Vergara-Amador Enrique, Serrano Sánchez Rafael Fernando, Correa Posada Juan Rafael, Molano Adriana Carolina, Guevara Oscar A
Unidad De Ortopedia Departamento De Cirugía Universidad Nacional De Colombia Profesor asociado de ortopedia.
Colomb Med (Cali). 2012 Jun 30;43(2):141-6. eCollection 2012 Apr.
Children present with flatfoot from birth and it resolves along infancy. There have been several risk factors identified for the development of flatfoot: male sex, young age, overweight and obesity. The prevalence of flatfoot decreases with age. The aim of this study was to determine the prevalence of flatfoot in two different populations with different social, cultural and geographically characteristics in Colombia.
This is a cross sectional study made on school children between 3 to 10 years of age, from several schools in Bogota and Barranquilla. From 940 total children 60% were from Bogota. Flatfoot was diagnosed according to physical exam.
We found a global prevalence of flatfoot of 15.7%, distributed 20.8% in Bogota and 7.9% in Barranquilla. The children from 3 to 5 years had a prevalence of 30.9%, decreasing significantly after this age. It was found that children 3 to 5 years old from Bogota had a prevalence of flatfoot of 38.3% while children from Barranquilla only 17.3%, decreasing significantly in children older than 6 years. In the multivariate analysis we found an association between flatfoot with age, city, gender and body mass index.
We found a bigger prevalence of flatfoot in the population of Bogota compared to Barranquilla suggesting an influence of social, cultural and racial factors in the development of flatfoot. The diminished prevalence of flatfoot in children over 6 years of age suggest that therapeutic measures before this age are not recommended.
儿童从出生起就可能出现扁平足，且在婴儿期会自行好转。已确定了扁平足发展的几个风险因素：男性、年龄小、超重和肥胖。扁平足的患病率随年龄增长而降低。本研究的目的是确定哥伦比亚两个具有不同社会、文化和地理特征的不同人群中扁平足的患病率。
这是一项对来自波哥大和巴兰基亚几所学校的3至10岁学童进行的横断面研究。在总共940名儿童中，60%来自波哥大。扁平足通过体格检查诊断。
我们发现扁平足的总体患病率为15.7%，在波哥大分布为20.8%，在巴兰基亚为7.9%。3至5岁儿童的患病率为30.9%，在此年龄之后显著下降。发现波哥大3至5岁儿童的扁平足患病率为38.3%，而巴兰基亚的儿童仅为17.3%，6岁以上儿童的患病率显著下降。在多变量分析中，我们发现扁平足与年龄、城市、性别和体重指数之间存在关联。
我们发现波哥大人群中扁平足的患病率高于巴兰基亚，这表明社会、文化和种族因素对扁平足的发展有影响。6岁以上儿童扁平足患病率的降低表明不建议在此年龄之前采取治疗措施。
