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ISSN 2007-087X (Print)
Órgano Oficial de la Sociedad Mexicana de Ortopedia Pediátrica

2016, Number 1

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Rev Mex Ortop Ped 2016; 18 (1)

Flexible flatfoot and its correlation with metabolic syndrome in children and adolescents

Valdez JLÁ, Saucedo CAD, Jiménez FJR, Cristóbal SS

Language: Spanish
References: 19
Page: 31-37
PDF size: 189.68 Kb.


ABSTRACT

Objective: The aim of this study was to determine the relationship of the decrease in the longitudinal arch of being the foot with overweight/obesity and metabolic disorders in preschool and school-aged Mexican children. Material and methods: From a sample of 28 children , a total of 56 feet were studied, the presence of flat feet was determined by measuring an ink footprint, Clarke angle and Sztriter-Godunow Index Ky, anthropometric assessment was carried out by the analyzer body composition Inbody 230 Multi-frequency measuring segmental body fat, lean mass , body water, bone tissue and basal metabolic energy expenditure , metabolic analysis was performed using standardized clinical tests, levels of regulatory hormones, pro-inflammatory molecules and reactants of inflammation. Results: The population was composed of 14 female patients and 14 male, with an average age of 9.85 years, we found a significant predominance of flexible flatfoot in male and school age of 7-9 years. Statistical analysis using Student t test and ANOVA fixed effects reported a positive relationship to the presence of flexible flat foot and altered levels of hormones, insulin and leptin (p ‹ 0.0001, p ‹ 0.0005, respectively). The correlation for flat feet and obesity was ratified (p ‹ 0.0005). Discussion: Flexible flatfoot deformity is a complex patology, it involves not just the decrease of the medial longitudinal arch, it can be associated with yet unstudied complex metabolic alterations, further study is required to determine if there is a correlation with function.


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