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Updated: Jan 26, 2026

Clinical Assessment of Spatiotemporal Gait Parameters in Patients and Older Adults
Published on: November 7, 2014
The influence of childhood obesity on spatio-temporal gait parameters
Jesús Montes-Alguacil1, Joaquín Páez-Moguer1, Ana Maria Jiménez Cebrián1
1Podiatry Department, Health Sciences Faculty, University of Malaga, Spain.
Insights
Childhood obesity significantly impacts gait by lengthening the support phase, affecting load response and pre-swing. This requires more energy for children with obesity to stabilize their walk, potentially causing biomechanical issues.
Area of Science:
- Pediatrics
- Biomechanics
- Human Movement Science
Background:
- Excess body weight in children can impact musculoskeletal and neurosensorial development.
- Childhood obesity's influence on gait is not fully understood, necessitating further research.
Purpose of the Study:
- To analyze the influence of obesity on gait spatiotemporal parameters in a large sample of healthy school children.
- To investigate gait characteristics during overground walking at self-selected speeds in relation to body mass index.
Main Methods:
- A sample of 238 healthy school children (aged 7-11 years) was analyzed.
- Body mass index (BMI) was calculated to classify children into weight categories (normal weight, overweight, obese).
- Gait spatiotemporal parameters were assessed using the OptoGait® portable photocell system.
Main Results:
- No significant differences in spatial gait variables were found between normal weight and obese children.
- Significant differences were observed in the duration of the stance phase, load response, and pre-swing phase (p < 0.05).
Conclusions:
- Childhood obesity significantly influences gait by increasing the duration of the load response and pre-swing phases, thus extending the total support phase.
- This altered gait pattern in obese children necessitates greater energy expenditure for stabilization and may have biomechanical repercussions.
Abstract:
The musculoskeletal and neurosensorial development of children can be affected by excess body weight. Studies have examined how childhood obesity affects gait, but much about the influence of this factor remains to be determined. The aim of our study is to analyse, in a large sample of children, the influence of obesity on the spatiotemporal parameters of the gait cycle, in the most natural way possible, with the subjects walking overground at a self-selected speed.
Method:
For this study, the sample was composed of 238 healthy school children, composed of 114 (47.9%) girls and 124 (52.1%) boys, aged 7-11 years. For each one, the body mass index was calculated, according to which the subjects were classified by percentiles as low weight, normal weight, overweight or obese. Anthropometric variables were measured and the spatiotemporal parameters of gait were assessed by the OptoGait® portable photocell system.
Results:
The spatial variables did not reveal significant differences between the children with normal weight and those with obesity. However, the differences for stance phase, load response and pre-swing phase (p = 0.0001, p = 0.016 and p = 0.0001, respectively) were clearly significant.
Conclusions:
Childhood obesity exerts a significant influence on gait by increasing the duration of load response and that of the pre-swing towards the oscillation phase and therefore the total duration of the support phase. This outcome requires greater energy expenditure to stabilise the gait of children with obesity, and could have biomechanical repercussions.
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