Prevalence and Associated Factors of Sever's Disease in an Athletic Population

2019 ◽  
Vol 109 (5) ◽  
pp. 351-356
Author(s):  
Nicolò Martinelli ◽  
Andrea Spreafico ◽  
Irene Tramacere ◽  
Daniele Marcolli ◽  
Federico Valli ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Associated Factors ◽  
Population Based ◽  
Terrain Type ◽  
Custom Made ◽  
Foot Posture ◽  
Epidemiologic Profile ◽  
Active Patients ◽  
Calcaneal Apophysitis

Background: Sever's disease is a common cause of pain in growing kids. Many papers reported in the literature discuss this pathologic condition, but no consensus regarding its etiology has been found among researchers. The aim of the present study was to describe the epidemiologic profile and associated factors of 430 athletic children in a population-based sample of soccer (29.5%), basketball (48.1%), and volleyball (22.3%) players aged 6 to 14 years. Methods: Every athlete was evaluated through physical examination, the Foot Posture Index (FPI), the Oxford Ankle Foot Questionnaire, and a custom-made sports questionnaire. Results: These data show that body mass index, sex, terrain type, sports discipline, and FPI should not be considered as risk factors for calcaneal apophysitis, whereas a significantly higher risk has been found in younger individuals (P < .01), in those with fewer training sessions per week (P = .02), and in those with shorter training sessions (P < .01). Conclusions: The prevalence of Sever's disease in the athletic children evaluated in the present study was higher in younger and less active patients, whereas no differences were registered by sex, FPI, body mass index, terrain type, or sports discipline.

scholarly journals Prevalence and Associated Factors of Severe Disease in an Athletic Population

2017 ◽  
Vol 2 (3) ◽  
pp. 2473011417S0003
Author(s):  
Elena Sartorelli ◽  
Nicoló Martinelli ◽  
Mohammad Hosseinzadeh ◽  
Carlo Corrado Bonifacini ◽  
Giovanni Romeo ◽  
...  
Keyword(s):  
Risk Factors ◽  
Body Mass Index ◽  
Body Mass ◽  
Severe Disease ◽  
Large Population ◽  
Sport Activity ◽  
Increased Risk ◽  
Custom Made ◽  
Foot Posture ◽  
Calcaneal Apophysitis

Category: Hindfoot, Sports, Children Introduction/Purpose: Sever disease is a common cause of pain in growing kids, but there is no consensus among researchers regarding its etiology. Recently several papers studied the role of sport on the physical and the psychological development of the child, including the possibility that these activities can cause overuse injuries in childhood. The purpose of the present study is to identify any association between heel pain due to calcaneal apophysitis and level of sport activity, type of sport, type of terrain, body mass index (BMI) and foot posture. Methods: We studied 430 athletic children in a population-based sample of soccer (29.53%), basketball (48.37%) and volleyball (22.79%) players, aged between 6 and 14 years. Physical examination, Foot Posture Index (FPI), Oxford ankle and foot questionnaire Italian version for children and parents and a custom made questionnaire on sport were collected from each athlete. Diagnosis of Sever disease was made with a positive heel squeeze test. Results: Our data showed that body mass index, sex, type of terrain, type of sport, FPI should not be considered risk factors for calcaneal apophysitis, while exists a statistical significant higher risk for younger age (p < 0.01), lower number of training session/week (p = 0.02) and shorter session (p < 0.01). Conclusion: The prevalence of Severe disease in athletic children in the study sample was higher in younger and low active patients. BMI was not associated with an increased risk neither sport specialization. Investigating association between the type of terrain and Sever disease it does not appear to have a significant role. Analysis of the FPI produced no significant risk factors. The strengths of this study consists in a large population size, all participants underwent clinical assessment, and the use of a detailed, previously validated test, scales and questionnaire.

scholarly journals Body mass index–measured adiposity and population attributability of associated factors: a population-based study from Buea, Cameroon

BMC Obesity ◽  
2017 ◽  
Vol 4 (1) ◽  
Author(s):  
Leopold Ndemnge Aminde ◽  
Jeannine A. Atem ◽  
Andre Pascal Kengne ◽  
Anastase Dzudie ◽  
J. Lennert Veerman
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Associated Factors ◽  
Population Based ◽  
Population Based Study

Sever’s Disease

2011 ◽  
Vol 101 (2) ◽  
pp. 133-145 ◽  
Author(s):  
Rolf W. Scharfbillig ◽  
Sara Jones ◽  
Sheila Scutter
Keyword(s):  
Risk Factors ◽  
Body Mass Index ◽  
Ankle Joint ◽  
Body Mass ◽  
Odds Ratio ◽  
Total Activity ◽  
Activity Levels ◽  
Ankle Joint Dorsiflexion ◽  
Foot Posture ◽  
Calcaneal Apophysitis

Background: Sever’s disease, also known as calcaneal apophysitis, is thought to be an inflammation of the apophysis of the heel, which is open in childhood. This condition has been commented on and looked at in a retrospective manner but has not been examined systematically. We assembled the most commonly cited theoretical causative models identified from the literature and tested them to determine whether any were risk factors. Methods: Children with Sever’s disease were compared with a similarly aged nonsymptomatic population to determine whether identifiable risk factors exist for the onset of Sever’s disease. Areas raised in the literature and, hence, compared were biomechanical foot malalignment, as measured by Root et al–type foot measurements and the Foot Posture Index; ankle joint dorsiflexion, measured with a modified apparatus; body mass index; and total activity and types of sport played. Results: Statistically significant but small odds ratios were found in forefoot to rearfoot determination and left ankle joint dorsiflexion. Conclusions: This study suggests that there is no evidence to support that weight and activity levels are risk factors for Sever’s disease. The statistically significant but clinically negligible odds ratio (0.93) on the left side for decreased ankle joint dorsiflexion and statistically significant and clinically stronger odds ratio bilaterally for forefoot to rearfoot malalignment suggest that biomechanical malalignment is an area for further investigation. (J Am Podiatr Med Assoc 101(2): 133–145, 2011)

1480: The Association of Body Mass Index and Serum Prostate Specific Antigen Levels in a Population-Based Study

2005 ◽  
Vol 173 (4S) ◽  
pp. 401-401
Author(s):  
Javier Hernandez ◽  
Jacques Baillargeon ◽  
Brad Pollock ◽  
Alan R. Kristal ◽  
Patrick Bradshaw ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Prostate Specific Antigen ◽  
Body Mass ◽  
Specific Antigen ◽  
Population Based ◽  
Population Based Study ◽  
Serum Prostate Specific Antigen

scholarly journals FRI0415 BODY MASS INDEX AND STATIC FOOT DISORDERS IN GONARTHROSIC PATIENTS

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 806.3-806
Author(s):  
K. Maatallah ◽  
M. Hfaidh ◽  
H. Ferjani ◽  
W. Triki ◽  
D. Kaffel ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Demographic Data ◽  
Navicular Bone ◽  
Hindfoot Alignment ◽  
Knee Oa ◽  
Postural Changes ◽  
Flat Feet ◽  
Foot Posture ◽  
Hindfoot Deformities

Background:Several studies have shown that there is a link between body mass index (BMI) and painful foot imputed to a biomechanical change in foot structure [1].Objectives:Our objective was to study the association between BMI and static foot disorders in gonarthrosic subjects.Methods:It was a prospective descriptive study conducted in the rheumatology department of the Mohamed Kassab Institute of Orthopedics with 60 patients with Gonarthrosis. The socio-demographic data of the patients were studied. BMI was calculated for all patients. Static foot disorders have been studied.Results:Sixty patients were included, 83.3% of whom were female. The average age was 55.2 years [38-78 years]. The disease has been evolving for an average of 6 years [1-13 years]. The lesion was bilateral in 80% of cases, the average body mass index was 30.4 kg / m2 [24-36]. Knee arthritis was classified as stage I, II and III according to the Kellgren and Lawrence classification in 18.5%, 55.6% and 25.9% of patients respectively. The foot examination involved 108 gonarthrosic limbs. Examination of the integuments showed hyperkeratosis in 94.4% of the cases (79.6% calluses and 83.3% callosities). Forefoot deformities were Hallux valgus (HV) in 52.8% of cases and overlapping toes in 18.5% of cases. Pronation deformity using the Foot Posture Index (FPI) was found in 51.9% of cases. Abnormal lowering of navicular bone was noted in 51.9%. The podoscopic impression revealed flat feet in 73.2% of the cases.A statistically significant association was found between BMI and the presence of calluses (31.21 ± 2.897 vs26.83 ± 1.425, p <0.001), with HV (31.37 ± 3.086 vs29.49 ± 2.969, p = 0.002), at the overlap of the toes (33.2 ± 1.361vs29.86 ± 1.130, p <0.001), with the lowering of the navicular bone (31.17 ± 2.885vs29.68 ± 3.304, p = 0.015), FPI (p = 0.003) and flat podoscopic impression (p <0.001).Conclusion:BMI is strongly associated with static feet disorders in gonarthrosic patients by aggravating the postural changes in the foot caused by knee osteoarthritis [2]. Obesity is associated mainly with the existence of flat feet, pronation of the foot, toes deformities and hyperkeratosis.References:[1]Steele JR, Mickle KJ, Munro B. Fat flat frail feet: how does obesity affect the older foot. XXII Congress of the International Society of Biomechanics; 2009[2]Norton AA, Callaghan JJ, Amendola A, Phisitkul P, Wongsak S, Liu SS, et al. Correlation of knee and hindfoot deformities in advanced knee OA: compensatory hindfoot alignment and where it occurs. Clin Orthop Relat Res. 2015;473(1):166-74Disclosure of Interests:None declared

scholarly journals Trends in obesity and adiposity measures by race or ethnicity among adults in the United States 2011-18: population based study

BMJ ◽  
2021 ◽  
pp. n365
Author(s):  
Buyun Liu ◽  
Yang Du ◽  
Yuxiao Wu ◽  
Linda G Snetselaar ◽  
Robert B Wallace ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Waist Circumference ◽  
Ethnic Groups ◽  
Body Mass ◽  
Body Fat ◽  
Lean Mass ◽  
The United States ◽  
Population Based ◽  
Body Fat Percentage ◽  
Fat Percentage

AbstractObjectiveTo examine the trends in obesity and adiposity measures, including body mass index, waist circumference, body fat percentage, and lean mass, by race or ethnicity among adults in the United States from 2011 to 2018.DesignPopulation based study.SettingNational Health and Nutrition Examination Survey (NHANES), 2011-18.ParticipantsA nationally representative sample of US adults aged 20 years or older.Main outcome measuresWeight, height, and waist circumference among adults aged 20 years or older were measured by trained technicians using standardized protocols. Obesity was defined as body mass index of 30 or higher for non-Asians and 27.5 or higher for Asians. Abdominal obesity was defined as a waist circumference of 102 cm or larger for men and 88 cm or larger for women. Body fat percentage and lean mass were measured among adults aged 20-59 years by using dual energy x ray absorptiometry.ResultsThis study included 21 399 adults from NHANES 2011-18. Body mass index was measured for 21 093 adults, waist circumference for 20 080 adults, and body fat percentage for 10 864 adults. For the overall population, age adjusted prevalence of general obesity increased from 35.4% (95% confidence interval 32.5% to 38.3%) in 2011-12 to 43.4% (39.8% to 47.0%) in 2017-18 (P for trend<0.001), and age adjusted prevalence of abdominal obesity increased from 54.5% (51.2% to 57.8%) in 2011-12 to 59.1% (55.6% to 62.7%) in 2017-18 (P for trend=0.02). Age adjusted mean body mass index increased from 28.7 (28.2 to 29.1) in 2011-12 to 29.8 (29.2 to 30.4) in 2017-18 (P for trend=0.001), and age adjusted mean waist circumference increased from 98.4 cm (97.4 to 99.5 cm) in 2011-12 to 100.5 cm (98.9 to 102.1 cm) in 2017-18 (P for trend=0.01). Significant increases were observed in body mass index and waist circumference among the Hispanic, non-Hispanic white, and non-Hispanic Asian groups (all P for trend<0.05), but not for the non-Hispanic black group. For body fat percentage, a significant increase was observed among non-Hispanic Asians (30.6%, 29.8% to 31.4% in 2011-12; 32.7%, 32.0% to 33.4% in 2017-18; P for trend=0.001), but not among other racial or ethnic groups. The age adjusted mean lean mass decreased in the non-Hispanic black group and increased in the non-Hispanic Asian group, but no statistically significant changes were found in other racial or ethnic groups.ConclusionsAmong US adults, an increasing trend was found in obesity and adiposity measures from 2011 to 2018, although disparities exist among racial or ethnic groups.

scholarly journals Body mass index and breast cancer risk in Japan: a pooled analysis of eight population-based cohort studies

2014 ◽  
Vol 25 (2) ◽  
pp. 519-524 ◽  
Author(s):  
K. Wada ◽  
C. Nagata ◽  
A. Tamakoshi ◽  
K. Matsuo ◽  
I. Oze ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Body Mass Index ◽  
Breast Cancer Risk ◽  
Cancer Risk ◽  
Cohort Studies ◽  
Body Mass ◽  
Population Based ◽  
Pooled Analysis
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