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 […]
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 […]
By Dr. Ismael Perdomo Pediatrician – Epidemiologist Introduction: A Critical Stage for Lifelong Health Between 12 and 24 months of age, children go through a period of rapid physical and neurological growth. This is also a stage of high biological plasticity, in which nutrition not only meets energy requirements, but also modulates gene expression (epigenetics), […]
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 […]
By Ismael Perdomo Physician – Pediatrician | Epidemiologist Introduction Between the ages of 6 and 10, children go through a key developmental stage known as school-age childhood or middle childhood. It is a period of profound cognitive, physical, emotional, and social transformation, during which essential abilities emerge, including logical thinking, autonomy, internalization of rules, and […]
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 […]
Early Signals from an Integrated Care Program A Preventive Pediatrics Perspective on Chronicity, Health Inequities, and Safety Lea este articulo en español: Version Español One of the most consequential “ diseases ” in modern well-child care is not infectious, yet it spreads through environments and inequities: pediatric obesity, a complex chronic condition that increases cardiometabolic […]
Food Allergy Prevention (Pediatrics, 2025) Read this article in Spanish: Spanish Version In child health and preventive pediatrics, few changes have been as paradigm-shifting as moving from “avoidance” to the “early introduction” of certain allergenic foods to prevent food allergies. An article published in Pediatrics in October 2025 reviews current guidelines and patterns of early […]
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 […]
When discussing childhood obesity, we often think first about weight, body image, or future diabetes risk. Yet one of its most important and underestimated comorbidities is metabolic dysfunction-associated steatotic liver disease, now termed MASLD. This condition reflects fatty liver in the setting of metabolic abnormalities and has become a clinical expression of the systemic damage […]
