Relationship of Body Mass Index and Foot Dysfunction in Pregnant Women

Authors

DOI:

https://doi.org/10.36283/pjr.zu.14.2/008

Keywords:

Activity limitation, Body mass index, Disability, Foot dysfunction, Foot function index, Pain, Pregnancy

Abstract

Background of the study: Pregnancy induces significant physiological changes including hormonal fluctuations and progressive weight gain, leading to musculoskeletal complications. While pregnancy-related back and leg discomfort is well-documented, research on pregnancy-specific foot dysfunction remains limited. This study investigated the relationship between body mass index (BMI) and foot dysfunction in pregnant women.

Methodology: An observational cross-sectional study was conducted over six months at the University of Lahore Teaching Hospital. A total of 113 pregnant women were recruited. Data collection included demographic information and the Foot Function Index (FFI) questionnaire. Spearman correlation analysis was performed to assess relationships between BMI categories and foot dysfunction parameters including pain, disability, and activity limitation.

Results: Significant positive correlations were identified between BMI and foot dysfunction across multiple domains. Pain demonstrated strong correlations with overweight (ρ=0.541, p=0.001) and obese (ρ=0.647, p=0.000) categories. Disability showed the strongest correlation with obesity (ρ=0.75, p=0.002). Activity limitation was significantly correlated with both overweight (ρ=0.43, p=0.011) and obesity (ρ=0.63, p=0.001). Higher BMI categories consistently demonstrated greater foot dysfunction severity.

Conclusion: This study establishes a significant positive though moderate monotonic correlation between elevated BMI and foot dysfunction in pregnant women, encompassing increased pain, disability, and activity limitations. These findings highlight the importance of weight management and foot care interventions during pregnancy.

Author Biographies

  • Ghazeen Mughal, The University of Lahore, Lahore, Pakistan

    Student

  • Alishba Mustansar, The University of Lahore, Lahore, Pakistan

    Assistant Professor

  • Sahar Ijaz, University of Veterinary and Animal Sciences, Lahore, Pakistan

    Assistant Professor

References

Gangakhedkar GR, Kulkarni AP. Physiological changes in pregnancy. Indian J Crit Care Med. 2021;25(Suppl 3):S189.

Jain PP, Kanase SB. Correlation of foot dysfunctions and body mass index in pregnancy. J Ecophysiol Occup Health. 2022:51–9.

Ojukwu CP, Anyanwu EG, Nwafor GG. Correlation between foot arch index and the intensity of foot, knee, and lower back pain among pregnant women in a South-Eastern Nigerian community. Med Princ Pract. 2021;26(5):480–4.

Budiman-Mak E, Conrad KJ, Roach KE. The Foot Function Index: a measure of foot pain and disability. J Clin Epidemiol. 2020;44(6):561–70.

Goldberg J, Besser MP, Selby-Silverstein L. Changes in foot function throughout pregnancy. Obstet Gynecol. 2021;97(4 Suppl):S39.

Butterworth PA, Landorf KB, Smith S, Menz HB. The association between body mass index and musculoskeletal foot disorders: a systematic review. Obes Rev. 2022;13(7):630–42.

Ng M, Fleming T, Robinson M, Thomson B, Graetz N, Margono C, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013: a systematic analysis for the Global Burden of Disease Study 2023. Lancet. 2021;384(9945):766–81.

Hills A, Hennig E, Byrne N, Steele J. The biomechanics of adiposity: structural and functional limitations of obesity and implications for movement. Obes Rev. 2022;3(1):35–43.

Vullo VJ, Richardson JK, Hurvitz EA. Hip, knee, and foot pain during pregnancy and the postpartum period. J Fam Pract. 2020;43(1):63–9.

Gijon-Nogueron GA, Gavilan-Diaz M, Valle-Funes V, Jimenez-Cebrian AM, Cervera-Marin JA, Morales-Asencio JM. Anthropometric foot changes during pregnancy: a pilot study. J Am Podiatr Med Assoc. 2023;103(4):314–21.

Chiou WK, Chiu HT, Chao AS, Wang MH, Chen YL. The influence of body mass on foot dimensions during pregnancy. Appl Ergon. 2020;46:212–7.

Ahmad T, Shafi P, Khan R, Khokhar ANGA, Zeb SA. Assessing plantar pressure and feet pain in females during the third trimester of pregnancy. Pak J Med Health Sci. 2022;16(3):1114–.

Karadag-Saygi E, Unlu-Ozkan F, Basgul A. Plantar pressure and foot pain in the last trimester of pregnancy. Foot Ankle Int. 2020;31(2):153–7.

Cassar D. The impact of pregnancy on foot health. 2014.

Ramachandra P, Maiya A, Kamath A, Kumar P. Foot dysfunctions among women across various trimesters of pregnancy. Physiotherapy. 2020;101:e1252–3.

Jacob H. Forces acting in the forefoot during normal gait – an estimate. Clin Biomech. 2021;16(9):783–92.

Murray I, Hendley J. Change and adaptation in pregnancy. In: Myles’ Textbook for Midwives E-Book. 2020. p. 197.

Gaymer C, Whalley H, Achten J, Vatish M, Costa ML. Midfoot plantar pressure significantly increases during late gestation. Foot. 2009;19(2):114–6.

Ponnapula P, Boberg JS. Lower extremity changes experienced during pregnancy. J Foot Ankle Surg. 2020;49(5):452–8.

Downloads

Published

2025-07-07

Metrics