Relationship between Nutritional Status and Flat Foot in Children
Abstract: Pediatric flatfoot
has been reported as the highest clinical complains for foot problems in
pediatric department. Nutritional status has showed great influence on the
occurrence of flat foot. There are many debates regarding whether underweight
or overweight children are more prone to flatfoot. The aim of this study was to
analyze the relationship between nutritional status and flatfoot in children.
Methods: A cross sectional study was conducted from July to October 2015
in 3 primary schools in Kecamatan Jatinangor. There were 259 children of grade
4 to 5 included in this study. Flatfoot screening was based on measurement of
footprint and calculation using Chippaux-smirak index (CSI). The height and
weight of children were measured to obtain their Body Mass Index (BMI).
Nutritional status was classified based on CDC BMI-for-age growth charts.
Analysis was done using chi-square test.
Results: There was significant association between nutritional status and
flatfoot with p value<0.001.The prevalence of flatfoot in children grade
4to5is40%. When compared to the normal weight children, the overweight children
showed prevalence ratio of 1.97(95% CI:1.47 to 2.64) while the underweight
children showed prevalence ratio of 1.34 (95% CI:1.78 to 2.25).This stated that
the risk of developing flat foot was higher in overweight children.
Conclusions: There is significant association between nutritional status
with children grade4 to 5. Overweight children are more prone to flat foot.
Keywords: Chippaux-smirak
index, nutritional status, pediatric flat foo
Author: Joyce Phua Pau Fung,
Yoyos Dias Ismiarto, Wulan Mayasari
Journal Code: jpkedokterangg170104
