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Suite #100 Rockville, MD 20850

Advice: 8-9 years

Nutrition

Food habits now influence eating habits later in life. Eat as a family often. Discourage eating in front of the TV. Encourage 5 servings of fruits and vegetables daily. Use appropriate food portions by using your child’s fist size to estimate the size of one portion. Limit salt, processed snacks, fast foods, sweet drinks and treats to one a day. Despite what our parents taught us, juice has no nutritional value. The vitamin C in juice is not necessary to fight infection and consuming even 100 % natural sweetened drinks contributes to obesity. Encourage drinking water instead. We recommend 600 IU Vitamin D and 1300mg Calcium every day.

What to expect at your 8-9 year visit

Check-up: Your provider will complete a comprehensive history and physical exam, review growth curves, answer any questions, and provide age appropriate guidance.

 

Vaccines: There are no routine vaccines at this visit

 

Labs: There are no routine labs at this visit

Sleep

Lack of sleep can cause headaches, stress, irritability, anxiety, depression, and symptoms that look like ADHD. Shoot for 10 to 12 hours of sleep each night. In most cases, that will mean a bedtime between 7:30 and 8:30 PM. To ensure a good night’s sleep, remove all electronics from the bedroom.

Screentime

Screen time is any time spent in front of the TV, computer, tablet or smartphone. Studies have found relationships between screen time and children’s weight, and violent imagery can have negative impact on kids. So, screen time and content should be carefully monitored. Watch shows with your child and use them to stimulate topics of conversation. Keep TVs out of the bedroom. Limit screen time to 2 hours a day.

If your child needs a phone to communicate with you, consider buying a non-smart phone that only makes calls and does not access the internet.

Safety

ALWAYS… wear a helmet when biking, skating, skiing, snowboarding & hoverboarding. Use elbow and kneepads.
ALWAYS… know that guns in the home are a danger to the family. If guns are kept in the house, store the gun and ammunition in two separate locations, and keep each of them locked up.
ALWAYS… tell a parent or trusted adult right away if someone tries to touch, see, or show private parts. It is important to teach kids how to feel comfortable with their bodies and maintain safe body boundaries.
NEVER… share a password, even with friends.
NEVER… send a mean message online.
NEVER… give out personal information unless a parent says it’s okay. Teach your child not to give their name, address, phone number, age, or school name to a stranger or on social media.


CAR SAFETY
5-point harness car seats are recommended until your child outgrows the weight or height limit. After that, use a booster seat.
Booster seats are recommended until your child is 4 ft. 9 in (usually between ages 10-12). High-back
booster seats should be used if the child’s head is not supported by the seat of a head rest. Children under 13 years should never sit in the front seat of the car.

Parenting Corner

Encourage your child to confide in you without fear of judgment or punishment. Understand that your child’s friends are very important. You serve as a role model in terms of behavior, attitudes and morality. Establish fair, understandable rules around chores, screen time, homework, and bedtime, and follow through with a stated consequence when rules are broken. Maintain active communication with your child. An interest in your child’s daily activities promotes a sense of accomplishment and self-esteem.

Navigating the role of technology in your kids’ lives can be challenging. Parents can engage with their kids about technology by playing games with them and talking about responsible internet and video game use. From the start, tell your children that you will be monitoring them. You may use tracking software on the internet to keep track of sites they have visited. This approach lets them know that you trust them, but you will be watching. You can also install a filter to block offensive websites. Be aware, however, that many children are smart enough to find ways around the filters.

Helping your kids make good decisions is more important than trying to protect them from everything. Not all stress is harmful, and learning to cope with some degree of stress is important for kids to develop resiliency. Overcoming smaller challenges (like getting a question wrong on their homework, disagreeing with a friend, or not making a team) can help kids build their resilience for bigger setbacks in the future. You can help by modeling problem-solving, learning from mistakes, breaking big goals into smaller ones, and showing self-compassion.

Puberty: Girls typically begin puberty between 10-12 years of age. Boys typically begin between 12-14 years of age. It is not unheard of to start earlier, so it is important to start talking with your child about their changing body now. If your child is showing signs, let us know.