# The Effects of Terrestrial and Aquatic Activities on Foot Health: A Comparative Analysis of Podiatric Disorders

**Authors:** Ana María Pérez Pico, Julia Villar Rodríguez, Joao Belo, María Victoria Cáceres-Madrid, Marina Fontán-Jiménez, Raquel Mayordomo

PMC · DOI: 10.3390/healthcare13070695 · Healthcare · 2025-03-21

## TL;DR

This study compares foot health issues in people who do land and water sports, finding that men, young adults, and land sport athletes face more foot problems.

## Contribution

The study provides a comparative analysis of podiatric disorders in terrestrial and aquatic sports, highlighting risk factors like gender, age, and activity intensity.

## Key findings

- Men had a higher frequency of skin disorders (70.2%) compared to women (29.8%).
- Terrestrial athletes had more podiatric disorders (5.2) than aquatic athletes (3.2).
- Onychomycosis was more common in aquatic athletes (91.7%), while terrestrial athletes had more hyperkeratosis and subungual hematoma.

## Abstract

Background/Objectives: This study explores the prevalence of podiatric disorders in relation to factors such as gender, age, and the type of sports activity. Understanding these elements is crucial for implementing effective prevention strategies. Methods: The sample consisted of 70 participants, aged 12 to 30, with 71.4% youths and 28.6% adults, including 50 Portuguese and 20 Spanish individuals, who practiced either terrestrial or aquatic sports at varying training intensities. Statistical analyses were performed on data collected from athletes using chi-square tests and proportion tests. Variables such as exercise intensity and sport type (terrestrial vs. aquatic) were examined. Results: Skin disorders were more frequent in men (70.2%) compared to women (29.8%). Regarding age, 70% of individuals aged 19 to 30 years presented dermatoses, compared to 36% in the 12 to 18-year-old group. Exercise intensity also had an impact: 53.8% of athletes engaging in moderate activity exhibited keratoses, compared to 30.8% of those practicing intense activity. Additionally, athletes in terrestrial sports showed an average of 5.2 podiatric disorders, significantly higher than the 3.2 average in aquatic sports. Specifically, terrestrial athletes have a higher prevalence of pinch callus (84.6%) and hyperkeratosis on metatarsal heads (85.7%), while aquatic athletes have more onychomycosis (91.7%) and less hyperkeratosis. A higher prevalence of rotated toes (61.4%) and subungual hematoma (90.9%) was also observed in terrestrial athletes. Conclusions: The prevalence of podiatric disorders is significantly related to gender, age, and the type of physical activity. Men and young adults are more prone to dermatoses, while athletes engaging in moderate intensity activity and those athletes in terrestrial sport face a higher risk of podiatric issues. These findings highlight the need for prevention and treatment strategies in relation to the specific characteristics of each group.

## Linked entities

- **Diseases:** onychomycosis (MONDO:0001628)
- **Species:** Homo sapiens (taxon 9606)

## Full-text entities

- **Diseases:** Skin disorders (MESH:D012871), subungual hematoma (MESH:D006406), hyperkeratosis (MESH:D017488), keratoses (MESH:D007642), Podiatric Disorders (MESH:D009358), onychomycosis (MESH:D014009)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## References

38 references — full list in the complete paper: https://tomesphere.com/paper/PMC11989144/full.md

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Source: https://tomesphere.com/paper/PMC11989144