<?xml version="1.0" encoding="UTF-8"?><?xml-stylesheet type="text/xsl" href="static/style.xsl"?><OAI-PMH xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/ http://www.openarchives.org/OAI/2.0/OAI-PMH.xsd"><responseDate>2026-06-02T17:22:00Z</responseDate><request verb="GetRecord" identifier="oai:riuma.uma.es:10630/40015" metadataPrefix="qdc">https://riuma.uma.es/rest/oai/request</request><GetRecord><record><header><identifier>oai:riuma.uma.es:10630/40015</identifier><datestamp>2026-02-03T10:57:08Z</datestamp><setSpec>com_10630_2254</setSpec><setSpec>col_10630_37953</setSpec></header><metadata><qdc:qualifieddc xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:doc="http://www.lyncode.com/xoai" xmlns:qdc="http://dspace.org/qualifieddc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://purl.org/dc/elements/1.1/ http://dublincore.org/schemas/xmls/qdc/2006/01/06/dc.xsd http://purl.org/dc/terms/ http://dublincore.org/schemas/xmls/qdc/2006/01/06/dcterms.xsd http://dspace.org/qualifieddc/ http://www.ukoln.ac.uk/metadata/dcmi/xmlschema/qualifieddc.xsd">
   <dc:title>Influence of childhood overweight and obesity on foot and lower limb pain in a population of primary school children</dc:title>
   <dc:creator>Jiménez-Cebrián, Ana María</dc:creator>
   <dc:creator>Román-Bravo, Pedro Daniel</dc:creator>
   <dc:creator>Morente-Bernal, María Francisca</dc:creator>
   <dc:creator>Alonso-Ríos, Juan Antonio</dc:creator>
   <dc:creator>De-la-Cruz-Torres, Blanca</dc:creator>
   <dc:creator>Romero-Morales, Carlos</dc:creator>
   <dc:creator>Navarro-Flores, Emmanuel María</dc:creator>
   <dc:creator>Montiel-Luque, Alonso</dc:creator>
   <dc:subject>Obesidad en niños</dc:subject>
   <dc:subject>Obesidad - Aspectos fisiológicos</dc:subject>
   <dcterms:abstract>Introduction: In childhood, juvenile obesity affects the functional characteristics&#xd;
of the lower limb, predisposing children to pain, discomfort and musculoskeletal&#xd;
comorbidities. This cross-sectional descriptive study analyses&#xd;
the relationship between childhood overweight/obesity and foot/lower limb&#xd;
pain in a population of primary school children.&#xd;
Material and methods: The study population consisted of 150 children aged&#xd;
9–12 years recruited at a primary school in Malaga (Spain). None had pathologic&#xd;
feet. Anthropometric and demographic data were compiled by questionnaire&#xd;
and by personal interview. Among other variables, the foot posture&#xd;
index was calculated and knee alignment was measured. In the statistical&#xd;
analysis, the dependent variables considered were foot and lower limb pain,&#xd;
and the predictor variables were age, sex, body mass index, sports activity,&#xd;
foot posture index and knee alignment. A descriptive analysis of these variables&#xd;
was performed, together with an association analysis (using the c2&#xd;
test) and a multivariate analysis (using binary logistic regression).&#xd;
Results: In the study sample, 47.3% were girls, 15.3% were overweight and&#xd;
12.7% obese. The overall prevalence of foot pain was 10.7% and that of lower&#xd;
limb pain, 27.3%. Of the study variables analyzed, the only ones significantly&#xd;
related to both foot pain and lower limb pain were overweight and obesity.&#xd;
Conclusions: Overweight and obesity are the main factors related to pain in&#xd;
the feet and lower limbs in primary school children.</dcterms:abstract>
   <dcterms:dateAccepted>2025-09-24T09:32:36Z</dcterms:dateAccepted>
   <dcterms:available>2025-09-24T09:32:36Z</dcterms:available>
   <dcterms:created>2025-09-24T09:32:36Z</dcterms:created>
   <dcterms:issued>2020</dcterms:issued>
   <dc:type>journal article</dc:type>
   <dc:identifier>Jiménez-Cebrián AM, Roman-Bravo PD, Morente-Bernal MF, et al. Influence of childhood overweight and obesity on foot and lower limb pain in a population of primary school children. Archives of Medical Science. 2020. doi:10.5114/aoms.2020.97053.</dc:identifier>
   <dc:identifier>1734-1922</dc:identifier>
   <dc:identifier>https://hdl.handle.net/10630/40015</dc:identifier>
   <dc:identifier>10.5114/aoms.202020.97053</dc:identifier>
   <dc:language>eng</dc:language>
   <dc:rights>http://creativecommons.org/licenses/by-nc-sa/4.0/</dc:rights>
   <dc:rights>open access</dc:rights>
   <dc:rights>Attribution-NonCommercial-ShareAlike 4.0 Internacional</dc:rights>
   <dc:publisher>Termedia &amp; Banach</dc:publisher>
</qdc:qualifieddc>
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