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  • Most teens want to build muscle, even if it means going to great (and unhealthy) lengths

    Gym rats, pro athletes, and teens- what do these three groups of people have in common? They all want to build muscle, and may even go to great lengths to do so. It is common to hear of gym rats, and even some pro athletes (even if it’s against regulations), who use steroids, or other muscle-enhancing supplements to help gain muscle mass, but now teens are mirroring these risky behaviors, too. While it’s great that teens have an increased interest in exercising, the desire for a certain body type can lead teens down a slippery slope of dangerous behaviors.

    The Study

    With the perception of popular body images in the media shifting from those who are just thin, to those who are muscular and lean, teens are becoming more dissatisfied with their outward appearance, causing them to be easily influenced by the market of muscle-enhancers and body-building lifestyles.

  • Tips from a pediatrician on how to have a successful school year

    Another school year has already started. Does your child gladly go to bed on time and jump up refreshed at 0-dark-thirty to pop into school clothes and get to school energized? Or are you fighting to get him to bed, dragging him out in the morning, getting him to the bus with no food in his tummy? If the second scenario is yours, I think I can help you. Even if you relate best to the first scenario, maybe there is something here for you, too!

    Sleep is more important than food!

    I tell my patients, and this is true, that you can go without food longer than you can go without sleep. Sleep supports so many body functions that without enough sleep, your child will not learn, play, or grow well. For starters, get the electronics (TV, phones, games) out of children’s bedrooms. Those should be used socially anyway, and they interfere with both falling asleep and staying asleep. Bedtime should be about the same time every night, even on weekends, and should be early enough to guarantee at least eight hours or so of uninterrupted sleep (up to ten hours for younger children). If your child’s summer bedtime has been ridiculously late, try moving bedtime up by 15 minutes or so every few nights, not allowing for naps or “sleeping in,” so that her clock will gradually reset to a healthy schedule.

    But food is important, too!

    Breakfast is, indeed, the most important meal of the day. Without breakfast, your child’s body will produce calories for the morning by breaking down muscle to release stored energy. This process also produces some chemicals that make your child crabby and groggy. Children who don’t eat breakfast don’t feel or think as well as those who do. That does not mean that your child needs to eat two eggs, bacon, toast, and juice at 6 AM. But it also does not mean that they should have a pop tart and call that breakfast. Even the grumpiest teenager can gag down an instant breakfast drink and a half a banana, or a smoothie made with fruit and yogurt, or a piece of toast with peanut butter and half an apple. A perfect breakfast should include a complex carbohydrate (like whole grain bread or cereal for example), some dairy source for calcium (milk, yogurt), some protein (meat, milk, legume like peanut butter), and a fruit and/or vegetable. A small glass of milk with half a turkey sandwich with lettuce and tomato is a great breakfast, and you could send the other half sandwich for lunch! If your child “is not hungry,” that makes sense, but it does not mean he does not need the fuel. He can eat on the bus or in the car.

    Refill the tank mid-day

    A slice of pizza, juice, and a bag of chips is not a good lunch. If your child buys lunch at school, he can be taught to eat smart; school lunches do provide fruit and vegetable choices. Drinks are healthier now, too; most children (including teens) should only drink milk and water. Everything else (juice, soda, sports drinks) is just sugar-water. Energy drinks are not only empty calories, but also potentially toxic chemicals that interfere with sleep, affect heart rate and blood pressure, and who knows what long term effects that we don’t know yet. Packing a lunch for your child is a great option. I have done it now essentially every day for 17 years. It takes me 15 minutes each morning and my kids leave with a healthy sandwich or hummus and pita, a whole fruit, a bag of berries or grapes, another bag of veggies (carrots, peppers, sliced cucumber, grape tomatoes), one treat (like a 100 calorie bag of cookies or crackers) and a flavored water beverage. When my older children were in high school they actually had friends ask if they could send me money each week so I could make them lunches, too! Children are smart people. If you teach them well, they will get it!

    Spend quality time, but don’t hover

    Your child needs you, but, honestly, not as much as you need her. Asking about school, offering to help with homework or personal issues, helping to set goals to do her best: that is your job. Living her life is not. Helicopter parents are harmful, not helpful. That said, help your child to set up a routine after school so that there is a quiet place to focus on homework, time for physical activity (at least an hour each day), very limited passive “screen time” (less than two hours a day). Be available if she needs help. A family dinnertime, even if it is late, is a great time to talk about the day, to listen and to plan. Organizing in the morning should be your child’s job. You can double check for a while that things are all being completed, packed and turned it, but let it be her job.

    Expect issues

    Listen to your child so that you can help him with what he really needs help with and not with what you want to help with. Don’t be afraid to be MOM (Mean Old Mom), setting limits or making rules that “other kids parents don’t…” Seek help, either from your pediatrician or from a counselor, if you don’t know what to do or say. They don’t come with instructions! Most important, be open and honest with your children. Ask them how they feel and tell them how you feel. You are not your child’s best friend, but you are her best ally. Have a happy and successful year!

  • How I chose to discipline my son when he was a toddler

    To spank or not to spank?

  • Is My Child Too Young For a UTI?

    When babies and young children get urinary tract infections (UTIs), they can’t tell you what’s wrong. The challenge for parents is recognizing the difference between typical childhood behaviors and an infection. Knowing what to look for can help.

  • Advice Every Parent Needs When a Child Is Hospitalized

    We never expect our children to spend time in the hospital. So, when it happens, it can be a jarring experience both for the child and their family. But even if you feel like life is spinning out of control, there are things you can do to better navigate the situation. 

  • Fun and (Secretly) Healthy Holiday Gifts for Kids

    When selecting a child’s gift for the holidays this year, think of educational toys that stimulate learning, inspire imagination or encourage the use of fine and gross motor skills. 

  • Hand, Foot and Mouth Disease: What Parents Need To Know

    When your little one goes off to daycare or school, they might come home with more than a craft project: hand, foot and mouth disease (HFMD). It’s a common viral rash that can quickly spread to the entire family. 

  • What To Know About Children’s OTC Medications

    When it comes to calming fevers, quieting coughs or settling upset stomachs, parents often turn to over-the-counter (OTC) medications. These can provide immediate comfort for minor illnesses and ailments, but choosing the right medicine and giving the proper dose is key when it comes to your child’s safety. 

  • How Soon Should My Child Start Swimming Lessons?

    Swimming can be a fun activity for kids, and with Florida’s warm weather, it can be a great way to cool down. But with drowning listed as the top cause of death for children between ages 1 and 4, swimming lessons are key to reducing the risk of tragedy. 

  • How To Help Kids with Social Anxiety During Pandemic

    Many parents, while trying to keep their children safe from COVID-19, worry their kids are missing important social skills. Some of the most common issues include social anxiety, gaps in social skills like sharing and parallel play, and separation anxiety.