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 […]
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 […]
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 […]
One of the most harmful misconceptions in pediatric obesity is therapeutic resignation: “they will lose weight when they grow up” or “it is better to wait.” The study published in JAMA Pediatrics in 2025 responds to this belief with strong evidence. Researchers evaluated 6,713 children and adolescents with obesity enrolled in the Swedish BORIS registry […]
Childhood obesity does not begin when a child starts school or when excess weight becomes visible. Its biological and behavioral trajectory often starts before birth and consolidates during the first 1000 days of life, from preconception to age two. This concept is highly relevant in preventive pediatrics because it shifts the focus from late correction […]
Modern well-child care should not be limited to tracking weight, length, and vaccines; it must also anticipate the everyday behaviors that shape future metabolic risk. In early infancy, practices such as persistent nighttime feeding without clear need, pressure to finish the bottle, screen use during feeding, and poor sleep routines can become early obesogenic factors. […]
