Morpho-anthropometric characteristics of the feet in long-distance runners
https://doi.org/10.47529/2223-2524.2026.1.9
Abstract
The aim of this study was to determine the morpho-anthropometric characteristics of the feet and lower limbs in long-distance runners and to assess the associations between foot type, medial longitudinal arch condition, and lower limb alignment.
Materials and methods: A single-center cross-sectional study was conducted including 308 runners (232 men and 76 women; mean age 38.2 ± 10.3 years). Anthropometric assessment was performed, along with determination of forefoot type, degree of flatfoot deformity, and lower limb alignment.
Results: The Egyptian foot type was identified in 42.5% of athletes, the Greek type in 30.2 %, and the square type in 27.3 %. Grade I–II flatfoot was observed in 60.7 % of participants, with significant sex-related differences in the distribution of arch deformity severity. No significant associations were found between foot type, body mass index, and medial longitudinal arch condition. Varus lower limb alignment was detected in 13.0% of runners and showed no statistically significant association with foot type or flatfoot severity.
Conclusion: Moderate degrees of arch flattening predominate among long-distance runners, while morphological foot characteristics appear relatively independent. These findings highlight the importance of comprehensive morphotype assessment of the foot in sports medicine.
About the Authors
I. V. ChupaRussian Federation
Ilya V. Chupa, PhD student, Department of Sports Medicine and Medical Rehabilitation; Sports Medicine Physician
8, bldg. 2 Trubetskaya str., Moscow, 119048;
24 bldg. 1 Luzhniki str., Moscow, 119048
E. E. Achkasov
Russian Federation
Evgeniy E. Achkasov, Dr. Sci. (Med.), Prof., Head of the Department of Sports Medicine and Medical Rehabilitation
8, bldg. 2 Trubetskaya str., Moscow, 119048
V. N. Nikolenko
Russian Federation
Vladimir N. Nikolenko, Dr. Sci. (Med.), Prof., Head of the Human Anatomy and Histology Department; Head of the Normal and Topographic Anatomy Department, Basic Medicine Faculty
8, bldg. 2 Trubetskaya str., Moscow, 119048;
Leninskie Gory, 1, Moscow, 119991
L. A. Gridin
Russian Federation
Leonid A. Gridin, Dr. Sci. (Med.), Prof., General manager
14/3 Zhitnaya str., Moscow, 119049
V. V. Kurshev
Russian Federation
Vladislav V. Kurshev, Assoc. Prof. of the Department of Sports Medicine and Medical Rehabilitation; Chief Physician Sports Medicine Physician
8, bldg. 2 Trubetskaya str., Moscow, 119048;
24 bldg. 1 Luzhniki str., Moscow, 119048
A. I. Medvedeva
Russian Federation
Anna I. Medvedeva, Student
6 Miklukho-Maklaya str., Moscow, 117198
References
1. Kakouris N., Yener N., Fong D.T.P. A systematic review of running-related musculoskeletal injuries in runners. J. Sport Health Sci. 2021;10(5):513–522. https://doi.org/10.1016/j.jshs.2021.04.001
2. Zakharov S.N., Kuryshev B.B., Pigolkin Yu.I. Development of a new orthopedic insole design for the correction of walking disorders. Sports medicine: research and practice. 2025;15(4):37–44. (In Russ.). https://doi.org/10.47529/2223-2524.2025.4.1
3. Burgess S.C., Beeston A., Carr J., Siempou K., Simmonds M., Zanker Y. A bio-inspired arched foot with individual toe joints and plantar fascia. Biomimetics (Basel). 2023;8(6):455. https://doi.org/10.3390/biomimetics8060455
4. Davis D.J., Challis J. Characterizing the mechanical function of the foot’s arch across steady-state gait modes. J. Biomech. 2023;151:111529. https://doi.org/10.1016/j.jbiomech.2023.111529
5. Shiotani H., Mizokuchi T., Yamashita R., Naito M., Kawakami Y. Acute effects of long-distance running on mechanical and morphological properties of the human plantar fascia. Scand. J. Med. Sci. Sports. 2020;30(8):1360–1368. https://doi.org/10.1111/sms.13690
6. Soltani N., Majlesi M., Fatahi A. Immediate and long-term effects of anti-pronation insoles on spatiotemporal gait parameters in individuals with flat feet. Sports medicine: research and practice. 2025;15(4):28–36. (In Russ.). https://doi.org/10.47529/2223-2524.2025.4.7
7. Alshwekany S., Alarfaj Y.Y., Musaed S., Faraj F., Mahzari Q.A., Alhablani M., et al. The impact of foot arch morphology on risk of overuse injuries in amateur runners: a prospective biomechanical study. Journal of Posthumanism. 2025;5(6):106–120. https://doi.org/10.63332/joph.v5i6.1952
8. Mousavi S.H., Hijmans J., Minoonejad H., Rajabi R., Zwerver J. Factors associated with lower limb injuries in recreational runners: a cross-sectional survey including mental aspects and sleep quality. J. Sports Sci. Med. 2021;20(2):204–215. https://doi.org/10.52082/jssm.2021.204
9. Stanković K., Booth B.G., Danckaers F., Burg F., Vermaelen P., Duerinck S., et al. Three-dimensional quantitative analysis of healthy foot shape: a proof of concept study. J. Foot Ankle Res. 2018;11:8. https://doi.org/10.1186/s13047-018-0251-8
10. Ovsyanik A.V. Structure and types of students’ feet. In: Students and young scientists of BSMU — to medical science and healthcare of the Republic of Belarus: collection of scientific papers of students and young scientists. Minsk; 2024, pp. 83–85. (In Russ.).
11. Sharma D., Agarwal P., Singh M. Determination of types of foot in the Indian population and its association with ingrowing toenail. J. Foot Ankle Surg. (Asia-Pacific). 2018;5(1):13–15. https://doi.org/10.5005/jp-journals-10040-1082
12. Vounotrypidis P., Noutsou P. The Greek foot: is it a myth or reality? An epidemiological study in Greece and connections to past and modern global history. Rheumatology (Oxford). 2015;54(Suppl 1):i182–i183. https://doi.org/10.1093/rheumatology/kev091.027
13. Liliana A. Immediate effects of the metatarsal dome element on the overload of the central metatarsals in young subjects. Prog. Orthop. Sci. 2024;10(4):100–112. https://doi.org/10.47363/pos/2024(10)182
14. Ferreyra M., Nuñez-Samper M., Viladot R., Ruiz J., Isidro A., Ibáñez L. What do we know about hallux valgus pathogenesis? J. Foot Ankle. 2020;14(3):223–230. https://doi.org/10.30795/jfootankle.2020.v14.1202
15. Aleksandrov Yu.M., Diachkova G.V. Diagnostics of the knee zone deformities (Review of the literature). Genij Ortopedii. 2012;(1):146–152. (In Russ.).
16. Ghorbani M., Yaali R., Sadeghi H. Targeted exercise improves functional movement performance and alters movement screening relationships in females with flexible flatfeet. Sci. Rep. 2025;15(1):44472. https://doi.org/10.1038/s41598-025-28174-4
17. Fukano M., Nakagawa K., Inami T., Higashihara A., Iizuka S., Narita T., Maemichi T., Yoshimura A., Yamaguchi S., Iso S. Increase in foot arch asymmetry after full marathon completion. J. Sports Sci. 2021;39(21):2468–2474. https://doi.org/10.1080/02640414.2021.1939965
Review
For citations:
Chupa I.V., Achkasov E.E., Nikolenko V.N., Gridin L.A., Kurshev V.V., Medvedeva A.I. Morpho-anthropometric characteristics of the feet in long-distance runners. Sports medicine: research and practice. 2026;16(1):59-66. (In Russ.) https://doi.org/10.47529/2223-2524.2026.1.9
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