BMC pediatrics · 2025
Association between pediatric obesity and foot morphology: insights from a large-scale cross-sectional study using photogrammetry.
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Büyükçelebi Hakan, Açak Mahmut, Eken Özgür, Doğaner Adem, Özen Gökmen, Ardigò Luca Paolo
Аннотация
BACKGROUND: Childhood obesity is a critical public health concern with implications for musculoskeletal development. Foot posture abnormalities-particularly pes planus-may be associated with obesity and could serve as early diagnostic indicators.
AIM: This study investigated the relationship between foot posture and obesity in children aged 4-14 years using non-invasive assessment methods.
MATERIALS AND METHODS: A total of 7,908 children (mean age: 8.7 ± 2.9 years; 51.2% male) were assessed using photogrammetry and the Staheli Arch Index, along with the Jack Test to classify foot posture. BMI categories and foot posture types were statistically compared.
RESULTS: Rigid pes planus was found in 9.6% of children, flexible pes planus in 7.8%, and high arch in 3.8%. Among overweight and obese children, the prevalence of rigid pes planus was significantly higher (p < 0.001). Logistic regression revealed that rigid pes planus increased the risk of obesity by 7.2 times (OR = 7.156; 95% CI: 5.179-9.887).
CONCLUSION: Rigid pes planus is strongly associated with obesity in children. Foot posture screening, especially in early childhood, may serve as a valuable tool for identifying children at risk for obesity-related complications and guiding early preventive interventions.
AIM: This study investigated the relationship between foot posture and obesity in children aged 4-14 years using non-invasive assessment methods.
MATERIALS AND METHODS: A total of 7,908 children (mean age: 8.7 ± 2.9 years; 51.2% male) were assessed using photogrammetry and the Staheli Arch Index, along with the Jack Test to classify foot posture. BMI categories and foot posture types were statistically compared.
RESULTS: Rigid pes planus was found in 9.6% of children, flexible pes planus in 7.8%, and high arch in 3.8%. Among overweight and obese children, the prevalence of rigid pes planus was significantly higher (p < 0.001). Logistic regression revealed that rigid pes planus increased the risk of obesity by 7.2 times (OR = 7.156; 95% CI: 5.179-9.887).
CONCLUSION: Rigid pes planus is strongly associated with obesity in children. Foot posture screening, especially in early childhood, may serve as a valuable tool for identifying children at risk for obesity-related complications and guiding early preventive interventions.