Evidence map›Paper›PMID 42339532›Full record

ArticleBiology open2026

Testing the limits: the impact of extreme functional hip width on the muscular demands of walking.

Cristina Gildee, Patricia Ann Kramer

Abstract read
In one paragraph

Article in Biology open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Cristina GildeeDepartment of Anthropology, University of Washington, Seattle, WA, USA.ORCID 0009-0007-2434-1052
Patricia Ann KramerDepartment of Anthropology, University of Washington, Seattle, WA, USA.ORCID 0000-0002-6435-9130

Funding

University of Washington-Seattle
6 · The paper itself

Abstract

The obstetrical dilemma (OD) posits that hominin pelvic morphology reflects a trade-off between obstetric demands and efficient bipedal locomotion - wider pelves facilitate childbirth but increase mechanical demands on stabilizing muscles, potentially raising the energetic cost of walking. Several studies challenge this view, however, demonstrating no strong associations between pelvic width and increased energy expenditure, suggesting that musculoskeletal compensation minimizes locomotor costs via muscle coordination and posture dynamics. Because assessment of evolutionary constraints requires examination of forms outside observed species variation, we used musculoskeletal simulations to evaluate how extreme deviations in functional hip width affect gait parameters. Motion capture and ground reaction data from ten adults (45 trials) drove subject-specific musculoskeletal models where functional hip widths were altered by ±20% and ±40%. Simulations used identical gait kinematics to isolate the effect of pelvic breadth. Wider pelves increased hip abductor force and metabolic power during mid-stance, while narrower pelves showed inverse trends. Compensatory changes in antagonistic muscle groups (e.g. adductors and flexors) limited net effects. Across all pelvic conditions, the dominant contributors to stride and muscle metabolic cost remained consistent, and total muscle metabolic power stayed within observed inter-individual variation. These results support hypotheses suggesting human musculoskeletal systems can adapt to extreme shifts in pelvic width without substantial muscle metabolic penalties. Contrary to core assumptions of the OD, pelvic breadth alone does not constrain walking effectiveness, suggesting that pelvic evolution was shaped primarily by reproductive, developmental, and structural pressures than by locomotor energetics alone.

Indexed as

HipMuscle, SkeletalWalkingAdultAnimalsBiomechanical PhenomenaEnergy MetabolismFemaleGaitHumansMalePelvisBipedal locomotionMuscle metabolic energeticsMusculoskeletal modelingObstetrical dilemmaPelvic width

Identifiers

PMID42339532
PMCPMC13446569

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.