Stories about: Pediatric Dose February 2015

Clinical Consult: Lipid Screening

heart lipid screening Sarah DeFerranti

Since 1992, the American Academy of Pediatrics (AAP) has been expanding its recommendations for childhood lipid screenings as a means to reduce the risk for early onset atherosclerosis. The most recent recommendation, from 2011, calls for universal lipid screenings on all children between 9 and 11, and then again between 17 and 21 years old.

The jury is still out as to whether this strategy is effective. Skeptics point to overworked primary care offices, excessive resource utilization, cost and burden to families. Sarah de Ferranti, MD, MPH, director of the Boston Children’s Heart Center Preventive Cardiology Clinic, is co-leading a study to model the efficacy of universal lipid screenings in adolescents and young adults according to the new AAP guidelines funded by the Patient Centered Outcomes Research Institute. …Read More

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Media use and sleep: Time to talk

media screen sleep Michael Rich Center for Media and Child Health

A recent study in Pediatrics found that fourth and seventh graders who slept near a smartphone or with a TV in the room slept less and had a higher prevalence of perceived insufficient sleep than their peers who did not. The findings led researchers to caution against unrestricted screen access in children’s bedrooms and suggest that interactive media such as video games and smartphones may be more disruptive to sleep than TV.

But just how should primary care providers handle the conversation about media and sleep? Michael Rich, MD, MPH, from Boston Children’s Hospital Division of Adolescent Medicine, and director of the hospital’s Center on Media and Child Health, weighs in.

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