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The purpose of this study was to investigate the effects of excess weight on the structure and function of the developing foot in students aged 7\u201314 years. A total of 667 participants were recruited for this cross\u2010sectional study via a multi\u2010level cluster sampling method (randomization was used within each cluster). All subjects (340 boys and 327 girls) attended primary and secondary schools in <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>sfahan <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>ity, <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>ran. The children's feet were evaluated using clinical assessments and footprint\u2010based measures whilst fully weight bearing. Significant differences were observed in the frequency of flatfoot between normal weight, overweight and obese groups <jats:italic>(<\/jats:italic><jats:styled-content style=\"fixed-case\"><jats:italic>P<\/jats:italic><\/jats:styled-content>\u2009<jats:italic>&lt;\u20090.001)<\/jats:italic>; participants who were more overweight had flatter feet. Children with higher weight also had a more pronated heel, less dorsiflexion range and higher reported pain within physical activity. This study indicated that childhood obesity is associated with structural foot and ankle deformities and activity\u2010related foot pain.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cob.12125","type":"journal-article","created":{"date-parts":[[2015,12,8]],"date-time":"2015-12-08T17:09:05Z","timestamp":1449594545000},"page":"42-50","source":"Crossref","is-referenced-by-count":38,"title":["Flatfoot and obesity in school\u2010age children: a cross\u2010sectional study"],"prefix":"10.1111","volume":"6","author":[{"given":"E.","family":"Sadeghi\u2010Demneh","sequence":"first","affiliation":[{"name":"Musculoskeletal Research Center Isfahan University of Medical Sciences  Isfahan Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Azadinia","sequence":"additional","affiliation":[{"name":"Orthotics and Prosthetics Department Isfahan University of Medical Sciences  Isfahan Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Jafarian","sequence":"additional","affiliation":[{"name":"Musculoskeletal Research Center Isfahan University of Medical Sciences  Isfahan Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Shamsi","sequence":"additional","affiliation":[{"name":"Orthotics and Prosthetics Department Isfahan University of Medical Sciences  Isfahan Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. 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