A review of 35 studies looked at how daily life factors affect the way children between ages 6 and 14 walk. The researchers focused on three main areas: carrying heavy school backpacks, the type of shoes children wear, and the effects of being overweight or obese.
The findings show that carrying a backpack weighing more than 10% to 12% of a child's body weight can change their balance and how they move. Additionally, different shoe designs affect how pressure is spread across the feet and how joints move. For children who are overweight or obese, the study found significant changes in walking speed, stride patterns, and joint loading.
Because these factors influence how children move, these findings may help schools and parents make better decisions about backpack weight limits and footwear choices. While the review shows these links exist, it does not prove that these factors will cause long-term health problems. You should talk to a healthcare provider or specialist to discuss specific concerns regarding your child's physical development.