Analysis of Lower Extremity Motor Capacity and Foot Plantar Pressure in Overweight and Obese Elderly Women

Int J Environ Res Public Health. 2023 Feb 10;20(4):3112. doi: 10.3390/ijerph20043112.

Abstract

Background: Overweight, obesity and falls are major public health problems and old people are the biggest group suffering falls.

Methods: 92 females were divided into the overweight or obesity (O) group (68.85 ± 3.85) and regular-weight (R) group (67.90 ± 4.02). Lower extremity motor capacity and plantar pressure were compared between the two groups. The IRB approval number is 20190804.

Results: (1) Functional Movement Screen and Fugl-Meyer Assessment scores in the O group were significantly lower than in the R group. The time to complete the Timed Up and Go test in the O group was significantly longer than in the R group. (2) Foot flat phase, double support distance, and left foot axis angle in the O group were significantly higher than in the R group. Distance and velocity, left-foot minimum subtalar joint angle and right-foot maximum subtalar joint angle in the O group were significantly shorter than in the R group. (3) Peak force, average force and pressure of metatarsal 1-4, mid-foot, heel medial and lateral, peak pressure of metatarsal l, midfoot, heel medial and lateral in the O group were significantly higher than in the R group. (p < 0.05).

Conclusions: Overweight and obese elderly women have a lower sensorimotor function, flexibility and stability in functional movements, but higher loads on the foot.

Keywords: foot plantar pressure; gait analysis; lower extremity motor capacity; overweight and obese older women.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Female
  • Foot
  • Gait
  • Humans
  • Obesity
  • Overweight*
  • Postural Balance*
  • Pressure
  • Time and Motion Studies
  • Walking

Grants and funding

This research was supported by the National Key Research and Development Program of China [2018YFC2000603].