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Pediatrician by Tio Manolo

Friday, September 11, 2026 — Edition XXXXXXXXXXXXXXXXXXXIV
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This Week in Pediatrics

JAMA Pediatrics – The Science of Child and Adolescent Health

Explore the latest in child health including food and nutrition, Kawasaki disease and C difficile, effects of media, and more. Formerly Archives of

Measles Cases and Outbreaks | Measles (Rubeola) | CDC

However, vaccination coverage among U.S. kindergartners has decreased from 95.2% during the 2019–2020 school year to 92.4% in the 2025–2026 school year, leaving approximately 280,000 kindergartners at risk during the 2025–2026 school year.

DOJ Announces Deal With Mount Sinai Ending Pediatric Gender Interventions | The Epoch Times

20, 2026. Michael M. Santiago/Getty Images ... The Justice Department announced Friday an agreement with Mount Sinai Health System that ends the New York hospital network’s provision of puberty blockers, cross-sex hormones, and surgical procedures to minors. Mount Sinai, one of t...

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Research of the Day

Social Media Use and Depression in Early Adolescence: Longitudinal Analysis

This 3-year longitudinal study followed 6,500 adolescents ages 12-15, tracking social media use patterns and mental health outcomes. High social media use (>3 hours/day) was associated with increased depression risk, though the relationship was bidirectional.

Key findings: (1) 35% increased odds of elevated depressive symptoms with high use; (2) Social comparison and cyberbullying mediated the relationship; (3) Active use (creating content) showed smaller associations than passive consumption.

🩺 What this means for your practice:

Screen for problematic social media use during well visits. Counsel families on media limits, encourage active over passive use, and discuss warning signs of cyberbullying and unhealthy comparison.

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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.

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.

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.

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Behaviors

Family Meal Frequency and Obesity Risk: Systematic Review and Meta-Analysis

This meta-analysis synthesized 45 studies examining the relationship between family meal frequency and childhood obesity. Children who shared regular family meals had significantly lower obesity risk and healthier eating patterns.

Key findings: (1) 3+ family meals/week associated with 12% lower overweight/obesity; (2) Higher fruit/vegetable intake and lower fast food consumption; (3) Protective effect independent of family structure or income.

🩺 What this means for your practice:

Encourage family meals as part of healthy lifestyle counseling. Even a few shared meals per week make a difference. Focus on the ritual and connection, not just nutrition.

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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.

🩺 What this means for your practice:

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.

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Did You Know? Numbers & Statistics

24%
Children meeting 60 min/day physical activity guideline
CDC YRBS, 2024
56%
Infants breastfed at 6 months
CDC Breastfeeding Report Card, 2024
14%
Children with mental health condition who receive treatment
SAMHSA, 2024
84%
Infants ever breastfed in the US
CDC Breastfeeding Report Card, 2024