This Week in Pediatrics
Pediatricians raise the alarm on the effect of Trump's immigration crackdown on kids : NPR
A new national survey, conducted between April and June 2026 by the American Academy of Pediatrics, found that 40% of pediatricians have noticed families staying away from care due to immigration concerns.
AAP Issues Recommendations for Pediatric RSV Vaccination in 2026-2027 Season - Psychiatry Advisor
HealthDay News — New guidelines are presented that expand the categories of high-risk children eligible for respiratory syncytial virus (RSV) vaccination and address COVID-19 vaccines for children, in two policy statements and accompanying ...
Health Care for Immigrant Children: Discussing Birth Country During Pediatric Appointments | Pediatrics | American Academy of Pediatrics
These uncertainties have been amplified in the current US political climate in which many immigrant families have heightened fear of detention and deportation. We suggest pediatricians ask about nativity when it shapes health care recommendations, use family-centered practices su...
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
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.
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.
Cracking knuckles causes arthritis
What the evidence shows: Studies comparing habitual knuckle-crackers to non-crackers found no increased arthritis risk. The cracking sound is from gas bubble release in synovial fluid. The main consequence may be reduced grip strength and annoyed family members.
Behaviors
Screen Time and Executive Function in Preschoolers: A Longitudinal Analysis
This prospective cohort study followed 850 children from ages 2 to 5 years, examining the relationship between screen time exposure and executive function development. Researchers used validated parent-report measures and direct assessments of working memory, inhibitory control, and cognitive flexibility.
Children with more than 2 hours of daily screen time at age 2 showed lower scores on executive function measures at age 5. Notably, the type of screen content mattered—educational programming showed smaller associations than passive entertainment viewing. Joint parent-child viewing partially mitigated negative effects.
These findings support counseling families on the AAP recommendation of less than 1 hour per day of high-quality programming for children 2-5 years. Emphasize co-viewing and educational content when screens are used. Executive function is crucial for school readiness and later academic success.
Genetics
Genetic Testing in Hypertrophic Cardiomyopathy: Sports Participation Guidance
Updated guidelines incorporate genetic testing results into sports participation decisions for young athletes with HCM. Some genetically positive but phenotypically negative individuals may safely participate in athletics with appropriate monitoring.
Key findings: (1) Risk stratification improved with genetic markers; (2) Shared decision-making framework more nuanced than previous blanket restrictions; (3) Regular cardiac monitoring essential regardless of sport participation.
Genetic testing can refine, but not eliminate, cardiac risk assessment. Refer to cardiology for any athlete with suspected or confirmed HCM. Shared decision-making with families is appropriate.