ruoyi Li

    (National Engineering Research Center of Clean Technology in Leather Industry, Sichuan University, Chengdu 610065, China
    Key Laboratory of Leather Chemistry and Engineering, Sichuan University, Chengdu 610065, China)

  • Qingyun Liu

    (National Engineering Research Center of Clean Technology in Leather Industry, Sichuan University, Chengdu 610065, China)

  • Xuecan Chen

    (Rongcheng Customs District P.R. China, Fuzhou 350015, China)

  • Shiyang Yan

    (National Engineering Research Center of Clean Technology in Leather Industry, Sichuan University, Chengdu 610065, China
    Key Laboratory of Leather Chemistry and Engineering, Sichuan University, Chengdu 610065, China)

  • Yihong Zhao

    (National Engineering Research Center of Clean Technology in Leather Industry, Sichuan University, Chengdu 610065, China
    Key Laboratory of Leather Chemistry and Engineering, Sichuan University, Chengdu 610065, China)

  • Linshan Zhang

    (National Engineering Research Center of Clean Technology in Leather Industry, Sichuan University, Chengdu 610065, China
    Key Laboratory of Leather Chemistry and Engineering, Sichuan University, Chengdu 610065, China)

  • Jitka Badurova

    (Faculty of Technology, Tomas Bata University, 76001 Zlin, Czech Republic)

  • Luming Yang

    (National Engineering Research Center of Clean Technology in Leather Industry, Sichuan University, Chengdu 610065, China
    Key Laboratory of Leather Chemistry and Engineering, Sichuan University, Chengdu 610065, China)

  • Haojun Fan

    (Key Laboratory of Leather Chemistry and Engineering, Sichuan University, Chengdu 610065, China)

Abstract

Previous studies investigating the effect of excessive weight on the foot have commonly been cross-sectional; therefore, it is still unclear how the foot function gradually changes with the increased body mass that is physiologically gained over time. This study aimed to use a load transfer method to identify the mechanism of how the foot function changed with the increased excessive body mass over two years. Taking normal weight as the baseline, fifteen children became overweight or obese (group 1), and fifteen counterparts maintained normal weight (group 0) over the two years. Barefoot walking was assessed using a Footscan ® plate system. A load transfer method was used based upon the relative force–time integral (FTI) to provide an insight into plantar load transference as children increased in weight. Significantly increased FTIs were found at the big toe (BT), medial metatarsal (MM), lateral metatarsal (LM), and lateral heel (HL) in group 1, while at BT, MM, medial heel (HM), and HL in group 0. Foot load showed a posterior to anterior transferal from midfoot (2.5%) and heel (7.0%) to metatarsal and big toe in group 1. The control group, however, shifted the loading within the metatarsal level from LM to HM (4.1%), and equally relieved weight from around the midfoot (MF) (3.0%) to BT, MM, HM and HL. Earlier weight loss intervention is required to prevent further adverse effects on foot functions caused by excessive weight-bearing.

Suggested Citation

  • Ruoyi Li & Qingyun Liu & Xuecan Chen & Shiyang Yan & Yihong Zhao & Linshan Zhang & Jitka Badurova & Luming Yang & Haojun Fan, 2021. "Load Transference with the Gain of Excessive Body Mass: A Two-Year Longitudinal Study," IJERPH, MDPI, vol. 18(6), pages 1-9, March.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:6:p:2879-:d:515214
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    References listed on IDEAS

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    1. Liliana Catan & Elena Amaricai & Roxana Ramona Onofrei & Calin Marius Popoiu & Emil Radu Iacob & Corina Maria Stanciulescu & Simona Cerbu & Delia Ioana Horhat & Oana Suciu, 2020. "The Impact of Overweight and Obesity on Plantar Pressure in Children and Adolescents: A Systematic Review," IJERPH, MDPI, vol. 17(18), pages 1-21, September.
    2. Justyna Wyszyńska & Justyna Leszczak & Justyna Podgórska-Bednarz & Ewelina Czenczek-Lewandowska & Maciej Rachwał & Katarzyna Dereń & Joanna Baran & Justyna Drzał-Grabiec, 2020. "Body Fat and Muscle Mass in Association with Foot Structure in Adolescents: A Cross-Sectional Study," IJERPH, MDPI, vol. 17(3), pages 1-9, January.
    3. Pedro Gil Madrona & Sonia J. Romero Martínez & Nieves María Sáez-Gallego & Xavier G. Ordóñez Camacho, 2019. "Psychomotor Limitations of Overweight and Obese Five-Year-Old Children: Influence of Body Mass Indices on Motor, Perceptual, and Social-Emotional Skills," IJERPH, MDPI, vol. 16(3), pages 1-19, February.
    4. Yihong Zhao & Debin Zheng & Shiyang Yan & Mengyuan Liu & Luming Yang, 2020. "Children with Obesity Experience Different Age-Related Changes in Plantar Pressure Distributions: A Follow-Up Study in China," IJERPH, MDPI, vol. 17(18), pages 1-10, September.
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