BEIJING, July 7 (Xinhuanet) -- An influential group
of American doctors is recommending for the first time 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 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.
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.
(Agencies)