Features of the prevalence of flat feet among students in the 5th–9th grades, depending on gender, grade level, and place of residence
https://doi.org/10.46563/1560-9561-2025-28-3-217-222
Abstract
The aim of the work: to establish the features of the prevalence of flat feet among the 5th–9th grades students, depending on gender, class of study, and place of residence.
Materials and methods. There was conducted a mass survey in schoolchildren, attended by 70,470 students in the 5th–9th grades from 28 regions of Russia. The distribution by classes was approximately equal and amounted to 15–18%. The respondents answered the question “Did the doctors notice you to have flat feet?”. The answers included the following options: “No”, “I don’t know”, “Yes”. There was estimated the number of children whose doctors noted flat feet, depending on gender, class of education from 5th to 9th grades, and place of residence (city, urban-type settlement, village).
Results. Flat feet were detected in 23.7% of the respondents; 15.8% found it difficult to answer; 60.5% of the students replied that doctors had not identified flat feet. Boys were also shown to have no flat feet more often (27.4%) than girls (20.7%). 57.2% of boys and 63.2% of girls noted the absence of flat feet. The answer “I don’t know” was equally often noted by boys and girls, 15.4% and 16.1%, respectively. A greater number of children with flat feet live in the city (28%), a smaller number in rural areas (16.5%). The intermediate value is 21.3%, typical for children living in urban-type settlements.
Conclusion. The data obtained can be used in the development of preventive health-saving programs in the 5th–9th grades students, taking into account gender, class of study, and place of residence.
About the Authors
Petr I. KhramtsovRussian Federation
Nadezhda O. Berezina
Russian Federation
Elena V. Razova
Russian Federation
Elena V. Antonova
Russian Federation
Irina V. Vinyarskaya
Russian Federation
Svetlana N. Khramtsova
Russian Federation
References
1. Сухарева Л.М., Рапопорт И.К., Поленова М.И. Состояние здоровья московских школьников и факторы, влияющие на его формирование (лонгитудинальные исследования). Здоровье населения и среда обитания – ЗНиСО. 2019; 252(3): 28–30. https://elibrary.ru/skhpkj
2. Рапопорт И.К., Чубаровский В.В., Соколова С.Б. Динамика заболеваемости детского и подросткового населения России и основные направления стратегии профилактики. Оренбургский медицинский вестник. 2024; 12(3): 51–5. https://elibrary.ru/sfpfiy
3. Капитонова В.Ф., Сенченко А.Ю. Динамика заболеваемости детского населения Красноярского края за 2011–2020 гг. Здравоохранение Российской Федерации. 2023; 67(1): 49–55. https://doi.org/10.47470/0044-197X-2023-67-1-49-55 https://elibrary.ru/qmlywn
4. Цукарева Е.А., Алимова И.Л., Авчинников А.В. Состояние здоровья младших школьников Смоленска. Вопросы школьной и университетской медицины и здоровья. 2019; (4): 52–4. https://elibrary.ru/tnosav
5. Pita-Fernandez S., Gonzalez-Martin C., Alonso-Tajes F., Seoane-Pillado T., Pertega-Diaz S., Perez-Garcia S., et al. Flat foot in a random population and its impact on quality of life and functionality. J. Clin. Diagn. Res. 2017; 11(4): 22–7. https://doi.org/10.7860/JCDR/2017/24362.9697
6. Kothari A., Dixon P.C., Stebbins J., Zavatsky A.B., Theologis T. The relationship between quality of life and foot function in children with flexible flatfeet. Gait & Posture. 2015; 4(3): 786–90. https://doi.org/10.1016/j.gaitpost.2015.02.012
7. Kothari A., Stebbins J., Zavatsky A.B., Theologis T. Health-related quality of life in children with flexible flatfeet: a cross-sectional study. J. Child Orthop. 2014; 8(6): 489–96. https://doi.org/10.1007/s11832-014-0621-0
8. Ефимов А.П. Клинически значимые параметры походки. Травматология и ортопедия России. 2012; (1): 60–5. https://elibrary.ru/owzwix
9. Szczepanowska-Wolowiec B., Sztandera P., Kotela I., Zak M. Feet deformities and their close association with postural stability deficits in children aged 10–15 years. BMC Musculoskelet. Disord. 2019; 20(1): 537. https://doi.org/10.1186/s12891-019-2923-3
10. Levy J.C. Incidence of foot and ankle injuries in West Point cadets with pes planus compared to the general cadet population. Foot Ankle. Int. 2006; 27(12): 1060–4. https://doi.org/10.1177/107110070602701211
11. Xu L., Gu H., Zhang Y., Sun T., Yu J. Risk factors of flatfoot in children: a systematic review and meta-analysis. Int. J. Environ. Res. Public Health. 2022; 19(14): 8247. https://doi.org/10.3390/ijerph19148247
12. Stavlas P., Grivas T., Michas C., Vasiliadis E., Polyzois V. The evolution of foot morphology in children between 6 and 17 years of age: a cross-sectional study based on footprints in a Mediterranean population. J. Foot Ankle. Surg. 2005; 44(6): 424–8. https://doi.org/10.1053/j.jfas.2005.07.023
13. Rao U.B., Joseph B. The influence of footwear on the prevalence of flat foot. A survey of 2300 children. J. Bone Joint. Surg. Br. 1992; 74(4): 525–7. https://doi.org/10.1302/0301-620X.74B4.1624509
14. Pauk J., Ezerskiy V., Raso J.V., Rogalski M. Epidemiologic factors affecting plantar arch development in children with flat feet. J. Am. Podiatr. Med. Assoc. 2012; 102(2): 114–21. https://doi.org/10.7547/1020114
15. Shin B.J., Lee K.M., Chung C.Y., Sung K.H., Chun D.I., Hong C.H., et al. Analysis of factors influencing improvement of idiopathic flatfoot. Medicine (Baltimore). 2021; 100(32): e26894. https://doi.org/10.1097/MD.0000000000026894
16. Кенис В.М., Лапкин Ю.А., Хусаинов Р.Х., Сапоговский А.В. Мобильное плоскостопие у детей (обзор литературы). Ортопедия, травматология и восстановительная хирургия детского возраста. 2014; 2(2): 44–54. https://doi.org/10.17816/PTORS2244-54 https://elibrary.ru/sjfiqd
17. Мармыш А.Г. Ортопедические заболевания стоп и сравнительная оценка методов их ранней диагностики. Журнал Гродненского государственного медицинского университета. 2011; (1): 204–9. https://elibrary.ru/qbumtv
18. Аверьянова Н.И., Приступова В.В., Семерикова А.И., Старкова И.Л. Распространенность и структура деформаций стоп у младших школьников. Пермский медицинский журнал. 2019; 36(6): 33–40. https://doi.org/10.17816/pmj36633-40 https://elibrary.ru/gucgbz
19. Маненков М.П., Радченко О.Р. Участие специалиста по оказанию медицинской помощи несовершеннолетним обучающимся в формировании здоровьесберегающей среды общеобразовательной организации (на примере скрининга и профилактики плоскостопия). Пульс. 2024; 26(2): 25–33. https://doi.org/10.26787/nydha-2686-6838-2024-26-2-25-33 https://elibrary.ru/cmlzph
20. Храмцов П.И., Седова А.С., Березина Н.О. Состояние стоп у младших школьников в условиях инновационной формы обучения. Гигиена и санитария. 2022; 101(2): 225–30. https://doi.org/10.47470/0016-9900-2022-101-2-225-230 https://elibrary.ru/zmclsv
21. Храмцов П.И., Седова А.С., Березина Н.О. Совершенствование критериев комплексной оценки состояния стопы при профилактических медицинских осмотрах детей и подростков. Российский педиатрический журнал. 2020; 23(4): 259–64. https://elibrary.ru/smkbbq
22. Комков А.Г., Гурьянова М.П., Храмцов П.И. Образ жизни и здоровье сельских школьников (по результатам социально-педагогического исследования «Здоровье и поведение учащихся, проживающих на селе»): коллективная монография. М.; 2010.
Review
For citations:
Khramtsov P.I., Berezina N.O., Razova E.V., Antonova E.V., Vinyarskaya I.V., Khramtsova S.N. Features of the prevalence of flat feet among students in the 5th–9th grades, depending on gender, grade level, and place of residence. Russian Pediatric Journal. 2025;28(3):217-222. (In Russ.) https://doi.org/10.46563/1560-9561-2025-28-3-217-222