Analysis of pediatric flexible flatfoot screening and associated factors among children aged 7-8 in Changzhou City
Objective To analyze the prevalence and related factors of pediatric flexible flatfoot(PFF)among 7-8-year-old children in Changzhou,so as to provide a feasible basis for the prevention and treatment of PFF.Methods From December 2023 to February 2024,a total of 1 685 children aged 7-8 from 10 primary schools in Changzhou were selected by stratified cluster ran-dom sampling method,and screened for PFF by using a foot optical assessment recording device.Information including sex,body mass index(BMI),diet,exercise and shoe-wearing habits were collected.The valgus angle of the hindfoot was measured on the body surface by using an orthopedic measuring ruler in the standing position.Pain levels were evaluated by using visual analogue score(VAS)for children with flatfoot syndrome.Multivariate Logistic analysis was used to analyze related factors of PFF.Results The overall detection rate of PFF was 27.4％,and there was a significant difference in the detection rate of PFF between boys and girls,with 30.3％and 24.1％respectively(x2=7.96,P＜0.01).Most cases of PFF were mild flatfoot(60.8％)and bilateral(60.4％).Approximately 13.2％of children with PFF had flatfoot syndrome,with a mean VAS of(2.86±0.73).About 56.1％of children with PFF had a normal valgus angle of the hindfoot.Sex,high BMI and preference for shoe last with front upturned shoe shape were positively correlated with the detection of PFF(OR=1.74,1.54,1.13,P＜0.05).After stratified by sex,regular exer-cise in boys and age in girls were negatively correlated with the detection of PFF(OR=0.40,0.64,P＜0.05).Conclusions The detection rate of PFF in 7-8-year-old children is high.Additionally,PFF combined with flatfoot syndrome or valgus hindfoot is rela-tively rare and is likely to be underestimated,which emphasizes the importance of early detection and intervention for PFF.
万方数据
维普
