Association between the levels of physical activity and plantar pressure in 6-14-year-old children

Background The main purpose of the study was to determine whether lower levels of physical activity were associated with higher plantar pressure generated under each foot. Methods In this cross-sectional study, we recruited 641 children aged 6–14 years (agemean ± SD = 9.7 ± 2.4 years; heightmean ± SD = 143.6 ± 15.3 cm, weightmean ± SD = 37.6 ± 13.4 kg; body-mass indexmean ± SD = 17.6 ± 3.2 kg/m2; 44.2% girls). We used EMED –XL pressure platform to measure force time integral, pressure-time integral, contact-time and contact area, peak plantar pressure and mean plantar pressure of the right and the left foot during the gait analysis. The level of physical activity was measured by using The Physical Activity Questionnaire for Older Children (PAQ–C). The associations were calculated by using generalized estimating equations with linear regression models. Results Lower levels of physical activity were associated with higher force- and pressure-time integrals, longer contact time and higher peak and mean plantar pressures in both feet. Conclusion Our study shows that the level of physical activity is strongly and inversely associated with plantar pressure in a sample of 6–14 year olds.

Download Full-text

Effect of visual condition and physical activity on the plantar pressure distribution in adult and older women

Brazilian Journal of Kinanthropometry and Human Performance ◽

10.1590/1980-0037.2021v23e73290 ◽

2021 ◽

Vol 23 ◽

Author(s):

Hadassa Costa Sousa ◽

Martina Estevam Brom Vieira ◽

Mariana Ferreira Moreira ◽

Juliane Leite Orcino ◽

Darlan Martins Ribeiro ◽

...

Keyword(s):

Physical Activity ◽

Older Women ◽

Plantar Pressure ◽

Visual Information ◽

Cross Sectional Study ◽

Pressure Variation ◽

Visual Condition ◽

Cross Sectional ◽

The Right ◽

And Function

Abstract The aging process causes changes in the physical and functional conditions, as well as in the foot structure and function. This study aimed to analyze the plantar pressure variation with respect to visual information and physical activity in adult and older women. This was a cross-sectional study that included 142 women (mean age of 67.8 years). Participants responded the anamnesis questionnaire, Mini Mental State Examination, and International Physical Activity Questionnaire. Plantar pressure was assessed using computerized baropodometry. Weight distribution was observed in semitandem positions for the right foot forward and then the left foot forward . Data analysis showed that foot type had no correlation with age (p = 0.37 right foot; p = 0.93 left foot) or level of physical activity (p = 0.28 right foot; p = 0.96 left foot). Moreover, plantar pressure variation showed no significant relationship with age (R2 = 0.2; p = 0.6). In conclusion, plantar pressure variation is not associated with the morphological foot type in women analyzed, as the visual condition did not generate plantar pressure variations when compared to its effect on the classification of plantar arches. Furthermore, level of physical activity was not associated with plantar pressure variation .

Download Full-text

Physical Activity and Diet Quality Modify the Association between Comorbidity and Disability among Stroke Patients

Nutrients ◽

10.3390/nu13051641 ◽

2021 ◽

Vol 13 (5) ◽

pp. 1641

Author(s):

Lien T. K. Nguyen ◽

Binh N. Do ◽

Dinh N. Vu ◽

Khue M. Pham ◽

Manh-Tan Vu ◽

...

Keyword(s):

Physical Activity ◽

Diet Quality ◽

Negative Impact ◽

Cross Sectional Study ◽

World Health ◽

Short Version ◽

Linear Regression Models ◽

Stroke Patients ◽

Disability Score ◽

Cross Sectional

Background: Comorbidity is common and causes poor stroke outcomes. We aimed to examine the modifying impacts of physical activity (PA) and diet quality on the association between comorbidity and disability in stroke patients. Methods: A cross-sectional study was conducted on 951 stable stroke patients in Vietnam from December 2019 to December 2020. The survey questionnaires were administered to assess patients’ characteristics, clinical parameters (e.g., Charlson Comorbidity Index items), health-related behaviors (e.g., PA using the International Physical Activity Questionnaire- short version), health literacy, diet quality (using the Dietary Approaches to Stop Hypertension Quality (DASH-Q) questionnaire), and disability (using the World Health Organization Disability Assessment Schedule II (WHODAS II)). Linear regression models were used to analyze the associations and interactions. Results: The proportion of comorbidity was 49.9% (475/951). The scores of DASH-Q and WHODAS II were 29.2 ± 11.8, 32.3 ± 13.5, respectively. Patients with comorbidity had a higher score of disability (regression coefficient, B, 8.24; 95% confidence interval, 95%CI, 6.66, 9.83; p < 0.001) as compared with those without comorbidity. Patients with comorbidity and higher tertiles of PA (B, −4.65 to −5.48; p < 0.05), and a higher DASH-Q score (B, −0.32; p < 0.001) had a lower disability score, as compared with those without comorbidity and the lowest tertile of PA, and the lowest score of DASH-Q, respectively. Conclusions: Physical activity and diet quality significantly modified the negative impact of comorbidity on disability in stroke patients. Strategic approaches are required to promote physical activity and healthy diet which further improve stroke rehabilitation outcomes.

Download Full-text

Health and nutrition literacy in adults: Links with lifestyle factors and obesity

Mediterranean Journal of Nutrition and Metabolism ◽

10.3233/mnm-200471 ◽

2020 ◽

Vol 13 (4) ◽

pp. 361-370

Author(s):

Maria Michou ◽

Demosthenes B. Panagiotakos ◽

Christos Lionis ◽

Vassiliki Costarelli

Keyword(s):

Physical Activity ◽

Alcohol Consumption ◽

Linear Regression ◽

Smoking Status ◽

Linear Regression Analysis ◽

Cross Sectional Study ◽

Lifestyle Factors ◽

Linear Regression Models ◽

Chi Square ◽

Cross Sectional

BACKGROUND: Low Health Literacy (HL) and Nutrition Literacy (NL) are associated with serious negative health outcomes. OBJECTIVES: The aim of this study was to investigate certain lifestyle factors and obesity, in relation to HL and NL. METHODS: This cross-sectional study was conducted in the urban area of the Attica region, in Greece. The sample consisted of 1281 individuals, aged ≥18 years. HL, NL sociodemographic characteristics and lifestyle factors (physical activity, smoking status, alcohol consumption,) were assessed. Mann-Whitney U, the Kruskall Wallis, Pearson chi-square tests and multiple linear regression models were used. RESULTS: Linear regression analysis has shown that smoking, alcohol consumption and physical activity, were associated with HL levels (–1.573 points for ex-smokers in comparison to smokers, p = 0.035, –1.349 points for alcohol consumers in comparison to non-consumers, p = 0.006 and 1.544 points for physically active individuals to non-active, p = 0.001). With respect to NL levels, it was also not associated with any of these factors. Obesity was not associated with HL and NL levels. CONCLUSIONS: Certain lifestyle factors, including physical activity, are predicting factors of HL levels, in Greek adults. The results contribute to the understanding of the relationship between lifestyle factors and HL and should be taken into account when HL policies are designed.

Download Full-text

A Network Perspective on the Relationship Between Moderate to Vigorous Physical Activity and Fundamental Motor Skills in Early Childhood

Journal of Physical Activity and Health ◽

10.1123/jpah.2020-0218 ◽

2021 ◽

pp. 1-8

Author(s):

Thaynã Alves Bezerra ◽

Paulo Felipe Ribeiro Bandeira ◽

Anastácio Neco de Souza Filho ◽

Cain Craig Truman Clark ◽

Jorge Augusto Pinto Silva Mota ◽

...

Keyword(s):

Physical Activity ◽

Early Childhood ◽

Vigorous Physical Activity ◽

Cross Sectional Study ◽

Older Children ◽

Activity Data ◽

Cross Sectional ◽

Nonlinear Characteristics ◽

Main Variable ◽

The Relationship

Background: The relationship between moderate to vigorous physical activity (MVPA) and fundamental motor skill (FMS) is inconsistent in early childhood, due to its complex and nonlinear characteristics. This study aimed to analyze the nonlinear relationships between MVPA, FMS, body mass index (BMI), sex, and age in preschoolers. Methods: This cross-sectional study with preschoolers (n = 204; 4.0 [0.8] y old; 99 boys), provided objective physical activity data, FMS assessments, and BMI. The associations between MVPA, FMS, BMI, sex, and age were explored using the network analysis (RStudio and qgraph). Results: Boys were more motor competent than girls in all FMS skills, while girls were more active than boys during the weekend. Older children were less active than their younger peers during these days. MVPA is weak and differently related to each FMS, and the leap skill emerged with the highest betweenness and strength values in the network. Conclusions: For the assessed preschoolers, when considering BMI, age, and sex, the relationships between MVPA and FMS are inconsistent, and leap emerged as the main variable. During early childhood, these variables are connected as part of a complex system in which each skill has a dynamic role within the emerging pattern.

Download Full-text

Lower physical activity is associated with daytime sleepiness in children aged 9–12 years

Journal of Child Health Care ◽

10.1177/1367493519864756 ◽

2019 ◽

Vol 23 (3) ◽

pp. 415-424

Author(s):

Tsunenori Isa ◽

Taiki Sugimoto ◽

Shunsuke Murata ◽

Yamato Tsuboi ◽

Aoi Ebina ◽

...

Keyword(s):

Physical Activity ◽

Daytime Sleepiness ◽

Multiple Logistic Regression Analysis ◽

Univariate Analysis ◽

Sixth Grade ◽

Cross Sectional Study ◽

Older Children ◽

Cross Sectional ◽

Public Elementary Schools ◽

Activity Questionnaire

This study clarified the prevalence of daytime sleepiness in fourth-, fifth-, and sixth-grade children and examined the association between physical activity (PA) and daytime sleepiness in children aged 9–12 years. This cross-sectional study included 314 children (mean age ± standard deviation: 10.5 ± 1.0 years; male: 52.9%) enrolled in two public elementary schools in Kobe, Japan. PA was assessed using the Physical Activity Questionnaire for Older Children. The outcome was self-reported daytime sleepiness. The prevalence of daytime sleepiness in fourth-, fifth-, and sixth-grade children were 10.8%, 25.2%, and 28.6%, respectively. In univariate analysis, subjects with reported daytime sleepiness had lower PA levels than those without daytime sleepiness (odds ratio (OR) = .67; 95% confidence interval (CI) = .47–.95). Multiple logistic regression analysis demonstrated that lower PA was significantly associated with daytime sleepiness after adjusting for multiple confounders (OR = .54; 95% CI = .37–.81). The prevalence of daytime sleepiness in fifth and sixth grades was higher than fourth grade. Furthermore, this study clarified the significant association between PA and daytime sleepiness and suggested that PA could be one of the factors to prevent daytime sleepiness in children aged 9–12 years.

Download Full-text

The Association of Physical Activity and Physical Fitness With Pre-Adolescent Obesity: An Observational Study in Metromanila, Philippines

Journal of Physical Activity and Health ◽

10.1123/jpah.8.6.804 ◽

2011 ◽

Vol 8 (6) ◽

pp. 804-810 ◽

Cited By ~ 15

Author(s):

Consuelo Belmonte Gonzalez-Suarez ◽

Karen Grimmer-Somers

Keyword(s):

Physical Activity ◽

Childhood Obesity ◽

Physical Fitness ◽

Cross Sectional Study ◽

The Philippines ◽

Strongly Correlated ◽

Overweight Children ◽

Older Children ◽

Obese Children ◽

Cross Sectional

Background:Childhood obesity has been inconsistently associated with decreased levels of physical activity and fitness. Moreover, little is known about this relationship among Filipino preteens.Methods:This cross sectional study reports the association between childhood obesity, measures of physical activity, and fitness. Children aged 11 to 12 from randomly selected schools from San Juan, Metromanila were included. Outcome measures were body mass index, Filipino modified Physical Activity Questionnaire for Older children (F_PAQ-C), standing broad jump, 50 m sprint and 20 m multistage shuttle run.Results:380 children participated in the study. Obese children had significantly lower median scores in the F_PAQ-C compared with overweight children. Overweight children had lower scores in the standing broad jump, 50 m sprints and predicted VO2max as compared with children with normal BMI. There were modest associations between the 50 m sprint, predicted VO2max, and F_PAQ-C.Conclusion:Our study has showed that physical activity and fitness scores were strongly correlated with childhood obesity. If childhood physical fitness is a predictor of physical fitness in adulthood which is a risk factor in cardiovascular diseases, there is a strong possibility that the prevalence of cardiovascular disease in the Philippines will increase dramatically in the future.

Download Full-text

Effectiveness of the Fixtoe Device® in Plantar Pressure Reduction: A Preliminary Study.

10.21203/rs.3.rs-1110567/v1 ◽

2021 ◽

Author(s):

Maria Ruiz-Ramos ◽

Ángel Manuel Orejana-García ◽

Ignacio Vives-Merino ◽

Carmen Bravo-Llatas ◽

José Luis Lázaro-Martínez ◽

...

Keyword(s):

Plantar Pressure ◽

Metatarsophalangeal Joint ◽

Metatarsal Head ◽

Clinical Results ◽

Cross Sectional ◽

Time Integral ◽

Pressure Time ◽

Second Metatarsal ◽

Maximal Pressure ◽

Taping Technique

Abstract Background: Metatarsalgia is a common foot condition. The metatarsophalangeal stabilizing taping technique described by Yu et al. has shown good clinical results as a provisional treatment in propulsive metatarsalgia. 35 The Fixtoe Device®, a novel orthopedic device, intends to simulate stabilizing tape. However, to date, there is no evidence of its effectiveness.Methods: The aim of this study was to assess plantar pressure changes using the Fixtoe Device®, in comparison with the traditional method (stabilizing tape) in a young, healthy sample thorough a cross-sectional study. Maximal pressure (Kpa) and pressure-time integral (Kpa/s) in the second metatarsal head were measured in twenty-four healthy volunteers. Registers were taken in four different conditions: barefoot, traditional stabilizing tape, Fixtoe Device® without metatarsal pad, and Fixtoe Device® with metatarsal pad. Results: Mean second metatarsal head maximal pressure and mean pressure-time integral showed statistical difference among the four analyzed conditions (p < 0.0001 in both cases). The improvement in maximal pressure and pressure-time integral obtained in each intervention also showed significance (p < 0.0001 in both cases). Comparing the improvement of the Fixtoe Device® with and without metatarsal pad with that of tape condition showed a moderate to high and moderate effect size for both peak pressure and pressure-time integral reduction.Conclusions: The Fixtoe Device® reduces median maximal pressure and median pressure-time integral under the second metatarsal head in healthy young individuals. The Fixtoe Device® shows higher effectiveness than the traditional second metatarsophalangeal joint stabilizing taping technique. To our knowledge, this is the first investigation proving the effectiveness of the recently developed Fixtoe Device® in terms of plantar pressure modification, which leads the way to its use in clinics.

Download Full-text

Effect of Static Foot Alignment on Plantar-Pressure Measures During Running

Journal of Sport Rehabilitation ◽

10.1123/jsr.21.2.137 ◽

2012 ◽

Vol 21 (2) ◽

pp. 137-143 ◽

Cited By ~ 5

Author(s):

Sae Yong Lee ◽

Jay Hertel

Keyword(s):

Outcome Measures ◽

Plantar Pressure ◽

Weight Bearing ◽

Maximum Pressure ◽

Cross Sectional ◽

Medial Side ◽

Time Integral ◽

Pressure Time ◽

Significant Difference ◽

Foot Alignment

Context:Altered foot dynamics due to malalignment of the foot may change plantar-pressure properties, resulting in various kinds of overuse injuries.Objective:To assess the effect of foot characteristics on plantar-pressure-related measures such as maximum pressure, maximum pressure–time, and pressure–time integral underneath the medial aspect of the foot during running.Design:Cross-sectional.Setting:Laboratory. Participants: 8 men and 17 women.Main Outcome Measures:Static non-weight-bearing rear-foot and forefoot alignment and navicular drop were measured. Plantar-pressure data were collected while subjects jogged at 2.6 m/s on a treadmill. Maximum pressure, time to maximum pressure, and pressure–time integral of the medial side of the foot were extracted for data analysis. Multiple-regression analysis was used to examine the effect of arch height and rear-foot and forefoot alignment on maximum pressure and pressure–time integral in the medial side of the foot.Results:In the medial rear-foot and midfoot regions, only rear-foot alignment had a significant effect on the variance of maximum pressure and pressure–time integral. There were no significant difference effects in the medial forefoot region.Conclusion:Rear-foot alignment was found to be a significant predictor of maximum plantar pressure and pressure–time integral in the medial rear-foot and midfoot regions. This indicates that control of rear-foot alignment may help decrease plantar pressure on the medial region of the foot, which may potentially prevent injuries associated with excessive rear-foot eversion.

Download Full-text

Adherence to Mediterranean Diet Related with Physical Fitness and Physical Activity in Schoolchildren Aged 6–13

Nutrients ◽

10.3390/nu12020567 ◽

2020 ◽

Vol 12 (2) ◽

pp. 567 ◽

Cited By ~ 6

Author(s):

José Francisco López-Gil ◽

Javier Brazo-Sayavera ◽

Antonio García-Hermoso ◽

Juan Luis Yuste Lucas

Keyword(s):

Physical Activity ◽

Physical Fitness ◽

Mediterranean Diet ◽

Primary Schools ◽

Cross Sectional Study ◽

Older Children ◽

Cross Sectional ◽

The Relationship ◽

Optimal Adherence ◽

Activity Questionnaire

The relationship between adherence to the Mediterranean Diet (MD) and both physical fitness (PF) and physical activity (PA) level has been analysed in several studies. The aim of this research was to describe, compare and analyse the level of PF and PA in schoolchildren aged 6–13 in the Region of Murcia, according to adherence to the MD. A descriptive and cross-sectional study was performed. A total of 370 schoolchildren (44.9% girls) aged 6–13 (8.7 ± 1.8) from six primary schools in the Region of Murcia (Spain). Mediterranean Diet Quality Index for children and teenagers (KIDMED) was used to determinate the adherence to the MD. The ALPHA-FIT Test Battery was applied for assess body composition and PF. PA level was determined using Physical Activity Questionnaire for Older Children (PAQ-C). Only 25.9% of the schoolchildren had optimal adherence to the MD. Regarding the scores of the different PF tests in MD groups, only statistically significant differences were found for cardiorespiratory fitness (CRF) (p = 0.048) in boys. PA level showed statistically significant differences in both boys (p = 0.040) and girls (p = 0.016). A positive relationship was found between the KIDMED and PA level (p = 0.235). A higher probability of having a greater CRF (OR = 1.17; CI = 1.02–1.34) and PA level (OR = 7.84; CI = 2.84–21.60) was found in high MD group. These results suggest that an optimal adherence to the MD is associated with higher CRF and PA level in the selected schoolchildren.

Download Full-text

0222 The Association of Habitual Physical Activity with 24-Hour Sleep Outcomes in Preschoolers

SLEEP ◽

10.1093/sleep/zsaa056.220 ◽

2020 ◽

Vol 43 (Supplement_1) ◽

pp. A86-A86

Author(s):

C W St Laurent ◽

R Spencer

Keyword(s):

Physical Activity ◽

Sleep Duration ◽

Sleep Onset ◽

Cross Sectional Study ◽

Sleep Efficiency ◽

Linear Regression Models ◽

Cross Sectional ◽

Sleep Behavior ◽

Percent Time ◽

Nighttime Sleep

Abstract Introduction Sedentary behavior, physical activity (PA), and sleep are health behaviors that contribute significantly to overall and early childhood health. Although interactive relationships of these behaviors have been reported in adults and school-aged children, there is limited evidence that PA is associated with sleep using objective measures in younger children and findings have been mixed. The purpose of this study was to determine if objectively measured PA and sleep behavior outcomes are associated in preschoolers. Methods Participants (n=77, age: 4.34±177;0.91 years; 55.8% female) were included in this cross-sectional study. Actiwatch Spectrum monitors (wrist-worn, triaxial accelerometers) were worn 24-hours for 16-days to measure PA (total PA counts, sedentary time [ST], light PA, and moderate-to-vigorous PA [MVPA]) and sleep (24-hour, nighttime, and nap sleep duration, bedtime, wake after sleep onset [WASO], and sleep efficiency). Results Multiple linear regression models adjusted for age and wear time during wake periods indicated that greater MVPA was associated with less nighttime sleep duration (β=-3.48, p<0.001), less total 24-hour sleep duration (β=-3.38, p<0.001), and a later bedtime (β=0.07, p<0.001). Total PA counts were associated with less nighttime sleep duration (β=-0.0002, p=0.001), less total 24-hour sleep duration (β=-0.0002, p=0.001), and a later bedtime (β=4.83, p=0.001). Greater ST was associated with greater total 24-hour sleep duration (β=1.92, p=0.006) and an earlier bedtime (β=-0.36, p=0.02). Percent time spent in light PA was not associated with any sleep outcomes and no PA variables were associated with nap sleep duration, WASO, or sleep efficiency. Conclusion As these findings are in contrast to previous studies reporting null or beneficial associations, further analyses are warranted to examine potential mediators/effect modifiers (e.g., sleep timing, gender, body mass index, and socioeconomic status) and temporal relationships between these movement behaviors in young children. Support NIH R01 HL111695

Download Full-text