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 […]
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 […]
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 […]
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 […]
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 […]
By: Dr. Ismael Perdomo Medical Doctor – Pediatrician – Epidemiologist At 45 years of age, a question arose that seemed simple on the surface but ended up transforming the way I see existence: ¿ what has been the cumulative probability of my death up to today? . Until that moment, I had devoted my professional […]
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 […]
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