scholarly journals Development of a New Shoe Fitting for Obese Adults

2022 ◽  
Vol 21 (1) ◽  
pp. 45-53
Author(s):  
Md Yeasir Abir ◽  
Khandaker Anisul Haq ◽  
Abu Jor ◽  
Azizur Rahman

Background: Standard fit as well as wide-fit footwear not currently being pertinent and comfortable for the obese adults. The biometric measurements of obese foot (such as foot length, foot width, heel girth, instep girth, waist girth, and ball girth,) significantly differ from healthy adults. Aim: This study aims to develop a new shoe fitting for obese adults based on significant relationships among the relevant biometric parameters of the foot. Method: These measurements of obese foot were determined using a Brannock device and measuring tape. All kinds of foot girth measurements were analyzed against scaling based on foot width or current fitting, BMI, foot length, heel girth, instep girth, waist girth and ball girth and compared these data with ANOVA. Result: Results showed that responses of all kinds of girths against waist girth scaling provide best fitting prospects of obese adults than current standard fit as well as other parameters. Conclusion: From the study and results, it can be concluded that shoe fitting based on waist girth can give more precise comfort and improve the ergonomic fitness of the product for obese users. Bangladesh Journal of Medical Science Vol. 21(1) 2022 Page : 45-53

2020 ◽  
Vol 7 ◽  
pp. 2333794X2097420
Author(s):  
Shiyam Sunder Tikmani ◽  
Sana Roujani ◽  
Syed Iqbal Azam ◽  
Haleema Yasmin ◽  
Khadija Bano ◽  
...  

Preterm births have a high risk of mortality. Therefore, knowledge of the gestational age (GA) at birth is crucial to guide the appropriate management of a newborn. Common methods for estimating GA such as the last menstrual period, ultrasonography, and post-natal Ballard scoring have some limitations. This study aimed to determine the relationship between foot length and GA to develop and validate an equation for predicting GA of Pakistani newborns. We conducted a prospective study in a large obstetric hospital in Pakistan. Data for this analysis were extracted from the hospital files of eligible women by trained study midwives. Midwives were also trained in performing the Ballard examination and taking foot length using a disposable measuring tape within an hour of the birth. The GA was calculated using an android-based GA calculator. Simple and multiple linear regression were used to construct predicting equations for GA. Both the foot length and GA were available for 1542 cases. The median GA was 34.5 (IQR 4.7) weeks and the median foot length was 7 cm (IQR 1.4). There was a positive linear relationship between foot length and GA ( r2 81.7%, P-value < .001). Stratified analysis showed an r2 of 81.7% for males and 81.6% for females. The r2 for stillbirths was 84.1% and, 82.3% for live births. The r2 for macerated stillbirths was 88.6% and 90.6% for fresh stillbirths. In resource poor settings, the use of foot length can estimate GA in both live births and stillbirths and can easily identify preterm infants.


2020 ◽  
pp. 3172-3178
Author(s):  
Fakhri Alajeeli

The objective of the present study is to determine the anti-obesity effects of Akkermansia munciniphila  on some biometric measurements. 40 patients were divided into two groups, each with 20 patients; G1 group consumed the probiotic of A. munciphila   and G2   consumed placebo capsules. The results  showed significant effects on the body weight (p≤ 0.001), which was reduced by a range of -2.29 to -0.7, whereas non-significant differences were observed in the Waist circumferance  . The study also showed significant differences (p≤0.001) between the two groups in the levels of cholesterol (287 vs. 285 mg/dl) , whereas the level of  Triglyceride  significantly  decreased  in the treated patients (p≤0.001). No significant differences were observed in the concentration of fat.  There were also  significant differences in the levels of fetuin-A  (p≤0.020) and serotonin ( p≤ 0.039 ).  The consumption of the probiotic of A. muciniphila  was proved to be beneficial for human health, while further studies are needed to explore more effects.


2013 ◽  
Vol 103 (5) ◽  
pp. 369-373 ◽  
Author(s):  
Musa B. T. Umar ◽  
Rabiu U. Tafida

Background: Flat arches in children usually become proper arches and high arches as the child progresses through adolescence and into adulthood. Only if the deformity persists or presents in adolescence or adulthood is it considered abnormal. We sought to determine the incidence of flatfoot in schoolchildren and to make an anthropometric comparison between flat and normal feet with respect to age and sex in the Hausa ethnic group of Nigeria. Methods: Two hundred 9- to 14-year-old students (100 boys and 100 girls) were studied. Navicular height, medial malleolar height, lateral malleolar height, foot length, and transverse arch length were measured with a ruler, marker, and measuring tape. Statistical analysis was conducted using analysis of variance and independent-samples t tests (P &lt; .05). Results: The overall prevalence of flatfoot was 10% (n = 20) (7% in boys [n = 7] and 13% in girls [n = 13]). Statistically significant differences were found in all of the measured parameters except foot length. This study showed that flatfoot has a higher incidence in girls than in boys in the Hausa ethnic group, with the incidence decreasing with age. Conclusions: Girls had a higher incidence of flatfoot than boys, and it was also influenced by age. (J Am Podiatr Med Assoc 103(5): 369–373, 2013)


Author(s):  
Yue Liao ◽  
Michael C Robertson ◽  
Andrea Winne ◽  
Ivan H C Wu ◽  
Thuan A Le ◽  
...  

Abstract The advancement of wearable technologies provides opportunities to continuously track individuals’ daily activity levels and sleep patterns over extended periods of time. These data are useful in examining the reciprocal relationships between physical activity and sleep at the intrapersonal level. The purpose of this study is to test the bidirectional relationships between daily activity levels and sleep duration. The current study analyzed activity and sleep data collected from a Fitbit device as part of a 6 month employer-sponsored weight loss program. A total of 105 overweight/obese adults were included (92% female, 70% obese, and 44% Hispanic). Multilevel models were used to examine (a) whether daily active and sedentary minutes predicted that night’s sleep duration and (b) whether sleep duration predicted active and sedentary minutes the following day. Potential extended effects were explored by using a 2 day average of the activity minutes/sleep duration as the predictor. No significant relationships between active minutes and sleep duration were found on a daily basis. However, having less sleep over two nights than one’s usual level was associated with an increased likelihood of engaging in some physical activity the following day. There was a significant bidirectional negative association between sedentary minutes and sleep duration for both the daily and 2 day models. Data from wearable trackers, such as Fitbit, can be used to investigate the daily within-person relationship between activity levels and sleep duration. Future studies should investigate other sleep metrics that may be obtained from wearable trackers, as well as potential moderators and mediators of daily activity levels and sleep.


2018 ◽  
Vol 6 (1) ◽  
pp. 135
Author(s):  
Senthilkumar K. ◽  
Senthilprabhu R. ◽  
Mythili B. ◽  
Ann Mary Zacharias

Background: Gestational age of the newborn can be assessed by various methods. Aim of this study was to estimate the gestational age using foot length of the neonate and to find the correlation between foot length and gestational age assessed by last menstrual period and first trimester ultrasound.Methods: It was a hospital based prospective cross-sectional study done at Newborn ward, Department of Pediatrics, MGM Govt. hospital attached to KAP Viswanatham Govt. Medical College, Tiruchirappalli, involving 170 newborns with 10 babies in each gestational age ranging from 26 weeks to 42 weeks. Gestational age of all babies were assessed using last menstrual period, first trimester ultrasound and New Ballard Score soon after birth. Right foot length of each baby was measured from heel to tip of great toe or second toe whichever was longer, within 12-24 hours of life. Measurements were taken using a plastic ruler, measuring tape and by measuring the length of foot print ink impression.  Gestational age obtained by various methods were assessed for their correlation with foot length.Results: Positive correlation was obtained between foot length and gestational age determined by LMP (r= 0.965) and ultrasound (r= 0.964). Hence foot length could be reliably used to predict gestational age of newborn.Conclusions: Foot length measurements can be used as a non-invasive alternative method to assess gestational age of newborn, especially by community health workers and thus can facilitate the early identification of preterm babies.


2020 ◽  
Author(s):  
Shiyam Sunder Tikmani ◽  
Sana Roujani ◽  
Syed Iqbal Azam ◽  
Haleema Yasmin ◽  
Khadija Bano ◽  
...  

Abstract Background: Neonatal mortality in preterm live births is high. Therefore, knowledge of the gestational age (GA) at birth is crucial for the management and predicting prognosis of a newborn. Common methods for estimating GA such as the last menstrual period, ultrasonography, and post-natal Ballard scoring have some limitations. This study aimed to determine the relationship between foot length and GA and to develop a regression equation for predicting GA of the neonates born in Pakistan. Methods: Data for this analysis were extracted from the hospital files of eligible women by trained study midwives. Midwives were also trained in performing the Ballard examination and taking foot length using a disposable measuring tape within an hour of the birth. The measurement was taken from the mid-point of the heel to the end of the longest toe. The GA was calculated using an android-based GA calculator, which used a report of last menstrual period, ultrasound examination, and Ballard examination. The data were analyzed using SPSS version 19. Scatter plots were constructed to assess the linearity and co-efficient of determination and the correlation was calculated. Simple and Multiple Linear regression was used to construct predicting equations for GA.Results: Both foot length and GA were available for 1542 cases and were analyzed. The median GA was 34.5 weeks with an interquartile range (IQR 4.7) and the median foot length was 7 cm (IQR 1.4). There was a positive linear relationship between foot length and GA (r2 81.7%, p-value <0.001). Stratified analysis showed an r2 of 81.7% for males and 81.6% for females. The r2 for stillbirths was 84.1% and, 82.3% for live births. The r2 for macerated stillbirths was 88.6% and 90.6% for fresh stillbirths. Conclusion: In resource poor settings, the use of foot length can estimate GA in both live births and stillbirths and can easily identify preterm infants to initiate early management.


2003 ◽  
Vol 29 (2-3) ◽  
pp. 269-299
Author(s):  
Janna C. Merrick

Main Street in Sarasota, Florida. A high-tech medical arts building rises from the east end, the county's historic three-story courthouse is two blocks to the west and sandwiched in between is the First Church of Christ, Scientist. A verse inscribed on the wall behind the pulpit of the church reads: “Divine Love Always Has Met and Always Will Meet Every Human Need.” This is the church where William and Christine Hermanson worshipped. It is just a few steps away from the courthouse where they were convicted of child abuse and third-degree murder for failing to provide conventional medical care for their seven-year-old daughter.This Article is about the intersection of “divine love” and “the best interests of the child.” It is about a pluralistic society where the dominant culture reveres medical science, but where a religious minority shuns and perhaps fears that same medical science. It is also about the struggle among different religious interests to define the legal rights of the citizenry.


2020 ◽  
Vol 5 (6) ◽  
pp. 1666-1682
Author(s):  
Lena G. Caesar ◽  
Merertu Kitila

Purpose The purpose of this study was to investigate the perceptions of speech-language pathologists (SLPs) regarding their academic preparation and current confidence levels for providing dysphagia services, and the relationship between their perceptions of graduate school preparation and their current levels of confidence. Method This study utilized an online survey to gather information from 374 American Speech-Language-Hearing Association–certified SLPs who currently provide dysphagia services in the United States. Surveys were primarily distributed through American Speech-Language-Hearing Association Special Interest Group forums and Facebook groups. The anonymous survey gathered information regarding SLPs' perceptions of academic preparation and current confidence levels for providing dysphagia services in 11 knowledge and skill areas. Results Findings indicated that more than half of respondents did not feel prepared following their graduate academic training in five of the 11 knowledge and skill areas related to dysphagia service delivery. However, about half of respondents indicated they were currently confident about their ability to provide services in eight of the 11 knowledge and skill areas. Findings also indicated that their current confidence levels to provide dysphagia services were significantly higher than their perceptions of preparation immediately following graduate school. However, no significant relationships were found between respondents' self-reported current confidence levels and their perceptions of the adequacy of their academic preparation. Conclusions Despite SLPs' low perceptions of the adequacy of their graduate preparation for providing dysphagia services in specific knowledge and skill areas immediately following graduation, they reported high confidence levels with respect to their actual service delivery. Implications of these findings are discussed.


1989 ◽  
Vol 32 (3) ◽  
pp. 681-687 ◽  
Author(s):  
C. Formby ◽  
B. Albritton ◽  
I. M. Rivera

We describe preliminary attempts to fit a mathematical function to the slow-component eye velocity (SCV) over the time course of caloric-induced nystagmus. Initially, we consider a Weibull equation with three parameters. These parameters are estimated by a least-squares procedure to fit digitized SCV data. We present examples of SCV data and fitted curves to show how adjustments in the parameters of the model affect the fitted curve. The best fitting parameters are presented for curves fit to 120 warm caloric responses. The fitting parameters and the efficacy of the fitted curves are compared before and after the SCV data were smoothed to reduce response variability. We also consider a more flexible four-parameter Weibull equation that, for 98% of the smoothed caloric responses, yields fits that describe the data more precisely than a line through the mean. Finally, we consider advantages and problems in fitting the Weibull function to caloric data.


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