This Week in Pediatrics
Pediatrics | American Academy of Pediatrics
The Unseen Toll of Gun Violence: ... and Untold Stories · Pediatrics Blog · | October 09 2026 · Narrow-Spectrum Antibiotics in Children With Medical Complexity ·...
Recommendations for COVID-19 Vaccines in Infants, Children, and Adolescents, 2026–2027: Policy Statement | Pediatrics | American Academy of Pediatrics
Children 2 through 18 years of age not considered at increased risk of severe COVID-19 whose parent or guardian desires their protection from COVID-19 should be offered a single dose of age-appropriate 2026–2027 COVID-19 vaccine.
Contemporary Pediatrics – Clinical News & Pediatrician Practice Tips
Get back-to-school pediatric guidance ... watch this year. ... Court fight over CDC 2026 childhood vaccine schedule shifts shots to shared decision-making; experts warn lower uptake for Hep A, B, flu, COVID....
Research of the Day
Return to Sport After Pediatric Concussion: Age-Modified Protocols
This multi-site study evaluated age-specific return-to-sport protocols following concussion in 2,500 young athletes ages 8-18. Younger children required longer recovery periods, challenging one-size-fits-all protocols.
Key findings: (1) Median recovery 21 days for ages 8-12 vs 14 days for teens; (2) Early return to sport associated with prolonged symptoms; (3) Symptom-limited activity during recovery improved outcomes.
Use age-appropriate return protocols. Younger athletes need more conservative management. Emphasize symptom-limited activity and complete recovery before returning to full sport.
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.
Wait 30 minutes after eating before swimming
What the evidence shows: There's no evidence that swimming after eating causes cramps or drowning. While digestion diverts some blood flow to the gut, it doesn't impair swimming ability in normal circumstances. Common-sense supervision is always important regardless of meal timing.
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
Bedtime Routine Consistency and Child Behavior: Observational Study
This analysis of 5,000 parent surveys examined the relationship between bedtime routine consistency and daytime behavior. Children with consistent, calming bedtime routines had fewer behavioral problems and better emotional regulation.
Key findings: (1) Inconsistent routines associated with 2x behavioral difficulties; (2) Routines including reading showed strongest effects; (3) Benefits seen across all age groups studied (2-10 years).
Bedtime routines matter for more than just sleep—they shape behavior and emotional regulation. Help families develop simple, consistent routines even during busy periods.
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.