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January 29, 2009

Should children take cholesterol reducing drugs?

Posted: 10:37 AM ET

As a new feature of CNNhealth.com, our team of expert doctors will answer readers’ questions. Here’s a question for Dr. Gupta.

Asked by Kate, Cherry Hill, New Jersey

"My 10-year-old is overweight and our doctor suggested he start taking statins. Is he too young to begin this type of medication? Is it even safe?"

Answer:

Strange as it sounds, in rare cases prescribing statins to kids as young as 8-years-old is recommended by the American Academy of Pediatrics.

But certainly, not every child who is overweight needs such treatment.

The academy recommends that doctors use the following criteria when prescribing statins to kids: a child’s LDL level above 160 plus two risk factors, such as being overweight and high blood pressure. Or a child with no risk factors but an LDL level above 190.

Although controversial to some, many experts agree that these cholesterol-lowering drugs are safe, and the benefits outweigh any potential side effects.

The American Academy of Pediatrics looks at it as a preventive measure, hoping to avoid serious health problems later in life. The U.S. has a generation of children developing adult-like health conditions that will put them at high risk for blood clots and heart disease by their mid-30s if parents and doctors don’t monitor it.

That’s one reason, with an estimated one in three of our kids overweight, pediatricians are beginning to track weight and cholesterol levels starting at age 2.

But is medication the only answer? Absolutely not. Parents first need to exhaust all diet and exercise options. Take walks at night or race around the living room to burn extra calories each day. And lead by example. If you make healthy food choices, your kids will pick those habits as well. Small changes can save kids from years of potential health problems. For an overweight child, losing just 5 percent of their body weight can reduce cholesterol levels and prevent the need for medication.

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Filed under: Children's Health • Dr. Gupta • Expert Q&A • Weight-loss • cholesterol • heart disease


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Bonnie MA, MPH, CNS, LDN   February 2nd, 2009 10:48 am ET

Dr. Gupta is absolutely correct about being the last resort (and a distant one at that). Before a parent would ever consider a statin, they should also rule out inflammation as being the culprit. Cholesterol is only a piece of the pie when assessing cardiac health.

sean brizendine   February 3rd, 2009 1:16 pm ET

sounds to me like the pharmaceutical industry is getting ready to cut a deal with the american medical association.

"sean in santa rosa"

Terry   February 3rd, 2009 4:21 pm ET

While I agree that something should be done about elevated cholesterol levels in children, medication should definately be a last resort. I have two concerns, one would be that alot of medications have no studies on their long term effects in children, and what about side effects and how they would manifest themselves in a child.

Dr. Ed   February 5th, 2009 2:10 pm ET

The bigger question is what do you do if exercise, weight loss and diet fail? Is it better to be overweight with normal cholesterol on long term medications or is it better to be overweight with high colesterol and a failed exercise plan?

Nicole   February 10th, 2009 12:04 pm ET

It should be noted that there are genetic disorders, such as familial hypercholesterolemia, that cause people to have high cholesterol even in childhood, which generally does not respond to diet and exercise alone and which can lead to heart disease very early in adult life. While this is not the case for every child with elevated LDL, it is not that rare either (estimated incidence 1:500 people). I have this disorder and have been on drug treatment, either statins or earlier drugs like Cholestid, since childhood, with no long term side effects. Drugs like statins have been a godsend to families like mine, in which people used to die of heart attacks in their 30s and 40s, before these drugs were developed. Please do not make the mistake of thinking that this is all about the drug companies making money or people being too lazy to eat right or exercise. Each case needs to be evaluated in its own context, including family history.

billy   February 11th, 2009 9:28 pm ET

The best way to reduce high ldl levels is not by taking extra medications as it will strain the kidneys and liver but by working out and getting the body's skeletal system to start burning that fat as an energy source
so watch little piggy dont take the lazy mans way out and chomp on pills get up and exercise

Ken   February 12th, 2009 12:40 pm ET

Statins should be a last resort only. Unfortunately, given our American culture, we are basically calling out for a last resort because we are a culture incapable of self-discipline. Obesity numbers are rising geometrically and are already costing children major quality of life problems, let alone the dozens (hundreds in indirect costs)of billions of dollars it's costing the adult population. Statins are not the final answer. But we need something to stem the tide.

Glen   February 12th, 2009 1:32 pm ET

These drugs destroy a lot of adult lives and they want to give them to children ? Safe ???? I don't thinks so . I know I'm one of those adults whose lives it has ruined.

Kayla   March 10th, 2009 4:23 pm ET

Yikes - by all means, change that kids diet. This is an epidemic, obesity and now cholesterol? What ever happened to parenting? The parents should be responsible for this problem - in some ways I consider this abuse.

Matt   July 30th, 2009 8:11 am ET

Nicole, the funny thing is that you've just bought into the lie that statin drugs lower your risk of heart disease. You can even check the ads of any major statin. Crestor, for instance, clearly states that it had never been shown to reduce the risk of heart attack or heart disease. So, essentially one can die of a heart attack with low cholesterol or they can die with high cholesterol, either way they're still dead. Also, the rule of genetics has essentially been abolished in science. No one is a slave to their parent's genes. That hypothesis comes from old, old "science". Considering putting kids on a drug that has basically no purpose other than to make money and give people a false sense of security is criminal. We will never solve the healthcare problems of this country by taking a chemical substance from the outside and putting it into a biological body. That is a contradiction. Everyone who has bought into the high cholesterol lie should read up on what cholesterol is and why your body needs it to survive. The drug companies keep lowering and lowering what is considered "normal" cholesterol. I don't think I need to point out why. Do your own research before you listen to anyone's opinions (mine included). If we all took control of our own health rather than blindly following pharmaceutical-sales-rep-educated doctors then maybe things would change.

foods high in cholesterol   August 14th, 2009 4:45 am ET

Arn't our kids exposed to too many drugs already. There are so many ways to lower cholesterol but just eating the right foods and avoiding the saturated fats.
More drugs are never a good replacement for a good healthy diet and lifestyle.
Check out http://www.foodshighincholesterol.info to find out more.

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