This Week in Pediatrics
New Childhood Vaccine Executive Order Draws Criticism From AAP, AMA, NFID | Patient Care Online
Influenza, COVID-19, rotavirus, and several other vaccines are no longer included among those recommended for all children under the federal framework. The AAP, AMA, and NFID warn that unsupported schedule changes could reduce confidence, access, ...
Children Should Get Flu Vaccine, Top Pediatrics Group Recommends
11, 2026 (HealthDay News) — All children ages 6 months or older without contraindications should be vaccinated against the flu, the American Academy of Pediatrics (AAP) said in updated recommendations.
Immunization News | Red Book Online | American Academy of Pediatrics
More than 230 medical and public health groups, including the American Medical Association and the Infectious Diseases Society of America, announced support for the American Academy of Pediatrics 2026 vaccine schedule, calling it science-based ...
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
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.
Cold weather causes colds
What the evidence shows: Colds are caused by viruses, not cold temperatures. The association exists because people spend more time indoors in close proximity during winter, facilitating viral transmission. Additionally, dry indoor air may impair mucosal barriers. Hand hygiene and avoiding sick contacts are the real prevention strategies.
Warm milk helps children sleep
What the evidence shows: While milk contains tryptophan (a sleep-promoting amino acid), the amount is modest. Any sleep benefit likely comes from the comforting ritual and warmth rather than pharmacologic effect. A consistent bedtime routine matters more than any single component.
Behaviors
Secondhand Smoke Exposure and Cognitive Development: Cohort Study
This cohort study measured cotinine levels and cognitive outcomes in 2,000 children at multiple time points. Even low-level secondhand smoke exposure was associated with measurable effects on attention and working memory.
Key findings: (1) Detectable cotinine associated with 5-point IQ difference; (2) Higher rates of learning difficulties; (3) No safe threshold identified—any exposure had measurable effects.
Screen for smoke exposure at well visits. Counsel caregivers that even 'smoking outside' may not fully protect children. Connect families with smoking cessation resources.
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.
Genetic testing to identify specific DMD mutation is essential for treatment planning. Refer to neuromuscular centers for evaluation. Treatment options continue to expand rapidly.