Characteristics of foot development in children under 3 years old in Xi'an City

FENG Shuang; WANG Zhaohui; WANG Dong; REN Jiaojiao; LI Hongjuan; GE Shasha

doi:10.11852/zgetbjzz2023-0971

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Chinese Journal of Child Health Care ›› 2024, Vol. 32 ›› Issue (4) : 440-444. DOI: 10.11852/zgetbjzz2023-0971

Clinical Research

Characteristics of foot development in children under 3 years old in Xi'an City

FENG Shuang¹, WANG Zhaohui¹, WANG Dong², REN Jiaojiao¹, LI Hongjuan¹, GE Shasha³

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Abstract

Objective To measure and analyze foot development indicators of children under 3 years old, in order to provide basis for the correct clinical assessment of children foot development. Methods A total of 5 894 children under 3 years old who took physical examination in the Child Health Care Department of Xi'an People's Hospital from August 2022 to March 2023 were randomly selected. Foot length, foot width, the ratio of foot width to length and arch index were measured by image processing system, and were compared among different age groups and sex groups. Results 1) Foot length, foot width and arch index of children under 3 years old increased significantly with age, while the ratio of foot width to length decreased significantly with age(F=1 345.23, 396.21,184.65, 287.03, P＜0.05). 2) There was no statistical significance in foot length, foot width and arch index between left and right foot of children under 3 years old(P＞0.05). 3) Foot length and foot width of boys were greater than those of girls in all age groups, and the difference was statistically significant(t_{foot length}:3.45 - 10.19,t_{foot width}: 3.77 - 9.21, P＜0.05). There was no significant difference in arch index between boys and girls in all age groups(P＞0.05). Conclusion Foot shape of children under 3 years old changes with age, there are differences in foot length and width between boys and girls.

Key words

infants and toddlers / foot development / foot length / foot width / the ratio of foot width to length / arch index

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FENG Shuang, WANG Zhaohui, WANG Dong, REN Jiaojiao, LI Hongjuan, GE Shasha. Characteristics of foot development in children under 3 years old in Xi'an City[J]. Chinese Journal of Child Health Care. 2024, 32(4): 440-444 https://doi.org/10.11852/zgetbjzz2023-0971

References

[1] Szczepanowska-Wołowiec B, Sztandera P, Kotela I, et al. Assessment of the foot's longitudinal arch by different indicators and their correlation with the foot loading paradigm in school-aged children: A cross sectional study[J]. Int J Environ Res Public Health, 2021, 18(10): 5196.
[2] Xu L, Gu H, Zhang Y, et al. Risk factors of flatfoot in children:A systematic review and meta-analysis[J]. Int J Environ Res Public Health, 2022, 19(14): 8247.
[3] Kim MH, Cha S, Choi JE, et al. Relation of flatfoot severity with flexibility and isometric strength of the foot and trunk extensors in children[J]. Children, 2022, 10(1): 19.
[4] Brzeziński M, Czubek Z, Niedzielska A, et al. Relationship between lower-extremity defects and body mass among polish children:A cross-sectional study[J]. BMC Musculoskelet Disord, 2019, 20(1): 84.
[5] Turner C, Gardiner MD, Midgley A, et al. A guide to the management of paediatric pes planus[J]. Aust J Gen Pract, 2020, 49(5): 245-249.
[6] Fuentes-Venado CE, Ángeles-Ayala A, Salcedo-Trejo MS, et al. Comparative assessment of flatfoot in preschool children[J]. Bol Med Hosp Infant Mex, 2020, 77(6): 312-319.
[7] Waseda A, Suda Y, Inokuchi S, et al. Standard growth of the foot arch in childhood and adolescence—Derived from the measurement results of 10,155 children[J]. Foot Ankle Surg, 2014, 20(3): 208-214.
[8] Wang J, Tang L, Tang J, et al. The typically developing pediatric foot—The data of the 1744 children in China[J]. Foot Ankle Surg, 2022, 28(3): 347-353.
[9] 韩镜明, 覃均昌, 付桂兵. 健康小儿足印的研究[J]. 中华小儿外科杂志, 2002, 23(3): 250-252.
Han JM, Qin JC, Fu GB. Footprint research in healthy children[J]. Chin J Pediatr Surg, 2002, 23(3): 250-252.(in Chinese)
[10] 宋吉锐, 马越, 王新, 等. 沈阳市2～6岁健康儿童足发育状况及步行足底压力特征研究[J]. 沈阳体育学院学报, 2016, 35(6): 76-80.
Song JR, Ma Y, Wang X, et al. Foot development and plantar pressure characteristics of healthy children from 2 to 6 years old in Shenyang[J]. J Shenyang Sport Univ, 2016, 35(6): 76-80.(in Chinese)
[11] Bosch K, Gerss J, Rosenbaum D. Development of healthy children's feet-nine-year results of a longitudinal investigation of plantar loading patterns[J]. Gait Posture, 2010, 32(4): 564-571.
[12] Reel S, Rouse S, Obe WV, et al. Estimation of stature from static and dynamic footprints[J]. Forensic Sci Int, 2012, 219(1-3): 283.e1-283.e5.
[13] 骆文斌, 潘开昌, 刘运敏, 等. 水族儿童少年足型分析[J]. 解剖学杂志, 2017, 40(3): 322-325.
Luo WB, Pan KC, Liu YM, et al. Foot shape analysis of children and adolescents of Shui nationality[J]. Chin J Anat, 2017, 40(3): 322-325.(in Chinese)
[14] 宋骏, 芮洪新, 陈忆晴, 等. 南京市1～5岁儿童下肢发育与步态问题的调查及分析[J]. 中国儿童保健杂志, 2018, 26(5): 500-503.
Song J, Rui HX, Chen YQ, et al. Investigation and analysis of lower limb development and gait in children aged 1-5 in Nanjing[J]. Chin J Child Health Care, 2018, 26(5): 500-503.(in Chinese)
[15] 关宏岩.关注儿童早期运动促进与体质健康[J].中国儿童保健杂志,2022,30(5):465-468.
Guan HY.Focus on promotion of physical activity and physical fitness in early childhood[J]. Chin J Child Health Care,2022,30(5):465-468.(in Chinese)
[16] Montagnani E, Price C, Nester C, et al.Dynamic characteristics of foot development: A narrative synthesis of plantar pressure data during infancy and childhood[J].Pediatr Phys Ther,2021, 33(4): 275-282.
[17] Sforza C, Fragnito N, Serrao G, et al. Harmonic analysis of footprint symmetry in healthy adolescents[J]. Ann Anat, 2000, 182(3): 285-291.
[18] Chang CH, Yang WT, Wu CP, et al.Would foot arch development in children characterize a body maturation process? A prospective longitudinal study[J].Biomed J, 2022, 45(5): 828-837.
[19] Bertsch C, Unger H, Winkelmann W, et al. Evaluation of early walking patterns from plantar pressure distribution measurements. First year results of 42 children[J]. Gait Posture, 2004, 19(3): 235-242.
[20] Pfeiffer M, Kotz R, Ledl T, et al. Prevalence of flat foot in preschool-aged children[J]. Pediatrics, 2006, 118(2): 634-639.