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 […]
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), […]
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 […]
Longevity, Birth Rates, and the Challenge of Sustaining Modern Civilization Since ancient times, humanity has sought to understand its own existence, origin, and destiny. For those who interpret human history through the lens of the Bible, the story does not begin with modern statistics or censuses, but with a profound theological affirmation: human life was […]
By Ismael Perdomo Physician – Pediatrician | Epidemiologist Childhood obesity has become one of the most serious and rapidly growing public health crises worldwide. What was once considered a problem limited to high-income countries now affects children and adolescents across all socioeconomic levels and regions of the world. According to the World Health Organization (WHO), […]
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 […]
What the Latest CDC Data Show The latest NCHS/CDC data leave little room for complacency. In August 2021 through August 2023, an estimated 21.1% of U.S. children and adolescents aged 2 – 19 were living with obesity, including 7.0% with severe obesity; another 15.1% were overweight. Published as a Health E-Stat in 2026, the report […]
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 […]
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 […]
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 […]
