Sobrepeso y obesidad no son factor de riesgo predictor para el dolor en pie y tobillo. Estudio de Cohorte Longitudinal

El dolor en las articulaciones del pie es un evento limitante que se ha visto relacionado con el peso en el ser humano. Por lo tanto se decidió determinar la relación entre el índice de masa corporal y el dolor en el pie en adultos. Se analizaron 2786 pacientes en quienes mediante los diagnósticos C...

Full description

Autores:
Montagut Lopez, Juan Guillermo
Tipo de recurso:
https://purl.org/coar/resource_type/c_7a1f
Fecha de publicación:
2025
Institución:
Universidad El Bosque
Repositorio:
Repositorio U. El Bosque
Idioma:
spa
OAI Identifier:
oai:repositorio.unbosque.edu.co:20.500.12495/15136
Acceso en línea:
https://hdl.handle.net/20.500.12495/15136
Palabra clave:
Adultos
Dolor en el pie
Índice de masa corporal
Obesidad
Prevalencia
Adults
Foot pain
Body mass index
Obesity
Prevalence
WE 168
Rights
closedAccess
License
Attribution-NonCommercial-NoDerivatives 4.0 International
id UNBOSQUE2_0889878a71b27ca53ee4fe1aa480434d
oai_identifier_str oai:repositorio.unbosque.edu.co:20.500.12495/15136
network_acronym_str UNBOSQUE2
network_name_str Repositorio U. El Bosque
repository_id_str
dc.title.none.fl_str_mv Sobrepeso y obesidad no son factor de riesgo predictor para el dolor en pie y tobillo. Estudio de Cohorte Longitudinal
dc.title.translated.none.fl_str_mv Overweight and Obesity Are Not Predictive Factors of Foot and Ankle Pain in Adults: A Cross-Sectional Study
title Sobrepeso y obesidad no son factor de riesgo predictor para el dolor en pie y tobillo. Estudio de Cohorte Longitudinal
spellingShingle Sobrepeso y obesidad no son factor de riesgo predictor para el dolor en pie y tobillo. Estudio de Cohorte Longitudinal
Adultos
Dolor en el pie
Índice de masa corporal
Obesidad
Prevalencia
Adults
Foot pain
Body mass index
Obesity
Prevalence
WE 168
title_short Sobrepeso y obesidad no son factor de riesgo predictor para el dolor en pie y tobillo. Estudio de Cohorte Longitudinal
title_full Sobrepeso y obesidad no son factor de riesgo predictor para el dolor en pie y tobillo. Estudio de Cohorte Longitudinal
title_fullStr Sobrepeso y obesidad no son factor de riesgo predictor para el dolor en pie y tobillo. Estudio de Cohorte Longitudinal
title_full_unstemmed Sobrepeso y obesidad no son factor de riesgo predictor para el dolor en pie y tobillo. Estudio de Cohorte Longitudinal
title_sort Sobrepeso y obesidad no son factor de riesgo predictor para el dolor en pie y tobillo. Estudio de Cohorte Longitudinal
dc.creator.fl_str_mv Montagut Lopez, Juan Guillermo
dc.contributor.advisor.none.fl_str_mv Herrera, Juan Manuel
De-La-Hoz, Jose Antonio
dc.contributor.author.none.fl_str_mv Montagut Lopez, Juan Guillermo
dc.contributor.orcid.none.fl_str_mv Montagut Lopez, Juan Guillermo [0000-0002-9745-613X]
dc.subject.none.fl_str_mv Adultos
Dolor en el pie
Índice de masa corporal
Obesidad
Prevalencia
topic Adultos
Dolor en el pie
Índice de masa corporal
Obesidad
Prevalencia
Adults
Foot pain
Body mass index
Obesity
Prevalence
WE 168
dc.subject.keywords.none.fl_str_mv Adults
Foot pain
Body mass index
Obesity
Prevalence
dc.subject.nlm.none.fl_str_mv WE 168
description El dolor en las articulaciones del pie es un evento limitante que se ha visto relacionado con el peso en el ser humano. Por lo tanto se decidió determinar la relación entre el índice de masa corporal y el dolor en el pie en adultos. Se analizaron 2786 pacientes en quienes mediante los diagnósticos CIE-10 se identificó la presencia de dolor en la consulta especializada de ortopedia. Se encontró una prevalencia del dolor entre el 4,5% y 20% de dolor en el pie según los subgrupos. De la misma forma se encontró una asociación estadística significativa en la población con bajo peso o peso normal, estando el índice de masa corporal en ellos como predictor de dolor en el pie. El IMC se relaciona con el dolor en el pie y tobillo, pero no el sobrepeso y obesidad en la población estudiada. Las patologías más frecuentes fueron menores al 10% estando otras entesopatías del pie, ruptura de ligamentos a nivel del pie y tobillo, hallux valgus, fascitis no clasificada en otra parte y neuralgia y neuritis no especificada, entre otras. El pie plano fue más común para la población obesa. El IMC por encima del valor normal estuvo en el 45,8% de los pacientes y casi no hubo diferencia entre hombres y mujeres. La literatura es contradictoria con respecto de la relación del IMC y el dolor. Se requieren más estudios para determinar la asociación entre el IMC y el dolor en el pie.
publishDate 2025
dc.date.accessioned.none.fl_str_mv 2025-07-24T21:11:41Z
dc.date.available.none.fl_str_mv 2025-07-24T21:11:41Z
dc.date.issued.none.fl_str_mv 2025-07
dc.type.coar.fl_str_mv http://purl.org/coar/resource_type/c_7a1f
dc.type.local.spa.fl_str_mv Tesis/Trabajo de grado - Monografía - Especialización
dc.type.coar.none.fl_str_mv https://purl.org/coar/resource_type/c_7a1f
dc.type.driver.none.fl_str_mv info:eu-repo/semantics/bachelorThesis
dc.type.coarversion.none.fl_str_mv https://purl.org/coar/version/c_ab4af688f83e57aa
format https://purl.org/coar/resource_type/c_7a1f
dc.identifier.uri.none.fl_str_mv https://hdl.handle.net/20.500.12495/15136
dc.identifier.instname.spa.fl_str_mv instname:Universidad El Bosque
dc.identifier.reponame.spa.fl_str_mv reponame:Repositorio Institucional Universidad El Bosque
dc.identifier.repourl.none.fl_str_mv repourl:https://repositorio.unbosque.edu.co
url https://hdl.handle.net/20.500.12495/15136
identifier_str_mv instname:Universidad El Bosque
reponame:Repositorio Institucional Universidad El Bosque
repourl:https://repositorio.unbosque.edu.co
dc.language.iso.fl_str_mv spa
language spa
dc.relation.references.none.fl_str_mv 1. Murray C, Marshall M, Rathod T, Bowen CJ, Menz HB, Roddy E. Population prevalence and distribution of ankle pain and symptomatic radiographic ankle osteoarthritis in community dwelling older adults: A systematic review and cross-sectional study. PLoS One. 2018 Apr 30;13(4):e0193662.
2. Chapman LS, Jones J, Redmond AC, Flurey CA, Richards P, Hofstetter C, et al. Developing a core outcome set for foot and ankle disorders in rheumatic and musculoskeletal diseases: A scoping review and report from the OMERACT 2022 foot and ankle special interest group session. Semin Arthritis Rheum. 2023 Aug;61:152210.
3. Mickle KJ, Steele JR. Obese older adults suffer foot pain and foot-related functional limitation. Gait Posture. 2015 Oct;42(4):442–7.
4. Walsh TP, Gill TK, Evans AM, Yaxley A, Chisholm JA, Kow L, et al. Changes in foot pain, structure and function following bariatric surgery. J Foot Ankle Res. 2018 Jan 28;11(1).
5. Gates LS, Arden NK, Hannan MT, Roddy E, Gill TK, Hill CL, et al. Prevalence of Foot Pain Across an International Consortium of Population‐Based Cohorts. Arthritis Care Res (Hoboken). 2019 May 25;71(5):661–70.
6. Herrera JM. Artroplastia de tobillo: estado del arte. Parte 1. Rev Col Ort TRaum. 2008;22(4):247–60.
7. Pol F, Baharlouei H, Taheri A, Menz HB, Forghany S. Foot and ankle biomechanics during walking in older adults: A systematic review and meta-analysis of observational studies. Gait Posture. 2021 Sep;89:14–24
8. Paulus P, Gale T, Setliff J, Yamamoto T, Yang S, Brown J, et al. Ankle and subtalar joint axes of rotation and center of rotation during walking and running in healthy individuals measured using dynamic biplane radiography. J Biomech. 2023 Nov;160:111837
9. Best MJ, Buller LT, Miranda A. National Trends in Foot and Ankle Arthrodesis: 17-Year Analysis of the National Survey of Ambulatory Surgery and National Hospital Discharge Survey. The Journal of Foot and Ankle Surgery. 2015 Nov;54(6):1037–41.
10. Oh J, Perlas A, Lau J, Gandhi R, Chan VWS. Functional outcome and cost-effectiveness of outpatient vs inpatient care for complex hind-foot and ankle surgery. A retrospective cohort study. J Clin Anesth. 2016 Dec;35:20–5.
11. Lipfert S, Günther M, Renjewski D, Seyfarth A. Impulsive ankle push-off powers leg swing in human walking. Journal of Experimental Biology. 2013 Jan 1
12. Tanamas SK, Wluka AE, Berry P, Menz HB, Strauss BJ, Davies‐Tuck M, et al. Relationship between obesity and foot pain and its association with fat mass, fat distribution, and muscle mass. Arthritis Care Res (Hoboken). 2012 Feb 25;64(2):262–8
13. Gul Siraz U, Hatipoglu N, Mazicioglu MM, Ozturk A, Cicek B, Kurtoglu S. Triponderal mass index is as strong as body mass index in the determination of obesity and adiposity. Nutrition. 2023 Jan;105:111846.
14. OMS. Obesidad y sobrepeso. Obesidad y sobrepeso, Obesidad y sobrepeso Washington: https://www.who.int/es/news-room/fact-sheets/detail/obesity-and-overweight; 2024.
15. Heymsfield SB, Sorkin JD, Thomas DM, Yang S, Heo M, McCarthy C, et al. Weight/height x 2: Mathematical overview of the world’s most widely used adiposity index. Obesity Reviews. 2025 Jan 10;26(1).
16. Kinge JM. Waist circumference, body mass index, and employment outcomes. The European Journal of Health Economics. 2017 Jul 11;18(6):787–99
17. Wang S, Qian Z, Liu X, Song G, Jiang Z, Wang K, et al. Effects of additional weight-bearing on the in vivo kinematics of the human ankle joint complex during walking. Sci Rep. 2024 Nov 23;14(1):29049.
19. Fickey SN, Browne MG, Franz JR. Biomechanical effects of augmented ankle power output during human walking. Journal of Experimental Biology. 2018 Jan 1;
20. Kasović M, Štefan L, Zvonař M. More Time Spent in Sedentary Behaviors is Associated with Higher Plantar Pressures in Older Women. Int J Environ Res Public Health. 2020 Mar 21;17(6):2089.
21. Butterworth PA, Urquhart DM, Cicuttini FM, Menz HB, Strauss BJ, Proietto J, et al. Fat mass is a predictor of incident foot pain. Obesity. 2013 Sep 2;21(9).
22. Cornier MA, Després JP, Davis N, Grossniklaus DA, Klein S, Lamarche B, et al. Assessing Adiposity. Circulation. 2011 Nov;124(18):1996–2019.
23. Moon JL, Moon KM, Carlisle DM. Obesity-Related Foot Pain. Clin Podiatr Med Surg. 2019 Jan;36(1):141–51.
24. Walsh TP, Butterworth PA, Urquhart DM, Cicuttini FM, Landorf KB, Wluka AE, et al. Increase in body weight over a two‐year period is associated with an increase in midfoot pressure and foot pain. J Foot Ankle Res. 2017 Jan 25;10(1).
25. Unver B, Selici K, Akbas E, Erdem EU. Foot Posture, Muscle Strength, Range of Motion, and Plantar Sensation in Overweight and Obese. J Appl Biomech. 2021 Apr 1;37(2):87–94.
26. Wang J, Liu GT, Mayo HG, Joshi GP. Pain Management for Elective Foot and Ankle Surgery: A Systematic Review of Randomized Controlled Trials. The Journal of Foot and Ankle Surgery. 2015 Jul;54(4):625–35.
27. Segal AD, Shofer J, Hahn ME, Orendurff MS, Ledoux WR, Sangeorzan BJ. Functional Limitations Associated with End-Stage Ankle Arthritis. Journal of Bone and Joint Surgery. 2012 May 2;94(9):777–83.
28. Lorente A, Pelaz L, Palacios P, Benlloch M, de la Rubia Ortí JE, Barrios C, et al. Predictive Factors of Functional Outcomes and Quality of Life in Patients with Ankle Fractures: A Systematic Review. J Clin Med. 2024 Feb 20;13(5):1188.
29. Martínez-Barro D, Escalante-Montes PK, Contreras-Del Carmen N, Cortes-Aguirre CS, Peralta-Ildefonso D, Hernández-Amaro H, et al. [Factors associated with functionality in patients with closed ankle fracture]. Rev Med Inst Mex Seguro Soc. 2023 May 2;61(3):283–8.
30. Walsh TP, Gill TK, Evans AM, Yaxley A, Shanahan EM, Hill CL. Association of Fat Mass and Adipokines With Foot Pain in a Community Cohort. Arthritis Care Res (Hoboken). 2016 Apr 24;68(4):526–33.
31. Dufour AB, Losina E, Menz HB, LaValley MP, Hannan MT. Obesity, foot pain and foot disorders in older men and women. Obes Res Clin Pract. 2017 Jul;11(4):445–53.
32. Laslett LL, Menz HB, Otahal P, Pan F, Cicuttini FM, Jones G. Factors associated with prevalent and incident foot pain: data from the Tasmanian Older Adult Cohort Study. Maturitas. 2018 Dec;118:38–43.
33. Canca-Sanchez FJ, Morales-Asencio JM, Ortega-Avila AB, Gijon-Nogueron G, Cervera-Garvi P, Marchena-Rodriguez A, et al. Predictive factors for foot pain in the adult population. BMC Musculoskelet Disord. 2024 Jan 12;25(1):52.
34. Martins GC, Fraga PHG, Teixeira LB, Valle BRG, Martins Filho LF, Gama M de P. Avaliação funcional e de sintomatologia dolorosa do pé e tornozelo em indivíduos com obesidade grave – Estudo controlado transversal. Rev Bras Ortop (Sao Paulo). 2021 Apr 29;56(02):235–43.
35. Marshall M, Blagojevic‐Bucknall M, Rathod‐Mistry T, Thomas MJ, Edwards JJ, Peat G, et al. Identifying Long‐Term Trajectories of Foot Pain Severity and Potential Prognostic Factors: A Population‐Based Cohort Study. Arthritis Care Res (Hoboken). 2023 May 25;75(5):1123–31.
36. Walsh TP, Arnold JB, Gill TK, Evans AM, Yaxley A, Hill CL, et al. Foot pain severity is associated with the ratio of visceral to subcutaneous fat mass, fat-mass index and depression in women. Rheumatol Int. 2017 Jul 17;37(7):1175–82.
37. Walsh TP, Arnold JB, Evans AM, Yaxley A, Damarell RA, Shanahan EM. The association between body fat and musculoskeletal pain: a systematic review and meta-analysis. BMC Musculoskelet Disord. 2018 Dec 18;19(1):233.
38. Butterworth PA, Landorf KB, Smith SE, Menz HB. The association between body mass index and musculoskeletal foot disorders: a systematic review. Obesity Reviews. 2012 Jul 13;13(7):630–42.
18. Eerdekens M, Deschamps K, Wuite S, Matricali GA. Loss of Mechanical Ankle Function Is Not Compensated by the Distal Foot Joints in Patients with Ankle Osteoarthritis. Clin Orthop Relat Res. 2021 Jan;479(1):105–15.
dc.rights.en.fl_str_mv Attribution-NonCommercial-NoDerivatives 4.0 International
dc.rights.uri.none.fl_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights.local.spa.fl_str_mv Acceso cerrado
dc.rights.accessrights.none.fl_str_mv info:eu-repo/semantics/closedAccess
http://purl.org/coar/access_right/c_14cb
rights_invalid_str_mv Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
Acceso cerrado
http://purl.org/coar/access_right/c_14cb
eu_rights_str_mv closedAccess
dc.format.mimetype.none.fl_str_mv application/pdf
dc.publisher.program.spa.fl_str_mv Especialización en Ortopedia y Traumatología
dc.publisher.grantor.spa.fl_str_mv Universidad El Bosque
dc.publisher.faculty.spa.fl_str_mv Facultad de Medicina
institution Universidad El Bosque
bitstream.url.fl_str_mv https://pruebas-update-repositorio-unbosque.cloudbiteca.com/bitstreams/11b3a4d9-704b-48be-9831-525c907b235e/download
https://pruebas-update-repositorio-unbosque.cloudbiteca.com/bitstreams/f1723550-74de-48e9-9029-bcfbbee82551/download
https://pruebas-update-repositorio-unbosque.cloudbiteca.com/bitstreams/0de810c9-6c96-47fb-9a0c-8c27f8e72b0e/download
https://pruebas-update-repositorio-unbosque.cloudbiteca.com/bitstreams/c5a91acd-3a6e-4d28-ad21-bbd09a5de865/download
https://pruebas-update-repositorio-unbosque.cloudbiteca.com/bitstreams/be16355d-c7b4-4c33-9ed0-359ccf71233c/download
https://pruebas-update-repositorio-unbosque.cloudbiteca.com/bitstreams/0616c43f-94c1-4140-b614-d6982f5b7630/download
https://pruebas-update-repositorio-unbosque.cloudbiteca.com/bitstreams/7065e29f-58b3-4ebf-8d3b-52033194bbcc/download
bitstream.checksum.fl_str_mv 17cc15b951e7cc6b3728a574117320f9
37095171244baf8ec0d94ab77aebcd8d
f2232971a3b47381d1e89d958683def5
ac3e158a20545fb5b855c0254d169001
3b6ce8e9e36c89875e8cf39962fe8920
8500bd5dca020c87f0bf955c8c09e968
17e08974f3798696c64c373dcb84cb2d
bitstream.checksumAlgorithm.fl_str_mv MD5
MD5
MD5
MD5
MD5
MD5
MD5
repository.name.fl_str_mv Repositorio Institucional Universidad El Bosque
repository.mail.fl_str_mv bibliotecas@biteca.com
_version_ 1849967310979203072
spelling Herrera, Juan ManuelDe-La-Hoz, Jose AntonioMontagut Lopez, Juan GuillermoMontagut Lopez, Juan Guillermo [0000-0002-9745-613X]2025-07-24T21:11:41Z2025-07-24T21:11:41Z2025-07https://hdl.handle.net/20.500.12495/15136instname:Universidad El Bosquereponame:Repositorio Institucional Universidad El Bosquerepourl:https://repositorio.unbosque.edu.coEl dolor en las articulaciones del pie es un evento limitante que se ha visto relacionado con el peso en el ser humano. Por lo tanto se decidió determinar la relación entre el índice de masa corporal y el dolor en el pie en adultos. Se analizaron 2786 pacientes en quienes mediante los diagnósticos CIE-10 se identificó la presencia de dolor en la consulta especializada de ortopedia. Se encontró una prevalencia del dolor entre el 4,5% y 20% de dolor en el pie según los subgrupos. De la misma forma se encontró una asociación estadística significativa en la población con bajo peso o peso normal, estando el índice de masa corporal en ellos como predictor de dolor en el pie. El IMC se relaciona con el dolor en el pie y tobillo, pero no el sobrepeso y obesidad en la población estudiada. Las patologías más frecuentes fueron menores al 10% estando otras entesopatías del pie, ruptura de ligamentos a nivel del pie y tobillo, hallux valgus, fascitis no clasificada en otra parte y neuralgia y neuritis no especificada, entre otras. El pie plano fue más común para la población obesa. El IMC por encima del valor normal estuvo en el 45,8% de los pacientes y casi no hubo diferencia entre hombres y mujeres. La literatura es contradictoria con respecto de la relación del IMC y el dolor. Se requieren más estudios para determinar la asociación entre el IMC y el dolor en el pie.Especialista en Ortopedia y TraumatologíaEspecializaciónFoot joint pain is a life-limiting event that has been linked to weight in humans. Therefore, it was decided to determine the relationship between body mass index and foot pain in adults. A total of 2,786 patients were analyzed in whom pain was identified in the orthopedic specialty consultation using ICD-10 diagnoses. A prevalence of foot pain ranging from 4.5% to 20% was found, depending on the subgroup. Similarly, a significant statistical association was found in the underweight or normal-weight population, with body mass index being a predictor of foot pain in these groups. BMI was associated with foot and ankle pain, but overweight and obesity were not in the study population. The most common pathologies were less than 10%, including other foot enthesopathies, ligament ruptures in the foot and ankle, hallux valgus, fasciitis not elsewhere classified, and unspecified neuralgia and neuritis, among others. Flat feet were more common in the obese population. BMI above the normal range was present in 45.8% of patients, and there was almost no difference between men and women. The literature is contradictory regarding the relationship between BMI and pain. Further studies are needed to determine the association between BMI and foot pain.application/pdfAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/Acceso cerradoinfo:eu-repo/semantics/closedAccesshttp://purl.org/coar/access_right/c_14cbAdultosDolor en el pieÍndice de masa corporalObesidadPrevalenciaAdultsFoot painBody mass indexObesityPrevalenceWE 168Sobrepeso y obesidad no son factor de riesgo predictor para el dolor en pie y tobillo. Estudio de Cohorte LongitudinalOverweight and Obesity Are Not Predictive Factors of Foot and Ankle Pain in Adults: A Cross-Sectional StudyEspecialización en Ortopedia y TraumatologíaUniversidad El BosqueFacultad de MedicinaTesis/Trabajo de grado - Monografía - Especializaciónhttps://purl.org/coar/resource_type/c_7a1fhttp://purl.org/coar/resource_type/c_7a1finfo:eu-repo/semantics/bachelorThesishttps://purl.org/coar/version/c_ab4af688f83e57aa1. Murray C, Marshall M, Rathod T, Bowen CJ, Menz HB, Roddy E. Population prevalence and distribution of ankle pain and symptomatic radiographic ankle osteoarthritis in community dwelling older adults: A systematic review and cross-sectional study. PLoS One. 2018 Apr 30;13(4):e0193662.2. Chapman LS, Jones J, Redmond AC, Flurey CA, Richards P, Hofstetter C, et al. Developing a core outcome set for foot and ankle disorders in rheumatic and musculoskeletal diseases: A scoping review and report from the OMERACT 2022 foot and ankle special interest group session. Semin Arthritis Rheum. 2023 Aug;61:152210.3. Mickle KJ, Steele JR. Obese older adults suffer foot pain and foot-related functional limitation. Gait Posture. 2015 Oct;42(4):442–7.4. Walsh TP, Gill TK, Evans AM, Yaxley A, Chisholm JA, Kow L, et al. Changes in foot pain, structure and function following bariatric surgery. J Foot Ankle Res. 2018 Jan 28;11(1).5. Gates LS, Arden NK, Hannan MT, Roddy E, Gill TK, Hill CL, et al. Prevalence of Foot Pain Across an International Consortium of Population‐Based Cohorts. Arthritis Care Res (Hoboken). 2019 May 25;71(5):661–70.6. Herrera JM. Artroplastia de tobillo: estado del arte. Parte 1. Rev Col Ort TRaum. 2008;22(4):247–60.7. Pol F, Baharlouei H, Taheri A, Menz HB, Forghany S. Foot and ankle biomechanics during walking in older adults: A systematic review and meta-analysis of observational studies. Gait Posture. 2021 Sep;89:14–248. Paulus P, Gale T, Setliff J, Yamamoto T, Yang S, Brown J, et al. Ankle and subtalar joint axes of rotation and center of rotation during walking and running in healthy individuals measured using dynamic biplane radiography. J Biomech. 2023 Nov;160:1118379. Best MJ, Buller LT, Miranda A. National Trends in Foot and Ankle Arthrodesis: 17-Year Analysis of the National Survey of Ambulatory Surgery and National Hospital Discharge Survey. The Journal of Foot and Ankle Surgery. 2015 Nov;54(6):1037–41.10. Oh J, Perlas A, Lau J, Gandhi R, Chan VWS. Functional outcome and cost-effectiveness of outpatient vs inpatient care for complex hind-foot and ankle surgery. A retrospective cohort study. J Clin Anesth. 2016 Dec;35:20–5.11. Lipfert S, Günther M, Renjewski D, Seyfarth A. Impulsive ankle push-off powers leg swing in human walking. Journal of Experimental Biology. 2013 Jan 112. Tanamas SK, Wluka AE, Berry P, Menz HB, Strauss BJ, Davies‐Tuck M, et al. Relationship between obesity and foot pain and its association with fat mass, fat distribution, and muscle mass. Arthritis Care Res (Hoboken). 2012 Feb 25;64(2):262–813. Gul Siraz U, Hatipoglu N, Mazicioglu MM, Ozturk A, Cicek B, Kurtoglu S. Triponderal mass index is as strong as body mass index in the determination of obesity and adiposity. Nutrition. 2023 Jan;105:111846.14. OMS. Obesidad y sobrepeso. Obesidad y sobrepeso, Obesidad y sobrepeso Washington: https://www.who.int/es/news-room/fact-sheets/detail/obesity-and-overweight; 2024.15. Heymsfield SB, Sorkin JD, Thomas DM, Yang S, Heo M, McCarthy C, et al. Weight/height x 2: Mathematical overview of the world’s most widely used adiposity index. Obesity Reviews. 2025 Jan 10;26(1).16. Kinge JM. Waist circumference, body mass index, and employment outcomes. The European Journal of Health Economics. 2017 Jul 11;18(6):787–9917. Wang S, Qian Z, Liu X, Song G, Jiang Z, Wang K, et al. Effects of additional weight-bearing on the in vivo kinematics of the human ankle joint complex during walking. Sci Rep. 2024 Nov 23;14(1):29049.19. Fickey SN, Browne MG, Franz JR. Biomechanical effects of augmented ankle power output during human walking. Journal of Experimental Biology. 2018 Jan 1;20. Kasović M, Štefan L, Zvonař M. More Time Spent in Sedentary Behaviors is Associated with Higher Plantar Pressures in Older Women. Int J Environ Res Public Health. 2020 Mar 21;17(6):2089.21. Butterworth PA, Urquhart DM, Cicuttini FM, Menz HB, Strauss BJ, Proietto J, et al. Fat mass is a predictor of incident foot pain. Obesity. 2013 Sep 2;21(9).22. Cornier MA, Després JP, Davis N, Grossniklaus DA, Klein S, Lamarche B, et al. Assessing Adiposity. Circulation. 2011 Nov;124(18):1996–2019.23. Moon JL, Moon KM, Carlisle DM. Obesity-Related Foot Pain. Clin Podiatr Med Surg. 2019 Jan;36(1):141–51.24. Walsh TP, Butterworth PA, Urquhart DM, Cicuttini FM, Landorf KB, Wluka AE, et al. Increase in body weight over a two‐year period is associated with an increase in midfoot pressure and foot pain. J Foot Ankle Res. 2017 Jan 25;10(1).25. Unver B, Selici K, Akbas E, Erdem EU. Foot Posture, Muscle Strength, Range of Motion, and Plantar Sensation in Overweight and Obese. J Appl Biomech. 2021 Apr 1;37(2):87–94.26. Wang J, Liu GT, Mayo HG, Joshi GP. Pain Management for Elective Foot and Ankle Surgery: A Systematic Review of Randomized Controlled Trials. The Journal of Foot and Ankle Surgery. 2015 Jul;54(4):625–35.27. Segal AD, Shofer J, Hahn ME, Orendurff MS, Ledoux WR, Sangeorzan BJ. Functional Limitations Associated with End-Stage Ankle Arthritis. Journal of Bone and Joint Surgery. 2012 May 2;94(9):777–83.28. Lorente A, Pelaz L, Palacios P, Benlloch M, de la Rubia Ortí JE, Barrios C, et al. Predictive Factors of Functional Outcomes and Quality of Life in Patients with Ankle Fractures: A Systematic Review. J Clin Med. 2024 Feb 20;13(5):1188.29. Martínez-Barro D, Escalante-Montes PK, Contreras-Del Carmen N, Cortes-Aguirre CS, Peralta-Ildefonso D, Hernández-Amaro H, et al. [Factors associated with functionality in patients with closed ankle fracture]. Rev Med Inst Mex Seguro Soc. 2023 May 2;61(3):283–8.30. Walsh TP, Gill TK, Evans AM, Yaxley A, Shanahan EM, Hill CL. Association of Fat Mass and Adipokines With Foot Pain in a Community Cohort. Arthritis Care Res (Hoboken). 2016 Apr 24;68(4):526–33.31. Dufour AB, Losina E, Menz HB, LaValley MP, Hannan MT. Obesity, foot pain and foot disorders in older men and women. Obes Res Clin Pract. 2017 Jul;11(4):445–53.32. Laslett LL, Menz HB, Otahal P, Pan F, Cicuttini FM, Jones G. Factors associated with prevalent and incident foot pain: data from the Tasmanian Older Adult Cohort Study. Maturitas. 2018 Dec;118:38–43.33. Canca-Sanchez FJ, Morales-Asencio JM, Ortega-Avila AB, Gijon-Nogueron G, Cervera-Garvi P, Marchena-Rodriguez A, et al. Predictive factors for foot pain in the adult population. BMC Musculoskelet Disord. 2024 Jan 12;25(1):52.34. Martins GC, Fraga PHG, Teixeira LB, Valle BRG, Martins Filho LF, Gama M de P. Avaliação funcional e de sintomatologia dolorosa do pé e tornozelo em indivíduos com obesidade grave – Estudo controlado transversal. Rev Bras Ortop (Sao Paulo). 2021 Apr 29;56(02):235–43.35. Marshall M, Blagojevic‐Bucknall M, Rathod‐Mistry T, Thomas MJ, Edwards JJ, Peat G, et al. Identifying Long‐Term Trajectories of Foot Pain Severity and Potential Prognostic Factors: A Population‐Based Cohort Study. Arthritis Care Res (Hoboken). 2023 May 25;75(5):1123–31.36. Walsh TP, Arnold JB, Gill TK, Evans AM, Yaxley A, Hill CL, et al. Foot pain severity is associated with the ratio of visceral to subcutaneous fat mass, fat-mass index and depression in women. Rheumatol Int. 2017 Jul 17;37(7):1175–82.37. Walsh TP, Arnold JB, Evans AM, Yaxley A, Damarell RA, Shanahan EM. The association between body fat and musculoskeletal pain: a systematic review and meta-analysis. BMC Musculoskelet Disord. 2018 Dec 18;19(1):233.38. Butterworth PA, Landorf KB, Smith SE, Menz HB. The association between body mass index and musculoskeletal foot disorders: a systematic review. Obesity Reviews. 2012 Jul 13;13(7):630–42.18. Eerdekens M, Deschamps K, Wuite S, Matricali GA. Loss of Mechanical Ankle Function Is Not Compensated by the Distal Foot Joints in Patients with Ankle Osteoarthritis. Clin Orthop Relat Res. 2021 Jan;479(1):105–15.spaLICENSElicense.txtlicense.txttext/plain; charset=utf-82000https://pruebas-update-repositorio-unbosque.cloudbiteca.com/bitstreams/11b3a4d9-704b-48be-9831-525c907b235e/download17cc15b951e7cc6b3728a574117320f9MD51falseAnonymousREADCarta de autorizacion.pdfapplication/pdf353740https://pruebas-update-repositorio-unbosque.cloudbiteca.com/bitstreams/f1723550-74de-48e9-9029-bcfbbee82551/download37095171244baf8ec0d94ab77aebcd8dMD56falseBiblioteca - (Publicadores)READAnexo 1 Acta de aprobacion.pdfapplication/pdf231557https://pruebas-update-repositorio-unbosque.cloudbiteca.com/bitstreams/0de810c9-6c96-47fb-9a0c-8c27f8e72b0e/downloadf2232971a3b47381d1e89d958683def5MD510falseBiblioteca - (Publicadores)READORIGINALTrabajo de grado.pdfTrabajo de grado.pdfapplication/pdf826472https://pruebas-update-repositorio-unbosque.cloudbiteca.com/bitstreams/c5a91acd-3a6e-4d28-ad21-bbd09a5de865/downloadac3e158a20545fb5b855c0254d169001MD54trueAdministratorREADCC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8899https://pruebas-update-repositorio-unbosque.cloudbiteca.com/bitstreams/be16355d-c7b4-4c33-9ed0-359ccf71233c/download3b6ce8e9e36c89875e8cf39962fe8920MD55falseAnonymousREADTEXTTrabajo de grado.pdf.txtTrabajo de grado.pdf.txtExtracted texttext/plain79709https://pruebas-update-repositorio-unbosque.cloudbiteca.com/bitstreams/0616c43f-94c1-4140-b614-d6982f5b7630/download8500bd5dca020c87f0bf955c8c09e968MD58falseAdministratorREADTHUMBNAILTrabajo de grado.pdf.jpgTrabajo de grado.pdf.jpgGenerated Thumbnailimage/jpeg3651https://pruebas-update-repositorio-unbosque.cloudbiteca.com/bitstreams/7065e29f-58b3-4ebf-8d3b-52033194bbcc/download17e08974f3798696c64c373dcb84cb2dMD59falseAdministratorREAD20.500.12495/15136oai:pruebas-update-repositorio-unbosque.cloudbiteca.com:20.500.12495/151362025-07-28T21:15:50.766Zhttp://creativecommons.org/licenses/by-nc-nd/4.0/Attribution-NonCommercial-NoDerivatives 4.0 Internationalrestrictedhttps://pruebas-update-repositorio-unbosque.cloudbiteca.comRepositorio Institucional Universidad El Bosquebibliotecas@biteca.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