Researchers find highest smoking susceptibility among Hispanic youths | Military mothers receive breast-feeding benefits under Tricare | Fertility treatment tied to lower birth defect risk in babies of older mothers
October 18, 2016
AAP SmartBrief
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Researchers find highest smoking susceptibility among Hispanic youths
A study in Pediatrics found that the rate of smoking susceptibility among Hispanic youths rose from 22% in 1999 to 28% in 2014, compared with a decline from 21% to 20% among blacks and a steady rate of 21% among whites during the study period. The findings, based on 1999 to 2014 survey data involving about 144,000 nonsmoking youths ages 9 to 21, also showed that Hispanics had up to 67% higher odds of smoking than whites and were most likely to try cigarettes at ages 12 and 16.
Reuters (10/17) 
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Military mothers receive breast-feeding benefits under Tricare
Mothers in the military are able to receive support and protection in achieving breast-feeding goals through the Tricare program, which covers breast-feeding counseling and breast-feeding supplies such as breast pump kits for up to 36 months after birth, writes Dr. Natasha Sriraman, a member of the AAP Section on Breastfeeding Executive Committee. Pediatricians can help bolster breast-feeding in the military by being aware of such insurance coverage and breast-feeding policies, Sriraman writes.
AAP News (10/17) 
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Pediatric Health Care
Fertility treatment tied to lower birth defect risk in babies of older mothers
Seven percent and 10% of infants born to women of all ages through in vitro fertilization and intracytoplasmic sperm injection, respectively, developed birth defects, compared with 6% of those born naturally, according to an Australian study in BJOG: An International Journal of Obstetrics & Gynaecology based on data involving about 305,000 births from 1986 to 2002. The study found 3.6% of those with mothers ages 40 and older who conceived through IVF had birth defects, compared with 8% of those with older mothers who conceived naturally.
HealthDay News (10/17),  Newsweek (10/17) 
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Corticosteroids may lower lung distress risk in preemies
Researchers looked at trial data involving 5,698 women at risk of preterm birth between 34 and 37 weeks of gestation and scheduled for cesarean delivery after 37 weeks and found that their infants had higher odds of respiratory problems. The findings in The BMJ prompted researchers to recommend two shots of steroids for such pregnancies to curb babies' severe respiratory problem risk despite an increased likelihood of developing hypoglycemia.
United Press International (10/17) 
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Researchers link BMI in adolescence to diabetes mortality in midlife
A study in Diabetes Care showed that overweight and obese adolescents who belonged to the 85th to 94th percentiles and 95th percentile or higher, respectively, had a hazard ratio of 8.0 and 17.2 for diabetes mortality in midlife, respectively, compared with those in the fifth to 24th percentiles. Israeli researchers evaluated 2,294,139 adolescents between 1967 and 2010 and found a graded increase in diabetes mortality from a body mass index of 20.0 to 22.4 kg/m2 onward and from the 25th to the 49th BMI percentile group. News (10/17) 
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Study: Omega-3s for pregnant woman may cut allergy risk in children
Supplementing with omega-3 long-chain polyunsaturated fatty acids during pregnancy and early lactation may help breast-feeding mothers reduce the risk of allergy development in infants, according to a Swedish study in Acta Paediatrica. The researchers followed 95 pregnant women with a family history of allergies during the randomized study and identified a link between daily supplementation of EPA and DHA and lower instances of children with IgE-associated allergic disease.
NutraIngredients (10/17) 
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Day care feeding policies may not benefit children, study says
A study in the Journal of the Academy of Nutrition and Dietetics found some day care providers believed a clean-plate club policy would help children develop a healthy appetite, contrary to studies that have shown it may cause children to lose their ability to respond to hunger cues, which raises the risk of obesity. Researchers said some day care providers used controlled feeding because they were worried parents would be upset if their children did not eat.
Reuters (10/14) 
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Trends & Technology
Children's school activity participation hindered by costs, survey shows
Data from the C.S. Mott Children's Hospital National Poll on Children's Health revealed that 27% of parents in households making less than $60,000 annually said that high costs prohibited their children from joining school sports, clubs or arts programs, compared with 12% of those in households with annual incomes exceeding $60,000. The findings, based on data involving 666 parents with at least one child in middle or high school, also showed that 60% said that participation in arts programs and clubs was free but only 30% said that school sports had no cost.
HealthDay News (10/17) 
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Schools address students' mental health needs
Only about one-third of teachers in the US said they would be able to respond to students' mental health issues, a study found. Several programs are working to close that gap, including a Connecticut program that allows educators to report potential mental health needs and get help from professionals via in-classroom visits.
The Atlantic online (10/17) 
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Ketogenic Diet Patients See 90 % Improvement
Children's Mercy Kansas City ketogenic diet patients have fared better than national averages seeing a 72 percent improvement after one year and 90 percent after two years. Ahmed Abdelmoity, MD, Associate Division Director of Neurology, discusses this treatment for intractable epilepsy. Listen to interview.
Health Policy & Regulations
Federal exchange to test provider network comparison tool
A new tool for set to begin testing in Texas, Maine, Tennessee and Ohio will allow consumers to compare provider networks for health insurance plans sold through the federal marketplace. Designations are "basic," "standard" and "broad," reflecting access to primary care, pediatricians and hospitals.
Kaiser Health News (10/14) 
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Attending the AAP National Conference?
Visit the CHADIS Booth #824
Drs. Barbara Howard & Raymond Sturner will be making in-booth presentations on several hot topics. Click for more information. CHADIS is the leading screening, decision support and patient engagement system designed to streamline patient communication and optimize healthcare. For more information about CHADIS.
The Last Word - News from the AAP
New CDC report on dental sealants
Today at 2 p.m. ET, the CDC will release a report about dental sealants, emphasizing how these shields against cavities are extremely effective, yet underutilized, particularly among low-income children. The CDC encourages physicians to share that dental sealants prevent children's cavities and that school-based sealant programs are an important way to reach the children that need them most.
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School Environmental Health: Why It Matters and What to Look For
Oct. 19
1 p.m. ET
Taking place tomorrow, this webinar focuses on the school environment and its impact on child health. Participants will learn about the connection between school indoor environment and student health and academic performance, particularly for asthmatics; guidelines for air quality in schools, the importance of districts having an indoor environmental health program at both the facility and district level, and identifying issues routinely observed in schools and how they may impact indoor environmental conditions and ultimately student health.
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This news roundup is provided as a timely update to AAP members and other health professionals about child health topics in the media. Links to articles are provided for the convenience of pediatricians who may find them of use in discussions with patients or colleagues.
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