This Week in Pediatrics
What is new in the updated pediatric readiness guidelines? - Trauma System News
A national coalition of medical associations has issued updated recommendations for ensuring that hospital EDs are fully prepared to meet the emergency healthcare needs of children.
Q2 2026 preview: 4 FDA decisions to watch in pediatric care | Contemporary Pediatrics
1. Inhaled Insulin (Afrezza; MannKind Corporation)1 Date: May 29, 2026 Indication: To improve glycemic control in children and adolescents aged 4 to 17 years living with type 1 or type 2 diabetes.
Coeur d'Alene Pediatrics readies for move to Heritage Health | Hagadone News Network
Coeur d’Alene Pediatrics officially becomes part of Heritage Health this spring. “We've been talking about it for about a year,” Heritage Health CEO Mike Baker said. “We spent time trying to figure this out what makes sense for the community and really protect what Coeur d’A...
Research of the Day
Family-Based Treatment for Childhood Obesity: 5-Year Outcomes
This long-term follow-up evaluated family-based behavioral treatment (FBT) for childhood obesity. Children who received FBT maintained healthier BMI trajectories compared to usual care, with parental involvement being key to sustained success.
Key findings: (1) 25% greater BMI reduction maintained at 5 years; (2) Parental BMI change correlated with child outcomes; (3) Maintenance sessions improved long-term success.
Engage the whole family in obesity treatment—target the child alone is less effective. Focus on sustainable lifestyle changes, address family habits, and plan for ongoing support.
Popular Beliefs
Teething causes high fevers and diarrhea
What the evidence shows: While teething may cause mild symptoms (gum irritation, drooling, slight temperature elevation), it does not cause high fever (>102°F/38.9°C) or diarrhea. These symptoms should prompt evaluation for other causes. Attributing significant illness to teething may delay diagnosis of serious conditions.
Letting babies walk early causes bowlegs
What the evidence shows: There is no evidence that early walking causes bowlegs. Most infants have some degree of bowing that typically resolves by age 3-4. Pathologic bowing has other causes (Blount disease, rickets). Encourage normal motor development and monitor for asymmetric or progressive bowing.
Eating carrots dramatically improves vision
What the evidence shows: While carrots contain vitamin A important for eye health, eating extra carrots won't improve normal vision or eliminate the need for glasses. Vitamin A deficiency can cause vision problems, but this is rare in developed countries with varied diets.
Behaviors
Bedtime Routine Consistency and Child Behavior: Observational Study
This analysis of 5,000 parent surveys examined the relationship between bedtime routine consistency and daytime behavior. Children with consistent, calming bedtime routines had fewer behavioral problems and better emotional regulation.
Key findings: (1) Inconsistent routines associated with 2x behavioral difficulties; (2) Routines including reading showed strongest effects; (3) Benefits seen across all age groups studied (2-10 years).
Bedtime routines matter for more than just sleep—they shape behavior and emotional regulation. Help families develop simple, consistent routines even during busy periods.
Genetics
Polygenic Risk Scores and ADHD: Clinical Utility Analysis
Large GWAS analysis demonstrates polygenic risk scores for ADHD have limited current clinical utility for diagnosis but may help identify children at risk for severe or persistent symptoms. Environmental factors remain critically important.
Key findings: (1) Polygenic scores explain ~10% of ADHD variance; (2) Higher scores associated with earlier onset and persistence; (3) Not useful as diagnostic test—clinical evaluation remains gold standard.
Genetics is one piece of the ADHD puzzle but doesn't replace clinical assessment. Avoid overinterpreting direct-to-consumer genetic tests. Family history remains the most useful genetic 'test' for ADHD risk.