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Record W4415174839 · doi:10.1136/bmjsem-2025-002597

“If a shoe had been designed from a woman’s foot, would I be running without getting the injuries?”: running footwear needs and preferences of recreational and competitive women runners across the lifespan

2025· article· en· W4415174839 on OpenAlexafffundabout
Christopher Napier, Gurmeet Dhillon, Allison M. Ezzat

Bibliographic record

VenueBMJ Open Sport & Exercise Medicine · 2025
Typearticle
Languageen
FieldEngineering
TopicLower Extremity Biomechanics and Pathologies
Canadian institutionsBC Children's HospitalUniversity of British ColumbiaSimon Fraser University
FundersNatural Sciences and Engineering Research Council of CanadaMichael Smith Health Research BC
KeywordsCushioningRecreationThematic analysisFocus groupHeelPreference

Abstract

fetched live from OpenAlex

Despite known sex and gender differences between males/men and females/women, most current running footwear is designed for and tested on males/men. This qualitative study aimed to explore the running footwear needs and preferences of recreational and competitive women runners and how these change across the lifespan. We conducted two semi-structured focus groups with women runners in Vancouver, Canada. Participants were purposively sampled for variation in age, running experience and running volume. Data analysis used an inductive reflective thematic approach. Twenty-one women runners (11 recreational, 10 competitive) of median (IQR) age 43 (20–70) years and median (IQR) running experience of 15 (6–58) years participated. Nine (43%) women had experience running during pregnancy or postpartum. Three main themes emerged regarding women’s running shoe needs and preferences: prioritising comfort and feel; the perceived contribution of the shoes to injury prevention; and the need for different shoes for different running contexts. Additionally, three main themes described how runners’ needs evolve across the lifespan: a shift from prioritising shoe style to comfort; increased shoe size and width during pregnancy/postpartum; and a growing preference for greater shoe stability and cushioning with age. Our results suggest that current running footwear does not fully meet the needs of women runners. Many women desired a wider toe box, a narrower heel cup and more cushioning, while competitive runners sought performance-enhancing features that did not compromise comfort. Women also strongly believed that footwear plays a critical role in injury prevention, highlighting the need for evidence-based education on this topic. These insights provide a foundation for the co-design of women-specific running shoes that better align with their unique biomechanical and performance needs. Future research should investigate whether sex-, gender- and life stage-specific shoe designs could enhance running performance, comfort and injury prevention for women across all levels of participation.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.002
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.212
Threshold uncertainty score0.780

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0020.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0010.001
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.029
GPT teacher head0.312
Teacher spread0.284 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations1
Published2025
Admission routes3
Has abstractyes

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