巨大的推動現已上場：篩選高膽固醇的小孩並給它們膽固醇藥物

巨大的推動現已上場：篩選高膽固醇的小孩並給它們膽固醇藥物
Huge push is now on to screen kids for high cholesterol and put them on cholesterol drugs
Monday, November 01, 2010
by: David Gutierrez, staff writer
translation by Autumnson Blog

(NaturalNews) A campaign is growing within the medical establishment, calling for the screening of all children for high cholesterol so that more of them can be put on cholesterol-lowering statin drugs.
（NaturalNews）一項運動正在醫療機構成長，呼龥為高膽固醇篩查所有兒童，因此他們更多人能被給予降低膽固醇的他汀類藥物。
Currently, U.S. medical guidelines recommend cholesterol screening for children whose parents or grandparents suffered from heart disease or very high cholesterol. The purpose of these tests is to detect a relatively rare genetic condition, affecting 0.2 percent of children, that leads to high cholesterol.
目前，美國醫療指引向患有心髒病或有非常高膽固醇父母或祖父母的兒童推薦膽固醇篩查。這些測試的目的是要檢測一相對性地少見，導致高膽固醇的遺傳病，影響0.2%的兒童。
When these guidelines were established in the 1990s, doctors estimated that they would qualify one in four children for screening. But with the rising obesity epidemic, says pediatrics professor William Neal of West Virginia University-Morgantown, doctors are increasingly concerned that these guidelines overlook many children who have developed high cholesterol due to lifestyle reasons.
當這些指引設立於上世紀 90年代，醫生估計他們將有四分之一的兒童符合篩選的資格。但隨著上升的肥胖疫情，西弗吉尼亞大學-摩根市的兒科教授威廉尼爾說，醫生們越來越擔心，這些指引忽略許多由於生活方式原因，已發展高膽固醇的孩子，。
"As time has gone on, one of the indicators that triggers screening is a condition such as high blood pressure or obesity in the child," Neal said. "You may have children for whom the family history of heart disease may not be positive, but their doctors will lean more toward screening as they worry about diabetes in addition to heart disease."

The most recent push for universal screening comes from a study by Neal and colleagues, published in the journal Pediatrics, finding that many children with high cholesterol are missed under current guidelines. The researchers analyzed family histories and blood tests from more than 20,000 11-year-olds in West Virginia.
最近推動的普遍篩查來自一項尼爾和他的同事所做的研究，發表在兒科雜誌，發現許多有高膽固醇的孩子，在現行準則下被錯過。研究人員分析了家族歷史和血液化驗，來自西弗吉尼亞州超過 20,000名 11歲的兒童。
Based on family history alone, 71 percent of fifth graders already qualified for screening. But the rate of high cholesterol was no lower among children who did not qualify -- meaning that nearly a third of children with high cholesterol were being missed.

"Just as many kids who would not have been screened ended up with severely high cholesterol levels as in the group that did qualify for screening based on family history," Neal said.

A normal cholesterol level in a child between the ages of two and 19 is 130 milligrams per decaliter (mg/dL), while a level above 160 mg/dL is associated with increased risks of heart attacks and Type 2 diabetes by early adulthood. Among children who qualified for screening based on family history, 8.3 percent had cholesterol levels above 130 mg/dL, while 1.2 percent had levels above 160 mg/dL. Among children who did not qualify, 9.5 percent had levels above 130 mg/dL and 1.7 percent had levels above 160 mg/dL.

As a consequence, the researchers are now calling for universal cholesterol screening for all children.

"A lot of parents told us they didn't even know kids had cholesterol, let alone high cholesterol," Neal said.

Children with high cholesterol are eligible for treatment with statin drugs.

Richard Besser, senior health and medical editor for ABC news, said that universal blood screening may well be unnecessary, noting that the study did not control for the effect of obesity. He said that doctors should instead focus on promoting healthy eating and exercise habits as a way to combat childhood obesity without drugs.

Ralph Sacco, president of the American Heart Association, echoed this advice.

"This study does call into question whether family history is a good enough indicator for screening, but whether to jump to universal screening is another question," he said. "The rising epidemic of diabetes means we need to focus on diet, weight control, and physical activity. Putting the emphasis on this for fifth graders would be of utmost importance."

"Maybe we should have more childhood screening of waist circumference, and of how well fifth graders do in controlling their weight and maintaining exercise," Sacco said. "Those would be universal programs we would gladly adopt."

http://www.naturalnews.com/030240_high_cholesterol_screening.html

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