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This Month in Archives of Pediatrics and Adolescent Medicine
October 2005

This Month in Archives of Pediatrics & Adolescent Medicine

Arch Pediatr Adolesc Med. 2005;159(10):906. doi:10.1001/archpedi.159.10.906

Amoxicillin is one of the most commonly prescribed antibiotics in pediatric practice. This prospective longitudinal study examined antibiotic use during infancy and its effects on teeth in children. Use of amoxicillin between 3 and 6 months of age was found to double the risk of fluorosis in the permanent maxillary central incisors, independent of the effect of flouride. This study supports a judicious approach to the use of antibiotics in children for the treatment of otitis media.

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The recent report from the US Preventive Services Task Force indicated limited evidence for the effectiveness of weight loss programs in children. This randomized controlled trial sought to examine the effectiveness of a school-based fitness program. A lifestyle-focused, fitness-oriented gym class was found to decrease body fat, improve cardiovascular fitness, and improve fasting insulin levels in overweight middle school children. These findings should help to encourage the development of physical education programs that are effective in providing children with substantial amounts of physical activity.