Bordin D, De Giorgi G, Mazzocco G, Rigon F
Institute of Human Physiology, Department of Paediatry, University of Padua, Padua, Italy.
Minerva Pediatr. 2001 Feb;53(1):7-13.
Obesity and overweight during the developmental years are related to certain dysmorphisms of the foot, in particular with flat foot.
The authors evaluated the incidence of this dysmorphism in a population of 243 primary-school pupils, (3rd and 4th class - age range 8-10 years) of ULSS no. 16 in Padua and, at the same time, determined the index of overweight and obesity and the extent and quality of exercise practised. From the anthropometric data collected, it was calculated that the Cole index (ideal ratio between the ideal BMI at the 50 degrees percentile of weight and height as a function of age, sex and real BMI). A photo-podoscopic examination was done in a bipodalic station and the report analysed later on a Polaroid photograph.
The incidence of flat foot in the population studied was found to be 16.4%, of which 18.1% were males and 14.6% females. Fifty percent showed slight flat-footedness (1st degree), 28% moderate (2nd degree) and 22% showed very marked flat-footedness (3rd degree). The frequency of obesity and overweight in the same population was found to be 27.3% (Cole index >120). An analysis of the variance showed a significant difference between the Cole Index in subjects with flat feet (121.77+/-19.2) and the rest of the population examined (110.12+/-15.3) (p<.00001).
In this study, the children suffering from this dysmorphism were also found to be obese or overweight.
发育阶段的肥胖和超重与足部的某些畸形有关，尤其是扁平足。
作者评估了帕多瓦市第16号地方卫生单位的243名小学生（三年级和四年级，年龄范围8至10岁）中这种畸形的发生率，同时确定超重和肥胖指数以及所进行运动的程度和质量。根据收集到的人体测量数据，计算出科尔指数（理想体重指数与身高的理想比例，该比例是年龄、性别和实际体重指数的函数，处于体重和身高第50百分位数）。在双足站立状态下进行了足印照片检查，并在宝丽来照片上对报告进行了分析。
在所研究的人群中，扁平足的发生率为16.4%，其中男性为18.1%，女性为14.6%。50%表现为轻度扁平足（1度），28%为中度（2度），22%表现为非常明显的扁平足（3度）。同一人群中肥胖和超重的发生率为27.3%（科尔指数>120）。方差分析显示，扁平足受试者的科尔指数（121.77±19.2）与其他受检人群的科尔指数（110.12±15.3）之间存在显著差异（p<0.00001）。
在本研究中，还发现患有这种畸形的儿童存在肥胖或超重情况。
