Comprehensive Evaluation and Stepwise Management of Pediatric Obesity (Stigma-Free Approach) Lea este articulo en español: Version Español Childhood obesity is a chronic, multifactorial, relapsing disease defined by excess adiposity that harms health; in pediatrics we operationalize it using BMI-for-age percentiles (overweight ≥ 85th to < 95th; obesity ≥ 95th; severe obesity at higher cut points), […]
A Public Health, Epidemiological, and National Security Analysis of the Strategic Impact of Childhood Obesity in the 21st Century For many years, claiming that childhood obesity could become a national security issue might have sounded like rhetorical exaggeration. Today, however, that statement is not only defensible — it is verifiable through official data from the […]
Recent Evidence, Clinical Updates, and Shared Responsibility in Addressing a Persistent Epidemic Childhood obesity in the United States can no longer be understood as an individual behavioral deviation or simply the consequence of isolated dietary choices. It is a chronic, multifactorial condition affecting approximately one in five children and adolescents, with a concerning proportion progressing […]
The recent publication by the World Health Organization (WHO) on healthy school food environments confirms a reality pediatricians witness every day: children do not independently choose what they eat — they make decisions within a system. The guideline, published on January 27, 2026, begins with a simple yet powerful observation: children spend a significant portion […]
Childhood malnutrition can no longer be understood solely as undernutrition. UNICEF’s Feeding Profit report marks a historic turning point: in 2025, obesity among school-aged children and adolescents surpassed underweight worldwide for the first time. According to the report, 188 million children and adolescents aged 5 to 19 were living with obesity, and global prevalence increased […]
Nutrition During the First Year of Life: Scientific and Practical Recommendations for Parents and Medical StudentsBy Dr. Ismael Perdomo – Pediatrician | EpidemiologistIntroduction The first year of life is a period of accelerated and comprehensive development in which the foundations of physical growth, neurological maturation, immune function, intestinal microbiota, eating habits, emotional bonding, and future […]
GLP-1 Receptor Agonists (2026 Review, PMC) and What Changes in Clinical Practice Read this article in Spanish: Spanish Version Pediatric obesity is associated with insulin resistance, dyslipidemia, hypertension, sleep apnea, liver dysfunction, and significant psychosocial distress. When obesity progresses during adolescence, its “carryover effect” into adulthood substantially increases the risk of type 2 diabetes and […]
By Ismael Perdomo Medical Doctor (MD), Pediatric Specialist, Epidemiologist The duration of breastfeeding has been associated in multiple studies with superior cognitive development in children, even after adjusting for key variables such as socioeconomic status and maternal intelligence. A recent study from the Millennium Cohort Study (United Kingdom) found advantages in verbal and spatial performance […]
By Ismael Perdomo Physician and General Surgeon | Specialist in Pediatrics and Epidemiology Scientific Foundations, Long-Term Impact, and Comprehensive RecommendationsIntroduction Between 2 and 5 years of age, children experience steady growth, consolidate essential motor and cognitive skills, develop feeding autonomy, and begin shaping their taste preferences and dietary habits. This stage, often underestimated in its […]
Clinical and Epidemiological Interpretation of the 2025 AASLD Practice Statement on the Evaluation and Management of MASLD in Children Read this article in Spanish: MASLD en pediatría: del “hígado graso” a un síndrome cardiometabólico que exige acción temprana MASLD (Metabolic dysfunction–Associated Steatotic Liver Disease) is the term that now replaces the former designation NAFLD (Non-Alcoholic […]
