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Children often have acute, short-term illnesses such as upper respiratory tract or ear infections, gastrointestinal illness with vomiting and diarrhea, or injury-related problems. However, some children develop chronic illness (lasting for years or even lifelong) as a result of genetic (inherited) conditions, environmental factors, or a combination of both. Because prenatal (before birth) exposure to tobacco smoke and alcohol can affect a baby's health, it is important to extend environmental and nutritional concerns to women who may become pregnant. The February 17, 2010, issue of JAMA includes an article about changes in the prevalence of chronic conditions among US children from 1988 through 2006. This Patient Page is based on one previously published in the June 27, 2007, issue of JAMA.
Asthma—The number of children with asthma increases each year. Better treatment for asthma reduces the chance of hospitalization, need for emergency treatment, and death due to asthma.
Cystic fibrosis—an inherited lung disease for which there is no cure. Early (even prenatal) diagnosis can lead to better treatment for children with cystic fibrosis.
Diabetes—Having diabetes (either type 1 or type 2) causes increased risk of heart and blood vessel disease, stroke, and diabetes-related complications at an early age.
Obesity and overweight in children is a major public health problem. More children are overweight, obese, or morbidly obese than ever before. Many children who are overweight maintain their obesity as adults, leading to obesity-related complications such as diabetes, heart disease, high blood pressure, high cholesterol, stroke, some cancers, arthritis, and sleep-disordered breathing.
Malnutrition—Poor nutrition leads to anemia (low blood count), inadequate immune system function, and susceptibility to illness and intellectual development problems.
Developmental disabilities, including attention-deficit/hyperactivity disorder (ADHD) and the autism spectrum disorders
Consequences of low birth weight and prematurity, including chronic lung disease, retinopathy of prematurity (an eye disorder causing low vision or blindness), and developmental delays
Mental illnesses—Early diagnosis and treatment are important to decrease effects on development.
Ensure early and comprehensive prenatal nutrition and health care.
Encourage healthy eating habits beginning at an early age.
Incorporate physical activity into daily life when children are young to prevent the sedentary lifestyle associated with obesity.
Enable early diagnosis of developmental delays or mental illness to improve access to programs designed to help children with these conditions.
Regular medical care is important for all children to increase the chance that a chronic disease is diagnosed and treated early, lessening the overall impact on the child and family.
American Academy of Pediatricshttp://www.aap.org
National Institute of Child Health and Human Developmenthttp://www.nichd.nih.gov
Centers for Disease Control and Preventionhttp://www.cdc.gov
To find this and previous JAMA Patient Pages, go to the Patient Page link on JAMA's Web site at http://www.jama.com. Many are available in English and Spanish.
Sources: American Academy of Pediatrics, World Health Organization, National Institute of Child Health and Human Development, Centers for Disease Control and Prevention
The JAMA Patient Page is a public service of JAMA. The information and recommendations appearing on this page are appropriate in most instances, but they are not a substitute for medical diagnosis. For specific information concerning your personal medical condition, JAMA suggests that you consult your physician. This page may be photocopied noncommercially by physicians and other health care professionals to share with patients. To purchase bulk reprints, call 312/464-0776.
TOPIC: CHILDHOOD DISEASES
Torpy JM, Campbell A, Glass RM. Chronic Diseases of Children. JAMA. 2010;303(7):682. doi:10.1001/jama.303.7.682