Relationship of Body Mass Index and Footprint Morphology to the Actual Height of the Medial Longitudinal Arch of the Foot
Abstract
:1. Introduction
2. Materials and Methods
2.1. Research Study Design and Sample Selection
2.2. Data Collect
2.3. Foot Posture
2.4. Anthropometric Measurement of MLA
- Bony arch index (BAI): navicular tubercle height/total length;
- Bony arch index truncated (BAIT): navicular tubercle height/truncated length;
- Arch height index (AHI): bridge height 50% length/length.
2.5. Footprint Measurement
2.6. Statistical Analysis
3. Results
3.1. Analysis of Sex-Related Differences
3.2. Analysis of BMI-Related Differences
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Conflicts of Interest
Appendix A
Characteristics | All Subjects (n = 423) | Men 157 (36.96%) | Women 266 (63.03%) | p | |
---|---|---|---|---|---|
n (%) | Mean ± SD | Mean ± SD | Mean ± SD | ||
Age (years) | 44.43 ± 18.87 | 45.20 ± 18.17 | 43.98 ± 19.29 | 0.357 | |
Weight (kg) | 73.94 ± 15.12 | 82.83 ± 12.86 | 68.71 ± 13.87 | <0.001 | |
Height (m) | 1.65 ± 0.09 | 1.73 ± 0.07 | 1.60 ± 0.07 | <0.001 | |
BMI (kg/m2) | 27.10 ± 5.21 | 27.66 ± 4.34 | 26.77 ± 5.66 | 0.073 | |
BMI SCORE | n (%) | n (%) | |||
Underweight | 2 (0.5) | 0 | 2 (0.8) | 0.002 | |
Normal Weight | 169 (40.0) | 46 (29.3) | 123 (46.2) | ||
Overweight | 147 (34.8) | 70 (44.6) | 77 (28.9) | ||
Obesity | 105 (24.8) | 41 (26.1) | 64 (24.1) |
Measurements | Left Foot | Right Foot | |||
---|---|---|---|---|---|
Mean ± SD | Median (Rank) | Mean ± SD | Median (Rank) | ||
FPI-6 | 3.35 ± 4.70 | 4 (−9–12) | 3.31 ± 4.56 | 4 (−12 + 12) | |
Navicular tubercle height (cm) | 3.96 ± 0.78 | 4.00 (1.50–6.50) | 4.12 ± 0.76 | 4.1 (1.50–6.80) | |
Total foot length (cm) | 24.92 ± 1.61 | 24.80 (21.40–29.30) | 24.91 ± 1.61 | 24.8 (21.4–29.30) | |
Truncated foot length (cm) | 18.08 ± 1.24 | 18 (15.00–21.00) | 18.19 ± 1.23 | 18 (15–22) | |
Dorsal height 50% length (cm) | 5.77 ± 0.62 | 5.8 (4.00–8.10) | 5.80 ± 0.58 | 5.8 (4.20–7.80) | |
BAI | 0.15 ± 0.02 | 0.15 (0.06–0.25) | 0.16 ± 0.02 | 0.16 (0.06–0.27) | |
AHI | 0.23 ± 0.02 | 0.23 (0.16–0.32) | 0.23 ± 0.01 | 0.23 (0.17–0.31) | |
BAIT | 0.39 ± 0.03 | 0.40 (0.27–0.52) | 0.39 ± 0.03 | 0.39 (0.30–0.52) | |
AI | 0.24 ± 0.06 | 0.25 (0.00–0.38) | 0.24 ± 0.06 | 0.25 (0.03–0.39) | |
SCORE | n (%) | n (%) | |||
FPI-6 | Neutral (0–+5) | 175 (41.5%) | 188 (44.4%) | ||
Pronated (+6–+9) | 118 (28%) | 122 (28.8%) | |||
Highly pronated (+10–+12) | 43 (10.2%) | 33 (7.8%) | |||
Supinated (−1–−4) | 61 (14.5%) | 57 (13.5%) | |||
Highly supinated (−5–−12) | 25 (5.9%) | 23 (5.4%) | |||
AI | Normal arch (0.21–0.26) | 163 (38.6%) | 184 (43.6%) | ||
Flat arch (>0.26) | 145 (34.4%) | 147 (34.8%) | |||
Cavus arch (<0.21) | 114 (27%) | 91 (21.6%) |
Intraobserver | Interobserver | |||
---|---|---|---|---|
SEM (95% CI) | ICC (95%) | SEM (95% CI) | ICC (95%CI) | |
BAI | 0.0058 (0.0050; 0.0065) | 0.9217 (0.8899–0.9446) | 0.0122 (0.0107–0.0137) | 0.7822 (0.7026–0.8425) |
AHI | 0.0049 (0.004; 0.0057) | 0.8687 (0.8175–0.9063) | 0.0076 (0.0065–0.0086) | 0.7932 (0.7170–0.8507) |
BAIT | 0.0079 (0.0069; 0.0089) | 0.9409 (0.9167–0.9583) | 0.0186 (0.0162–0.0209) | 0.7326 (0.6385–0.8051) |
Measurements | Left Foot | Right Foot | |||||
---|---|---|---|---|---|---|---|
Men | Women | p | Men | Women | p | ||
Mean ± SD | Mean ± SD | Mean ± SD | Mean ± SD | ||||
FPI-6 | 2.48 ± 4.87 | 3.85 ± 4.54 | 0.004 | 2.62 ± 5.02 | 3.72 ± 4.23 | 0.021 | |
Navicular tubercle height | 4.35 ± 0.80 | 3.75 ± 0.67 | <0.001 | 4.52 ± 0.8 | 3.89 ± 0.62 | <0.001 | |
Total foot length | 26.38 ± 1.28 | 24.06 ± 1.09 | <0.001 | 26.36 ± 1.30 | 24.06 ± 1.08 | <0.001 | |
Truncated foot length | 19.13 ± 1.00 | 17.46 ± 0.90 | <0.001 | 19.23 ± 1.04 | 17.58 ± 0.89 | <0.001 | |
Dorsal height 50% length | 6.24 ± 0.51 | 5.50 ± 0.519 | <0.001 | 6.25 ± 0.52 | 5.54 ± 0.45 | <0.001 | |
BAI | 0.16 ± 0.03 | 0.15 ± 0.03 | 0.001 | 0.17 ± 0.03 | 0.16 ± 0.03 | 0.001 | |
AHI | 0.24 ± 0.02 | 0.23 ± 0.02 | <0.001 | 0.24 ± 0.02 | 0.23 ± 0.02 | 0.001 | |
BAIT | 0.23 ± 0.04 | 0.21 ± 0.04 | 0.002 | 0.24 ± 0.04 | 0.22 ± 0.04 | <0.001 | |
Arch index | 0.24 ± 0.05 | 0.24 ± 0.06 | 0.226 | 0.25 ± 0.05 | 0.24 ± 0.06 | 0.062 | |
SCORES | n (%) | n (%) | p | n (%) | n (%) | p | |
FPI-6 | Normal (0–+5) | 60 (38.5) | 115 (43.2) | 0.072 | 65 (41.4) | 123 (46.2) | 0.015 |
Pronated (+6–+9) | 43 (27.6) | 75 (28.2) | 46 (29.3) | 76 (28.6) | |||
Highly pronated (+10–+12) | 12 (7.7) | 31 (11.7) | 9 (5.7) | 24 (9.0) | |||
Supinated (−1–−4) | 26 (16.7) | 35 (13.2) | 21 (13.4) | 36 (13.5) | |||
Highly supinated (−5–−12) | 15 (9.6) | 10 (3.8) | 16 (10.2) | 7 (2.6) | |||
AI | Normal arch (0.21–0.26) | 73 (46.5) | 90 (34.0) | 0.017 | 66 (42.0) | 118 (44.5) | 0.046 |
Flat arch (>0.26) | 52 (33.1) | 93 (35.1) | 65 (41.4) | 82 (30.9) | |||
Cavus arch (<0.21) | 32 (20.4) | 82 (30.9) | 26 (16.6) | 65 (24.5) |
Measurements | Left Foot | Right Foot | ||||||||
---|---|---|---|---|---|---|---|---|---|---|
Normal Weight | Over Weight | Obesity | Normal Weight | Over Weight | Obesity | |||||
MEN | Mean ± SD | Mean ± SD | Mean ± SD | p | BMI r (p) | Mean ± SD | Mean ± SD | Mean ± SD | p | BMI r (p) |
FPI-6 | 1.74 ± 4.74 | 2.86 ± 5.01 | 2.68 ± 4.79 | 0.424 | 0.085 (0.293) | 1.76 ± 5.31 | 3.06 ± 4.73 | 2.83 ± 5.17 | 0.386 | 0.093 (0.249) |
BAI | 0.17 ± 0.03 | 0.17 ± 0.03 | O.16 ± 0.03 | 0.986 | 0.003 (0.973) | 0.17 ± 0.02 | 0.16 ± 0.03 | 0.16 ± 0.03 | 0.836 | −0.017 (0.834) |
AHI | 0.23 ± 0.02 | 0.24 ± 0.02 | 0.24 ± 0.02 | 0.395 | 0.099 (0.217) | 0.24 ± 0.02 | 0.24 ± 0.02 | 0.24 ± 0.02 | 0.412 | 0.099 (0.218) |
BAIT | 0.23 ± 0.04 | 0.23 ± 0.05 | 0.23 ± 0.05 | 0.981 | 0.019 (0.816) | 0.23 ± 0.03 | 0.22 ± 0.04 | 0.21 ± 0.04 | 0.863 | −0.017 (0.834) |
Arch index | 0.23 ± 0.05 | 0.24 ± 0.05 | 0.26 ± 0.05 | 0.030 | 0.201 (0.011) | 0.22 ± 0.05 | 0.25 ± 0.06 | 0.28 ± 0.05 | 0.019 | 0.187 (0.019) |
AI SCORE | n (%) | n (%) | n (%) | p | n (%) | n (%) | n (%) | p | ||
Normal arch (0.21–0.26) | 20 (43.5) | 34 (48.6) | 19 (46.3) | 0.487 | 23 (50.0) | 29 (41.4) | 14 (34.1) | 0.067 | ||
Flat arch (>0.26) | 14 (30.4) | 21 (30.0) | 17 (41.5) | 12 (26.1) | 30 (42.9) | 23 (56.1) | ||||
Cavus arch (<0.21) | 12 (26.1) | 15 (21.4) | 5 (12.2) | 11 (23.9) | 11 (15.7) | 4 (9.8) | ||||
WOMEN | Mean ± SD | Mean ± SD | Mean ± SD | p | BMI r (p) | Mean ± SD | Mean ± SD | Mean ± SD | p | BMI r (p) |
FPI-6 | 3.89 ± 4.26 | 3.70 ± 4.74 | 4.03 ± 4.91 | 0.772 | 0.007 (0.913) | 3.81 ± 4,08 | 3.62 ± 4,45 | 3.69 ± 4,33 | 0.961 | −0.015 (0.806) |
BAI | 0.16 ± 0.03 | 0.15 ± 0.03 | 0.15 ± 0.03 | 0.023 | −0.160 (0.009) | 0.17 ± 0.02 | 0.16 ± 0.03 | 0.15 ± 0.03 | 0.016 | −0.162 (0.008) |
AHI | 0.23 ± 0.02 | 0.24 ± 0.02 | 0.24 ± 0.02 | 0.496 | −0.060 (0.329) | 0.23 ± 0.02 | 0.23 ± 0.02 | 0.23 ± 0.02 | 0.879 | 0.016 (0.790) |
BAIT | 0.22 ± 0.04 | 0.21 ± 0.04 | 0.21 ± 0.05 | 0.021 | −0.161 (0.009) | 0.23 ± 0.03 | 0.22 ± 0.04 | 0.21 ± 0.04 | 0.012 | −0.168 (0.006) |
Arch Index | 0.21 ± 0.06 | 0.25 ± 0.06 | 0.28 ± 0.04 | <0.001 | 0.463 (<0.001) | 0.22 ± 0.05 | 0.25 ± 0.06 | 0.28 ± 0.05 | <0.001 | 0.441 (<0.001) |
AI SCORE | n (%) | n (%) | n (%) | p | n (%) | n (%) | n (%) | p | ||
Normal arch (0.21–0.26) | 43 (35.0) | 29 (37.7) | 17 (26.6) | <0.001 | 64 (52.0) | 32 (41.6) | 21 (32.8) | <0.001 | ||
Flat arch (>0.26) | 22 (17.9) | 31 (40.3) | 40 (62.5) | 17 (13.8) | 28 (36.4) | 37 (57.8) | ||||
Cavus arch (<0.21) | 58 (47.2) | 17 (22.1) | 7 (10.9) | 42 (34.1) | 17 (22.1) | 6 (9.4) |
Measurements | Left Foot | Right Foot | ||||||||
---|---|---|---|---|---|---|---|---|---|---|
Normal Weight | Over Weight | Obesity | Normal Weight | Over Weight | Obesity | |||||
MEN | Mean ± SD | Mean ± SD | Mean ± SD | p | BMI r (p) | Mean ± SD | Mean ± SD | Mean ± SD | p | BMI r (p) |
FPI-6 | 1.74 ± 4.74 | 2.86 ± 5.01 | 2.68 ± 4.79 | 0.424 | 0.085 (0.293) | 1.76 ± 5.31 | 3.06 ± 4.73 | 2.83 ± 5.17 | 0.386 | 0.093 (0.249) |
BAI | 0.17 ± 0.03 | 0.17 ± 0.03 | 0.16 ± 0.03 | 0.986 | 0.003 (0.973) | 0.17 ± 0.02 | 0.16 ± 0.03 | 0.16 ± 0.03 | 0.836 | −0.017 (0.834) |
AHI | 0.23 ± 0.02 | 0.24 ± 0.02 | 0.24 ± 0.02 | 0.395 | 0.099 (0.217) | 0.24 ± 0.02 | 0.24 ± 0.02 | 0.24 ± 0.02 | 0.412 | 0.099 (0.218) |
BAIT | 0.23 ± 0.04 | 0.23 ± 0.05 | 0.23 ± 0.05 | 0.981 | 0.019 (0.816) | 0.23 ± 0.03 | 0.22 ± 0.04 | 0.21 ± 0.04 | 0.863 | −0.017 (0.834) |
Arch index | 0.23 ± 0.05 | 0.24 ± 0.05 | 0.26 ± 0.05 | 0.030 | 0.201 (0.011) | 0.22 ± 0.05 | 0.25 ± 0.06 | 0.28 ± 0.05 | 0.019 | 0.187 (0.019) |
AI SCORE | n (%) | n (%) | n (%) | p | n (%) | n (%) | n (%) | p | ||
Normal arch (0.21–0.26) | 20 (43.5) | 34 (48.6) | 19 (46.3) | 0.487 | 23 (50.0) | 29 (41.4) | 14 (34.1) | 0.067 | ||
Flat arch (>0.26) | 14 (30.4) | 21 (30.0) | 17 (41.5) | 12 (26.1) | 30 (42.9) | 23 (56.1) | ||||
Cavus arch (<0.21) | 12 (26.1) | 15 (21.4) | 5 (12.2) | 11 (23.9) | 11 (15.7) | 4 (9.8) | ||||
WOMEN | Mean ± SD | Mean ± SD | Mean ± SD | p | BMI r (p) | Mean ± SD | Mean ± SD | Mean ± SD | p | BMI r (p) |
FPI-6 | 3.89 ± 4.26 | 3.70 ± 4.74 | 4.03 ± 4.91 | 0.772 | 0.007 (0.913) | 3.81 ± 4.08 | 3.62 ± 4.45 | 3.69 ± 4.33 | 0.961 | −0.015 (0.806) |
BAI | 0.16 ± 0.03 | 0.15 ± 0.03 | 0.15 ± 0.03 | 0.023 | −0.160 (0.009) | 0.17 ± 0.02 | 0.16 ± 0.03 | 0.15 ± 0.03 | 0.016 | −0.162 (0.008) |
AHI | 0.23 ± 0.02 | 0.24 ± 0.02 | 0.24 ± 0.02 | 0.496 | −0.060 (0.329) | 0.23 ± 0.02 | 0.23 ± 0.02 | 0.23 ± 0.02 | 0.879 | 0.016 (0.790) |
BAIT | 0.22 ± 0.04 | 0.21 ± 0.04 | 0.21 ± 0.05 | 0.021 | −0.161 (0.009) | 0.23 ± 0.03 | 0.22 ± 0.04 | 0.21 ± 0.04 | 0.012 | −0.168 (0.006) |
Arch Index | 0.21 ± 0.06 | 0.25 ± 0.06 | 0.28 ± 0.04 | <0.001 | 0.463 (<0.001) | 0.22 ± 0.05 | 0.25 ± 0.06 | 0.28 ± 0.05 | <0.001 | 0.441 (<0.001) |
AI SCORE | n (%) | n (%) | n (%) | p | n (%) | n (%) | n (%) | p | ||
Normal arch (0.21–0.26) | 43 (35.0) | 29 (37.7) | 17 (26.6) | <0.001 | 64 (52.0) | 32 (41.6) | 21 (32.8) | <0.001 | ||
Flat arch (>0.26) | 22 (17.9) | 31 (40.3) | 40 (62.5) | 17 (13.8) | 28 (36.4) | 37 (57.8) | ||||
Cavus arch (<0.21) | 58 (47.2) | 17 (22.1) | 7 (10.9) | 42 (34.1) | 17 (22.1) | 6 (9.4) |
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Rosende-Bautista, C.; Munuera-Martínez, P.V.; Seoane-Pillado, T.; Reina-Bueno, M.; Alonso-Tajes, F.; Pérez-García, S.; Domínguez-Maldonado, G. Relationship of Body Mass Index and Footprint Morphology to the Actual Height of the Medial Longitudinal Arch of the Foot. Int. J. Environ. Res. Public Health 2021, 18, 9815. https://doi.org/10.3390/ijerph18189815
Rosende-Bautista C, Munuera-Martínez PV, Seoane-Pillado T, Reina-Bueno M, Alonso-Tajes F, Pérez-García S, Domínguez-Maldonado G. Relationship of Body Mass Index and Footprint Morphology to the Actual Height of the Medial Longitudinal Arch of the Foot. International Journal of Environmental Research and Public Health. 2021; 18(18):9815. https://doi.org/10.3390/ijerph18189815
Chicago/Turabian StyleRosende-Bautista, Carolina, Pedro V. Munuera-Martínez, Teresa Seoane-Pillado, María Reina-Bueno, Francisco Alonso-Tajes, Sergio Pérez-García, and Gabriel Domínguez-Maldonado. 2021. "Relationship of Body Mass Index and Footprint Morphology to the Actual Height of the Medial Longitudinal Arch of the Foot" International Journal of Environmental Research and Public Health 18, no. 18: 9815. https://doi.org/10.3390/ijerph18189815