Next Article in Journal
State Involvement in LGBT+ Health and Social Support Issues in Canada
Next Article in Special Issue
A Community Audit of 300 “Drop-Out” Instances in Children Undergoing Ponseti Clubfoot Care in Bangladesh—What Do the Parents Say?
Previous Article in Journal
Combining Effect and Process Evaluation on European Preschool Children’s Snacking Behavior in a Kindergarten-Based, Family-Involved Cluster Randomized Controlled Trial: The ToyBox Study
Previous Article in Special Issue
Randomized Clinical Trial: The Effect of Exercise of the Intrinsic Muscle on Foot Pronation
 
 
Search for Articles:
Title / Keyword
Author / Affiliation / Email
Journal
Article Type
 
 
Advanced Search
 
Section
Special Issue
Volume
Issue
Number
Page
 
Journals
IJERPH
Volume 17
Issue 19
10.3390/ijerph17197313
ijerph-logo
Submit to this Journal Review for this Journal Propose a Special Issue
► Article Menu

Article Menu

share Share announcement Help format_quote Cite question_answer Discuss in SciProfiles
first_page
settings
Order Article Reprints
Font Type:
Arial Georgia Verdana
Font Size:
Aa Aa Aa
Line Spacing:
Column Width:
Background:
Article

Backpacks Effect on Foot Posture in Schoolchildren with a Neutral Foot Posture: A Three-Year Prospective Study

by
Pilar Alfageme-García
1,2,
Julián Fernando Calderón-García
1,3,*,
Alfonso Martínez-Nova
1,2,
Sonia Hidalgo-Ruiz
1,2,
Mariana Martínez-Álvarez
1,4 and
Sergio Rico-Martín
1,3
1
Nursing Department, University of Extremadura, 10003 Cáceres, Spain
2
Nursing Departament, University Center of Plasencia, University of Extremadura, 10600 Plasencia, Spain
3
Nursing and Occupational Therapy College, University of Extremadura, 10003 Cáceres, Spain
4
Faculty of Medicine, University of Extremadura, 06006 Badajoz, Spain
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(19), 7313; https://doi.org/10.3390/ijerph17197313
Submission received: 11 September 2020 / Revised: 25 September 2020 / Accepted: 3 October 2020 / Published: 7 October 2020
(This article belongs to the Special Issue Advances in Foot Posture Assessment and Health Implications)
Browse Figure
Versions Notes

Abstract

Background: There is a paucity of data on the relationship between backpack use and foot posture in children. The aim of this study was to assess the effects of a backpack on foot posture in children with neutral foot posture during three years of follow-up. Methods: A prospective longitudinal observational study was conducted in a sample of 627 children with neutral foot. For each participant included in the study, age, sex, weight, height, body mass index, type of schoolbag (backpack or non-backpack), foot shape, metatarsal formula and type of shoes were recorded. Foot posture was described by the mean of the foot posture index (FPI) and reassessed after three years in a follow-up study. Results: The average age of the children was 8.32 ± 1.32 years. A total of 458 used a backpack when going to school. Over the three-year follow-up period, 50 children who had neutral foot developed supinated foot (n = 18) or pronated foot (n = 32). Univariate and multivariate analysis showed that the children using a backpack were at a higher risk of developing pronated foot (adjusted Odds Ratio (aOR) = 2.05, 95% IC: 1.08–3.89, p = 0.028). Backpack use was not associated with the change from neutral foot to supinated foot. Conclusions: We found a positive association between using a backpack and the risk of developing pronated but not supinated foot. Clinical trials should be conducted to analyze the effect of backpack use on the foot among schoolchildren.
Keywords: flat foot; foot index posture; backpack; schoolchildren; neutral foot; supinated foot; pronated foot flat foot; foot index posture; backpack; schoolchildren; neutral foot; supinated foot; pronated foot

Share and Cite

MDPI and ACS Style

Alfageme-García, P.; Calderón-García, J.F.; Martínez-Nova, A.; Hidalgo-Ruiz, S.; Martínez-Álvarez, M.; Rico-Martín, S. Backpacks Effect on Foot Posture in Schoolchildren with a Neutral Foot Posture: A Three-Year Prospective Study. Int. J. Environ. Res. Public Health 2020, 17, 7313. https://doi.org/10.3390/ijerph17197313

AMA Style

Alfageme-García P, Calderón-García JF, Martínez-Nova A, Hidalgo-Ruiz S, Martínez-Álvarez M, Rico-Martín S. Backpacks Effect on Foot Posture in Schoolchildren with a Neutral Foot Posture: A Three-Year Prospective Study. International Journal of Environmental Research and Public Health. 2020; 17(19):7313. https://doi.org/10.3390/ijerph17197313

Chicago/Turabian Style

Alfageme-García, Pilar, Julián Fernando Calderón-García, Alfonso Martínez-Nova, Sonia Hidalgo-Ruiz, Mariana Martínez-Álvarez, and Sergio Rico-Martín. 2020. "Backpacks Effect on Foot Posture in Schoolchildren with a Neutral Foot Posture: A Three-Year Prospective Study" International Journal of Environmental Research and Public Health 17, no. 19: 7313. https://doi.org/10.3390/ijerph17197313

APA Style

Alfageme-García, P., Calderón-García, J. F., Martínez-Nova, A., Hidalgo-Ruiz, S., Martínez-Álvarez, M., & Rico-Martín, S. (2020). Backpacks Effect on Foot Posture in Schoolchildren with a Neutral Foot Posture: A Three-Year Prospective Study. International Journal of Environmental Research and Public Health, 17(19), 7313. https://doi.org/10.3390/ijerph17197313

Note that from the first issue of 2016, this journal uses article numbers instead of page numbers. See further details here.

Article Metrics

Back to TopTop