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Relationship Between Obesity and Medial Longitudinal Arch Bowing
Ki Chun Kim1, Aly Fayed2, Eli Schmidt2
1Department of Orthopaedic Surgery, Seoul Medical Center, Seoul, South Korea.
Foot & Ankle International
|October 30, 2023
Summary
Obesity negatively impacts the medial longitudinal arch (MLA) of the foot. Increased body mass index (BMI) is associated with changes in foot parameters, indicating potential arch collapse.
Area of Science:
- Orthopaedic Surgery
- Radiology
- Biomechanics
Background:
- Previous studies suggest a link between obesity and the medial longitudinal arch (MLA) of the foot.
- The severity of obesity, classified by the World Health Organization, may influence MLA parameters.
Purpose of the Study:
- To investigate how MLA parameters change across different obesity classifications.
- To assess the relationship between obesity severity and foot biomechanics using weight-bearing computed tomography (WBCT).
Main Methods:
- Retrospective analysis of WBCT data from 220 participants (44 per obesity class).
- Measurement of 12 foot and ankle parameters, including talonavicular angle (TNA) and talus-first metatarsal angle (TMT1A).
- Statistical analysis using ANOVA, Welch's test, Kruskal-Wallis, and Pearson correlation to assess obesity's impact on MLA parameters and BMI correlation.
Main Results:
- Excellent intra- and interobserver reliability was achieved for most measurements.
- Significant differences in TNA and TMT1A were observed across obesity classifications.
- Forefoot arch angle, TNA, TMT1A, and navicular floor distance showed statistically significant correlations with BMI.
Conclusions:
- Obesity classification significantly influences the talonavicular joint, a key component of the MLA.
- Increased BMI is associated with a negative impact on the medial longitudinal arch, suggesting a higher risk of plantar collapse.
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