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Pediatrician by Tio Manolo

Saturday, October 10, 2026 — Edition XXXXXXXXXXXXXXXXXXXXXXIII
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This Week in Pediatrics

Contemporary Pediatrics – Clinical News & Pediatrician Practice Tips

PCR testing confirmed herpes zoster, an uncommon diagnosis in young, vaccinated children. ... AAP’s 2026 conference will bring pediatricians updates on AI, vaccines, misinformation, nutrition, mental health, and clinical care.

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

Contemporary Pediatrics week in review: October 5-9, 2026 | Contemporary Pediatrics

At AAP 2026, Justin Wheeler, MD, discussed bowel cleanouts, maintenance therapy, and behavioral strategies for managing constipation in children. ... Justin Wheeler, MD, explains how pediatricians can identify constipation across age groups ...

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Research of the Day

Duration of Breastfeeding and Childhood Obesity Risk: Meta-Analysis of 150 Cohort Studies

This comprehensive meta-analysis synthesized data from 150 cohort studies involving over 2.5 million children to examine the relationship between breastfeeding duration and obesity risk. Children breastfed for 6+ months showed a 22% reduction in obesity risk at ages 5-10 compared to never-breastfed children.

Key findings: (1) Each additional month of breastfeeding associated with 3% lower obesity odds; (2) Effects persisted after adjusting for socioeconomic status and maternal BMI; (3) Exclusive breastfeeding showed stronger effects than mixed feeding.

🩺 What this means for your practice:

These findings strengthen breastfeeding support recommendations. Counsel expectant parents on breastfeeding benefits, ensure access to lactation support, and address barriers to continued breastfeeding.

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Popular Beliefs

Starve a fever, feed a cold

What the evidence shows: Neither fevers nor colds benefit from restricting food. Both conditions increase metabolic demands, and adequate nutrition supports immune function. Encourage normal eating as tolerated and emphasize hydration with any illness.

Vaccines cause autism

What the evidence shows: This thoroughly debunked claim originated from a fraudulent 1998 study. Multiple large-scale studies involving millions of children have found no association between vaccines and autism. The original study was retracted and its author lost his medical license. Vaccines are safe and essential.

Organic food is significantly more nutritious

What the evidence shows: Organic foods have lower pesticide residues, but studies show minimal nutritional differences compared to conventional foods. What matters most for health is eating a variety of fruits and vegetables, whether organic or conventional.

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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

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.

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Did You Know? Numbers & Statistics

38%
Children 6mo-17y completed COVID-19 primary series
CDC, 2024
57%
Children 6mo-17y vaccinated against influenza
CDC, 2024
500K
Children ages 1-5 with elevated blood lead levels
CDC, 2024
2-3
Per 1,000 infants born with hearing loss
CDC, 2024