• Children require a balanced and healthy diet in order to fuel the amazing physical growth and bodily change occurring during Middle Childhood.
• The trick for parents at this stage is to manage to foster children's independent healthy eating choices without over-stepping and over-controlling children's food selections, possibly setting the stage for children's later unhealthy relationship with food.
• Parents should provide children with a menu that includes foods from all of the basic food groups, offering mostly nutrient-dense foods and minimizing "junk foods" that are low in nutrient value and high in sugar, fat, and salt.
• Children need to learn how to make healthy food selections and to control how much they eat when parents are not present to do these things for them.
• Children should be included in family grocery shopping and cooking chores so as to teach them by example how to read food nutrition labels, how to measure portions, how to follow recipes and how to prepare foods using healthier cooking methods, including grilling, steaming and baking.
• On average, 8-year-olds require between 1400 and 1600 calories every day. Between the ages of 9 and 12, girls need approximately 1600 to 2000 calories each day. In contrast, boys between the ages of 9 and 12 need approximately 1800-2200 calories per day.
• Children over the age of two should be eating whole grains, fruits, vegetables, lean protein, calcium-rich dairy products, and some oils every day.
• Children also need to drink plenty of water each day. Approximately 64 ounces are required each day in order to keep their bodies well hydrated.
• Beyond just providing the fuel and nutrients for growing up healthy, eating can also be an activity that promotes social development and family bonding.

For more information

• Well rested children are better able to focus attention and learn during classes or extracurricular activities.
• They are also more likely to be in a better mood than are poorly rested peers, and more likely to follow rules at home and school.
• In general, children in middle childhood require about 9 to 10 hours of sleep each night.
• A well-planned bedtime routine, enforced by parents and through repetition, enables school-aged kids time to prepare themselves mentally and physically for sleep.
• The goal of the bedtime routine is to gradually transition children from activities to sleep.
• Night-time routines are still a perfect opportunity for parents and children to spend one-on-one or whole-family "quality time" with one another.
• Some children will still have problems falling asleep, or staying asleep throughout the night, and several different strategies can be used to address children's insomnia.

For more information

• "Personal hygiene" refers to people's personal health-promoting habits, such as hand washing, tooth brushing, and covering one's nose when sneezing.
• Parents should be teaching children to brush their teeth at least twice a day and to floss between their teeth at least once a day.
• After dental hygiene, thorough and careful hand-washing is perhaps the second most important personal hygiene habits children need to practice in middle childhood.
• Children should be educated about the nature of germs, including bacteria and viruses that cause illness, and how these invisible but very real germs can contagiously spread through the air when people cough or sneeze.
• Children should be encouraged to bath themselves regularly so as to remove dirt, oils, sweat and the like from their hair and bodies.
• Hair care is another important aspect of keeping one's self clean and healthy-looking.
• Parents should model and teach young children to change their clothes every day, especially making sure to change their socks and underwear which may accumulate odor more than outer clothing.
• As children near puberty, they may also need to start using a daily underarm deodorant or antiperspirant to prevent body odor from becoming a problem during the day.
• As children enter puberty, they may begin to develop acne, otherwise known as pimples or zits.
• Girls entering puberty need to learn how to care for feminine hygiene needs, including proper and safe methods for using and disposing of tampons and sanitary pads.
• Parents should take care to balance children's expressed desire for particular high status clothing items against family resources.
• Allowing children to have a say, if not the deciding vote, in determining their individual hairstyles is important.

For more information

• The USDA recommends that children get in at least 60 minutes of physical activity most days (every day if possible).
• Routine health care appointments should be a regular fixture in children's lives during middle childhood.
• Parents should make every effort to take their children to the dentist twice a year (or as recommended by the family's dentist).
• Children should have their vision and hearing checked regularly so as to identify and address as quickly as possible any vision or hearing problems.
• Sun safety is today recognized as a vital part of preventative healthcare - for young children and for adults alike.
• Even if parents follow all preventative health care recommendations perfectly, there will still be occasions when children will get sick.
• Common childhood medical conditions include:
• Colds, Sore Throats and Ear Infections
• Stomachaches, Diarrhea and Vomiting
• Fever
• Bug Bites
• Poison Ivy and Oak, Eczema and Pink Eye
• Childhood Diabetes
• Obesity and Malnutrition
• Headaches and Migraines
• Allergies
• Asthma
• Vision Problems

For more information 

• Even though children are now past the age and size where they require a car seat or booster seat, they still need to ride in the back seat of the car until they are at least 12 years old.
• Prescription medications and household cleaners offer another example of a common danger school-aged children need to be protected from.
• Middle-childhood aged children continue to benefit from regular reminders regarding traffic and road safety, particularly when they may be walking or biking about unsupervised.
• Parents should instruct and remind children to never follow or go someplace with a stranger, even when that stranger claims to know or be acting on instructions from known caregivers.
• The American Academy of Pediatrics recommends that children should not be left home alone before the age of 12. Parents need to communicate, and children need to show that they understand, any house rules for how they should act when home alone.
• When using bikes or scooters, children should wear helmets and appropriate elbow and knee pads in order to protect them from falls or other impacts which could damage their bones, joints or brains.
• Constant, vigilant adult supervision of children while they are swimming near a pool is essential.
• Parents need to consider children's safety when purchasing a new pet or maintaining a veteran pet. When selecting pets for homes with school-aged children, dogs and cats seem to be the best pets as playmates and pals.
• One final area of home safety that needs to be considered by parents of (American) school-aged children is the appropriate storage and use of guns.

For more information

• A variety of factors should be considered when selecting a school including the school's mission and philosophy of teaching, student-teacher ratio, academic expectations, the culture and diversity of the students and staff, average student performance on external rating criteria (such as standardized test scores) and the safety of the school environment are all important considerations.
• No matter which school is selected, parents need to make sure to complete all of the required steps necessary to successfully enroll their children.
• Once children are enrolled in a school, it is important that parents do what they can to form a close working relationship with the teachers, administrators and other staff associated with that school and generally to become involved in their children's school life as much as possible.
• It's important then that parents pay attention to children's homework assignments, prompting children to complete them and, as much as possible, providing children with the resources they need to successfully complete the work.
• From time to time, more often for some children than for others, children may be disciplined at school. To gain the most objective understanding of what has occurred, parents will need to listen to both the school's version of events and the child's as well and try to put together from these multiple sources what actually happened.
• Parents should also develop a plan for how they will handle school closings (scheduled and unscheduled), and days when children are too sick to attend school.

For more information

• Calm, direct, and honest communication remains the basic foundation for positive discipline and guidance of children in middle childhood.
• Parents can use the communication technique known as reflection to guide children's conversations about their friendships, pointing out for inspection the positive aspects of healthy friendships and the negative aspects that accompany unhealthy or hurtful friendships.
• As school-aged children spend more time with friends and classmates away from the direct supervision of adults, they start needing to choose how they will behave (as opposed to simply complying with how caregivers want them to behave).
• Though teaching children to think critically for themselves is the ultimate goal, many children will not be in a position to make the right decisions on their own at first, and thus it is practical to also offer children clearly verbalized expectations for how they need to behave and a description of the consequences that will occur if they make wrong choices.
• Time outs continue to be a powerful and effective means of motivating children's compliance through about age 11 or 12.
• Because grounding involves a prolonged isolation, it should be used very sparingly, and then only in sensible proportion to the magnitude of misbehavior.
• Giving children age-appropriate chores is an important way to increase their self-esteem, pride, responsibility, and independence.
• Parents can help children to become more sophisticated and thoughtful about money by introducing them to important money-related concepts such as the importance of saving or banking money, distinguishing between needs and wants, learning budgeting skills, and learning to pay bills responsibly.
• School-aged children also need and benefit from loving nurturance expressed by parents and caregivers.
• Middle-childhood aged children need to have some area within their homes that is their own private space and which they can expect to control.

For more information

• For the first time, children in middle-childhood have to cope with some or all of the following experiences that leave them feeling vulnerable and force them to understand that they are not entirely in control of their lives when it counts the most.
• In an important sense, these difficult experiences assist children with their maturation process.
• It is through the experience of successfully coping with such challenging crises that children learn about themselves, gain coping experience, and revise their self-esteem and self-efficacy expectations.
• However, children do need the love and support of their parents and caregivers as they struggle with these life crises in order to understand how to cope and to come to terms with the meaning of these events.
• These issues may include:
  • the realization that childhood fantasies aren't "real", such as Santa Claus, the Easter Bunny and the Tooth Fairy
  • the death of a beloved pet or family member
  • parents' divorce and remarriage
  • romantic feelings and "crushes" for peers which may be unrequited
  • questions about sex
  • moving, separation from friends, difficulties making new friends
  • sibling rivalry
  • bullying
  • prejudice
  • encounters with cigarettes, alcohol, and other drugs
  • other peer pressure situations, such as fitting in

For more information