The invention discloses an intelligent shoe adaptive monitoring method for spine and leg health. The method includes the steps that shoe soles and/or the interiors of shoes are divided into multiple preset areas, pressure data of each area in walk is collected through a collection module, and time data in collection is recorded; the collection module transmits the pressure data and the time data in collection to an analysis module; the analysis module gives a motion state recognition result according to the pressure data and the time data in collection by establishing and adapting to a complete recognition model. Based on corresponding pressure characteristic groups, corresponding pressure characteristic healthy groups and corresponding population plantar pressure characteristic health assessments, a triangular plantar pressure health acquisition and assessment model is built individually in a way of a triangular mass matrix; the shoe sole pressure distribution is adaptively and automatically adjusted according to an individual and group comparison result to form a shoe sole pressure model most suitable for individuals, and thus the shoe soles can be automatically adjusted to formthe more comfortable and most healthy shoe sole pressure model for individuals; the shoe sole pressure model serves as an input factor in user portrait groups to influence the initial plantar pressuredistribution of like characteristic groups.