Cholesterol Drugs For Kids Recommended
Study Strongly Suggests Some Children Receive Medication To Stem Future Heart Problems
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An influential doctors group is recommending that some children as young as 8 be given cholesterol-fighting drugs. (CBS/AP)
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Diet And Nutrition
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It is the strongest guidance ever given on the issue by the American Academy of Pediatrics, which released its new guidelines Monday. 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.
At Children's Hospital in Washington, D.C., pediatric cardiologist Craig Sable is seeing kids as young as 5 and 6 with cholesterol problems, reports CBS News correspondent Nancy Cordes
"I think the sheer number of children that are overweight, are less active, and have significant levels of cholesterol has grown exponentially since I started practicing 13 years ago," Dr. Sable said.
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.
CBS News medical correspondent Emily Senay says that it is likely there will be some controversy surrounding the safety of using statins and other cholesterol-fighting drugs on such young patients.
We need to do something to stem the tide of childhood obesity.
Dr. Jennifer LiDuke University
Dr. John LaRosa, who studies statins, told Cordes that he's surprised by the new guidelines.
"We have very little evidence that it does any good to start lowering cholesterol with drugs in children to prevent something that might not happen for 20 or 30 years down the line," Dr. LaRosa said.
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.
Li said that 15 years ago most of her patients with cholesterol problems had an inherited form of cholesterol disease not connected to obesity.
"But now they're really outnumbered" by overweight kids with cholesterol problems and high blood pressure, she said.
Dr. Elena Fuentes-Afflick, a pediatrics professor at the University of California at San Francisco, also praised the new advice but said some parents think their kids will outgrow obesity and cholesterol problems, and might not take it seriously.
"It's hard for people to really understand" that those problems in childhood can lead to serious health consequences in adulthood, Fuentes-Afflick said.
© MMVIII, CBS Interactive Inc. All Rights Reserved. This material may not be published, broadcast, rewritten, or redistributed. The Associated Press contributed to this report.



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See all 94 CommentsIf they are concerned about obesity then have the parents shut off the tv, video games, and computer and have the child run around the block three times a day.
I would have the good doctors who are recomending these poisons diclose what momey and gifts they are taking from the drug companies.
Why not just take all the vending machines out of schools and make the kids EAT RIGHT!
Start making canned food manufacturers stop adding chemicals that no one can pronounce - and take out all the MSG and sodium and sugars from all the products too.
That will take care of all the problems
Beef? That we know.
Unsafe to begin with. Then we "refine" it by increasing saturated fat content (ground beef). Bad for environment. Leading killer of rainforests in Brazil. Bad economically, except for beef moguls. Just say no to beef. Look at the faces of our fat little children chugging down those McBurgers. How about a cyanide soda to go with it? But beef is protected against all logic by the American value system. Apple pie? Not so much.
When we work with employee groups and organizations, offering the LoneStart Wellness Initiative in the workplace, we encourage participants to take the material home and share it with their families. It''s where it all has to start if we''re ever going to end it this epidemic. And yes, it is an epidemic.
...kids having to take just as many meds as their grandparents!
But then again, that would be a Pharmaceutical company''s wet dream come true!
And all these bestards can do is sell your kids drugs and tell you to drink low fat milk. A complete crock.
People use some common sense. The heart disease epidemic and obesity epidemic is directly related to the over processed, rancid oil, corn syrup diet you eat, not whole milk. The American drug and nutrition industry is totally corrupt. Eat some real food, not this slop that comes in cans and boxes listing 30 or 40 ingredients in a bag of potato chips or cookies and is anything but food.
Of course these experts are only interested in selling drugs instead of pointing out what a load of slop the American diet is, and I''m not talking about whole milk, it''s one of the good things you can get but it would be a lot better if it weren''t heat processed to death.
and what are their ties to the pharmaceutical industry? those folks are behind every recommendation that more and more people should be taking something they sell daily.
This is insane advice. Cholesterol is an essential chemical in humans, especially children--it is a building block of the brain and neural tissue and also many hormones ans essential chemicals. That is why the body hangs onto cholesterol--because it is a valuable and vital chemical.
Too much is more likely a sign of a diet too rich in animal fats, not a need for a pill daily. And those statin drugs are hardly safe and benign as they are advertised.
ARE WE KIDDING?
CORN SYRUP is in everything we eat. EVEN the LOX has corn syrup put into it.
In addition, some young teens develop polycystic ovary syndrome. These kids are obese because of elevated insulin and testosterone levels. IT is difficult to overcome, but it can be, with exercise, and a very restricted but healthy diet. The more muscle mass, the better the insulin works.
2. The break up of the traditional American family, whre the wife planned a healthy dinner at night for everyone. With feminism and "doing your own thing" there is only chaos for dinner. So the rushed DAD or MOM making the food, after a hard days work, stressed out, gets take out, or off the shelf box. ///The divorce rate directly mirrors the childhood obesity rate. /// More Obese kids come from single parent homes, and for obvious reasons.
Again, thank you feminism for all the good you have done. You go girl.
Glad to see you can still blame all the worlds problems on women. Eve wasn''t enough for you? 95% of all crimes, rape,robbery,murder,extortion,slave-trading,gun-running, drug-dealing, etc. are done by males. "I''m bad because mommy didn''t love me enough": just doesn''t cut it anymore. Grow up, accept responsibility, quit passing the blame. Just because you don''t see yourself as bad, don''t think you are any better than anyone else. You just don''t choose to to good.
When the nuclear family was killed , so was the healthy meals that a good Mom thought out and planned. Now she is way too busy. So get the MAc and Cheese, and take a nap.
Feminism to blame ? Sure. Take it like a man.
Big business is at it again, this time at the cost of our children--have they no conscience? They''ll kill anyone for a buck.
I''ll bet a lot of "good" doctors won''t agree with medicating our children for this, they will recommend diets and exercise.
Another point--don''t go to doctors who are on a hospital payroll--they''ll sell you every test coming down the pike!
This corporate greed needs to stop or Americans need to get a whole lot smarter.
Posted by John-in-CT at 12:54 PM : Jul 07, 2008
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Yep!... And I vividly remember the words from my doctor regarding prescription anti-anxiety meds he wanted me to take...
...i took them for the first month. I said they "seemed" to work. He said "Good, then lets have you remain on those (xyz meds) for the long term until further notice."
I stopped taking them almost immediately after he said that... and I have have little to no anxiety attacks since.
Posted by dmyers110808
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Who has time for that? McFood and McTelevisionNanny are more convenient...
But, here is the problem with fast foods...
When the kids are in school, they are given 20-30 minutes tops to literally throw their food down.
They sometimes don''t have the option of getting something healthy since most schools, at least here in Nevada peddle fast foods prepared at the schools--burgers, tacos, pizza. Those are faster and cheaper for the schools to make.
The kids wait in the lunch lines for upwards to 10-15 minutes to get something that is fast and easy; then they only have about 15-20 minutes to eat it, wash it down then it''s off to another class.
How about giving school kids a longer lunch period and encourage parents to bring their child a healthier lunch from home, and offer salads & healthier alternatives from school?
And, also consider the price of healthier foods. A Double cheeseburger at some places is 99 cents, while a salad is $4.99. Remember we are also in economic straits. A better solution would be to go to home schooling and force the government to give us a tax break to afford healthier foods.
I know, what a nice wish :)
Growing up my mother worked 3p-11p, 5 nights a week. It was just me and her. So if I wanted a home cooked meal I waited until midnight or I popped something into the microwave. Not the best choice, but then again it was either wait all night or starve.
Then again, let''s not forget sometimes the healthier foods were too expensive. Is sad when you have to choose between a roof over your head and your health. When you''ve only got so much for groceries--you get what you can afford, even if that means tuna helper or hamburger helper.
As I said, if I only have $2 to eat on, I can afford the cheap cheeseburger, but not the $5 salad. I can only do so much--I can''t turn $2 into $5.
Thin or fat, you can still suffer from high blood pressure. If it runs in your family, you are very likely to suffer from it.
Just as in my family--my mother, her mother (my grandmother) & my grandmother''s mother had it. Also, four of my grandmother''s sisters had it. They grew up in the depression and were relatively skinny for most of their lives.
My great-grandmother (who was born in the late 1800''s) passed at the age of 84, my grandmother at 85 (born in 1917). My great-grandmother was overweight, my grandmother was skinny. Both had high blood pressure.
And the rushed single family mom trying to do it all , alone, cuts corners, and heads for easy meals, like MC D.
In the old day of MOM and DAD at home, this did not happen.
These women are not lazy, they are over stretched, over stressed, and thanks to the Feminist Movement in America, the kids have suffered greatly, in so many ways.
What kids (and adults too) need is a sweet dose of education plus exercise. Run ...
How sad this society has become!
Healthy food doesn''t have to be expensive. Frozen vegetables and fruits are generally cheaper than fresh and just as good for you. I put frozen fruit on my cereal. It''s faster, since I don''t have to clean or stem fruit. I get bulk quinoa for $2.29/lb. at the health food store. A pound will make enough for at least two meals for three people. Use it the same way you would rice; it''s healthier (and tastier). You can buy it on-line if your local stores don''t carry it.
My family has a history of cholesterol problems, and I had one myself. Cholesterol medications prescribed after my heart attack caused awful leg cramps. Changing my diet has solved the problem, and my cholesterol is now "ideal," according to the doctors.
Finally, BAN Aspartame, Corn Syrup and Genetically Modified Foods.
AND Mothers ! start cooking natural wholesome foods and quit the Junk.
The fact remains, that the break up of the traditioal family has had many negative effects on kids, one of which is the traditional sit down meal with mom and dad, well prepared and nutrisious.
Feminism isn''t responsible for the poor eating habits of American children. Employers who don''t pay a living wage that may require both parents working to make ends meet are a part of the problem. Men involved in multiple marriages who don''t want to support their children are part of the problem. Lack of taxpayer support for schools, and the cost-cutting on meals and PE that have resulted, are part of the problem. Our consumer economy, where Americans are encouraged to spend as a "patriotic" duty (as in the recent tax rebates), and luxuries are billed as necessities, are also part of the problem.
So before you point your misogynistic finger at feminists, you might do well to remember those other folded fingers pointing back at you.
The are multiple contributing factors to obesity, but the national epidemic can be explained to a great extent by use of high-fructose corn syrup, corn sweeteners and other "empty" carbohydrates by the food industry. Corn by-products are used by ADM to fatten cattle in feedlots, too, and with probably the same metabolic disaster as observed in humans. The feedlot cattle are only months away from disease and death by the time they are slaughtered-- their metabolisms were designed for grass and free ranging, not force-feeding.
Consumers should complain to the FDA (as has Dr. Sanjay Gupta, neurologist) about its guidelines on proper nutrition. A note / email to the US congress might help.
The new FDA nutritional guidelines are better than nothing, but not nearly as scientifically informed as they should be. Predictably, FDA bent over backwards to avoid discomfiting the food industry-- even if that meant poorer health for the rest of us.
CBS reports "Study Strongly Suggests Some Children Receive Medication To Stem Future Heart Problems..."
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In some imstances, medical intervention with drugs to reduce LDL and other CV markers is indicated. But in the great majority of cases, kids benefit from more parental control over what they eat, and how much.
Recreational eating too often is passed as a habit by parents to their children, who often are given a high-carbohydrate munchie snack from the grocery to keep them quiet until dinnertime. No emphasis whatever on playing outside for even one hour-- just sit down in front of the TV and be quiet. Or play on your computer. Or talk on your phone. But no activity, please.
This story is the predictable media fascination with "new medical study" stories which need a great deal of context to be understood properly for what they are. Unfortunately, enough, CBS joins the rush to cover the press release with a few interviews, and then drops the matter without covering countervailing medical opinion. Drug interventions are not nearly always the answer.
(see Feedlot Nation Predictably Obese-- 2)
What are we? Zombies........
Let''s educate kids, and parents, too, on eating foods you prepare yourself.....grow it if you can. Eat less and EXERCISE more should be the motto of the day. Take no prescription medicine without doing your own research on the side effects.
Back in the days past, kids got so much more physical activity at school and at home, so get them out and active for their health''s sake.
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