Asociación entre el estado nutricional y la prevalencia de pie plano en niños chilenos de 6 a 10 años de edad

Abstract

entre el estado nutricional y la prevalencia de pie plano en niños chilenos de 6 a 10 años de edad. Nutr Hosp 2016;33:249-254 AbstractIntroduction: Given the increment of overweight and obese children, it is relevant to study not only metabolic but also musculoskeletal consequences that may affect motor functionality such as flat foot in this population. Objetive: To identify the association between nutritional status and the prevalence of flat foot in Chilean children from 6 to10 years old. Methods: Z-score of body mass index and footprint using Hernandez-Corvo methodology were recorded and analyzed from 388 school children (52.3% girls). A two-sample proportion test was used to test differences between groups. Statistical significance was set at p ≤ 0.05. Results: The prevalence of overweight children was over 40%. This prevalence was higher in women (47.8%) than in men (42.7%). The prevalence of children with flat foot was 17% and higher for the right foot (18.3%) than for the left foot (15.7%). There was a significant higher prevalence of flat foot in obese children in relation to overweight and normal weight children. Conclusion: Nutritional status is associated with greater prevalence of flat foot in children. In infantile population of 6 to 10 years old, obesity is associated with a morphological alteration of feet.

An Analysis of the Risk Factors for Postural Defects among Early School-Aged Children

“…Conversely, flat feet were found in 11% of the subjects [24]. A similar incidence of flat feet was observed in Chilean studies [25]. On the other hand, flat feet occurred in Bulgarian children in every fourth child, which is consistent with our research [21].…”

“…The most common postural deviations in obese children and adolescents were valgus knees and flat feet [36]. A higher incidence of flat feet was also found in obese Chilean children in comparison to children with overweight and normal weight [25]. Purenovic reviewed international studies on postural defects, which, despite methodological differences, showed the negative impact of obesity on posture in children, even though it was not the most significant and basic risk factor [37].…”

“…It is not so much a hereditary issue as it is a result of the changing lifestyles of both children and their parents: the world of electronics, sedentary lifestyles, and little physical activity. This also includes a fast-food diet, a fast-paced lifestyle, stress, lack of time, and associated lifestyle diseases, such as obesity, which affects an increasing number of children at a younger age [25].…”

The Impact of Childhood Obesity on Joint Alignment: A Systematic Review and Meta-Analysis

“…All studies used BMI as OW/OB indicator, whereas three studies additionally reported fat mass composition [18][19][20] , two reported muscle mass composition 18,20 , two reported waist circumference 21,22 and one reported height-waist circumference 23 . BMI was always used to measure the obesity degree, and a wide range of cut-off points were identified: 22 studies used the Extended International (IOTF) cut-offs , seven the 90 th and 97 th percentiles (OW and OB respectively) [45][46][47][48][49][50][51] , seven cut-off points from their countries (Czech Republic, Mexico, Poland, Taiwan and USA) 18,[52][53][54][55][56][57] , six the World Health Organization cut-offs [58][59][60][61][62][63] , six the Centers for Disease Control and Prevention cut-offs [64][65][66][67][68][69] , one the National Institute of Health cut-offs 70 , and one did not report it 71 . Regarding postural alterations, four articles studied forward head [72][73][74][75] , five rounded shoulder 18,19,72,…”

“…BMI was always used to measure the obesity degree, and a wide range of cut-off points were identified: 22 studies used the Extended International (IOTF) cut-offs , seven the 90 th and 97 th percentiles (OW and OB respectively) [45][46][47][48][49][50][51] , seven cut-off points from their countries (Czech Republic, Mexico, Poland, Taiwan and USA) 18,[52][53][54][55][56][57] , six the World Health Organization cut-offs [58][59][60][61][62][63] , six the Centers for Disease Control and Prevention cut-offs [64][65][66][67][68][69] , one the National Institute of Health cut-offs 70 , and one did not report it 71 . Regarding postural alterations, four articles studied forward head [72][73][74][75] , five rounded shoulder 18,19,72,73,76 , 12 thoracic hyperkyphosis 10,18,23,34,59,70,72,74,75,77-79 , 14 lumbar hyperlordosis 18,20,23,34,48,59,72,74,<...>…”