⚕️

Pediatrician by Tio Manolo

Sunday, April 12, 2026 Edition XXXXII
Language:
📰

This Week in Pediatrics

ADHD in the News 2026-04-09 - CHADD

[Excerpt] On February 11, 2026, researchers from Beijing Normal University, Beijing Sport University, Xuzhou Rehabilitation Hospital affiliated with Xuzhou Medical University, and Peking University Sixth Hospital published a study in World Journal of Pediatrics showing that a 12-...

PULSE 4/10/2026: New York Ranks Among Top States for Children’s Health Care - MEDICAL SOCIETY OF THE STATE OF NEW YORK ORGANIZED 1807

New York Ranks Among Top States for Children’s Health Care Click to Enlarge In the 2026 Best & Worst States for Children’s Health Care report, New York ranked #8 nationwide, placing among the nation’s leaders in pediatric health care quality, ...

Red Book Online Outbreaks: Measles | Red Book Online | American Academy of Pediatrics

There have been 16 new outbreaks reported in 2026, and 94% of confirmed cases (1,483 of 1,575) are outbreak-associated (359 from outbreaks starting in 2026 and 1,124 from outbreaks that started in 2025).

🔬

Research of the Day

Return to Sport After Pediatric Concussion: Age-Modified Protocols

This multi-site study evaluated age-specific return-to-sport protocols following concussion in 2,500 young athletes ages 8-18. Younger children required longer recovery periods, challenging one-size-fits-all protocols.

Key findings: (1) Median recovery 21 days for ages 8-12 vs 14 days for teens; (2) Early return to sport associated with prolonged symptoms; (3) Symptom-limited activity during recovery improved outcomes.

🩺 What this means for your practice:

Use age-appropriate return protocols. Younger athletes need more conservative management. Emphasize symptom-limited activity and complete recovery before returning to full sport.

🤔

Popular Beliefs

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.

Children outgrow ADHD

What the evidence shows: While symptoms often change with age, approximately 60% of children with ADHD continue to have symptoms into adulthood. Hyperactivity typically decreases, but inattention and impulsivity often persist. Ongoing monitoring and treatment adjustment is important across the lifespan.

ADD/ADHD is caused by poor parenting or too much sugar

What the evidence shows: ADHD has strong genetic and neurobiological components. While environment can influence symptom severity, poor parenting and diet do not cause ADHD. Evidence-based treatments include behavioral therapy and, when appropriate, medication. Blaming parents is harmful and delays effective intervention.

🧠

Behaviors

Sleep Schedule Consistency and ADHD Symptoms: Intervention Study

This intervention study examined whether consistent sleep schedules improved ADHD symptoms in 150 children ages 6-12. Families implemented strict bed/wake times for 8 weeks while tracking symptoms and sleep.

Key findings: (1) Consistent sleep reduced inattention symptoms by 25%; (2) Bedtime resistance decreased significantly; (3) Effects comparable to some medication responses. Weekend sleep consistency was particularly important.

🩺 What this means for your practice:

Before escalating ADHD treatment, optimize sleep hygiene. Consistent bed/wake times (including weekends) can meaningfully improve symptoms. This is a low-risk intervention all families can implement.

🧬

Genetics

Exon-Skipping Therapy for Duchenne Muscular Dystrophy: Expanded Approvals

FDA has approved additional exon-skipping therapies targeting previously untreatable Duchenne muscular dystrophy mutations. These antisense oligonucleotide treatments now cover 80% of DMD patients, slowing disease progression.

Key findings: (1) Treated patients maintain ambulation 2-4 years longer; (2) Cardiac and respiratory function also preserved; (3) Earlier treatment initiation correlates with better outcomes.

🩺 What this means for your practice:

Genetic testing to identify specific DMD mutation is essential for treatment planning. Refer to neuromuscular centers for evaluation. Treatment options continue to expand rapidly.

📊

Did You Know? Numbers & Statistics

5.4M
Children under 18 with asthma in the United States
CDC, 2024
22%
High school students who considered suicide
CDC YRBS, 2024
73%
Children 19-35 months with complete recommended vaccinations
CDC NIS, 2024
15%
Adolescents ages 12-17 with major depressive episode
SAMHSA NSDUH, 2024