Related Experiment Video
Updated: Mar 9, 2026

Evaluating the Function of the Foot Core System in the Elderly
Published on: March 11, 2022
Impact of shoe size in a sample of elderly individuals
Daniel López-López1, Yésica Expósito-Casabella2, Marta Losa-Iglesias3
1PhD. Health and Podiatry Research Unit, Department of Health Sciences, School of Nursing and Podiatry, Universidade da Coruña, Ferrol, Spain.
Introduction::
The use of an improper shoe size is common in older people and is believed to have a detrimental effect on the quality of life related to foot health. The objective is to describe and compare, in a sample of participants, the impact of shoes that fit properly or improperly, as well as analyze the scores related to foot health and health overall.
Method::
A sample of 64 participants, with a mean age of 75.3±7.9 years, attended an outpatient center where self-report data was recorded, the measurements of the size of the feet and footwear were determined and the scores compared between the group that wears the correct size of shoes and another group of individuals who do not wear the correct size of shoes, using the Spanish version of the Foot Health Status Questionnaire.
Results::
The group wearing an improper shoe size showed poorer quality of life regarding overall health and specifically foot health. Differences between groups were evaluated using a t-test for independent samples resulting statistically significant (p<0.05) for the dimension of pain, function, footwear, overall foot health, and social function.
Conclusion::
Inadequate shoe size has a significant negative impact on quality of life related to foot health. The degree of negative impact seems to be associated with age, sex, and body mass index (BMI).
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