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Pediatrician by Tio Manolo

Friday, May 15, 2026 Edition XXXXXXXV
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This Week in Pediatrics

Children's Health News -- ScienceDaily

7, 2026 — Teens who sleep in on weekends may be giving their mental health a boost. A new study found that young people who made up for lost weekday sleep had a significantly lower risk of depression. While ... ... Dec. 25, 2025 — ADHD stimulants appear to work less by sharpening...

Pediatrics - Medscape

Too Few Children With Overweight/Obesity Assessed for OSA · Medscape Medical News May 12, 2026 · A New Name for PCOS, the Most Common Cause Of Infertility · Reuters Health Information May 12, 2026 · CMV Infection in Early Pregnancy Tied to Autism Risk in Kids ·

Pediatrics group issues new guidance on recess for the first time in 13 years

PUBLISHED: May 11, 2026 at 6:30 AM PDT | UPDATED: May 11, 2026 at 11:07 AM PDT · Getting your Trinity Audio player ready... By LAURA UNGAR, AP Medical Writer · Recess isn’t just a fun break for grade schoolers. It’s crucial to good health and good grades for kids of all ages. Tha...

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Research of the Day

Probiotics for Infantile Colic: Randomized Controlled Trial of L. reuteri

This double-blind RCT enrolled 400 breastfed infants with colic to evaluate Lactobacillus reuteri supplementation. Infants receiving the probiotic showed significantly reduced crying time compared to placebo, with effects observed within 7 days of treatment initiation.

Key findings: (1) Mean crying time reduced by 51 minutes/day at 21 days; (2) 73% of treatment group had crying <3 hours/day vs 36% placebo; (3) No adverse events reported. Effect was specific to breastfed infants.

🩺 What this means for your practice:

L. reuteri may be considered for breastfed infants with colic after excluding other causes. This is one of several evidence-based interventions alongside feeding adjustments, carrying techniques, and parental support.

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Popular Beliefs

Sugar makes children hyperactive

What the evidence shows: Multiple double-blind, placebo-controlled studies have found no significant effect of sugar on behavior or cognitive performance in children, even in those reportedly 'sensitive' to sugar. The perceived hyperactivity is often due to the context (parties, holidays) or parental expectations. However, limiting added sugars remains important for dental health and nutrition.

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.

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.

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Behaviors

Physical Activity and Academic Achievement: School-Based Intervention Study

This cluster RCT examined whether increasing physical activity during the school day improved academic outcomes in 3,500 elementary students. Schools were randomized to add 30 minutes of daily activity or continue standard curriculum.

Key findings: (1) Intervention students showed 15% improvement in reading scores; (2) Math scores improved 8%; (3) On-task behavior increased and disruptive behavior decreased. Benefits were greatest for students with ADHD symptoms.

🩺 What this means for your practice:

Advocate for physical activity in schools—it enhances rather than detracts from learning. Counsel families on the importance of daily active play for cognitive development, not just physical health.

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Genetics

Familial Hypercholesterolemia Screening in Childhood: Cascade Screening Effectiveness

Cascade screening for familial hypercholesterolemia starting in childhood identifies affected relatives and enables early statin therapy. Children identified through family screening had better outcomes than those diagnosed after cardiac events.

Key findings: (1) Each identified case led to 3 additional diagnoses in relatives; (2) Early statin therapy (age 8+) reduced lifetime cardiovascular risk; (3) Universal lipid screening at ages 9-11 complementary to cascade screening.

🩺 What this means for your practice:

Take family history of premature heart disease seriously. Screen children in affected families by age 2. Universal lipid screening should occur at 9-11 years per AAP guidelines.

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Did You Know? Numbers & Statistics

17 tsp
Average daily added sugar intake by children 2-19
CDC NHANES, 2024
30%
Antibiotic prescriptions for children that are unnecessary
CDC, 2024
10%
High school students reporting current e-cigarette use
CDC YRBS, 2024
35+
Conditions screened on most state newborn screening panels
HHS, 2024