Flexible Pes Planus in Adolescents
Flexible Pes Planus in Adolescents
复制标题
青少年灵活的扁平足
作者：
S. Tenenbaum;O. Hershkovich;B. Gordon;N. Bruck;R. Thein;E. Derazne;D. Tzur;A. Shamiss;A. Afek
背景：大多数关于灵活性扁平足（FPP）患病率的研究都是在儿科人群和老年人中进行的。关于青少年年龄组这些参数的可比信息有限。本研究的目的是报告FPP的患病率及其与身体质量指数（BMI），身高和性别之间的关系，在健康和适合的青少年。研究方法：这项研究的数据来自一个医疗数据库，该数据库包含17岁男性和女性在应征入伍前的记录。检索了根据《医学健康判定条例》与FPP相关的残疾代码信息。Logistic回归模型用于评估BMI、身高和性别与不同FPP严重程度之间的相关性。结果：研究队列包括825 964名青少年（467 412名男性和358 552名女性）。男性轻度FPP和重度FPP的患病率分别为12.4%和3.8%，女性分别为9.3%和2.4%。在两名男性中，体重指数的增加与FPP相关（超重：比值比[OR] 1.385，置信区间[CI] 1.352 - 1.419，P <0.001;肥胖：OR 1.765，CI 1.718 - 1.813，P <0.001）（超重：OR 1.408，CI 1.365 - 1.620，P <.001;肥胖：OR 1.549，CI 1.481 - 1.620，P <.001）。在所有FPP严重程度等级中，将男性（OR 0.782，CI 0.762 - 0.802，P <0.001）和女性（OR 0.730，CI 0.707 - 0.754，P <0.001）的最高身高五分位数与最低身高五分位数进行比较时，身高与FPP风险降低相关。结论：在一般健康青少年年龄组中，男性FPP的患病率高于女性。对于所有FPP严重程度等级，FPP与BMI增加和身高缩短相关。证据等级：II级，诊断研究。
Background: Most studies on the prevalence of flexible pes planus (FPP) have been conducted in pediatric populations and older adults. There is limited comparable information on these parameters for the adolescent age group. The purpose of this study was to report the prevalence of FPP and its association with body mass index (BMI), body height, and gender among healthy and fit adolescents. Methods: The data for this study were derived from a medical database containing records of 17-year-old males and females before their recruitment into mandatory military service. Information on the disability codes associated with FPP according to the Regulations of Medical Fitness Determination was retrieved. Logistic regression models were used to assess the association between BMI, body height, and gender to various grades of FPP severity. Results: The study cohort included 825 964 adolescents (467 412 males and 358 552 females). The prevalence was 12.4% for mild FPP and 3.8% for severe FPP among the males and 9.3% and 2.4%, respectively, for the females. An increased BMI was associated with FPP in both males (overweight: odds ratio [OR] 1.385, confidence interval [CI] 1.352-1.419, P < .001; obese: OR 1.765, CI 1.718-1.813, P < .001) and females (overweight: OR 1.408, CI 1.365-1.620, P < .001; obese: OR 1.549, CI 1.481-1.620, P < .001). Body height was associated with a decreased risk of FPP when the highest height quintile was compared with the lowest height quintile in both males (OR 0.782, CI 0.762-0.802, P < .001) and females (OR 0.730, CI 0.707-0.754, P < .001) for all FPP severity grades. Conclusions: There was a greater prevalence of FPP among males compared with females in a general healthy adolescent age group. FPP was associated with increased BMI and shorter body height for all grades of FPP severity. Level of Evidence: Level II, diagnostic study.
影响因子：
4
作者：
Aurichio, Thais Rabiatti;Rebelatto, Jose Rubens;de Castro, Alessandra Paiva
通讯作者：
de Castro, Alessandra Paiva