Volume 44 Issue 5
May  2023
Turn off MathJax
Article Contents
ZHANG Yingjie, WU Tong, HUANG Jiazheng, ZHANG Zejin, LIU Luyun, XIONG Ying, XIAO Jiayu. Screening analysis of flat foot disease among school-age children in Kunming City[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(5): 765-768. doi: 10.16835/j.cnki.1000-9817.2023.05.028
Citation: ZHANG Yingjie, WU Tong, HUANG Jiazheng, ZHANG Zejin, LIU Luyun, XIONG Ying, XIAO Jiayu. Screening analysis of flat foot disease among school-age children in Kunming City[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(5): 765-768. doi: 10.16835/j.cnki.1000-9817.2023.05.028

Screening analysis of flat foot disease among school-age children in Kunming City

doi: 10.16835/j.cnki.1000-9817.2023.05.028
  • Received Date: 2022-11-16
  • Rev Recd Date: 2023-02-14
  • Available Online: 2023-05-25
  • Publish Date: 2023-05-25
  •   Objective  To investigate the prevalence of flat feet and associated factors in school-aged children in Kunming City, to provide evidence supporting the prevention of flat feet.  Methods  From December 2021 to February 2022, 4 444 children aged 7-13 in five primary schools in Kunming were screened for flat feet with the optical foot assessment and recording device. The incidence of flatfoot was counted, and Logistic regression was used to analyze the influencing factors of flatoccurrence.  Results  The overall prevalence rate was 29.10%, of which 21.79% were mild, 52.43% were moderate, 25.78% were severe, 89.10% were bipedal, and 10.90% were monopedal. The prevalence rates in the 7-year-old and 13-year-old groups were 36.91% and 10.43%, respectively, and the risk in the former was 5.00 times that in the latter(OR=5.00, 95%CI=3.22-7.52). The prevalence rates in rural and urban students were 38.53%, 22.46%, respectively, and the risk in the former was 2.17 times that in the latter(OR=2.17, 95%CI=1.90-2.47). The prevalence of flat feet in male and female students were 34.21%, 23.29%, respectively, and the risk in male students was 1.71 times higher than that in female students(OR=1.71, 95%CI=1.50-1.95). The incidence of flat feet correlated with BMI, and the risk of flat feet was higher in the group with overweight and obese groups than normal(OR=1.31, 1.10, P < 0.01).  Conclusion  The prevalence of flat feet in school-age children aged 7-13 years decreased with age. The prevalence and risk of flat feet is lower in girls than boys, and the incidence and risk of flat feet are lower in urban than rural children. The incidence of flat feet in most children is moderate, and the risk increased with increasing BMI. For school-aged children with flat feet, early prevention, detection and treatment are needed.
  • loading
  • [1]
    包贝西, 张建中. 扁平足足印的测量与临床研究现状[J]. 中国矫形外科杂志, 2012, 20(1): 56-58. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJXS201201027.htm

    BAO B X, ZHANG J Z. Current status of measurement and clinical research on flatfoot footprints[J]. Orthopedic J Chin, 2012, 20(1): 56-58. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZJXS201201027.htm
    [2]
    ALMUTAIRI A F, BANIMUSTAFA A, BIN SAIDAN T, et al. The prevalence and factors associated with low back pain among people with flat feet[J]. Int J Gen Med, 2021, 14: 3677-3685. doi: 10.2147/IJGM.S321653
    [3]
    郑德斌, 赵义红, 晏诗阳, 等. 足弓发育期扁平足儿童的足底压力跟踪研究[J]. 皮革科学与工程, 2021, 31(3): 61-65, 82. https://www.cnki.com.cn/Article/CJFDTOTAL-PGKG202103012.htm

    ZHENG D B, ZHAO Y H, YAN S Y, et al. Plantar pressure longitudinal tracking in children with flat feet during arch development[J]. Leather Sci Engineer, 2021, 31(3): 61-65, 82. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-PGKG202103012.htm
    [4]
    金宗学. 矫形鞋垫和运动干预对9-10岁男童扁平足矫正效果及其机制[D]. 北京: 北京体育大学, 2018.

    JIN Z X. The effect and mechanism of orthotic insole and exercise intervention on flat foot correction in boys aged 9-10 years[D]. Beijing: Beijing Sport University, 2018. (in Chinese)
    [5]
    熊怒, 王旭, 黄加张, 等. 儿童柔韧性扁平足的矫形鞋垫治疗研究进展[J]. 中国矫形外科杂志, 2022, 30(7): 1-5. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJXS202207011.htm

    XIONG N, WANG X, HUANG J Z, et al. Research progress in flexible flat foot and its therapy with orthotic insole in children[J]. Orthopedic J Chin, 2022, 30(7): 1-5. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZJXS202207011.htm
    [6]
    钟雨婷, 吕婧仪, 陈天午, 等. 上海市学龄儿童足弓指数及扁平足的流行病学研究[J]. 中国学校卫生, 2020, 41(9): 1358-1361, 1364. doi: 10.16835/j.cnki.1000-9817.2020.09.021

    ZHONG Y T, LYU J Y, CHEN T W, et al. Assessment of plantar arch index and prevalence of fiat feet in 3 226 school-age children in Shanghai[J]. Chin J Sch Health, 2020, 41(9): 1358-1361, 1364. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2020.09.021
    [7]
    周湘莹, 曾庆, 廖政文, 等. 定制型矫形鞋垫在扁平足治疗中的应用[J]. 中国组织工程研究, 2022, 26(28): 4587-4592. https://www.cnki.com.cn/Article/CJFDTOTAL-XDKF202228029.htm

    ZHOU X Y, ZENG Q, LIAO Z W, et al. Application of customized orthopedic insoles in the treatment of flatfoot[J]. Chin J Tissue Engineer Res, 2022, 26(28): 4587-4592. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XDKF202228029.htm
    [8]
    WHO. WHO BMI-for-age(5-19 years)[EB/OL]. (2019-01-16)[2020-03-21]. http://www.who.int/growthref/who2007_bmi_for_age/en/2019-01-16.
    [9]
    翟俊娜, 邵丽娜. 扁平足诊疗评估方法总结及某高校女生扁平足发病率调查[J]. 按摩与康复医学, 2022, 13(14): 56-58. https://www.cnki.com.cn/Article/CJFDTOTAL-AMYD202214016.htm

    ZHAI J N, SHAO L N. Summary of diagnosis and treatment methods of flat foot and investigation on the incidence of flat foot among female students in a university[J]. Chin Manipul Rehabil Med, 2022, 13(14): 56-58. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-AMYD202214016.htm
    [10]
    李亚静. 柔韧性与僵硬性扁平足女大学生步态特征的研究[C]//中国体育科学学会. 第十二届全国体育科学大会论文摘要汇编. 北京: 中国体育科学学会, 2022: 33-34.

    LI Y J. Gait Characteristics of female college students with flexible and rigid flat feet[C]//Chinese Society of Sports Science. Compilation of abstracts of the 12th National Sports Science Conference. Beijing: Chinese Society of Sports Science, 2022: 33-34. (in Chinese)
    [11]
    PFEIFFER M, KOTZ R, LED T, et al. Prevalence of flat foot in preschool-aged children[J]. Pediatrics, 2006, 118(2): 634-639.
    [12]
    ZHAO X, GU Y, YU J. The influence of gender, age, and body mass index on arch height and arch stiffness[J]. Foot Ankle Surg, 2020, 59(2): 298-302.
    [13]
    韩炳善, 袁媛. 西安市2 074名学龄前儿童扁平足发生情况[J]. 中国学校卫生, 2019, 40(7): 1097-1098. doi: 10.16835/j.cnki.1000-9817.2019.07.039

    HAN B S, YUAN Y. Occurrence of flat feet in 2 074 preschool children in Xi'an[J]. Chin J Sch Health, 2019, 40(7): 1097-1098. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2019.07.039
    [14]
    叶春娟, 陈玉平. 幼儿足弓发育及异常状况文献综述[J]. 当代体育科技, 2019, 9(15): 53-54. https://www.cnki.com.cn/Article/CJFDTOTAL-DYKJ201915032.htm

    YE C J, CHEN Y P. Literature review on arch development and abnormal status of children[J]. Contemporary Sports Technol, 2019, 9(15): 53-54. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-DYKJ201915032.htm
    [15]
    BARRY R J, SCRANTON P E. Flat feet in children[J]. Clin Orthop, 1983, 181(181): 68-75.
    [16]
    LIN C J, LAI K A, KUAN T S, et al. Correlating factors and clinical significance of flat foot in preschool children[J]. J Pediatr Orthop, 2001, 21(3): 378-382.
    [17]
    VILLAROYA M A, ESQUIVEL J M, TOMAS C, et al. Foot structurein overweight and obese children[J]. Int J Pediatr Obes, 2008, 3(1): 39-45.
    [18]
    郭朋, 罗聪. 儿童扁平足病因、检测方法和治疗现状[J]. 医学信息, 2018, 31(5): 56-61.

    GUO P, LUO C. The cause, detection method and treatment status of children's flat foot[J]. Med Inform, 2018, 31(5): 56-61. (in Chinese)
    [19]
    李立, 陈玉娟, 贾富池, 等. 7岁小学生扁平足发生情况及运动矫正效果评价[J]. 石家庄学院学报, 2021, 23(6): 78-83. https://www.cnki.com.cn/Article/CJFDTOTAL-SSZK202106013.htm

    LI L, CHEN Y J, JIA F C, et al. Occurrence of flatfoot in 7-year-old pupils and evaluation on the effect of exercise correction[J]. J Shijiazhuang Univ, 2021, 23(6): 78-83. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-SSZK202106013.htm
    [20]
    王化玲, 韩忠敏, 张遂柱. 郑州市中小学生扁平足2782例调查[J]. 医药论坛杂志, 2009, 30(16): 34-35. https://www.cnki.com.cn/Article/CJFDTOTAL-HYYX200916017.htm

    WANG H L, HAN Z M, ZHANG S Z. Investigation of 2782 cases of flat foot in primary and middle school students in Zhengzhou[J]. J Med Forum, 2009, 30(16): 34-35. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-HYYX200916017.htm
    [21]
    夏凤歧, 回俊岭, 尹爱华, 等. 某市628名青少年扁平足发生情况研究[J]. 武警医学院学报, 2007, 16(6): 651-652. https://www.cnki.com.cn/Article/CJFDTOTAL-WUXB200706020.htm

    XIA F Q, HUI J L, YIN A H, et al. Studies on the incidence of flat-foot in 628 youth[J]. J Armed Police Med Coll, 2007, 16(6): 651-652. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-WUXB200706020.htm
    [22]
    陈景. 湘西山区苗族聚居区中小学生扁平足的调查[J]. 吉首大学学报(自然科学版), 2002, 23(4): 87-88. https://www.cnki.com.cn/Article/CJFDTOTAL-JSDN200204018.htm

    CHEN J. Exploration to primary and secondary school students' flat-feet in the Xiangxi Region where the miao nationality inhabits[J]. J Jishou Univ(Nat Sci Edit), 2002, 23(4): 87-88. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-JSDN200204018.htm
    [23]
    WASEDA A, SUDA Y, INOKUCHI S, et al. Standard growth of the foot arch in childhood and adolescence: derived from the measurement results of 10 155 children[J]. Foot Ankle Surgery, 2014, 20(3): 208-214.
    [24]
    张丽华, 回俊岭, 陈树君, 等. 沧州市1 629名儿童青少年足弓发育状况[J]. 中国学校卫生, 2007, 28(6): 532-533. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS200706029.htm

    ZHANG L H, HUI J L, CHEN S J, et al. Development of foot-arch of 1 629 children and adolescents in Cangzhou[J]. Chin J Sch Health, 2007, 28(6): 532-533. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS200706029.htm
    [25]
    高艳玲, 张志广, 付磊磊. 某县960例小学生扁平足患病情况及发生影响因素分析[J]. 实用预防医学, 2014, 21(10): 1210-1212. https://www.cnki.com.cn/Article/CJFDTOTAL-SYYY201410019.htm

    GAO Y L, ZHANG Z G, FU L L. Analysis of 960 cases of flat foot disease in primary school students in a county and its influencing factors[J]. Pract Prev Med, 2014, 21(10): 1210-1212. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-SYYY201410019.htm
    [26]
    陈莉, 姜淑云, 俞艳, 等. 儿童柔韧性平足的研究进展[J]. 中国康复, 2019, 34(7): 386-389. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLKF201907020.htm

    CHEN L, JIANG S Y, YU Y, et al. Research progress of children's flexible flat foot[J]. Chin J Rehabil, 2019, 34(7): 386-389. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZLKF201907020.htm
    [27]
    梁燕清, 李玉红, 陈瑞巧. 广州市海珠区600名4~6岁儿童扁平足发生情况观察及分析[J]. 中国实用医药, 2014, 9(10): 266-267. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSSA201410211.htm

    LIANG Y Q, LI Y H, CHEN R Q. Observation and analysis of flat foot occurrence in 600 children aged 4-6 years in Haizhu District, Guangzhou[J]. Chin J Pract Med, 2014, 9(10): 266-267. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZSSA201410211.htm
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(2)

    Article Metrics

    Article views (234) PDF downloads(26) Cited by()
    Proportional views

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return