Abstract

Little is known about how physical fitness is associated with peak plantar pressures in older adults. Therefore, the main purpose of the study was to explore whether higher physical fitness levels were associated with lower peak plantar pressures in a sample of community-dwelling older adults. In this cross-sectional study, we recruited 120 older women aged ≥60 years. To assess the level of peak plantar pressure, we used a Zebris plantar pressure platform. To estimate the level of physical fitness, a senior fitness test battery was used. To calculate the associations between the level of physical fitness and peak plantar pressures beneath the different foot regions (forefoot, midfoot and hindfoot), we used generalized estimating equations with a linear regression model. In unadjusted models, higher physical fitness levels were associated with lower peak plantar pressures. When we adjusted for chronological age, the risk of falls and the presence of foot pain, higher physical fitness levels remained associated with lower peak plantar pressures. Our study shows that higher levels of physical fitness are associated with lower peak plantar pressures, even after adjusting for several potential covariates.

Highlights

  • The percentage of older adults aged ≥65 years has risen dramatically in the last 50 years [1]

  • We found no study into available literature that has systematically explored the associations between the different components of physical fitness and peak plantar pressures under the different foot regions

  • The main purpose of the study was to explore whether higher physical fitness levels were associated with lower peak plantar pressures in a sample of community-dwelling older adults

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Summary

Introduction

The percentage of older adults aged ≥65 years has risen dramatically in the last 50 years [1]. Older adults suffer from a higher prevalence of chronic diseases [2], steadily losing the ability to perform activities in everyday living. Age-related loss of muscle mass and greater accumulation of fat mass often lead to a significant decline in physical performance [5]. The level of physical fitness tends to reduce during aging, in terms of strength, endurance, flexibility and agility [10,11]. Such a decrease is often accompanied by a skeletal muscle and joint motion loss and an increment of fat mass [9]

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