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Archive for Monday, July 7, 2008

Doctors recommend cholesterol drugs for some 8-year-olds

July 7, 2008

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— For the first time, an influential doctors group is recommending that some children as young as 8 be given cholesterol-fighting drugs to ward off future heart problems.

It is the strongest guidance ever given on the issue by the American Academy of Pediatrics, which released its new guidelines today. The academy also recommends low-fat milk for 1-year-olds and wider cholesterol testing.

Dr. Stephen Daniels, of the academy's nutrition committee, says the new advice is based on mounting evidence showing that damage leading to heart disease, the nation's leading killer, begins early in life.

It also stems from recent research showing that cholesterol-fighting drugs are generally safe for children, Daniels said.

Several of these drugs are approved for use in children and data show that increasing numbers are using them.

"If we are more aggressive about this in childhood, I think we can have an impact on what happens later in life ... and avoid some of these heart attacks and strokes in adulthood," Daniels said. He has worked as a consultant to Abbott Laboratories and Merck & Co., but not on matters involving their cholesterol drugs.

Drug treatment would generally be targeted for kids at least 8 years old who have too much LDL, the "bad" cholesterol, along with other risky conditions, including obesity and high blood pressure.

For overweight children with too little HDL, the "good" cholesterol, the first course of action should be weight loss, more physical activity and nutritional counseling, the academy says.

Pediatricians should routinely check the cholesterol of children with a family history of inherited cholesterol disease or with parents or grandparents who developed heart disease at an early age, the recommendations say.

Screening also is advised for kids whose family history isn't known and those who are overweight, obese or have other heart disease risk factors.

Screening is recommended sometime after age 2 but no later than age 10, at routine checkups.

The academy's earlier advice said cholesterol drugs should only be considered in children older than 10 after they fail to lose weight.

Its previous cholesterol screening recommendations also were less specific and did not include targeted ages for beginning testing.

Because obesity is a risk factor for heart disease and often is accompanied by cholesterol problems, the academy recommendations say low-fat milk is appropriate for 1-year-olds "for whom overweight or obesity is a concern."

Daniels, a pediatrician in the Denver area, agreed that could include virtually all children.

But he said doctors may choose to offer the new milk advice only to 1-year-olds who are already overweight or have a family history of heart problems.

The academy has long recommended against reduced-fat milk for children up to age 2 because saturated fats are needed for brain development.

"But now we have the obesity epidemic and people are thinking maybe this isn't such a good idea," said Dr. Frank Greer of the University of Wisconsin, co-author of the guidelines report, which appears in the July edition of Pediatrics, the group's medical journal.

Very young children are increasingly getting fats from sources other than milk and Greer said the updated advice is based on recent research showing no harm from reduced-fat milk in these youngsters.

With one-third of U.S. children overweight and about 17 percent obese, the new recommendations are important, said Dr. Jennifer Li, a Duke University children's heart specialist.

"We need to do something to stem the tide of childhood obesity," Li said.

Comments

akt2 6 years, 5 months ago

Doctors recommend a lot of drugs. Watch what is getting ready to happen with the Gardisil drug that they want all young girls to get.

planetwax 6 years, 5 months ago

This is pure madness, this article! Kids need to stay AWAY from milk (so do adults) and milk products, including products with sneaky milk ingredients like casein and whey. Cow's milk is for BABY cows who are biologically different (four stomachs) than humans. Start learning about the damage milk does to all kids and adults by going to www.notmilk.com. WAKE UP, people!!! No cholesterol drug is going to promote genuine, optimal health. There are side effects (symptoms) to every drug on the market. Give kids whole, natural, organic foods to build a foundation of health. And, stop drinking and consuming milk!This article is nothing but lies and propaganda.

gr 6 years, 5 months ago

"You can do everything absolutely right, strict diet, exercise..and gain 50pts in one yr."How much does a pint way? ;-)Sorry, but as planetwax pointed out, some people's "right" is just plain wrong. So, unless you or someone else can give more details on how the conservation of energy is violated, I would have to believe the opinion is as shown in the article - that milk is considered "good" though questioned, that kids are getting their "fat" from other sources.Assuming you are one with these so-called "genes", are you willing to reveal what you eat? No one else is willing to specify what they eat as they knew it would reveal their lie.No need to give ounces - just general amounts, how often, what the food (or not) is.

gr 6 years, 5 months ago

Make that "weigh", but does tend to be fitting, anyway.

gr 6 years, 5 months ago

Anyone wonder why nobody, I mean nobody, is willing to state what they eat even though they say they eat "healthy" but can't lose weight? Nobody.

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