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How many steps do preschool children (aged 3–4 years) take per day? Physical activity in early childhood is important for good health and development, and step counts represent a simple, objective, and widely accessible proxy measure of physical activity. In this episode, Dr Jesús del Pozo Cruz and Dr Chalchisa Abdeta join Esther Lau to discuss the SUNRISE study, which aimed to establish global reference values for daily steps in preschool children. They also talk about the WHO's 24h movement behaviour guidelines on physical activity, sedentary behaviour, and sleep for children under 5 years of age, and discuss some behind-the-scene insights on running a large global collaboration like the SUNRISE study. Click here to read the full article: https://www.thelancet.com/journals/lanchi/article/PIIS2352-4642(26)00188-4/fulltext

Dysmenorrhoea, also known as period pain, is a leading cause of pain-related school absenteeism among adolescent girls, yet it remains poorly understood and is frequently dismissed. Many adolescents do not receive a pain assessment until their symptoms become severe and disabling, and emerging evidence suggests that untreated dysmenorrhoea may increase the risk of chronic pain later in life. But what if we could identify those at risk before the pain begins? In this episode, Dr Melissa Lenert and Dr Andrew Schrepf from the Chronic Pain and Fatigue Center at the University of Michigan join Josefine Gibson and Gabriela Moisés to discuss the burden of dysmenorrhoea and their latest research on risk factors for severe dysmenorrhoea and on factors influencing the burden of dysmenorrhoea . New findings—now published in The Lancet Child & Adolescent Health—suggest that risk factors for future dysmenorrhoea can be identified in female adolescents before their first menstrual period. Further research could one day help identify young people at greater risk of severe dysmenorrhoea, opening up possibilities to act before period pain becomes persistent or debilitating. Click here to read the full article: https://www.thelancet.com/journals/lanchi/article/PIIS2352-4642(25)00213-5/fulltext

2026 marks a remarkable decade since the regulatory approval of the very first disease-modifying therapy (nusinersin) for spinal muscular atrophy (SMA) in 2016. In this episode with Josefine Gibson, Professor Michelle Farrar and Dr Sharika Raga from Sydney Children's Hospital share their perspectives on how diagnostic and therapeutic advances for SMA have transformed the lives of children and families affected by SMA. We discuss the new long-term efficacy and safety results from the 3-year extension of the international FIREFISH trial of risdiplam for symptomatic infants with type 1 SMA, and we explore what children in the real world who are in treatment for SMA are revealing about adaptive functioning in their daily lives. Coupled with newborn screening, disease modifying therapies are yielding significantly better longer-term outcomes for children affected by SMA, so we consider their changing and individualised health-care needs and top priorities for clinical research in the next decade. Click here to read the full articles: https://www.thelancet.com/journals/lanchi/article/PIIS2352-4642(26)00127-6/fulltext https://www.thelancet.com/journals/lanchi/article/PIIS2352-4642(26)00126-4/fulltext https://www.thelancet.com/journals/lanwpc/article/PIIS2666-6065(26)00070-2/fulltext

Boys and young men are often missing from conversations about adolescent sexual and reproductive health and rights (SRHR). Yet, girls do not live in isolation: boys share their classrooms, relationships, communities, and futures. In this episode, Mark Tomlinson and Maria Lohan join Esther Lau to explore how to engage boys in ways that support, rather than compete with, continued investment in girls’ SRHR. Together, they discuss why boys’ own needs around consent, contraception, STIs, help-seeking, respectful relationships, and care are too often overlooked. They also consider the role of comprehensive sexuality education, parenting, gender-transformative approaches, and youth-friendly health services in challenging harmful masculinities while supporting boys and girls to develop healthier relationships, shared responsibility, and more equitable futures. Click here the full article: https://www.thelancet.com/journals/lanchi/article/PIIS2352-4642(26)00103-3/fulltext

Adolescent nutrition is at a turning point. 🌍 Dr Sara Estecha-Querol from the Global Adolescent Nutrition Network and youth advocate Milca Jane Cameseria from Act4Food join Josefine Gibson to talk about a new co-created global framework for adolescent nutrition — and why young people must be at the centre of adolescent nutrition research, policy, advocacy, and food systems change. Together, we explore the global triple burden of malnutrition, meaningful youth partnership, sustainable food systems, and the urgent need for coordinated action to improve adolescent health and wellbeing worldwide. 🎧 Tune in for a conversation on global health, nutrition equity, youth leadership, and the future of adolescent nutrition. Click here to read the full article: https://www.thelancet.com/journals/lanchi/article/PIIS2352-4642(26)00012-X/fulltext

This episode considers how antibiotic use can be safely reduced in children in high-risk scenarios or with severe infections. To discuss this we are joined by Dr Nadja Vissing and Dr Ulrikka Nygaard, paediatric infectious disease specialists from Copenhagen University Hospital, who led a randomized controlled trial in Denmark evaluating the early discontinuation of empirical antibiotics versus extended treatment in children with cancer and high-risk febrile neutropenia. We hear about the importance of this trial for children with cancer and their families as well as for broader antimicrobial stewardship. We discuss other recent RCTs that are informing safely reducing antibiotic exposure in children with urinary tract infections, uncomplicated bone and joint infections and probable early onset neonatal sepsis. Nadja and Ulrikka share with listeners their take home messages related to antibiotic decision-making from these trials along with words of wisdom and motivation for other paediatric clinical trialists. Click here to read the full article: https://www.thelancet.com/journals/lanchi/article/PIIS2352-4642(26)00039-8/fulltext

Controlled medicines are essential in paediatric care yet children everywhere—and especially in low- and middle-income countries—face challenges in accessing controlled medicines for their medical needs and to alleviate serious health-related suffering. In this episode, Belén Tarrafeta and Hazel Gutiérrez join Josefine Gibson to discuss misconceptions that have led to children’s access being overlooked in research and policy efforts. Together, they highlight the imperative of generating child-specific evidence on access, safety, and use, and they explore what it will take to move from global resolutions to real change for children's equitable access to controlled medicines. Click here to read the full articles: Review: https://www.thelancet.com/journals/lanchi/article/PIIS2352-4642(25)00374-8/fulltext Health Policy: https://www.thelancet.com/journals/lanchi/article/PIIS2352-4642(25)00375-X/fulltext

Those working in clinical trials will recall that in 2025 updates were published for the SPIRIT standard clinical trial protocol items and the CONSORT guideline for reporting randomised clinical trials.  The Lancet Child & Adolescent Health will be co-publishing the first child and adolescent extensions to the SPIRIT and CONSORT reporting guidelines, along with the BMJ and JAMA Paediatrics. In this conversation with the SPIRIT and CONSORT child and adolescent project leads, Ami Baba and Martin Offringa, we discuss the need for child and adolescent specific reporting standards, the importance and value of engaging caregivers and young people in the process of developing the standards, and the potential for the SPIRIT-C and CONSORT-C reporting standards to positively impact the quality and inclusivity of paediatric clinical trials across all disciplines caring for neonates, infants, children, and adolescents. CONSORT-C https://www.thelancet.com/journals/lanchi/article/PIIS2352-4642(26)00004-0/fulltext SPIRIT-C https://www.thelancet.com/journals/lanchi/article/PIIS2352-4642(26)00005-2/fulltext Continue this conversation on social! Follow us today at... https://thelancet.bsky.social/ https://instagram.com/thelancetgroup https://facebook.com/thelancetmedicaljournal https://www.linkedin.com/company/lanchi/ https://youtube.com/thelancettv

In this episode, co-hosted by our Senior Editor Amy Slogrove and our Lancet Child & Adolescent Health Youth Advisory Panel member, Matea Canizares, we discuss adolescent digital intimate partner violence. *Intimate partner violence might be a difficult topic for some, please take care if this is so for you, and do step away from this episode if you feel the need.* Amy and Matea are in conversation with Dr Thao Ha, Associate Professor of psychology and director of the HEART (Healthy Experiences Across Relationships and Transitions)  Lab, from Arizona State University. Dr Ha along with her co-author Dr Taren McGray, have shone a spotlight on the complexity of adolescent relationships in digital and AI-influenced spaces in a Comment titled “No safe place: ending adolescent digital intimate partner violence”. We discuss what digital intimate partner violence is and the nuances in adolescent relationships, the co-occurrence with offline intimate partner violence, the sometimes shifting relationship between victims and victimizers, the central importance of young peoples perspectives in understanding these dynamics and supporting healthy intimate relationships, and the opportunities for us all to contribute and advocate for a world where technology does good instead of harm in supporting healthy relationships. Links for the Comment and associated content in our journal: https://www.thelancet.com/journals/lanchi/article/PIIS2352-4642(25)00372-4/fulltext https://www.thelancet.com/journals/lanchi/article/PIIS2352-4642(25)00311-6/fulltext https://www.thelancet.com/journals/lanchi/article/PIIS2352-4642(25)00343-8/fulltext https://www.thelancet.com/journals/lanchi/article/PIIS2352-4642(24)00145-7/fulltext https://www.thelancet.com/journals/lanchi/article/PIIS2352-4642(24)00329-8/fulltext Continue this conversation on social! Follow us today at... https://thelancet.bsky.social/ https://instagram.com/thelancetgroup https://facebook.com/thelancetmedicaljournal https://www.linkedin.com/company/lanchi/ https://youtube.com/thelancettv

Dr Jason Nagata discusses his Review on muscle dysmorphia, a pathological preoccupation with being insufficiently muscular, and how paediatricians can help young people navigate body image concerns. Click here to read the full review: https://www.thelancet.com/journals/lanchi/article/PIIS2352-4642(25)00283-4/fulltext Continue this conversation on social! Follow us today at... https://thelancet.bsky.social/ https://instagram.com/thelancetgroup https://facebook.com/thelancetmedicaljournal https://www.linkedin.com/company/lanchi/ https://youtube.com/thelancettv

Ableism is a type of discriminatory bias, like racism and sexism for example, that speaks particularly to the idea that there is one standard human norm that exists and any ways of being human that don't meet this standard are considered inferior. In this episode with neonatologist and developmental paediatrician Dr Paige Church we discuss the presence of ableism in paediatrics, and child and adolescent health at large. We consider how, despite the best intentions of paediatricians and other practitioners, we quickly assign value judgements and assume an inherently less meaningful life for children with disabilities or differences that do not meet normative standards or expected developmental milestones.  Dr Church share's her own journey of reckoning with the invisible bias of ableism in her clinical practice in counselling parents in the NICU, shares tangible examples of how ableism plays out in neonatal and paediatric clinical care, and we discuss how children and families with disability often face multiple intersecting discriminatory biases-along race, gender, socioeconomic, neuro-normative and other lines-leading to a concentration of marginalisation and othering. Dr Church shares practical individual mindset and language shifts we can all make, that are of no cost to the healthcare system, to start to overcome ableist biases and support children, young people and their families to reach their unique optimal developmental potential. Click here to read the full article: https://www.thelancet.com/journals/lanchi/article/PIIS2352-4642(25)00222-6/fulltext Continue this conversation on social! Follow us today at... https://thelancet.bsky.social/ https://instagram.com/thelancetgroup https://facebook.com/thelancetmedicaljournal https://www.linkedin.com/company/lanchi/ https://youtube.com/thelancettv

Dr Rachel Reid-McCann (University of Oxford, Oxford, UK) speaks with Acting Editor-in-Chief Ali Landman about her recent paper "Longitudinal association between dysmenorrhoea in adolescence and chronic pain in adulthood: a UK population-based study". Read the full article: https://www.thelancet.com/journals/lanchi/article/PIIS2352-4642(25)00213-5/fulltext?dgcid=buzzsprout_icw_podcast_October_25_lanchi Continue this conversation on social! Follow us today at... https://thelancet.bsky.social/ https://instagram.com/thelancetgroup https://facebook.com/thelancetmedicaljournal https://www.linkedin.com/company/lanchi/ https://youtube.com/thelancettv

Dr Zulfiqar Bhutta, Georgia Dominguez, and Naeha Sharma join acting Editor-in-Chief Ali Landman to discuss their Health Policy paper "Who protects the children and women of Sudan?", analysing the scale and severity of the grave violations of war against children and women in Sudan and proposing immediate and long-term strategic actions to respond to the humanitarian crisis and ensure long-term recovery and accountability. Read the Health Policy paper: https://www.thelancet.com/journals/lanchi/article/PIIS2352-4642(25)00237-8/fulltext?dgcid=buzzsprout_icw_podcast_September_25_lanchi Continue this conversation on social! Follow us today at... https://thelancet.bsky.social/ https://instagram.com/thelancetgroup https://facebook.com/thelancetmedicaljournal https://www.linkedin.com/company/lanchi/ https://youtube.com/thelancettv

Paediatric-onset multiple sclerosis before the age of 18 years, although uncommon, is associated with a higher disease burden than adult onset MS, early and progressive motor and cognitive disability, and high levels of depression and fatigue. In this episode Ann Yeh, Professor of Paediatrics and neurologist in Toronto, Canada, highlights the global considerations in preventing MS disease progression in young people with MS, including achieving global equity in access to diagnostics, specialist services, and highly-effective disease modifying therapies for adolescents and young adults with MS. Read the Review in this month's issue here: https://www.thelancet.com/journals/lanchi/article/PIIS2352-4642(25)00133-6/fulltext?dgcid=buzzsprout_icw_podcast_August_25_lanchi Disease-modifying therapies in managing disability worsening in paediatric-onset multiple sclerosis: a longitudinal analysis of global and national registries https://www.thelancet.com/journals/lanchi/article/PIIS2352-4642(24)00047-6/fulltext?dgcid=buzzsprout_icw_podcast_August_25_lanchi Real-life benefits of high-efficacy therapies for children with multiple sclerosis https://www.thelancet.com/journals/lanchi/article/PIIS2352-4642(24)00074-9/fulltext?dgcid=buzzsprout_icw_podcast_August_25_lanchi Continue this conversation on social! Follow us today at... https://thelancet.bsky.social/ https://instagram.com/thelancetgroup https://facebook.com/thelancetmedicaljournal https://www.linkedin.com/company/lanchi/ https://youtube.com/thelancettv

June 25, 2025, saw the publication of The Lancet Child & Adolescent Health Commission on the future of neonatology. The product of 3 years of dedicated international and interdisciplinary collaboration, the Commission builds on perspectives and experiences of clinical professionals who provide specialised care for neonates and are driven to develop evidence-based and equitable neonatal medicine that better serves newborn babies.  In this episode, Deputy Editor Josefine Gibson speaks to three commissioners about advancing neonatal medicine and the importance of interdisciplinary, inclusive research that centres on the health rights and care needs of newborn children to improve their health and wellbeing through childhood. Read the Commission here: https://www.thelancet.com/commissions-do/future-neonatology?dgcid=buzzsprout_icw_podcast_lanchineonatalrd25_lanchi Continue this conversation on social! Follow us today at... https://thelancet.bsky.social/ https://instagram.com/thelancetgroup https://facebook.com/thelancetmedicaljournal https://www.linkedin.com/company/lanchi/ https://youtube.com/thelancettv