Most children grow steadily during middle childhood, but have occasional growth spurts. Some may become sensitive about their body image, which can put them at risk for eating disorders. Good dental hygiene practices are important because most permanent teeth come in between the ages of five and thirteen. Puberty is a time of dramatic physical changes.

The Dietary Guidelines for Americans and the USDA's MyPyramid Plan can be helpful in developing good eating habits. Regular physical activity is essential for good health. Increased interest in personal hygiene often begins during the preteen years. Annual checkups and vaccinations help to prevent illnesses.