JAMA Pediatrics

In a multi-country sample of 3- to 4-year-old children, only 14.3% meet WHO recommendations for physical activity, screen time and sleep. To promote healthy movement behaviors, we need scalable, contextually appropriate policies and interventions. https://ja.ma/3XPImCe

Being LGBTQ+ was associated with more depressive symptoms, recent suicidal ideation, and past su***de attempt, finds cross-sectional study of adolescents 13 to 19 yrs old. Parental support moderated this association, protecting against these outcomes.

https://ja.ma/3MZ6oWl

Study of 18 mil+ live births in the US found a link between maternal obesity and increased risk of sudden unexpected infant death. As obesity rates in the US continue to climb, maternal obesity is likely to play a larger role in SUID prevalence over time. https://ja.ma/3Y2sCwZ

In a retrospective, population-based review, researchers found the incidence of infant positional head deformity was 5.8%. A developmental disorder was present in 7.5% of these individuals by 7 years old without increased risk of autism spectrum disorder. https://ja.ma/3XXdgJZ

Children who were exposed to substance use during pregnancy incurred more hospital costs than children who were not exposed up to 20 years of age, but this was reduced in association with any contact with out-of-home care. https://ja.ma/4eir2wt

Most viewed in the last 7 days from JAMA Pediatrics: Is the amount of intervention provided to young autistic children associated with improved child development?

https://ja.ma/3ZCkIvb

In contrast to prior literature regarding trends on adults with cancer, in this study, the pediatric population had lower rates of death at home, potentially because pediatric patients receive more aggressive end of life treatment than adult patients.

https://ja.ma/4eBUkWA

When Tribal identity was high, the adverse association of pain interference with alcohol use was significantly attenuated among American Indian/Alaska Native adolescents living on or near the Cherokee Nation Reservation. https://ja.ma/4dgTgGz

In randomized clinical trials, gamified digital mental health interventions were effective in improving the severity of ADHD and depressive symptoms among children and adolescents but not for reducing the severity of anxiety symptoms. https://ja.ma/4gxPD1T

The home food environment may play a role in shaping attentional biases toward ultraprocessed foods from an early age.

https://ja.ma/47AntPD

Public health measures necessary to mitigate impacts of COVID-19 across Canada were significantly associated with an increase in hospitalizations for eating disorders among females aged 12 to 17 years, finds cross-sectional study. https://ja.ma/3Tyh2GY

Should I call child protection services? A guide for the thoughtful pediatric clinician with attention to equity. This Viewpoint discusses five things every pediatric clinician should know about CPS and equity before making a report. https://ja.ma/3XA2QhQ

Most viewed in the last 7 days from JAMA Pediatrics: Can metabolic patterns at birth combined with established risk factors be used to identify infants at increased risk for sudden infant death syndrome (SIDS)?

https://ja.ma/3ZqHW7J

Developing interventions to reduce inpatient food insecurity may benefit hospitalized children and their families as well as hospital systems. https://ja.ma/4e8fM5V

Residence in low-income-low-food-access neighborhoods in early life was associated with higher subsequent child body mass index and higher risk of obesity and severe obesity from childhood to adolescence. https://ja.ma/4eqV7cT

The use of cannabinoids for medical purposes in children is increasing. This study looks across indications and products at the rates of adverse events to CBD and herbal extracts with THC. https://ja.ma/3XwU5Fk

This real-time study collecting surveys 3x per day for 28 consecutive days from LGBTQ+ youth in Tennessee found that suicidal ideation modestly increased in the hours immediately following exposure to LGBTQ+ negative news or media

https://ja.ma/47uWhBK

Spinal Muscular Atrophy (SMA) newborn screening data from 30 US states found an updated SMA birth prevalence of 1 in 14,694 infant births.

https://ja.ma/3ZrgFSu

Although total dietary quality scores among US children improved overall during 2005-2020, the increase remained suboptimal: lower than 5 points, a significant threshold for children. https://ja.ma/3XhGhhO

Most viewed in the last 7 days from JAMA Pediatrics: Can metabolic patterns at birth combined with established risk factors be used to identify infants at increased risk for sudden infant death syndrome (SIDS)?

https://ja.ma/3XsAlms

Gender identity milestones were associated with increased risk of attempting su***de and running away from home among transgender youth with unsupportive families, but not for supportive families, finds retrospective cohort study of 18,303 respondents.

https://ja.ma/3ZolYSH

Subcutaneous anchor securement system provides superior securement for non-cuffed central venous catheters in children and neonates.
⬇️device dislodgement
⬇️costs Implementation should be a priority.

https://ja.ma/47qg2dJ

Some parents may believe that modeling responsible firearm use negates the need for secure storage. However, it is unknown whether parents’ modeling responsible behavior is associated with a decreased risk of firearm injury.

https://ja.ma/3MH6B00

Newborn metabolic profiles, combined with clinical risk factors, may help identify infants at higher risk for sudden infant death syndrome (SIDS), potentially guiding further research and clinical monitoring strategies to prevent SIDS. https://ja.ma/47kOsyE

Most viewed in the last 7 days from JAMA Pediatrics: Is there an association between screen time before bed and sleep duration and quality in youths?

https://ja.ma/3XdTCrD