Journals / Türkiye Diyabet ve Obezite Dergisi / 2026 / Cilt: 4 Sayı: 1

Investigation of the Relationship Between Waist/Height Ratio and Foot Posture in Adults

Yetişkinlerde Bel/Boy Oranı ile Ayak Postürü Arasındaki İlişkinin İncelenmesi

Tuba Eser(Zonguldak Bülent Ecevit Üniversitesi, Sağlık Bilimleri Enstitüsü, İç Hastalıkları Anabilim Dalı, Podoloji Yüksek Lisansı, Zonguldak)0000-0001-5570-2702
Gizem Alarçin(Zonguldak Bülent Ecevit Üniversitesi, Sağlık Bilimleri Enstitüsü, İç Hastalıkları Anabilim Dalı, Podoloji Yüksek Lisansı, Zonguldak)0000-0002-7868-2350
Taner Bayraktaroğlu(Zonguldak Bülent Ecevit Üniversitesi, Tıp Fakültesi, Endokrinoloji ve Metabolizma Hastalıkları Bilim Dalı, Zonguldak)0000-0003-3159-6663
Pages
30–35
Publication Date
2020-04-23
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

Conclusion: Our study showed that the Foot Posture Index score of the group with central obesity and risky WHR increased, comparing the two groups in terms of the normal and risky waist / height ratio in adults, Signs of deterioration in foot biomechanics of individuals with risky waist / height ratio are important and can be diagnosed early.

📌 3 Key Takeaways

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Objective & Hypothesis:Aim: The aim of this study was to investigate the effect of waist / height ratio on foot posture in adults.
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Key Findings & Data:Material and Methods: In our study, 103 consecutive adult volunteers aged 18-65 years were included.
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Conclusion & Impact:Conclusion: Our study showed that the Foot Posture Index score of the group with central obesity and risky WHR increased, comparing the two groups in terms of the normal and risky waist / height ratio in adults, Signs of deterioration in foot biomechanics of individuals with risky waist / height ratio are important and can be diagnosed early.
🔬Design:Araştırma Makalesi
📍Scope:Comprehensive Sample
⚙️Variables:Ayak Postür İndeksi · Yetişkin · Obezite

Abstract

Aim: The aim of this study was to investigate the effect of waist / height ratio on foot posture in adults. Material and Methods: In our study, 103 consecutive adult volunteers aged 18-65 years were included. Their demographic data (age, gender), anthropometric measurements (waist circumference, height, body weight, waist / height ratio, body mass index-BMI) and Foot Posture Index (API) scores were recorded and analyzed. In addition, in the analysis of subgroup matched according to age, the subjects were categorised in two groups as normal in which the subjects’ waist / height ratio is 0.5 and central obesity risk with the ratio above 0.5 and compared. Results: The means of the age, the average BMI, waist / height ratio, left foot API and right foot posture index of the cases were 34.76 ± 9.36 kg / m2, 0.62 ± 0.12, 3.07 ± 3.39 and 3.45 ± 3.16, respectively. While there was a significant but poor correlation between waist / height ratio and right foot API score (r = 0.215, p = 0.029), there was no significant correlation between left foot API score (r = 0.180, p> 0.05). In the subgroup analysis, the Foot Posture Index scores of the patients with risky waist / height ratio were higher than those with normal waist / height ratio in the right foot (p = 0.016). No significant difference was found between the left foot and Foot Posture Index scores of normal and risky waist / height ratio subjects (p> 0.05). Conclusion: Our study showed that the Foot Posture Index score of the group with central obesity and risky WHR increased, comparing the two groups in terms of the normal and risky waist / height ratio in adults, Signs of deterioration in foot biomechanics of individuals with risky waist / height ratio are important and can be diagnosed early.

Özet

Amaç: Bu çalışmanın amacı yetişkinlerde bel/boy oranının ayak postürüne olan etkisinin incelenmesidir. Gereç ve Yöntemler: Çalışmamıza ardışık ve gönüllü 18-65 yaş arası yetişkin 103 olgu dahil edildi. Demografik verileri (yaş, cinsiyet), antropometrik ölçümleri (bel çevresi, boy uzunluğu, vücut ağırlığı, bel/boy oranı, vücut kütle indeksi (VKİ) ve Ayak Postür İndeksi (APİ) skorları kaydedildi ve analizler yapıldı. Ayrıca yaşa göre eşleştirilmiş alt grup analizinde olgular bel/boy oranına göre bu oranın 0,5 ve altında olanlar normal, 0,5’in üstü olanlar ise santral obezite açısından riskli kabul edilerek iki gruba ayrıldı ve karşılaştırıldı. Bulgular: VKİ ortalaması 34,76±9,36 kg/m2, bel/boy oranı ortalaması 0,62±0,12, sol ayak postür indeksi ortalaması 3,07±3,39 ve sağ ayak postür indeksi ortalaması 3,45±3,16 olarak bulundu. Bel/boy oranı ile sağ ayak APİ skoru arasında anlamlı ancak zayıf düzeyde korelasyon olduğu tespit edilirken (r=0,215, p=0,029) sol ayak APİ skoru arasında ise korelasyon anlamlı değildi (r=0,180, p>0,05). Alt grup analizinde riskli bel/boy oranına sahip olguların Ayak Postür İndeksi skorları, sağ ayakta normal bel/boy oranına sahip olgulara göre daha yüksek bulundu (p=0,016). Normal ve riskli bel/boy oranına sahip olguların sol ayağa ait Ayak Postür İndeksi skorları arasında anlamlı fark olmadığı tespit edildi (p>0,05). Sonuç: Yetişkinlerde bel/boy oranının normal ve riskli oluşuna göre iki grubun karşılaştırılmasını içeren çalışmamız, santral obeziteli riskli BBO’lı gruba ait Ayak Postür İndeksi skorunun arttığını göstermiştir. Riskli bel/boy oranına sahip olguların ayak biyomekaniğinde bozulmaya ait belirtiler önemlidir ve erken saptanabilir.

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Cite This Article

Eser, T., Ünver, B., Alarçin, G., Bayraktaroğlu, T. (2020). Investigation of the Relationship Between Waist/Height Ratio and Foot Posture in Adults. Türkiye Diyabet ve Obezite Dergisi, Cilt: 4 Sayı: 1, 30–35. https://doi.org/10.25048/tudod.591239

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References (45)

  1. World Health Organization: Obesity: Preventing And Managing The Global Epidemic Report Of A WHO Consultation On Obesity. Geneva, World Health Organ Tech Rep Ser. 2000;894:1-253
  2. Gökbunar, R., Doğan, A., & Utkuseven, A. (2015). Obezite İle Mücadelede Bir Kamu Politikası Aracı Olarak Vergilerin Değerlendirilmesi. Journal of Management & Economics, 22(2).
  3. Matta, J., Carette, C., Rives, C. L., & Czernichow, S. (2018). French And Worldwide Epidemiology Of Obesity. Presse Medicale (Paris, France: 1983), 47(5), 434-438.
  4. Tunay, V. B., & Tedavi, F. (2008). Yetişkinlerde Fiziksel Aktivite. Hacettepe Üniversitesi Sağlık Bilimleri Fakültesi, Fizik Tedavi ve Rehabilitasyon Bölümü, Ankara sf, 3.
  5. Gürel, F. Serdar, and Gülten İnan. "Çocukluk çağı obezitesi tanı yöntemleri, prevalansı ve etyolojisi." (2001). ADÜ Tıp Fakültesi Dergisi 2001; 2(3): 39 – 46, Aydın
  6. Crosnoe, R. (2007). Gender, obesity, and education. Sociology of education, 80(3), 241-260.
  7. Serter, R. (2004). Obezite Atlası. Ankara, Karakter Color Basımevi
  8. Kolotkin, R. L., Meter, K., & Williams, G. R. (2001). Quality of life and obesity. Obesity reviews, 2(4), 219-229.
  9. Motamed, N., Perumal, D., Zamani, F., Ashrafi, H., Haghjoo, M., Saeedian, F. S.,. & Asouri, M. (2015). Conicity index and waist‐to‐hip ratio are superior obesity indices in predicting 10‐year cardiovascular risk among men and women. Clinical cardiology, 38(9), 527-534.
  10. Chatelan, A., Castetbon, K., Pasquier, J., Allemann, C., Zuber, A., Camenzind-Frey, E.,. & Bochud, M. (2018). Association between breakfast composition and abdominal obesity in the Swiss adult population eating breakfast regularly. International Journal of Behavioral Nutrition and Physical Activity, 15(1), 115.
  11. Onat, A. (2003). Türkiye'de Obezitenin Kardiyovasküler Hastalıklara Etkisi. Türk Kardiyoloji Derneği Arşivi, 31(5), 279-289.
  12. Seidell, J. C., & Flegal, K. M. (1997). Assessing obesity: classification and epidemiology. British medical bulletin, 53(2), 238-252.
  13. Han, T. S., Van Leer, E. M., Seidell, J. C., & Lean, M. E. J. (1995). Waist circumference action levels in the identification of cardiovascular risk factors: prevalence study in a random sample. Bmj, 311(7017), 1401-1405.
  14. Hollmann M, Runnebaum B, Gerhard I, Impact of waist-hip-ratio and body-mass-index on hormonal and metabolic parameters in young, obese women, International Journal of Obesity (1997) 21, 476±483
  15. Ashwell, M., Gunn, P., & Gibson, S. (2012). Waist‐to‐height ratio is a better screening tool than waist circumference and BMI for adult cardiometabolic risk factors: systematic review and meta‐analysis. Obesity reviews, 13(3), 275-286.
  16. Motamed, N., Perumal, D., Zamani, F., Ashrafi, H., Haghjoo, M., Saeedian, F. S.,. & Asouri, M. (2015). Conicity index and waist‐to‐hip ratio are superior obesity indices in predicting 10‐year cardiovascular risk among men and women. Clinical cardiology, 38(9), 527-534
  17. Meseri, R. (2009). Otuz yaş ve üstü erişkinlerde beden yağ yüzdesi ve antropometrik ölçümlerin kan yağlarıyla ilişkisi (Doctoral dissertation, DEÜ Sağlık Bilimleri Enstitüsü).
  18. The Endocrine Society. Research Demonstrates Waist-to-Tallness Ratio Is Simple, Effective Indicator of Obesity and Cardiovascular Risk. www.endosociety.org. 6-4-2005. San Diego, CA.
  19. Muluvhu, T. C., Monyeki, M. A., Strydom, G. L., & Toriola, A. L. (2018). Relationship between selected metabolic risk factors and waist-to-height ratio among employees in Vhembe District Municipality of Limpopo Province, South Africa.
  20. Wearing, S. C., Hennig, E. M., Byrne, N. M., Steele, J. R., & Hills, A. P. (2006). Musculoskeletal disorders associated with obesity: a biomechanical perspective. Obesity reviews, 7(3), 239-250.
  21. Aurichio, T. R., Rebelatto, J. R., & De Castro, A. P. (2011). The relationship between the body mass index (BMI) and foot posture in elderly people. Archives of Gerontology and Geriatrics, 52(2), e89-e92.
  22. Franceschi, F., Papalia, R., Paciotti, M., Franceschetti, E., Di Martino, A., Maffulli, N., & Denaro, V. (2014). Obesity as a risk factor for tendinopathy: a systematic review. International journal of endocrinology, 2014.
  23. Frey, C., & Zamora, J. (2007). The effects of obesity on orthopaedic foot and ankle pathology. Foot & ankle international, 28(9), 996-999.
  24. Stürmer, T., Günther, K. P., & Brenner, H. (2000). Obesity, overweight and patterns of osteoarthritis: the Ulm Osteoarthritis Study. Journal of clinical epidemiology, 53(3), 307-313.
  25. Mesci, E. (2016) Obezite ve frajilite kırıkları (Review). Medeniyet Medical Journal 31(1):58-64, 2016
  26. Premaor, M. O., Compston, J. E., Fina Avilés, F., Pagès‐Castellà, A., Nogués, X., Díez‐Pérez, A., & Prieto‐Alhambra, D. (2013). The association between fracture site and obesity in men: a population‐based cohort study. Journal of Bone and Mineral Research, 28(8), 1771-1777.
  27. Ananthakrisnan, D., Ching, R., Tencer, A., 1999. Subluxation of the talocalcaneal joint in adults who have symptomatic flatfoot. J. Bone Joint Surg. 81, 1147–1154
  28. Johansson, H., Kanis, J. A., Odén, A., McCloskey, E., Chapurlat, R. D., Christiansen, C.,. & Glüer, C. C. (2014). A meta‐analysis of the association of fracture risk and body mass index in women. Journal of Bone and Mineral Research, 29(1), 223-233.
  29. Messier, S. P., Davies, A. B., Moore, D. T., Davis, S. E., Pack, R. J., & Kazmar, S. C. (1994). Severe obesity: effects on foot mechanics during walking. Foot & ankle international, 15(1), 29-34.
  30. Butterworth, P. A., Urquhart, D. M., Landorf, K. B., Wluka, A. E., Cicuttini, F. M., & Menz, H. B. (2015). Foot posture, range of motion and plantar pressure characteristics in obese and non-obese individuals. Gait & Posture, 41(2), 465–469. doi:10.1016/j.gaitpost.2014.11.010
  31. Ebrar, A. T. A. K., Özbek, H., & Algun, Z. C. (2016). Sağlıklı Sedanter Bireylerde Vücut Ağırlığı Artışının Ayak Postürü Ve Diz Ağrısı Üzerine Etkisi. Journal Of Exercise Therapy And Rehabilitation, 3(2), 66-71.
  32. Irving, D. B., Cook, J. L., Young, M. A., & Menz, H. B. (2007). Obesity and pronated foot type may increase the risk of chronic plantar heel pain: a matched case-control study. BMC musculoskeletal disorders, 8(1), 41.
  33. Fuhrmann, R. A., Trommer, T., & Venbrocks, R. A. (2005). The acquired buckling-flatfoot. A foot deformity due to obesity?. Der Orthopade, 34(7), 682-689.
  34. Maffeis, C., Banzato, C., Talamini, G., & of the Italian, O. S. G. (2008). Waist-to-height ratio, a useful index to identify high metabolic risk in overweight children. The Journal of pediatrics, 152(2), 207-213.
  35. Redmond, A. C., Crosbie, J., & Ouvrier, R. A. (2006). Development and validation of a novel rating system for scoring standing foot posture: The Foot Posture Index. Clinical Biomechanics, 21(1), 89–98. doi:10.1016/j.clinbiomech.2005.08.002
  36. Sachithanandam, V., & Joseph, B. (1995). The influence of footwear on the prevalence of flat foot. A survey of 1846 skeletally mature persons. The Journal of bone and joint surgery. British volume, 77(2), 254-257.
  37. Otsuka, R., Yatsuya, H., Miura, Y., Murata, C., Tamakoshi, K., Oshiro, K.,. & Kobayashi, A. (2003). Association of flatfoot with pain, fatigue and obesity in Japanese over sixties. [Nihon koshu eisei zasshi] Japanese journal of public health, 50(10), 988-998.
  38. Redmond, A. C., Crane, Y. Z., & Menz, H. B. (2008). Normative values for the foot posture index. Journal of Foot and Ankle research, 1(1), 6.
  39. Gürel, F. Serdar, and Gülten İnan. "Çocukluk çağı obezitesi tanı yöntemleri, prevalansı ve etyolojisi." (2001). ADÜ Tıp Fakültesi Dergisi 2001; 2(3): 39 – 46, Aydın
  40. Motamed, N., Perumal, D., Zamani, F., Ashrafi, H., Haghjoo, M., Saeedian, F. S.,. & Asouri, M. (2015). Conicity index and waist‐to‐hip ratio are superior obesity indices in predicting 10‐year cardiovascular risk among men and women. Clinical cardiology, 38(9), 527-534.
  41. Chatelan, A., Castetbon, K., Pasquier, J., Allemann, C., Zuber, A., Camenzind-Frey, E.,. & Bochud, M. (2018). Association between breakfast composition and abdominal obesity in the Swiss adult population eating breakfast regularly. International Journal of Behavioral Nutrition and Physical Activity, 15(1), 115.
  42. Motamed, N., Perumal, D., Zamani, F., Ashrafi, H., Haghjoo, M., Saeedian, F. S.,. & Asouri, M. (2015). Conicity index and waist‐to‐hip ratio are superior obesity indices in predicting 10‐year cardiovascular risk among men and women. Clinical cardiology, 38(9), 527-534
  43. The Endocrine Society. Research Demonstrates Waist-to-Tallness Ratio Is Simple, Effective Indicator of Obesity and Cardiovascular Risk. www.endosociety.org. 6-4-2005. San Diego, CA.
  44. Johansson, H., Kanis, J. A., Odén, A., McCloskey, E., Chapurlat, R. D., Christiansen, C.,. & Glüer, C. C. (2014). A meta‐analysis of the association of fracture risk and body mass index in women. Journal of Bone and Mineral Research, 29(1), 223-233.
  45. Otsuka, R., Yatsuya, H., Miura, Y., Murata, C., Tamakoshi, K., Oshiro, K.,. & Kobayashi, A. (2003). Association of flatfoot with pain, fatigue and obesity in Japanese over sixties. [Nihon koshu eisei zasshi] Japanese journal of public health, 50(10), 988-998.