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My One-of-a-Kind Body: The Ultimate Guide to Caring for Me

Mon, 25 Aug 2025 18:11:15 GMT

My One-of-a-Kind Body: KID'S PERSONAL:

The Ultimate Guide to Caring for Me

My One-of-a-Kind Body

will help kids aged 7-12 embrace their own bodies, appreciate others' differences, and learn to take care of the only body they’ve got. This book about bodies engages young readers with the diverse cast of friends at the fictional Camp Corazón. Kids will discover characters that remind them of themselves as well as characters who will challenge them to understand and empathize with others' life experiences.

While kids engage with the ups and downs of these vivid characters and their summer fun, pediatrician and mom Dr. Whitney Casares shares evidence-based guidance on physical and mental health, healthy habits, and body positivity. With playful, inclusive illustrations and age-appropriate language, My One-of-a-Kind Body invites children to explore the incredible ways their bodies help them learn, play, feel, and grow. It’s the perfect first step for families who want to raise body-literate kids — grounded in self-awareness, curiosity, and respect — not shame or unrealistic expectations.

Vibrant, full-color illustrations and fun body facts will keep even reluctant readers turning pages and absorbing the important message that all bodies are good!

About the Author

Whitney Casares, MD, MPH, FAAP

Whitney Casares, MD, MPH, FAAP, is a board-certified, practicing pediatrician and the creator of the popular website modernmommydoc.com. She is the mother of two young daughters and lives in Portland, OR.

We're 67,000 pediatricians committed to the optimal physical, mental, and social health and well-being for all infants, children, adolescents, and young adults.

My One-of-a-Kind Body: The Ultimate Guide to Caring for Me [Paperback]

Whitney Casares, MD, MPH, FAAP

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Find answers about this powerful tool to prevent tooth decay.
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Sports Physicals

Fri, 15 Aug 2025 04:15:31 GMT

Children develop sports skills in a sequence, so each sequence should be maxed out for that child. If each developmental stage is fully formed, your active child has the ability to more completely reach her maximum capacity for participation in sports.

Sports Physical: When, Where, Who Should Do It?

All kids are athletes―the high school soccer player, the junior high performer in the school musical, and the skateboarding middle schooler down your block. All will benefit from a sports physical. The AAP recommends asking to have a sports physical when scheduling your child's next routine well-child visit. Learn more here.

Healthy Children > Healthy Living > Sports

Sports Physical: When, Where, Who Should Do It?

By: Chris Koutures, MD, FAAP

The form is due, what do you do? We've all been there. Paperwork piles up, and sports physicals sneak up on us just before our children's sport and activity begins.

To make life easier (and what parent wouldn't like that), the American Academy of Pediatrics (AAP) recommends asking to have a sports physical when scheduling your child's next routine well-child visit .

Why all middle-school through college kids benefit from a sports physical during well-child visit:

The answer is simple: All kids are athletes―the high school soccer player, the junior high performer in the school musical and the skateboarding middle schooler down your block. You don't have to play an organized sport to be an athlete.

Many children participate physically demanding activities like snowboarding, skiing, jogging, climbing and hiking. Other children are not physically active at all. All these children should receive a sports physical from their pediatrician, also known as their medical home .

More than a forced "check the box" evaluation

The Preparticipation Physical Evaluation (PPE) form developed by the AAP and other medical and sports medicine groups looks not to just check boxes, but to give athletes the best opportunity for full and safe sports participation.

The PPE form includes an in-depth health history form that should be filled out by both you and your child (if they are old enough) before your routine well-child visit for more discussion during your exam.

Download Your Child's Health History Form

( English or Spanish )

Answer the questions honestly and thoroughly, especially the family history and heart-related questions, to help your doctor give the best advice and recommendations for many conditions.

If you already have a medical eligibility form from your child's sport or activity, bring it with to your appointment. Most organizations send forms home for athletes before the season begins. The AAP recommends you also complete your child's health history form to guide your child's pediatrician in the exam.
If you don't have a medical eligibility form, you may be able to use this one . Check with the governing body of your child's sport or activity.

Why see the pediatrician for a sports physical

Seeing your pediatrician for routine well-child visits and sports physicals helps keep your child's medical records and health history up to date. Pediatricians are also trained to identify and treat both medical and bone/joint problems that are commonly seen in children and adolescents who play sports. And they can ensure your child is caught up on immunizations and discuss any concerns in a confidential setting. If your child is not as active as they should be, they counsel on the benefits of physical activity.

The AAP recommends making appointments at least 6-8 weeks before starting a season to give time for any additional evaluation or new treatments.

The AAP is against mass physicals (such as in a school gymnasium) and using urgent care settings .

These places often lack privacy and a healthcare provider who knows your child and has access to past medical records.

If your child is seen by someone other than their pediatrician for a sports physical, it is very important that you provide the clinic with accurate and complete medical information to receive the most appropriate care. Request that information regarding the visit be sent to your pediatrician so they can maintain a complete picture of your child's care. If the clinic does not offer this service, be sure to get copies of the services your child received and share this information with your pediatrician as soon as possible.

What are some of the most important things examined in sports physicals?

Heart health. Sudden cardiac deaths are rare in athletes, but they shock communities and are in the backs of parents' and pediatricians' minds. A sport physical exam should ask the athlete a list of questions about any symptoms that may suggest problems with the heart. The athlete should also report any past heart evaluations or history of high blood pressure . Questions should also be asked about any family history of heart problems or heart disease . Most athletes are cleared without restriction. Ultimately, the majority of those referred with red flag conditions are still cleared, but it may be important to get the pediatric cardiologist's opinion.
Mental health. Many children and adolescents have concerns with emotional health, and athletes are no exception. In fact, pressures seen in sports and performing arts may lead to special mental health demands― depression , anxiety , perfectionism , stress and attention deficits . Healthcare providers now ask questions about these sensitive and important issues in a private and safe setting to discover and recommend treatments.
Unique concerns of female athletes. Sports physicals can help find unique concerns that may be found in female athletes and performers. These concerns, known as the female athlete triad , can include menstrual health , bone health and nutrition/calorie intake. Young females are at a higher risk for certain bone and joint injuries, including ACL tears of the knee . Certain screening questions and tests can lead to treatment and prevention programs that will help keep athletes safer.
Unique concerns of athletes with disabilities. Children with special health needs deserve the opportunity to compete and participate in sports just like any other child. This includes children and teens physical disabilities such as lack of full vision, loss of use of arms or legs or muscle control problems. A careful sports physical can help select the most appropriate activities and reduce the chance for problems that can occur during exercise.

If your child has a physical disability, your pediatrician is a great resource for finding the right fit if they wish to participate in sports. (Download the Preparticipation Physical Evaluation Form for Athletes With Disabilities .) They can also help you with the medical form for the Special Olympics. As with all children, the goal is to focus more on what "can" a child do rather than what "can't" a child do.

Concussions and head injuries. Any athlete with a known or possible concussion should not return to any exercise or sports without being cleared by a healthcare professional. A child who has had one or more prior concussions is at a greater risk for more concussions. A sports physical from your pediatrician can help determine best treatment if your child is still having problems from a past concussion―including headaches, trouble concentrating, trouble sleeping and irritability. Your pediatrician can determine if your child needs any adjustments with school and social activities.

Editor's Note: Six organizations contributed to the PPE's development: the AAP, American Academy of Family Physicians, American College of Sports Medicine, American Medical Society for Sports Medicine, American Orthopaedic Society for Sports Medicine and American Osteopathic Academy of Sports Medicine. The National Athletic Trainer's Association and National Federation of State High School Associations endorsed the resources.

More information

About Dr. Koutures

Chris Koutures, MD, FAAP, is a pediatric and sports medicine specialist with ActiveKidMD in Anaheim Hills, CA. In 2008, he served as the Medical Team Physician for USA Volleyball and Table Tennis in the 2008 Beijing Summer Olympics. Currently, Dr. Koutures is the team physician for the U.S. Men's and Women's National Volleyball Teams, Cal State Fullerton Intercollegiate Athletics, and Chapman University Department of Dance. Within the American Academy of Pediatrics, he is a member of the Council on Sports Medicine and Fitness Executive Committee. He has also authored over 25 published articles.

Last Updated 7/29/2025

The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.

Sports

Children develop sports skills in a sequence, so each sequence should be maxed out for that child. If each developmental stage is fully formed, your active child has the ability to more completely reach her maximum capacity for participation in sports.

American Academy of Pediatrics Releases Influenza Vaccine Recommendations for 2025-26 Season

Sat, 02 Aug 2025 19:15:48 GMT

St. Rose Pediatrics is Dedicated to the Health of All Children

Visit St. Rose Pediatrics' website HERE to schedule your appointment to receive your FALL FLU VACCINE!

Pediatricians recommend influenza vaccine for all children 6 months and older

this year, observing that the U.S. experienced a severe 2024-25 influenza season. Any vaccine appropriate for age and health status can be used.

ITASCA, IL--The American Academy of Pediatrics recommends that children and teens receive an annual influenza vaccine this fall to keep them healthy and active in the classroom as they begin a new school year.

An AAP policy statement, “Recommendations for Prevention and Control of Influenza in Children, 2025– 2026,” recommends that all people ages 6 months and older are vaccinated to protect against flu and keep their communities safe. The statement and an accompanying technical report are prepublished online in Pediatrics Monday, July 28. As a prepublication, the policies have undergone peer review and been accepted for publication but are not the final version of record. Both policies will be published in the October 2025 Pediatrics.

“Children are more likely to get sick during the school year because they are in such close proximity to each other in class, over lunch and in play areas,” said Kristina Bryant, MD, FAAP, a member of the AAP Committee on Infectious Diseases.

“Getting children vaccinated is like giving their immune system a book that teaches their bodies to recognize and resist a disease. Immunized kids are healthier kids who can focus on growing, playing, and learning.”

Policy statements and technical reports created by AAP are written by medical experts, reflect the latest evidence in the field, and go through several rounds of peer review before being approved by the AAP Board of Directors and published in Pediatrics.

The 2024–2025 influenza season was an especially high-severity season for persons of all ages, according to the Centers for Disease Control and Prevention. The CDC reported 253 influenza-related pediatric deaths through June 21,2025. Of those, 42.7% occurred in children without a high-risk medical condition.

Historically, up to 80% of influenza-associated pediatric deaths have occurred in unvaccinated or incompletely vaccinated children.

Children younger than 5 years are especially vulnerable to severe illness and hospitalizations or death due to influenza.

The AAP recommends:

Any licensed influenza vaccine appropriate for age and health status can be administered, as soon as possible in the season, without preference for one product or formulation. These include inactivated (non-live) influenza vaccine (IIV) or recombinant influenza vaccine (RIV) and live attenuated influenza vaccine (LAIV), which is a nasal spray.
Children 6 months to 8 years of age should receive two doses if this is the first time they are being vaccinated against influenza, or if they have only received one dose of flu vaccine ever before July 1. The doses are given four weeks apart.
Influenza vaccine should be offered to children as soon as it becomes available, especially to those recommended to receive 2 doses. The recommended dose(s) ideally should be received by the end of October for optimal protection before the influenza season.
Influenza vaccination should not be delayed to obtain a specific product, including a thimerosal-free product. The safety of thimerosal-containing vaccines is discussed in the technical report and in this AAP Factchecked article.
Influenza vaccine is recommended for all pregnant individuals, during any trimester of gestation, to protect against influenza and its complications. When given during pregnancy, the vaccine protects the newborn in the first months of life (up to 6 months) through transplacental passage of antibodies.
LAIV should not be used for immunocompromised persons and persons with certain chronic medical conditions.

The policy statement also discusses treatment for influenza. Parents with concerns about a child’s sickness should contact their pediatrician for guidance.

Flu symptoms often include fever, chills, headache, body aches, fatigue, sore throat, dry, hacking cough, stuffy, runny nose, vomiting, and loose stools.

“Each year, it is possible that flu, COVID-19, and other common viruses will spread at the same time,” Dr. Bryant said. “Sometimes, the vaccine is not an exact match with the strains in the community. But the vaccine still can protect against serious illness.”

The American Academy of Pediatrics is an organization of 67,000 primary care pediatricians, pediatric medical subspecialists and pediatric surgical specialists dedicated to the health, safety and well-being of infants, children, adolescents and young adults.

For Release:

7/28/2025

Media Contact:

Lisa Robinson
630-626-6084
lrobinson@aap.org

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We're 67,000 pediatricians committed to the optimal physical, mental, and social health and well-being for all infants, children, adolescents, and young adults.

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EXERCISE & LIMITED HEALTHY MEDIA = HEALHY KIDS

Tue, 29 Jul 2025 04:47:13 GMT

MAKE YOUR HEALTHY FAMILY MEDIA PLAN ~ TEMPLATE HERE

The body content of your post goes here. To edit this text, click on it and delete this default text and start typing your own or paste your own from a different source.

Family Media Plan

Media is everywhere, and managing it all can be tough. Creating a Family Media Plan can help you and your children set media priorities that matter most to your family. Come back to revise your plan as often as you need to, such as at the beginning of each school year or during summer and holiday breaks.

Here's how it works

Since media habits are different for every household, the Family Media Plan can be customized to meet your family's needs. Make a full plan, or just choose a few parts that matter the most to your family.

The Family Media Plan includes:

A list of media priorities to choose from
Practical tips to help make the plan work
Why it's important
The ability to print or share your finished plan
The option to save your plan and return as often as you'd like to make changes.

STUDIES SHOW:

Regular exercise and physical activity offer significant mental health benefits for children, including improved mood, reduced anxiety and depression, and better cognitive function. These benefits extend to children with and without mental health conditions. Even low-to-moderate intensity activities, like walking, can have positive impacts.

Specific benefits include:

Improved Mood:
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Exercise releases endorphins, which have mood-boosting effects.
Reduced Anxiety and Depression:
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Physical activity can be a powerful tool in managing and preventing anxiety and depression in children.
Enhanced Cognitive Function:
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Exercise can improve attention, memory, and processing speed, particularly helpful for children with ADHD.
Better Classroom Behavior and Academic Performance:
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Studies show that physically active children tend to exhibit better classroom behavior and academic achievement.
Increased Self-Esteem and Confidence:
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Engaging in physical activity, especially team sports, can boost a child's self-esteem and confidence.
Improved Social Skills:
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Team-based activities can help children develop social skills, learn to cooperate, and manage emotions like disappointment.
Reduced Risk of Mental Health Disorders:
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Research suggests that higher levels of physical fitness, including cardiorespiratory fitness and muscular strength, may be associated with a lower risk of developing mental health disorders like anxiety and depression.

What Parents Can Do:

Make it fun: Encourage children to participate in activities they enjoy, whether it's playing games, dancing, or sports.
Be active role models: Lead by example by engaging in physical activity yourself.
Make it a family affair: Go for walks, play active games together, or explore nature trails as a family.
Find opportunities: Consider after-school activities, sports teams, or community programs.
Start small and be consistent: Even short periods of physical activity can have a positive impact.
Focus on enjoyment: Prioritize activities that children find fun and engaging rather than focusing solely on high-intensity or competitive sports.

DON'T FORGET!

Schedule your Back to School Physical with your pediatrician now.

As July is the ideal time to schedule back-to-school physicals, it

is recommended that you schedule your child's appointment with their

pediatrician now to ensure you can secure an appointment time.

Scheduling the physical early, especially during the summer

months, can help you to avoid the rush of the late summer season, when doctors'

offices tend to be busiest. This means you'll have more flexibility in choosing

a convenient appointment time for you and your child.

Another benefit of scheduling early is that it allows ample time

for any necessary follow-up care or testing that may be identified during the

physical. Catching potential health issues early, such as vision problems or

scoliosis, can make a difference in a child's overall well-being and academic

success.

Note: If your child participates in sports, remember to mention

this when you schedule their appointment. A sports physical, which is often

combined with a back-to-school physical, may be required by their school or

athletic program.

What to Expect During a Back-to-School Physical:

Medical History Review: The provider will discuss your child's past illnesses, allergies, and family health history.
Vital Signs: Height, weight, blood pressure, and pulse will be measured.
Physical Exam: The provider will check your child's heart, lungs, ears, eyes, nose, throat, and musculoskeletal system.
Vision and Hearing Screening: Simple tests can identify vision or hearing changes that may affect schoolwork.
Immunizations: The provider will review your child's immunization records and administer any necessary vaccines.
Sports Physicals: If your child is participating in sports, the provider will assess their physical fitness and readiness for athletic activities.
Mental Health Screening: The provider may also screen for any potential mental health concerns.

Why are they important?

Ensure overall health:

These physicals help identify potential health issues early on, allowing for timely intervention and treatment.
Meet school requirements:

Most schools require proof of a recent physical exam before a child can attend classes or participate in sports.
Promote healthy habits:

The provider can offer guidance on nutrition, exercise, and other healthy habits to help your child thrive.

When to schedule:

It's best to schedule back-to-school physicals a few weeks before the start of the school year to avoid the last-minute rush.
Many urgent care centers offer walk-in appointments for physicals.

What to bring:

Updated vaccine records: Make sure to bring your child's immunization records.
School or sports forms: Bring any forms that need to be completed by the provider.
Medication list: Bring a list of any medications your child is currently taking

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SCHEDULE YOUR CHILD'S BACK-TO-SCHOOL PHYSICAL TODAY!

Tue, 15 Jul 2025 17:00:20 GMT

Schedule your child's Back-to-School Physical Today to secure your appointment times...

Schedule your Back to School Physical with your pediatrician now.

As July is the ideal time to schedule back-to-school physicals, it

is recommended that you schedule your child's appointment with their

pediatrician now to ensure you can secure an appointment time.

Scheduling the physical early, especially during the summer

months, can help you to avoid the rush of the late summer season, when doctors'

offices tend to be busiest. This means you'll have more flexibility in choosing

a convenient appointment time for you and your child.

Another benefit of scheduling early is that it allows ample time

for any necessary follow-up care or testing that may be identified during the

physical. Catching potential health issues early, such as vision problems or

scoliosis, can make a difference in a child's overall well-being and academic

success.

Note: If your child participates in sports, remember to mention

this when you schedule their appointment. A sports physical, which is often

combined with a back-to-school physical, may be required by their school or

athletic program.

What to Expect During a Back-to-School Physical:

Medical History Review: The provider will discuss your child's past illnesses, allergies, and family health history.
Vital Signs: Height, weight, blood pressure, and pulse will be measured.
Physical Exam: The provider will check your child's heart, lungs, ears, eyes, nose, throat, and musculoskeletal system.
Vision and Hearing Screening: Simple tests can identify vision or hearing changes that may affect schoolwork.
Immunizations: The provider will review your child's immunization records and administer any necessary vaccines.
Sports Physicals: If your child is participating in sports, the provider will assess their physical fitness and readiness for athletic activities.
Mental Health Screening: The provider may also screen for any potential mental health concerns.

Why are they important?

Ensure overall health:

These physicals help identify potential health issues early on, allowing for timely intervention and treatment.
Meet school requirements:

Most schools require proof of a recent physical exam before a child can attend classes or participate in sports.
Promote healthy habits:

The provider can offer guidance on nutrition, exercise, and other healthy habits to help your child thrive.

When to schedule:

It's best to schedule back-to-school physicals a few weeks before the start of the school year to avoid the last-minute rush.
Many urgent care centers offer walk-in appointments for physicals.

What to bring:

Updated vaccine records: Make sure to bring your child's immunization records.
School or sports forms: Bring any forms that need to be completed by the provider.
Medication list: Bring a list of any medications your child is currently taking

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Healthy Mental & Emotional Development: 4 Key Building Blocks

Fri, 27 Jun 2025 22:35:53 GMT

Healthy Mental & Emotional Development: 4 Key Building Blocks

Children, teens and their families are facing a lot of stress and other challenges to mental wellness. The good news is that there are ways to promote mental health during tough times. In fact, parents and caregivers have powerful tools that can help kids build resilience and thrive no matter what life throws their way.

Positive experiences and safe, stable relationships help children develop skills they need to manage their emotions , solve problems, communicate and develop close connections with others. The process of gaining these and other critical skills is called healthy mental and emotional development.

Read on to learn about key building blocks of healthy mental and emotional development in children. Also find tips to reinforce them in your family's day-to-day routines.

1. Safe, stable, nurturing relationships in the family

Relational health is the ability to form safe, stable and nurturing relationships . Relational health is essential to healthy mental and emotional development. When children feel safe, secure and well connected with their caregivers, they learn to trust others, make friends and manage their feelings.

Here are some ways parents can help:

Create predictable routines.

Structured routines give children a sense of stability and connection.

Have meals together. Especially with older kids, family meals are a great time to check in with each other. They may not always be possible with busy schedules, but plan them when you can.
Establish a regular bedtime ritual . For young children, a bedtime routine might include a bath, brushing teeth and reading a book together before tuck-in. Bonus: prioritizing sleep makes it easier to deal with everyday pressures.
Encourage a homework routine. Planning when and where to work on schoolwork are time management skills that ease stress . It also helps kids find time to practice self-care and more time to connect with family and friends.
Create a chores routine: Having age-appropriate chores promotes a sense of responsibility, belonging and contribution to the family. Kids gain confidence in completing tasks, which builds self-esteem .

Plan time for play.

Play lets children explore emotions even before they have the words to express themselves. It also gives them a sense of control in their world. For older kids and teens, planning special family fun time strengthen relationships.

Dedicate 10-15 minutes two to three times a week to play with younger kids. Name this special time after the child, like "Roberto's Time."
Set rules for one-on-one time. Let your child choose the activity. Put away phones . Make the time unstructured with toys and activities that can promote cooperative play and problem-solving .
Focus on fun. The goal is to share joy and connect. Play regularly—not just as a reward for good behavior . Bonds you build in these moments lay ground for healthy relationships in life.
Schedule time for family fun. Mark game nights or other family activities on your calendar so that everyone can look forward to relaxing together.

Use positive parenting techniques.

Positive discipline strategies help teach children and teens to manage their behavior in a healthy way.

Set limits & consequences. Have clear and consistent rules. Describe these rules in age-appropriate terms that your child or teen can follow. Calmly explain consequences if they aren't followed.
Model behavior you want your child to show. When you feel frustrated, try to respond calmly. Instead of saying, "You are driving me crazy," for example, express your actual feelings: "I'm really frustrated right now." This teaches kids to say what they feel instead of critical or hurtful statements.
Try "sportscasting." Provide a "play by play" of what you see your child doing. Speak in a neutral or positive tone. This conveys to the child: "I see you, I hear you and I delight in you."
Point out positive behavior. Children and teens need to know when they do something wrong—and when they do something good. Praise success and good tries, and be specific. ("Wow, I love how you shared your favorite toy with your friend!" or, "I like how you cleaned up the kitchen after dinner—it's so helpful when you do that.")

2. Open communication

Feeling free to express their thoughts and feelings helps kids process emotions in healthy ways. Open communication also strengthens parent-child bonds .

Start "conversations" early.

"Talking" with your baby lays a foundation for language development, as well as expressing feelings.

Narrate your actions, describe objects and sing songs. Hearing you talk —the sounds and rhythms of speech, the look on your face and the way you hold them —teach babies about emotional expression.
Keep the back-and-forth going. When your baby babbles, coos or flashes you a smile , don't hesitate to respond! Make eye contact and reply with smiles, nods and other facial expressions. This makes your baby feel connected and understood.

Make time to listen.

Make yourself available any time your child wants to talk. Remember that no matter how big their problems seem, what children and teens most want is love and support .

Encourage open dialogue by actively listening. Create a supportive and non-judgmental environment so they are comfortable sharing thoughts, feelings and concerns.
Remember that any time can be chat time. Chat in the car or when doing dishes together, for example. Take walks together, which offer time to talk plus physical and mental health boosts from exercise and time outdoors .
Ask open-ended questions. Instead of asking yes-or-no questions, ask ones that require more detailed answers. These encourage your child to share more thoughts and feelings.

3. Learning to understand & manage emotions

When kids learn to understand and manage their emotions , they can better avoid being overwhelmed by them. " Emotion coaching " can help:

Acknowledge the emotion. (You might say, "Wow, I see that you have some big feelings now," or "I know you feel bad about having to stop your game you wanted to finish.")
Name the emotion. Put your child's emotion into words. ("You look mad/angry/scared/disappointed/frustrated.") For younger children, color zones can help label emotions.
Validate the emotion. Let them know that emotions are OK, even if behavior is wrong. ("It makes sense that you feel [EMOTION] because of [REASON].")
Meet the need of the emotion.
If your child or teen is sad, provide comfort.
If they are afraid, provide security.
If they are angry, provide kindness and boundaries.

Share coping & "calm down" techniques.

Some tools that can calm body and mind during stressful times:

Deep breathing. Breath slowly to calm down body. Try "box" breathing : Breathe in to a count of 4, hold for a count of 4, and breath out to a count of 4.
Muscle relaxation. Lie flat and tighten sections of the body from toes to the head. Hold for a few seconds, then release the muscles.
Mental imagery. Close eyes and imagine a relaxing, happy and comfortable place.

4. Social relationships at school or in the community

Developing strong, healthy social relationships provides a support system for your child's mental and emotional development.

Foster friendships.

Developing friendships help kids learn to understand and connect with others in positive ways.

By the time your child is 2 or 3 years old , consider inviting another child to play. This is a great way for kids to develop and build friendships. Playdates also can lead to trusted connections with other parents, which makes it easier to raise our children.
Encourage your older child or teen to invite friends over or meet up with peers at the park or the movies.

Encourage your child to get involved.

Kids who are active in their community will do better in school , find it easier to stay out of trouble and be less likely to have depression or suicidal thoughts .

Encourage your child to try extracurricular activities, clubs or sports teams , for example. This helps them discover what they enjoy, meet peers with similar interests and develop friendships.
Ask about volunteer opportunities at school or your family's place of worship, for example. By helping others in the community, children and teens learn self-confidence and how to work with others.

Help your child develop empathy, respect & acceptance.

Recognizing the viewpoints and feelings of others helps kids learn to manage their own emotions. Respecting differences also helps children to embrace their own identities and feel valued for who they are.

Introduce your child to diverse cultures and backgrounds through books , movies, music and community events. Discuss different perspectives and feelings in various situations.
Let them see you treat everyone with kindness , regardless of differences.

Connect with teachers & community leaders.

This helps you stay aware of challenges your child may be facing.

Keep in touch with teachers, school counselors and other adults in your child's life. Work together to address any concerns.
Talk with your child's pediatrician to discuss whether they may need more support .

Last Updated 10/9/2024

Source American Academy of Pediatrics (Copyright @ 2024)

Addressing Childhood Obesity is Complex and Requires a Holistic Approach

Sat, 21 Jun 2025 18:04:02 GMT

Childhood Obesity Prevention

The Claim in Context:

The American Academy of Pediatrics provides recommendations to support healthy living and help prevent obesity. When treating children and teens already experiencing obesity, pediatricians may offer intensive health behavior, nutrition counseling and lifestyle treatment. Medication and surgery are also safe, effective and evidence-based strategies that can be incorporated into a comprehensive treatment program for children with obesity, individualized to the needs of the patient and family.

Key Facts:

Obesity is a complex and multifaceted problem with no simple solution, and the longer it is left untreated, the more challenging it becomes.
Prevention at the individual and family level begins with high quality nutrition, physical activity, and adequate sleep, along with a positive approach to screen use and social-emotional wellness.
The causes of obesity are not limited to just individual or family factors, such as genetics, nutrition and physical activity. Other factors include affordability and accessibility to healthy foods; safe physical environments that allow for active play; and addressing sources of toxic stress, which can affect the hormones that regulate weight.
Obesity is a chronic disease that can adversely affect the physical and mental health of children and adolescents and carry into adulthood.
The foundational approach to any treatment plan is intensive health behavior and lifestyle treatment in partnership with pediatricians and other pediatric health care providers.
Healthy weight interventions are most effective when they involve the whole family and focus on behavior changes rather than weight alone.
AAP’s recommendations to prevent and treat obesity are based on research that supports what strategies are most effective in pediatric populations. This includes AAP’s recommendation that pediatricians take a holistic approach starting with an understanding of the individual child, their family and their environment, and creating a customized plan for that family.
Medication and surgery may be offered as part of a broader treatment plan, if the family and pediatrician agree on the approach. First, they take into account factors that include the patient’s age, obesity severity, and other medical conditions.

Evidence Snapshot

The current and long-term health of 14.4 million children and adolescents is affected by obesity, making it one of the most common pediatric chronic diseases in the United States. Research shows healthy eating, physical activity, adequate sleep and family meals specifically help achieve both goals. When treating a child or teen already diagnosed with obesity, evidence supports the effectiveness of intensive health behavior and lifestyle treatment, including 26 or more hours of face-to-face, family-based counseling on nutrition and physical activity over at least a 3- to 12-month period. Evidence also points to the effectiveness of medication or surgery as a part of the overall treatment plan for some children and teens. AAP recommends pediatricians take a comprehensive, holistic approach based on these proven strategies.

Why It Matters:

Nearly 1 in every 5 U.S. children ages 2 –19 have obesity , and the rates are higher for children who are Black or Hispanic according to the Centers for Disease Control and Prevention. These children are at much higher risk for developing serious medical conditions that traditionally were associated more closely with adults. Through evidence-based treatment options, we can not only address obesity but also prevent other chronic conditions such as high blood pressure, high cholesterol, type 2 diabetes and breathing problems such as asthma and sleep apnea. But actions by individuals are not enough. Policy and systems changes are needed to improve food quality and access, the availability of safe and developmentally appropriate physical activity and support of social emotional wellness. Children and youth, families, and pediatric professionals should not have to tackle this disease by themselves.

Experts Say:

“Addressing the rise in obesity rates requires both prevention and treatment, as well as policy-level changes to support healthy lifestyles. This includes nutrition, ample opportunities for safe and enjoyable physical activity, an environment that promotes quality and sufficient sleep, and positive supports to promote social and emotional wellness. At the same time, young people who have obesity should be offered intensive health and behavior lifestyle treatment.”

— Sandy Hassink, MD, FAAP, medical director of the AAP Institute for Healthy Childhood Weight Leadership and an author of the AAP clinical practice guidelines on obesity treatment.

https://www.aap.org/en/news-room/fact-checked/fact-checked-addressing-childhood-obesity-is-complex-and-requires-a-holistic-approach/

childhood obesity prevention

Preventing childhood obesity: a comprehensive approach

Childhood obesity is a significant public health concern with various contributing factors, including genetics, lifestyle habits, and environmental influences. Addressing this complex issue requires a multi-pronged approach involving families, schools, communities, and healthcare professionals.

Here are some key strategies for preventing childhood obesity:

1. Promoting healthy eating habits

Offer balanced meals and snacks: Provide a variety of fruits, vegetables, whole grains, lean protein, and low-fat dairy products. Aim to make fruits and vegetables fill half the plate.
Limit unhealthy foods and drinks: Reduce the intake of sugary drinks, fast food, and snacks high in saturated fat, sodium, and added sugar.
Encourage mindful eating: Teach children to eat slowly and recognize their body's hunger and fullness cues.
Be a role model: Parents and caregivers who adopt healthy eating habits set a positive example for children.
Avoid using food as a reward or punishment: This can create an unhealthy relationship with food.

2. Encouraging physical activity

Promote regular physical activity: Children aged 3-5 should be physically active throughout the day, while children aged 6-17 need at least 60 minutes of physical activity daily.
Make it a family affair: Engage in activities like walking, biking, playing sports, or doing active chores together.
Limit screen time: Reduce leisure screen time (TV, video games, etc.) to less than two hours per day for children aged 2 and older. Avoid screen time for children under 24 months.
Create opportunities for physical activity: Ensure access to safe playgrounds, parks, and recreational facilities in the community.
Integrate physical education into school curriculum: Schools play a crucial role in providing regular physical activity opportunities for students.

3. Prioritizing healthy sleep

Establish consistent sleep routines: Adequate sleep duration is important for healthy growth and development, and can impact appetite regulation.
Ensure sufficient sleep: Preschoolers need 11-13 hours of sleep per day (including naps), children aged 6-12 need 9-12 hours, and teenagers aged 13-18 need 8-10 hours.

4. Addressing social and environmental factors

Promote breastfeeding: Breastfeeding may lower the risk of obesity later in life.
Consider socioeconomic and cultural factors: Interventions need to be tailored to meet the needs of diverse populations, addressing factors like food access, safety, and cultural dietary practices.
Support healthy school environments: Schools can implement policies and practices to promote healthy eating and physical activity, such as offering healthy meal options and increasing physical activity opportunities.
Advocate for policies that support healthy choices: This includes policies that encourage access to healthy and affordable food, safe places to be active, and limit unhealthy food marketing targeted at children.

5. Seeking professional guidance

Consult with healthcare professionals: If you have concerns about your child's weight, talk to their pediatrician or healthcare provider.
Consider family healthy weight programs (FHWP): These programs offer a comprehensive, family-based approach to promote healthier lifestyles and manage weight.

The role of schools

Schools are a vital setting for obesity prevention due to their reach and ability to influence children's health behaviors. Effective school-based interventions often involve a comprehensive approach that includes nutritional education, physical activity programs, and policy changes.

Conclusion

Preventing childhood obesity requires a collaborative and multifaceted effort. Healthy habits can be built by focusing on healthy eating, regular physical activity, and adequate sleep. Addressing social and environmental influences and seeking professional guidance when needed are also important

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Swim Lessons: When to Start & What Parents Should Know

Tue, 10 Jun 2025 17:09:23 GMT

Swim Lessons: When to Start & What Parents Should Know

Learning to swim should be a priority for every family. It's an important life skill that can play a key role in helping to prevent drowning―a top cause of death among children. Children, and their parents, need to learn how to swim to help keep time in the water safe and fun!

Here are some tips from the American Academy of Pediatrics (AAP) on the best time to start swim lessons and what to look for in a quality learn-to-swim program.

When should my child learn to swim?

Children develop at different rates, and not all are ready to begin swim lessons at exactly the same age. When making your decision, keep your child's emotional maturity, physical and developmental abilities and limitations, and comfort level in the water in mind.

The AAP recommends swim lessons as a layer of protection against drowning that can begin for many children starting at age 1 .

Parent-child toddler & preschool swim classes: beneficial for many families

Studies suggest that water survival skills training and swim lessons can help reduce drowning risk for children between ages 1-4. Classes that include both parents and their children also are a good way to introduce good water safety habits and start building swim readiness skills. If your child seems ready, it's a good idea to start lessons now.

Swim lessons for children ages 4 and up: a must for most families

By their 4th birthday , most children are ready for swim lessons. At this age, they usually can learn basic water survival skills such as floating, treading water and getting to an exit point. By age 5 or 6 , most children in swim lessons can master the front crawl. If your child hasn't already started in a learn-to-swim program, now is the time!

Does AAP recommend infant swim classes?

No, because there is currently no evidence that infant swim programs for babies under 1 year old lower their drowning risk. Infants this age may show reflex "swimming" movements but can't yet raise their heads out of the water well enough to breathe. It's OK to enroll in a parent-child water play class to help your infant get used to being in the pool, though; this can be a fun activity to enjoy together.

Remember, swim lessons don't make kids "drown proof."

Always keep in mind that swim lessons are just one of several important layers of protection needed to help prevent drowning. Another layer includes constant, focused supervision when your child is in or near a pool or any body of water. It also is essential to block access to pools during non-swim time . The Consumer Product Safety Commission found that 69% of children under the age of 5 years were not expected to be in the water at the time of a drowning.

How to supervise your child in or near water

Proper supervision in the water—even if your child is learning how to swim―is one of the most important ways to help prevent drowning. Drowning is quick, silent, and much more common than most families realize. It happens every day to children with loving, attentive parents and caregivers.

To effectively supervise and keep your child safe during swim time, keep in mind:

Pay close, constant attention. Do not get distracted with other activities (such as reading, playing games, using the cellphone, or mowing the lawn), even if lifeguards are present.
Avoid using alcohol or drugs around the water, especially when supervising others.
For younger children and weak swimmers, get in the water with them. "Touch supervision" is essential! Even if you are not swimming but there is a pool or body of water nearby, always keep children within arm's reach. If you must leave, take the child with you.
Don't leave a baby or young child in or near any body of water under the care of another child.
Especially during parties or picnics at the pool or lake, when it's easy to get distracted, assign a "water watcher" whose job is to constantly keep eyes on the child in or near the water. Take turns, passing along a water watcher card to the next responsible adult after a set time (such as 15 minutes).
Remember that the primary drowning risk for toddlers age 1-4 is unanticipated, unsupervised access to water. Children are naturally curious and commonly slip away unnoticed during non-swim times.
Always use life jackets when in, on or near natural bodies of water, such as lakes or rivers. Make sure they fit properly and are approved by the U.S. Coast Guard. Children. Weak swimmers should also wear life jackets when at a pool or water park.
Know how to recognize signs of distress and respond when there is trouble. Everyone, including parents, caregivers and older children, should learn CPR and safe rescue techniques to respond to a drowning incident. Water safety is a family affair!

What to remember about swim lessons for kids

Enrolling in quality swim lessons―once your child is ready for them―is one of several essential ways to help prevent drowning. And if you haven't learned to swim yet yourself , now is the perfect time for you to take lessons, too! Talk with your pediatrician if you have any questions about whether your child is developmentally ready for swim lessons and how to find a quality program for your family.

What should I look for when choosing swim lessons?

Look for classes and instructors that follow guidelines focused not just on swim stroke techniques, but broader water survival competency skills . All children should learn how to get back to the surface from under water, propel themselves at least 25 yards, and get out of the water, for example. Instructors should evaluate children's progress and give ongoing feedback on their skill levels.

For children of all ages, look for programs that:

Have experienced, qualified instructors . Swim instructors should be trained and certified through a nationally recognized learn-to-swim curriculum. There should also be lifeguards on duty who have current CPR and First Aid certification.
Teach good safety habits in, on, and near water . Children should learn to never swim alone or without adult supervision. Instructors should teach children to always ask for permission from parents, lifeguards, or swimming instructors before they get into a pool or natural bodies of water like a lake.
Teach what to do if they end up in the water unexpectedly . This includes practicing water competency skills such as self-rescue. Lessons should provide training with a variety of realistic conditions, such as falling in and swimming in clothes. Older children also should learn what to do if they see someone else in the water who is struggling, and how to get help.
Let you watch a class first to see first-hand if it is right for your child . Not all swim lessons are created equal, and parents should investigate options to choose the best fit. Are they swimming most of the time, or are there long periods of inactivity where they are waiting for their turn? Do children get one-on-one attention? Are the instructors friendly and knowledgeable?
Require multiple sessions . Once children start lessons, you should be able to see gradual but consistent progress in their abilities over time. Continue lessons at least until your they master basic water competency skills.

In addition, for children under age 4, look for programs that:

Provide an age-appropriate atmosphere . Your child should feel safe and secure during lessons, with activities that support their social, intellectual, physical, and emotional development. However, children need to develop a healthy respect for water, as well.
Include "touch supervision." Whenever infants and toddlers are in or around water—even during swim lessons―an adult should be within arm's reach to provide "touch supervision." Parent participation should be encouraged, especially since it also helps families know what to practice in between classes. If you can't be in the water with your child, look for private classes that offer 1-on-1 instruction.
Maintain water purity . Young children are more likely to swallow or breathe in water, so water disinfection and maintaining proper chlorine levels is really important. A good program should also require the child to wear a swimsuit that is snug-fitting at the legs to help avoid spreading body waste into the water.
Keep the water warm . Hypothermia is a greater risk at this age. Ideally, swim and water safety classes for children age 3 and younger should be in water heated to 87 to 94 degrees Fahrenheit.

When the cost of swim lessons is a concern

If you're worried your family can't afford swim lessons, check with your city government. Many towns have scholarship programs that help cover the cost of swim lessons held at public pools. Reach out to qualified instructors about possible payment plans or scholarship options.

Key considerations for parents

Age and Developmental Readiness: While younger children may enjoy splashing and getting comfortable in the water, formal lessons focused on survival skills and stroke development are typically more effective for children aged 3 or 4 and older.
Water Safety is Paramount: Swim lessons are an important layer of protection against drowning, but they do not make a child "drown-proof." Close, constant, and undistracted adult supervision is essential whenever children are in or near water, according to HealthyChildren.org .
Choosing a Quality Program: Look for swim schools with certified instructors, a clear curriculum, appropriate class sizes (especially for young children), a focus on safety, and positive reviews, according to SwimRight Academy .
Familiarization and Preparation: Talk to your child about the lessons, visit the pool beforehand if possible, and pack the necessary essentials (swimsuit, towel, etc.) to help them feel prepared and at ease for their first class.
Parental Involvement: Participate in or observe early lessons, particularly for infants and toddlers, to reinforce skills and build a positive relationship with the water.
Patience and Encouragement: Learning to swim takes time and consistent practice. Be patient, offer positive reinforcement, and celebrate milestones to foster a positive learning experience for your child.
Beyond Lessons: Continue to practice water safety measures even after your child learns to swim, including fencing pools, using approved life jackets when appropriate, and supervising children closely, according to Zero to Three .

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Therapy dogs may help ease children’s anxiety in ER

Tue, 03 Jun 2025 22:03:01 GMT

Therapy dogs may help ease children’s anxiety in ED

May 1, 2025

Sean Stangland, Associate Editor PDF Icon

Article type: Health Briefs

Topics:

Emergency Medicine

Psychiatry/Psychology

Psychosocial Issues

Therapeutics

Ten-minute sessions with therapy dogs in an emergency department (ED) were associated with a “modest but significantly greater reduction” in anxiety levels reported by children compared to levels in patients who didn’t interact with the dogs, according to a recent study.

Studies have shown that exposure to therapy dogs in nonemergency care settings is associated with reduced anxiety in children with psychiatric disorders, autism spectrum disorders and chronic conditions.

The authors of this study sought to determine if the same was true for patients in a children’s hospital emergency department.

They conducted a randomized trial of 80 children ages 5-17 with suspected moderate to high anxiety. Forty children in the control group received a child-life therapy visit, in which a specialist used play, audiovisual distractions and other techniques to help calm fear and anxiety. Forty children in the intervention group received child-life therapy and were visited by a therapy dog and its handler.

Parents and children in both groups rated the child’s anxiety on a 10-point scale (0=no pain) before the therapy visit (T0) and 45 minutes after (T1).

At T0, the mean self-reported anxiety score was 5.5 in the control group and 5.4 in the intervention group. The mean child anxiety scores reported by parents were 6.3 for the control group and 6.6 for the intervention group.

At T1, children in the control group reported a mean decrease of 1.5 points, and the intervention group reported a mean decrease of 2.4. Parents estimated greater decreases of 2.2 (control group) and 3.2 (intervention group).

“(W)hen anxious children were exposed to an additional experience with a certified therapy dog and handler, they reported a statistically significant decrease in anxiety 45 minutes later,” the authors wrote.

They also found the intervention group required fewer behavioral medications like ketamine, lorazepam, midazolam and droperidol during their ED stay, “although this change was not significantly different from the control group.”

The authors noted that the intervention group was notified of the dog’s visit ahead of time, which could have led to an overestimation of effects. The study also did not measure the impact of therapy dogs when child-life therapy was not administered.

A randomized clinical trial suggests that the use of therapy dogs in a pediatric emergency department (ED) can help reduce both child-reported anxiety and parental perception of that anxiety. The study, which included 80 children aged 5 to 17, found that children who interacted with a therapy dog experienced a greater decrease in anxiety levels compared to those receiving only standard child-life therapy.

Specifically, the study showed that children who interacted with a therapy dog experienced a greater decrease in anxiety as measured by a FACES scale, a self-reporting scale ranging from 0 (no anxiety) to 10 (very severe anxiety). Additionally, parents of children who interacted with the therapy dog reported a greater perceived decrease in their child's anxiety. While there was a reduction in the use of medication to manage severe anxiety in the therapy dog group, the difference was not considered statistically significant.

This research supports the use of therapy dogs as a way to minimize pain and anxiety in pediatric emergency patients, potentially reducing the need for chemical or physical restraints. Animal-assisted therapy, including therapy dogs, has been shown to offer emotional support, reduce anxiety, and enhance social skills for children. Other studies have also explored the positive impact of therapy dogs in hospitals and other settings.

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Staying informed about COVID is essential for safeguarding your family's health and the well-being of our loved ones.

With the ever-evolving nature of the pandemic, reliable information is our strongest ally in navigating these challenging circumstances.

That's why we're excited to remind you about the invaluable resources available from the Centers for Disease Control and Prevention (CDC). As the leading national public health institute of the United States, the CDC continues to provide up-to-date guidance, research, and tools to help us combat COVID effectively.

What Can You Find on the CDC Website?

The CDC website serves as a comprehensive hub of information, offering a wealth of resources tailored to meet the diverse needs of individuals, families, healthcare professionals, and communities. Here are just a few highlights of what you can discover:

COVID-19 Overview: Access the latest data and insights into the current state of the pandemic, including transmission rates, variants of concern, and vaccination progress.

Prevention and Safety Guidelines: Learn about best practices for preventing the spread of COVID-19, including mask-wearing, hand hygiene, social distancing, and vaccination.

Vaccine Information: Get the facts about COVID-19 vaccines, including eligibility criteria, safety profiles, and frequently asked questions.

Resources for Specific Groups: Whether you're a parent, educator, business owner, or healthcare professional, find tailored resources to address your unique concerns and responsibilities.

Travel Guidance: Stay informed about travel recommendations, restrictions, and safety measures to minimize the risk of COVID-19 transmission during your journeys.

Community Support and Resources: Access resources for coping with the mental and emotional toll of the pandemic, as well as guidance for supporting vulnerable populations.

How to Access CDC Resources:

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Welcome To Our Practice News

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We are thrilled to provide Practice News on our website. We understand the unique joys and challenges that come with raising healthy, happy kids. Through our news section, we aim to provide valuable insights, practical tips, and advice to empower parents in making informed decisions about their children's health and well-being.

With years of experience in pediatric medicine and a dedication to promoting child wellness, we are here to guide you through every stage of your child's development.

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My One-of-a-Kind Body: The Ultimate Guide to Caring for Me

My One-of-a-Kind Body: The Ultimate Guide to Caring for Me [Paperback]

Sports Physicals

Children develop sports skills in a sequence, so each sequence should be maxed out for that child. If each developmental stage is fully formed, your active child has the ability to more completely reach her maximum capacity for participation in sports.

Sports Physical: When, Where, Who Should Do It?

Sports

American Academy of Pediatrics Releases Influenza Vaccine Recommendations for 2025-26 Season

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EXERCISE & LIMITED HEALTHY MEDIA = HEALHY KIDS

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SCHEDULE YOUR CHILD'S BACK-TO-SCHOOL PHYSICAL TODAY!

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Healthy Mental & Emotional Development: 4 Key Building Blocks

Healthy Mental & Emotional Development: 4 Key Building Blocks

Addressing Childhood Obesity is Complex and Requires a Holistic Approach

Childhood Obesity Prevention

Swim Lessons: When to Start & What Parents Should Know

Swim Lessons: When to Start & What Parents Should Know

When should my child learn to swim?

Parent-child toddler & preschool swim classes: beneficial for many families

Swim lessons for children ages 4 and up: a must for most families

Does AAP recommend infant swim classes?

Remember, swim lessons don't make kids "drown proof."

How to supervise your child in or near water

To effectively supervise and keep your child safe during swim time, keep in mind:

What to remember about swim lessons for kids

What should I look for when choosing swim lessons?

For children of all ages, look for programs that:

In addition, for children under age 4, look for programs that:

When the cost of swim lessons is a concern

Therapy dogs may help ease children’s anxiety in ER

Therapy dogs may help ease children’s anxiety in ED

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