{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T04:32:02Z","timestamp":1778128322439,"version":"3.51.4"},"reference-count":38,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2025,3,21]],"date-time":"2025-03-21T00:00:00Z","timestamp":1742515200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Extremadura Regional Government","award":["CTS020"],"award-info":[{"award-number":["CTS020"]}]},{"name":"Extremadura Regional Government","award":["GRU21077"],"award-info":[{"award-number":["GRU21077"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Healthcare"],"abstract":"<jats:p>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.<\/jats:p>","DOI":"10.3390\/healthcare13070695","type":"journal-article","created":{"date-parts":[[2025,3,21]],"date-time":"2025-03-21T11:06:48Z","timestamp":1742555208000},"page":"695","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The Effects of Terrestrial and Aquatic Activities on Foot Health: A Comparative Analysis of Podiatric Disorders"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8397-3964","authenticated-orcid":false,"given":"Ana Mar\u00eda","family":"P\u00e9rez Pico","sequence":"first","affiliation":[{"name":"Department of Nursing, University Centre of Plasencia, University of Extremadura, 10600 Plasencia, C\u00e1ceres, Spain"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0430-9112","authenticated-orcid":false,"given":"Julia","family":"Villar Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"Department of Nursing, Physiotherapy and Occupational Therapy, Faculty of Health Sciences, University of Castilla la Mancha, 45600 Talavera de la Reina, Toledo, Spain"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4671-4239","authenticated-orcid":false,"given":"Joao","family":"Belo","sequence":"additional","affiliation":[{"name":"Escola Superior de Sa\u00fade Dr Lopes D\u00edas, Polytechnic Institute of Castelo Branco, 6000-084 Castelo Branco, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-0683-1390","authenticated-orcid":false,"given":"Mar\u00eda Victoria","family":"C\u00e1ceres-Madrid","sequence":"additional","affiliation":[{"name":"Department of Nursing, University Centre of Plasencia, University of Extremadura, 10600 Plasencia, C\u00e1ceres, Spain"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-0572-0267","authenticated-orcid":false,"given":"Marina","family":"Font\u00e1n-Jim\u00e9nez","sequence":"additional","affiliation":[{"name":"Department of Nursing, University Centre of Plasencia, University of Extremadura, 10600 Plasencia, C\u00e1ceres, Spain"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0798-7026","authenticated-orcid":false,"given":"Raquel","family":"Mayordomo","sequence":"additional","affiliation":[{"name":"Department of Anatomy, Cellular Biology and Zoology, University Centre of Plasencia, University of Extremadura, 10600 Plasencia, C\u00e1ceres, Spain"}]}],"member":"1968","published-online":{"date-parts":[[2025,3,21]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Xiao, J. (2020). Physical Exercise for Human Health. Advances in Experimental Medicine and Biology, Springer.","DOI":"10.1007\/978-981-15-1792-1"},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Edmunds, S., and Clow, A. (2014). Impact of Physical Activity on Mental Health in Long-Term Conditions. Physical Activity and Mental Health, Human Kinetics.","DOI":"10.5040\/9781492595724.ch-008"},{"key":"ref_3","first-page":"1","article-title":"Sports-and Recreation-related Injury Episodes in the United States, 2011\u20132014","volume":"99","author":"Sheu","year":"2016","journal-title":"Natl. Health Stat. Rep."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"587","DOI":"10.1590\/abd1806-4841.20142792","article-title":"Sports-related dermatoses among road runners in Southern Brazil","volume":"89","author":"Purim","year":"2014","journal-title":"Bras. Dermatol."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"119","DOI":"10.2165\/00007256-199826020-00005","article-title":"Common Sports Injuries in Young Tennis Players","volume":"26","author":"Bylak","year":"1998","journal-title":"Sports Med."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"28","DOI":"10.5704\/MOJ.2003.005","article-title":"Incidence of Football and Futsal Injuries Among Youth in Malaysian Games 2018","volume":"14","year":"2020","journal-title":"Malays. Orthop. J."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1111","DOI":"10.1111\/j.1365-4632.2010.04770.x","article-title":"Aquatic sports dermatoses: Part 3 On the water","volume":"49","author":"Tlougan","year":"2010","journal-title":"Int. J. Dermatol."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1136\/bjsm.35.6.383","article-title":"A systematic review of interventions to prevent lower limb soft tissue running injuries","volume":"35","author":"Yeung","year":"2001","journal-title":"Br. J. Sports Med."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"857","DOI":"10.1007\/s40279-016-0630-x","article-title":"Wrist Injuries in Tennis Players: A Narrative Review","volume":"47","author":"Stuelcken","year":"2017","journal-title":"Sports Med."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"736","DOI":"10.1111\/myc.12654","article-title":"Swimming pools and fungi: An epidemiology survey in Polish indoor swimming facilities","volume":"60","author":"Jankowski","year":"2017","journal-title":"Mycoses"},{"key":"ref_11","unstructured":"Physical Activity Council (2008). 2018 Participation Report. The Physical Activity Council\u2019s Annual Study Tracking Sports Fitness Recreation Paticipation in the U.S., Physical Activity Council."},{"key":"ref_12","unstructured":"World Health Organization (WHO) (2018). More Active People for a Healthier World: Global Action Plan on Physical Activity 2018\u20132030 [Internet], WHO. Available online: https:\/\/www.who.int\/publications\/i\/item\/9789241514187."},{"key":"ref_13","unstructured":"Ministerio de Cultura y Deporte (2022). Encuesta de H\u00e1bitos Deportivos. Plan Estad\u00edstico Nacional 2021\u20132024, Ministerio de Cultura y Deporte."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"100","DOI":"10.2165\/00007256-199009020-00004","article-title":"Common Cutaneous Disorders in Athletes","volume":"9","author":"Conklin","year":"1990","journal-title":"Sports Med."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1177\/1534734619845600","article-title":"Importance of Preexisting Physical Factors in the Development of Dermatological and Muscular Lesions During Hiking","volume":"18","year":"2019","journal-title":"Int. J. Low. Extrem. Wounds"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1097\/JSM.0000000000000029","article-title":"Tennis-Related Injuries Treated in United States Emergency Departments, 1990 to 2011","volume":"24","author":"Gaw","year":"2014","journal-title":"Clin. J. Sport Med."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1776","DOI":"10.1016\/j.apmr.2014.04.005","article-title":"Effectiveness of Aquatic Exercise for Musculoskeletal Conditions: A Meta-Analysis","volume":"95","author":"Barker","year":"2014","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1005","DOI":"10.1002\/pmrj.12503","article-title":"An Updated Review of the Epidemiology of Swimming Injuries","volume":"13","author":"Trinidad","year":"2021","journal-title":"PM&R"},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Stephenson, S.D., Kocan, J.W., Vinod, A.V., Kluczynski, M.A., and Bisson, L.J. (2021). A Comprehensive Summary of Systematic Reviews on Sports Injury Prevention Strategies. Orthop. J. Sports Med., 9.","DOI":"10.1177\/23259671211035776"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"703","DOI":"10.1016\/j.pmrj.2010.03.012","article-title":"Aquatic Versus Land-based Exercises as Early Functional Rehabilitation for Elite Athletes with Acute Lower Extremity Ligament Injury: A Pilot Study","volume":"2","author":"Kim","year":"2010","journal-title":"PM&R"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"309","DOI":"10.2165\/00007256-200232050-00003","article-title":"Dermatologic Disorders of the Athlete","volume":"32","author":"Adams","year":"2002","journal-title":"Sports Med."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1067\/mjd.2000.107495","article-title":"Special skin symptoms seen in swimmers","volume":"43","author":"Basler","year":"2000","journal-title":"J. Am. Acad. Dermatol."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1186\/1758-2555-3-3","article-title":"Comparison of the incidence, nature and cause of injuries sustained on dirt field and artificial turf field by amateur football players","volume":"3","author":"Kordi","year":"2011","journal-title":"Sports Med. Arthrosc. Rehabil. Ther. Technol."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1037\/0033-2909.112.1.155","article-title":"A power primer","volume":"112","author":"Cohen","year":"1992","journal-title":"Psychol. Bull."},{"key":"ref_25","first-page":"37","article-title":"Adquisici\u00f3n de competencias para el diagn\u00f3stico de onicomicosis mediante entrenamiento pr\u00e1ctico podol\u00f3gico precl\u00ednico y cl\u00ednico","volume":"33","year":"2019","journal-title":"Educ. Med. Super."},{"key":"ref_26","first-page":"23","article-title":"Biomechanical analysis of foot function during gait and clinical applications","volume":"8","author":"Katoh","year":"1983","journal-title":"Clin. Orthop. Relat. Res."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"1734","DOI":"10.1080\/14763141.2021.1960417","article-title":"The role of the biomechanics analyst in swimming training and competition analysis","volume":"22","author":"Barbosa","year":"2023","journal-title":"Sports Biomech."},{"key":"ref_28","first-page":"223","article-title":"Biomechanical Analysis of the Swim-Start: A Review","volume":"13","author":"Vantorre","year":"2014","journal-title":"J. Sports Sci. Med."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"1269","DOI":"10.1589\/jpts.25.1269","article-title":"A Comparison of the Foot and Ankle Condition between Elite Athletes and Non-athletes","volume":"25","author":"Kim","year":"2013","journal-title":"J. Phys. Ther. Sci."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1186\/s13047-022-00531-w","article-title":"Gender and leg-dominance differences in shoe properties and foot injuries in badminton: A cross-sectional survey","volume":"15","author":"Shen","year":"2022","journal-title":"J. Foot Ankle Res."},{"key":"ref_31","doi-asserted-by":"crossref","unstructured":"Lee, H., Hong, Y., and Kim, M. (2021). Structural and Functional Changes and Possible Molecular Mechanisms in Aged Skin. Int. J. Mol. Sci., 22.","DOI":"10.3390\/ijms222212489"},{"key":"ref_32","doi-asserted-by":"crossref","unstructured":"Wang, X., Soh, K.G., Samsudin, S., Deng, N., Liu, X., Zhao, Y., and Akbar, S. (2023). Effects of high-intensity functional training on physical fitness and sport-specific performance among the athletes: A systematic review with meta-analysis. PLoS ONE, 18.","DOI":"10.1371\/journal.pone.0295531"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"53","DOI":"10.4103\/1755-6783.77182","article-title":"Prevalence of cutaneous fungal infections among sports-active individuals","volume":"3","author":"Khaksar","year":"2010","journal-title":"Ann. Trop. Med. Public Health"},{"key":"ref_34","doi-asserted-by":"crossref","unstructured":"Richards, J., Docherty, C., Arnold, B., H\u00e9bert-Losier, K., H\u00e4ger, C., Mazuquin, B., and Monga, P. (2020). Biomechanics of sports injuries, their management and clinical considerations. A Comprehensive Guide to Sports Physiology and Injury Management, Elsevier.","DOI":"10.1016\/B978-0-7020-7489-9.00005-3"},{"key":"ref_35","first-page":"1499","article-title":"Bone Stress Injuries in Runners Using Carbon Fiber Plate Footwear","volume":"53","author":"Tenforde","year":"2023","journal-title":"Sports Med."},{"key":"ref_36","first-page":"e2855","article-title":"Attitude and knowledge about foot health: A spanish view","volume":"25","year":"2017","journal-title":"Rev. Lat. Am. Enferm."},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"Pico, A.M.P., \u00c1lvarez, E.M., Quintana, R.M., and Acevedo, R.M. (2019). Importance of sock type in the development of foot lesions on low-difficulty, short hikes. Int. J. Environ. Res. Public Health, 16.","DOI":"10.3390\/ijerph16101871"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"9","DOI":"10.7547\/18-008","article-title":"A Bibliometric Evaluation of Worldwide Research of the Podiatry Field from 1965 to 2017","volume":"111","author":"Cortijo","year":"2021","journal-title":"J. Am. Podiatr. Med. Assoc."}],"container-title":["Healthcare"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2227-9032\/13\/7\/695\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T16:58:09Z","timestamp":1760029089000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2227-9032\/13\/7\/695"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,21]]},"references-count":38,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2025,4]]}},"alternative-id":["healthcare13070695"],"URL":"https:\/\/doi.org\/10.3390\/healthcare13070695","relation":{},"ISSN":["2227-9032"],"issn-type":[{"value":"2227-9032","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,21]]}}}