POSTED BY:
Rima Himelstein, MD

America, we have a problem. One in five American children and adolescents are obese. Obesity is highest among adolescents 12-19 years-old compared to younger children. How do you know if your teenager is obese? Your teen’s Primary Care Provider (PCP) measures Body Mass Index (BMI). BMI is weight in kilograms divided by the square of the height in meters – yay for BMI calculators! Teenagers’ BMIs are expressed as percentiles: Underweight: below the 5th Healthy: between the 5th and 85th Overweight: above the 85th Obese: above the 95th Why do parents need to worry? Because facts are facts: obese children are more likely to become obese adults, and obesity increases the risk of problems including diabetes, heart disease, and cancer. Also, we live in a society where weight bias and discrimination, or “ fat shaming,” is rampant.  Fat shaming triggers physical and emotional and physiological changes and is linked to […]

SARS COV2 PCR: DETECTED! This is a lab result no one wants to get. If teens test positive for COVID-19, whatever semblance of normality they may have, such as in-person school or after-school sports, vanishes instantly. For typical teenagers, “temporary” is not in their mindset. Their adolescent brains are still developing and they may still believe that what happens today will last forever. Teens may feel that being forced to quarantine is punishment. Teens may not recognize that they have COVID-19 since symptoms may be mild or absent. If they do have symptoms, they may not tell anyone as they do not want to face the consequences of a positive test. Some teens may choose not to reveal their contacts; contact tracing could result in family, coaches, teachers, and peers also requiring testing and possible quarantining. In the November issue of Pediatric News, Margaret Thew, DNP, FNP-BC stated that some […]

Fall is usually a busy and fun time of year for our teens. Back-to-school shopping, high school football, track meets, student government elections, band, orchestra, choir, drama, debate club, homecoming, Halloween, haunted houses … #normallifewemissyou. But teens are actually missing a lot more. They’re missing opportunities to work on the critical tasks that help them mature emotionally: Acceptance of one’s body image (height, weight, and sexual development); they can’t master this task if they have more free time to become obsessed with their bodies and convinced that there’s a problem. Achieving independence from their parents; they can’t master this task if they’re quarantined together. Growing through peer interactions; they can’t master this task if they’re not socializing in groups. Establishing their identities, including sexual identities; they can’t master this task six feet apart. What happens when they don’t master these tasks? Many problems. A few examples: At 3 p.m., a […]

For several decades, much of the focus on body image disorders has focused on females. In American society, the feminine ideal is to appear thin. Males, however, are encouraged to be muscular. Lately, we are witnessing a shift in how males perceive their bodies. Boys Feel the Pressure Too Many of today’s young males want a strong body; specifically, they want more muscles. With action figures such as Batman, Captain America, and Superman to magazine covers boasting “Double your muscle!” and “Bigger arms now!” it’s no wonder that teens view being chiseled and ripped as the ideal male body image. It’s one thing to play with an action figure or peruse a magazine, but it’s quite another to think obsessively about becoming muscle-bound and to diet and exercise compulsively to look this way. Sound like obsessive compulsive disorder (OCD)? Yes. Sound like an eating disorder? Yes. What Is Muscle Dysmorphic […]

Few things can cause a parent’s heart to stand still like having a teenage child complain of chest pain. Unfortunately, it’s a common complaint. According to national data from 2016, people aged 15 to 24 years comprise 14.2% of all emergency room visits and chest pain is one of the top diagnoses. Causes of Chest Pain Many people have experienced chest pain, and a variety of words are used to describe it, ranging from dull to squeezing. There are equally as many causes, the most serious of which usually involve the heart or lungs. Luckily, in teenagers, the most serious are not the most likely. Frequently, the cause of chest pain in teens is chest wall pain. The chest wall includes the skin, fat, muscles, and bones that form a protective structure around the heart, major blood vessels, lungs, and esophagus. The bones in the chest wall include the ribs, sternum (breastbone), […]

This time of year always reminds me of American humorist Erma Bombeck, who once wrote: “I take a very practical view of raising children. I put a sign in each of their rooms: ‘Checkout time is 18 years.’” When our teenagers go to college, we want them to acquire many things: new friends with diverse backgrounds, expanded interests, more independence, and, if they have time, an education. What we don’t want them to get? Sick. In a college campus outbreak. What’s an Outbreak? An outbreak is the occurrence of cases of disease in excess of what would normally be expected in a defined community, geographical area or season. A recent example of a college campus outbreak–last year’s mumps outbreak at Temple University. Here are some other real examples: Case 1: Meningitis  A student was rushed to the hospital after presenting to the student health center with a headache, stiff neck, and fever. Diagnosis: […]