Tuesday, November 20th, 2012
A growing number of boys are becoming obsessed with something that has long been a reality for tween and teenaged girls–body image. But instead of wanting to be lean and thin, these boys are after bulked-up, muscle-bound bodies, and they are going to great lengths to get them. From The New York Times:
“Pediatricians are starting to sound alarm bells about boys who take unhealthy measures to try to achieve Charles Atlas bodies that only genetics can truly confer. Whether it is long hours in the gym, allowances blown on expensive supplements or even risky experiments with illegal steroids, the price American boys are willing to pay for the perfect body appears to be on the rise.
In a study to be published on Monday in the journal Pediatrics, more than 40 percent of boys in middle school and high school said they regularly exercised with the goal of increasing muscle mass. Thirty-eight percent said they used protein supplements, and nearly 6 percent said they had experimented with steroids.
Over all, 90 percent of the 2,800 boys in the survey — who lived in the Minneapolis-St. Paul area, but typify what doctors say is a national phenomenon — said they exercised at least occasionally to add muscle.
“There has been a striking change in attitudes toward male body image in the last 30 years,” said Dr. Harrison Pope, a psychiatry professor at Harvard who studies bodybuilding culture and was not involved in the study. The portrayal of men as fat-free and chiseled “is dramatically more prevalent in society then it was a generation ago,” he said.”
Image: Teenager lifting weights, via Shutterstock
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Child Health, Must Read, Trends
Tuesday, October 9th, 2012
Parents of children with autism spectrum disorders (ASD) often have to contend with a frightening and difficult aspect of the disorders–wandering or “elopement,” in which children stray from safe spaces to pursue objects of interest, often at risk to their physical safety. From The New York Times:
The behavior, called wandering or elopement, has led to numerous deaths in autistic children by drowning and in traffic accidents. Now a new study of more than 1,200 families with autistic children suggests wandering is alarmingly common. Nearly half of parents with an autistic child age 4 or older said their children had tried to leave a safe place at least once, the study reported. One in four said their children had disappeared long enough to cause concern. Many parents said their wandering children had narrowly escaped traffic accidents or had been in danger of drowning.
Those at greatest risk of wandering off were autistic children with severe intellectual deficits and those who do not respond to their names. The research was published on Monday in the journal Pediatrics.
“I knew this was a problem, but I didn’t know just how significant a problem it was until I really began to look into it,” said Dr. Paul A. Law, senior author of the study and director of the Interactive Autism Network, a registry that is a project of the Kennedy Krieger Institute in Baltimore. “This is probably one of the leading causes of death and morbidity for kids with autism.”
Advocates for families affected by autism say the findings underscore the need to raise public awareness and alter policy. While Amber alerts are used to mobilize the public when a child is believed to have been abducted, for instance, generally they are not used when a disabled child goes missing, said Alison Singer, president and a founder of the Autism Science Foundation, one of the organizations that supported the study.
Image: Child crossing street, via Shutterstock
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Thursday, September 27th, 2012
While most parents whose low income qualifies them for health coverage through Medicaid fill prescriptions for antibiotics and other medications for acute illnesses, many fail to fill pediatricians’ orders for vitamin and mineral supplements, a new study has found. Reuters Health reports:
Antibiotics and other drugs for infections were filled 91 percent of the time, versus 65 percent of prescriptions for vitamins and minerals, for example.
“When your child has an ear infection and is in pain, you have much more of a sense of urgency,” [lead researcher Dr. Rachael] Zweigoron [of the Medical University of South Carolina in Charleston] said. But if a doctor recommends a vitamin D or iron supplement, she added, parents might not see the immediate need.
That raises the question of whether parents always know why a pediatrician has prescribed a medication or supplement. “Are we, as pediatricians, doing a good enough job of explaining the importance to parents?” Zweigoron said.
The findings, which appear in the journal Pediatrics, are based on 4,833 kids seen over two years at two clinics connected to Lurie Children’s Hospital of Chicago.
All of the children were on Medicaid, the government health insurance program for the poor. So it’s not clear if the findings would be the same for U.S. kids with private insurance.
Image: Child taking medicine, via Shutterstock
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Tuesday, September 18th, 2012
U.S. children are consuming as much salt on average as American adults, and as a result face an elevated risk of health problems including elevated blood pressure and even heart disease, according to a new report published in the journal Pediatrics. CNN.com has more:
Health experts recommend that most people eat no more than 2,300 milligrams of salt a day, the equivalent of 1 teaspoon. But children and adults alike are consuming, on average, about 3,400 milligrams daily, according to the study.
The study authors found that when young people increased their daily salt levels by 1,000 milligrams, the risk for high blood pressure increased 74% for overweight or obese youngsters, but only 6% for kids in the normal weight range. The researchers looked at more than 6,200 young people, ages 8 to 18. More than a third were overweight or obese and 15% had elevated or high blood pressure.
Most of the salt we consume is already in the foods we eat, not what we add at the dinner table.
Breads and rolls, cold cuts, pizza, fresh and processed poultry, soups, sandwiches, cheese, pasta dishes, meat dishes and snacks are the top 10 food sources that account for 44% of sodium consumed, according a report released by the Centers for Disease Control and Prevention in February.
“If you have high blood pressure in childhood, it’s likely that the effects will last into adulthood. Increased blood pressure is one of the most significant risk factors for cardiovascular disease (heart disease),” explains lead study author Quanhe Yang, who works with the Division for Heart Disease and Stroke Prevention at the Centers for Disease Control and Prevention.
Image: Salt shaker, via Shutterstock
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Tuesday, September 11th, 2012
Sleep-training techniques that fall into the controversial “cry-it-out” category are actually effective and do not cause psychological harm if conducted in a controlled, consistent way, a new study published in the journal Pediatrics has found. Time.com has more:
The study looked at two sleep-training methods known as controlled comforting and camping out, both of which let babies cry it out for short amounts of time. Controlled comforting requires the parent to respond to their child’s cries at increasingly longer intervals to try to encourage the baby to settle down on her own. In camping out, the parent sits in a chair next to the child as he learns to fall asleep; slowly, over time, parents move the chair farther and farther away, until they are out of the room and the infant falls asleep alone.
While neither strategy is as extreme as letting babies cry all night by themselves, they have been criticized over concerns that they may cause long-term emotional or psychological harm in babies, interfere with their ability to manage stress or cripple their relationship with their parents.
The new study by Australian researchers involved 326 children who had parent-reported sleep problems at 7 months. Half of the babies were put in the sleep-training group, in which parents learned helpful bedtime routines as well as the controlled-comforting or camping-out technique (parents could choose which strategy they wanted to use), and half were put in a control group that did not use sleep-training. The researchers followed up with the participants and their parents five years later. (By the study’s end, about 30% of families had dropped out.)
By age 6, the researchers found no significant differences between the kids in either group in terms of emotional health, behavior or sleep problems. In fact, slightly more children in the control group had emotional or behavioral problems than in the sleep-trained group.
Researchers also found no differences in mothers’ levels of depression or anxiety, or in the strength of parent-child bonds between families who had used sleep-training and those who hadn’t.
Image: Crying baby in crib, via Shutterstock
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