A pad element (10) may include a base member (20), a pair of cover layers (31, 32), and a plurality of insert elements (40). The base member defines a plurality of apertures (23). The cover layers are secured to opposite surfaces of the base member and extend across the apertures. The insert elements are located within the apertures and between the cover layers. As examples, the base member and the insert elements may be formed from polymer foam materials, and the cover layers may be formed from textile materials. The pad element may be utilized to attenuate impact forces and provide one or more of breathability, flexibility, a relatively low overall mass, and launderability.