Institute of Health Sciences, Collegium Medicum, The Jan Kochanowski University, 25-317, Kielce, Poland.
Rehabilitation Clinic, Provincial General Hospital, 25-310, Kielce, Poland.
Sci Rep. 2020 Jul 23;10(1):12360. doi: 10.1038/s41598-020-69420-1.
Whereas inherently vulnerable structure of both a child's and an adolescent's foot, characteristic for its dynamic, developmental stage, is particularly exposed to numerous environmental factors, excessive body weight gain may potentially become a crucial causal factor, bringing on a cascade of adverse effects throughout the body, e.g. disorders of the skeletal-articular system, gait alterations, abnormally excessive loading of the plantar zones of the foot, and consequently serious postural defects, especially in later life. Since obesity, aptly dubbed the scourge of the 21st c., directly impacts the way the foot biomechanics are developed, whereupon the actual paradigm of foot loading becomes subject to numerous, adverse modifications, the present study focused on gaining an in-depth insight into prevalent association of BMI, adipose tissue content in body composition, and the actual distribution of foot loads in the school-aged children. Since body weight, the simplest anthropometric indicator, is actually non-indicative of the proportion of adipose tissue within body composition, a number of modern, non-invasive diagnostic methods were applied by the investigators to have this deficit effectively addressed, inclusive of comprehensively mapping out the actual load distribution in the plantar zones of the foot.
儿童和青少年的脚部结构天生较为脆弱，处于动态发育阶段，特别容易受到多种环境因素的影响。而超重可能成为一个关键的致病因素，在全身引发一系列不良影响，例如骨骼关节系统紊乱、步态改变、足部足底区域异常过度承重，进而导致严重的姿势缺陷，尤其是在以后的生活中。由于肥胖被恰当地称为 21 世纪的祸害，它直接影响了足部生物力学的发展方式，使得实际的足部承重模式受到许多不利的改变，因此本研究专注于深入了解 BMI、身体成分中的脂肪组织含量以及学龄儿童足部负荷的实际分布之间的普遍关联。由于体重是最简单的人体测量指标，实际上并不能反映身体成分中的脂肪组织比例，因此研究人员应用了一些现代的非侵入性诊断方法来有效解决这一缺陷，包括全面描绘足部足底区域的实际负荷分布。
