Study finds sharp decline in U.S. children’s health. Here’s how UVA Health is helping

A new study published in the Journal of the American Medical Association says the health of American children has been plummeting for nearly two decades.

portrait of Dr. Ann Kellams

Dr. Ann Kellams is a professor in UVA’s Department of Pediatrics. She has been a practicing pediatrician since 1995 and joined the faculty at UVA in 2006. (Contributed photo)

The findings say young people are experiencing rising rates of obesity, mental health troubles, chronic disease and early puberty, especially in girls.

The chronic conditions with the largest increases include major depression, eating disorders, anxiety, autism spectrum disorder and obesity, with obesity rates for children aged 2 to 19 increasing from 17% to 20.9% between 2007 and 2023. 

Dr. Ann Kellams, a pediatrician at UVA Health Children’s who has been in the field for 30 years, said the findings were not surprising.

“The landscape of primary care pediatrics has gone from one of quick visits and infectious disease types of problems to behavior, mental health, poor nutrition, school problems, obesity – things that aren’t solved in a quick visit,” Kellams said.

To help address those issues, UVA Health Children’s and Sentara Martha Jefferson Hospital recently opened UVA Health Children’s Neurodevelopmental and Behavioral Health Clinic in Riverside. Kellams said the day the facility began operating, families immediately began signing up for care.

Kellams, who was one of the first people in North America to become board-certified in breastfeeding and lactation medicine, said breastfeeding is key to setting children on a path to good health.

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Just this week, UVA Health University Medical Center, which houses UVA Health Children’s, was recognized at the national and state level for its continued support of breastfeeding.

Kellams said breast milk is an active, living substance that adapts to each mother-baby pair, depending on their shared environment. 

“It is protective against the viruses and bacteria that are in your environment right now,” she said. “It sets you up for healthy metabolism. Babies take in the exact right amount of food when they’re breastfeeding, as opposed to really overfeeding, which is a problem that starts in childhood and can lead to all kinds of issues in adulthood.” 

Breast milk also protects against sudden infant death syndrome and can help lower the risk of childhood diabetes, she said.

Kellams leads the UVA Health Children’s Breastfeeding Medicine program, which supports new mothers inside and outside the hospital. UVA Health also has an outpatient Breastfeeding Medicine Clinic to support patients.

In October, U.S. News & World Report ranked UVA Health Children’s the No. 1 children’s hospital in Virginia for the fourth year in a row.

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Jane Kelly

University News Senior Associate Office of University Communications