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High heels are a type of shoe in which the heel is significantly higher off the ground compared to the toes. High, or elevated, heels are anything over 3.5cm.[1] and can be as much as 18cm or more in the case of ballet boots. High heels make the wearer appear taller, accentuate the muscle tone in their legs and make their legs appear visibly longer.[2]
There are many types of high heels, which come in different styles, colors and materials, and can be found all over the world. The first known pictorial evidence of high heels comes from 10th Century Persia where they were worn by men in combination with stirrups for horse riding.[3] Heels have had significant cultural and fashionable meanings attached to them over the past 1,000 years, especially regarding the social construction of gender in the West.[3] Although in the 17th century high heels were the sign of masculine power and social status by the 21st century narrow high heels represented femininity and “erotic capital” although a thick high heel was still acceptable for males in some situations.[3]
Wearing high heels is associated with health risks such as a greater risk of falls in the elderly,[1] musculoskeletal pain,[4] developing foot deformities[4][5] and developing varicose veins.[6]
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