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
EDN: wgaygi
Abstract
Introduction. The condition of the foot is one of the important indicators of the state of health of a growing organism. Deformity of the foot leads to violations of its functions, which reduces the quality of life in children and adolescents. Flat feet are more common among various types of deformity. The assessment of the prevalence of flat feet, taking into account various factors influencing its formation, is due to the need for scientific justification of preventive measures to prevent violations of the structure and function of the foot in children during their growth and development.
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.
Contribution:
Khramtsov P.I., Berezina N.O. — concept and design of the study;
Razova E.V., Khramtsova S.N. — collection and processing of material;
Khramtsov P.I. — statistical processing;
Khramtsov P.I. — writing the text;
Antonova E.V., Vinyarskaya I.V. — editing the text.
All co-authors — approval of the final version of the article, responsibility for the integrity of all parts of the article.
Acknowledgment. The study had no sponsorship.
Conflict of interest. The authors declare no conflict of interest.
Received: May 07, 2025
Accepted: May 20, 2025
Published: June 27, 2025
About the Authors
Petr I. KhramtsovRussian Federation
MD, PhD, DSci, Prof., Head of the Research Institute of Hygiene and Health Protection of Children and Adolescents of National Medical Research Center for Children’s Health
e-mail: khramtsov@nczd.ru
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. Sukhareva L.M., Rapoport I.K., Polenova M.I. The state of health of Moscow schoolchildren and factors influencing its formation (longitudinal studies). Zdorov’e naseleniya i sreda obitaniya – ZNiSO. 2019; 252(3): 28–30. https://elibrary.ru/skhpkj (in Russian)
2. Rapoport I.K., Chubarovsky V.V., Sokolova S.B. The dynamics of morbidity among children and adolescents in Russia and the main directions of the prevention strategy. Orenburgskiy meditsinskiy vestnik. 2024; 12(3): 51–5. https://elibrary.ru/sfpfiy (in Russian)
3. Kapitonova V.F., Senchenko A.Yu. The dynamics of morbidity among the children of the Krasnoyarsk Territory in 2011-2020. Zdravoohranenie Rossiyskoy Federatsii. 2023; 67(1): 49–55. https://doi.org/10.47470/0044-197X-2023-67-1-49-55 https://elibrary.ru/qmlywn (in Russian)
4. Tsukareva E.A., Alimova I.L., Ovchinnikov A.V. Health status of primary school students in Smolensk. Voprosy shkol’noy i universitetskoy meditsiny i zdorov’ya. 2019; (4): 52–4. https://elibrary.ru/tnosav (in Russian)
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. Efimov A.P. Clinically significant gait parameters. Travmatologiya i ortopediya Rossii. 2012; (1): 60–5. https://elibrary.ru/owzwix (in Russian)
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. Kenis V.M., Lapkin Yu.A., Khusainov R.Kh., Sapogovsky A.V. Mobile flatfoot in children (literature review). Ortopediya, travmatologiya i vosstanovitel’naya khirurgiya detskogo vozrasta. 2014; 2(2): 44–54. https://doi.org/10.17816/PTORS2244-54 https://elibrary.ru/sjfiqd (in Russian)
17. Marmysh A.G. Orthopedic foot diseases and a comparative assessment of methods of their early diagnosis. Zhurnal Grodnenskogo gosudarstvennogo meditsinskogo universiteta. 2011; (1): 204–9. https://elibrary.ru/qbumtv (in Russian)
18. Averyanova N.I., Pripudova V.V., Semerikova A.I., Starkova I.L. The prevalence and structure of foot deformities in younger schoolchildren. Permskiy meditsinskiy zhurnal. 2019; 36(6): 33–40. https://doi.org/10.17816/pmj36633-40 https://elibrary.ru/gucgbz (in Russian)
19. Manenkov M.P., Radchenko O.R. The participation of a specialist in providing medical care to underage students in the formation of a health-saving environment in a general education organization (using the example of screening and prevention of flat feet). Pul’s. 2024; 26(2): 25–33. https://doi.org/10.26787/nydha-2686-6838-2024-26-2-25-33 https://elibrary.ru/cmlzph (in Russian)
20. Khramtsov P.I., Sedova A.S., Berezina N.O. The condition of the feet of younger schoolchildren in an innovative form of education. Gigiena i Sanitaria (Hygiene and Sanitation, Russian journal). 2022; 101(2): 225–30. https://doi.org/10.47470/0016-9900-2022-101-2-225-230 https://elibrary.ru/zmclsv (in Russian)
21. Khramtsov P.I., Sedova A.S., Berezina N.O. Improvement of criteria for comprehensive assessment of foot condition during preventive medical examinations of children and adolescents. Rossiyskiy pediatricheskiy zhurnal. 2020; 23(4): 259–64. https://elibrary.ru/smkbbq (in Russian)
22. Komkov A.G., Guryanova M.P., Khramtsov P.I. Lifestyle and Health of Rural Schoolchildren (Based on the Results of the Socio-Pedagogical Study «Health and Behavior of Students Living in Rural Areas»): Collective Monograph [Obraz zhizni i zdorov’e sel’skikh shkol’nikov (po rezul’tatam sotsial’no-pedagogicheskogo issledovaniya «Zdorov’e i povedenie uchashchikhsya, prozhivayushchikh na sele»): kollektivnaya monografiya]. Moscow; 2010. (in Russian)
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. EDN: wgaygi