Foot odor (also spelled foot odour) or bromodosis is a type of body odor that affects the feet of humans.
Causes
The main cause is foot sweat (also see focal hyperhidrosis). Sweat itself is odorless; however, it creates a beneficial environment for certain bacteria to grow, producing odorous substances. These bacteria are naturally present on our skin as part of the human microbiome. The front part of the foot produces the most sweat.[1]
The smell is exacerbated by factors that increase sweating, such as wearing closed-toe shoes. Sports footwear such as sneakers is often heavily padded inside which provides a perfect environment to trap moisture and allow the bacteria to thrive. Socks can trap foot hair, especially on the toes, and may contribute to odor intensity by increasing surface area on which bacteria can thrive.[citation needed]
Given that socks directly contact the feet, their composition can affect foot odor. Synthetic materials like polyester and nylon afford less ventilation to the foot than do cotton or wool, leading to increased perspiration and odor, although they can also reduce incidence of blisters by wicking away perspiration. Many synthetic socks are treated with chemicals to help reduce odor.[2]
Wearing closed-toe shoes (e.g., ballet flats or pumps) without socks leads to accumulation of sweat, dead skin cells, dirt, and oils, further contributing to bacterial growth.
Maintaining good foot hygiene is the best way to prevent foot odour as it eliminates odour causing bacteria and removes dead skin cells as well as sebum. A foot file, pumice stone or chemical treatment, such as an Alpha hydroxy acid containing foot peel preparation, can be used to remove dead skin cells.[11][12]
Using antibacterial soap to wash feet daily; keeping feet dry by changing socks daily and wearing cotton or wool instead of synthetic fibres can also help reduce moisture build-up.
Using medicated insoles and foot powder can also help.[13]
Management
In some cases, medical intervention may be needed to treat the bacterial or fungal infection with a topical antibacterial or fungicide.[14][15]
As a paraphilia
Foot odor is one of the most widespread forms of olfactophilia;[16] in a 1994 study, 45% of those with a foot fetish were found to be aroused by smelly socks and/or feet, but most importantly by the intensity of the smell produced by such bacteria.[17]