The Relationship between anthropometric factors and flat feet

Document Type : Original article

Authors

1 MSc Student in Sport Injuries & Corrective Exercises in University of Guilan, Faculty of Physical Education and Sport Science Iran

2 MSc Student in Sport Injuries & Corrective Exercises in University of Tehran, Faculty of Physical Education and Sport Science Iran

3 MSc Exercise Physiology, Faculty of Physical Education and Sport Sciences, Kharazmi University, Tehran, Iran

4 Phd Student in Sport Injuries & Corrective Exercises in University of Guilan, Faculty of Physical Education and Sport Science Iran

Abstract

Background and Aim: Despite extensive research on the relationship between anthropometric factors associated with flat foot deformity, still there is no consensus on its relationship with these factors and how to measure it. Thus, the present study was conducted to study the relationship between flat foot and BMI (body mass index) and body fat levels in 10-12 year-old school children.
Materials and Methods: The study population consisted of 243 school children in Qom, with an average age of 11.47±0.82 years, weight 39.4±10.86 kg, and height 145.94±7.91 cm. To assess the foot condition, the foot arch index Staheli, Arch Index (AI or Arch Index), and anthropometric factors were used to assess the amount of fat (by Jackson Pollock) and BMI. To calculate the relationship between variables, the chi-square test (Ci-square), with confidence interval of 95% and to check the repeatability of the data, the correlation coefficient (Interclass correlation coefficient) was run. Data was analyzed via SPSS (v. 18) (p ≤ 0.05).
Results: The prevalence of flat foot was observed to be 27.6 percent. Also, it was found that there is a significant relationship between flat foot and overweight and obesity as well as the amount of fat in the two groups (P= 0.05) and BMI (P= 0.05). Also, the results of the statistical analyses revealed that no significant relationship existed between the arch on the right and left foot.
Conclusion: The present study showed that the prevalence of flat feet in children with overweight and obesity, according to both methods of measuring body fat percentage and BMI, was high. Therefore, it can be concluded that overweight children are at risk of flat foot. Due to the susceptibility of overweight and obese children to infections regarding the flat foot and thus the future problems, more serious attention to screening, prescription of corrective exercises, and providing facilities for them to increase physical activity seem to be necessary measures to take.

Keywords


  1. Esmaeili, Hamed, et al. "The immediate effect of foot insole on electromyography activity and co-contraction of leg muscles in individuals with flat feet." Journal of Research in Rehabilitation Sciences 9.2 (2013): 295-307. [In Persian].##
  2. Mahdieh F, R.R., Aghayari A et al. "Determination of foot arch index in deferent ages groups for men and women in Esfahan city." Journal of Research in Rehabilitation Sciences 9.6 (2014). [In Persian].##
  3. Lin C-J, L.K.-A., Kuan T-S, Chou Y-L. Correlating factors and clinical significance of flexible flatfoot in  and p.c.J.o.P.O. 2001;21(3):378-82.##
  4. Chang J-H, W.S.-H., Kuo C-L, Shen HC, Hong Y-W, Lin L-C. Prevalence of flexible flatfoot in Taiwanese  and g. school-aged children in relation to obesity, and age. European journal of pediatrics.2010;169.##
  5. Idris, F.H., The growth of foot arches and influencing factors. Paediatrica Indonesiana, 2005. 45(5-6): p. 111-7.##
  6. Ezema CI, A.U., Okafor GO. Flat foot and associated factors among primary school children. and A.c.-s.s.H.K.P.J. 2014;32(1):13-20.##
  7. De Castro, Alessandra Paiva, José Rubens Rebelatto, and Thaís Rabiatti Aurichio. "The effect of gender on foot anthropometrics in older people." Journal of sport rehabilitation 20.3 (2011): 277##
  8. Hogan, Molly T., and Lynn T. Staheli. "Arch height and lower limb pain: an adult civilian study." Foot & ankle international 23.1 (2002): 43-47##
  9. Nikolaidou, M. E., and K. D. Boudolos. "A footprint-based approach for the rational classification of foot types in young schoolchildren." The Foot 16.2 (2006): 82-90.##
  10. Volpon, Jose B. "Footprint analysis during the growth period." Journal of Pediatric Orthopaedics 14.1 (1994): 83-85.##
  11. Evans, A.M., The paediatric flat foot and general anthropometry in 140 Australian school children aged 7-10 years. Journal of foot and ankle research, 2011. 4(1): p. 1-8.##
  12. Mosca VS. Flexible flatfoot in children and adolescents. Journal of children' orthopaedics.2010;4(2):107-21.##
  13. Villarroya MA, Esquivel JM, Tomás C, Moreno LA, Buenafé A, Bueno G. Assessment of the medial longitudinal arch in children andadolescents with obesity: footprints and  radiographic study. European journal of pediatrics. 2009;168(5):559-67##
  14. Morrison, Stewart C., et al. "Anthropometric foot structure of peripubescent children with excessive versus normal body mass: a cross-sectional study."Journal of the American Podiatric Medical Association 97.5 (2007): 366-370.##
  15. Evans, Angela Margaret, Hollie Nicholson, and N. Zakaris. "The paediatric flat foot proforma (p-FFP): improved and abridged following a reproducibility study."J Foot Ankle Res 2 (2009): 25.##
  16. Pfeiffer, Martin, et al. "Prevalence of flat foot in preschool-aged children."Pediatrics 118.2 (2006): 634-639.##
  17. Gaeini AA & T Lameh. The relationship between body fat percentage, body mass index and waist to hip ratio of women fifteen years in Tehran.2002;(17)95-105. [In Persian].##
  18. Gaeini A, Samadi A, Khalesi M. Fat Mass Index (FMI) comparing to Body Mass Index (BMI) in the determination of obesity in preschool children. Razi Journal of Medical Sciences. 21.120 (2014): 53-60. [In Persian].##
  19. Houtkooper LB, Lohman TG, Going SB, Hall MC. Validity of bioelectric impedance for body assessment in children. J Appl Physiol. 1989;66(2):814-21##
  20. Hernandez AJ, Kimura LK, Laraya MHF, Fávaro E. Calculation ofstaheli's plantar arch index and prevalence of flat feet: a study with 100 children aged 5-9 years. Acta Ortopédica Brasileira .2007 ;15##
  21. Ezema, C. I., U. O. Abaraogu, and G. O. Okafor. "Flat foot and associated factors among primary school children: A cross-sectional study." Hong Kong Physiotherapy Journal 32.1 (2014): 13-20.##
  22. Evans AM, Copper AW, Scharfbillig RW, Scutter SD, Williams MT. Reliability of the foot posture index and traditional measures of foot position. Journal of the American Podiatric Medical Association. 2003; 93 (3): 203-13.##
  23. 2000 CDC growth charts: United States. US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics. Available at: URL:http://www.cdc.gov/.##
  24. McCarthy, H. D., et al. "Body fat reference curves for children." International journal of obesity 30.4 (2006): 598-602.##
  25. Stavlas P, Grivas TB, Michas C, Vasiliadis E, Polyzois V. The evolution of foot morphology in  children between 6 and 17 years of age: a cross-sectional study based on footprints in aMediterranean population. The Journal offoot and ankle surgery. 2005;44(6):424-8.##
  26. Harandi B., Mortazavi C, M Q. Flat foot and epidemiological study in Iran. Tehran University Medical Journal.1996;11:79-82. [In Persian].##
  27. Dowling A, Steele J, Baur L. Does obesity influence foot structure and plantar pressure patternin prepubescent children. International journal of obesity and related metabolic disorders journal of the International Association for the Study of Obesity. 2001;25(6):845-52##
  28. Burns J, K.A.-M., Redmond A. Foot type and overuse injury in triathletes. Journal of the  and A.P.M.A. 2005;95(3):235-41.##
  29. Dahle LK, M.M., Delitto A, Diamond JE. Visual assessment of foot type and relationship of foot   type to lower extremity injury. Journal of Orthopaedic & Sports Physical Therapy. 1991;14(2):70-4##

Volume 5, Issue 1
March and April 2016
Pages 126-134
  • Receive Date: 28 April 2015
  • Revise Date: 14 September 2015
  • Accept Date: 14 October 2015
  • First Publish Date: 20 March 2016