Jankowicz-Szymanska Agnieszka, Mikolajczyk Edyta
Section of Physical Education (Dr Jankowicz-Szymanska), Institute of Health Sciences, State Higher Vocational School, Tarnow, Poland; and Section of Kinesitherapy (Dr Mikolajczyk), Department of Physiotherapy, University School of Physical Education, Krakow, Poland.
Pediatr Phys Ther. 2016 Summer;28(2):200-6. doi: 10.1097/PEP.0000000000000246.
To examine the relationship between obesity, genu valgum, and flat feet in children, and find practical implications for therapeutic interventions.
A total of 1364 children aged 3-7 years took part in the research. Their body mass index was calculated and their weight status described. Participants' knee alignment was assessed by measuring the intermalleolar distance in the standing position with the knees in contact. The height of the longitudinal arch of each foot was measured using Clarke's angle.
The prevalence of overweight and obesity increased with age. Reduction of intermalleolar distance and increased longitudinal arch of the foot, characteristic of typical growth and development, were observed. Genu valgum was more common in children who were overweight. Significant correlations among body mass index, intermalleolar distance, and Clarke's angle (P < .05) were also discovered.
Children who are overweight or demonstrate obesity are more likely to develop genu valgum and flat feet.
研究儿童肥胖、膝外翻与扁平足之间的关系，并为治疗干预寻找实际意义。
共有1364名3至7岁的儿童参与了这项研究。计算他们的体重指数并描述其体重状况。通过测量站立位双膝接触时的内踝间距来评估参与者的膝关节对线情况。使用克拉克角测量每只脚纵弓的高度。
超重和肥胖的患病率随年龄增长而增加。观察到内踝间距减小和足纵弓增加，这是典型生长发育的特征。膝外翻在超重儿童中更为常见。还发现体重指数、内踝间距和克拉克角之间存在显著相关性（P <.05）。
超重或肥胖的儿童更有可能出现膝外翻和扁平足。
