According to the , 7 percent of people in the United States between the ages of 6 and 19 have high cholesterol. And many don’t know it because there are no symptoms.
High blood cholesterol is associated with risk for heart disease and stroke.
The estimates that 193,000 Americans under age 20 have diagnosed diabetes.
, MPH, is a pediatrician at MemorialCare Medical Group in Long Beach, California.
“The study found that a significant amount of kids had elevated blood sugar and cholesterol levels,” he told Healthline. “That’s the reason for the AAP’s recommendation to screen. It makes sense.”
Morley cautions against making generalizations about the whole country based on a small study.
, a pediatrician at Providence Saint John’s Health Center in Santa Monica, California, agrees.
“This [study]… doesn’t represent the general population in America,” he told Healthline. “It represents one inner-city school, which has a high overweight/obesity rate of 42 percent. Also, this study happened in a city without a pediatrician.”
“All children are supposed to be screened for high body mass index (BMI), family history of diabetes and heart disease, and have cholesterol testing when they’re around 10 years old, or every year if they have risk factors like high BMI,” Ganjian said.
“If they’re not being screened, it’s likely parents aren’t following up with their child’s doctor on an annual basis,” he said.
Morley explained that despite AAP recommendations, these screenings are often not done for a variety of reasons.
“It takes extra time. It gets forgotten. It involves poking the child, lack of health insurance, parents who aren’t able to get time off work for doctor visits, getting primary care in ER settings — any number of factors,” he said.
High BMI, smoking, frequent urination, or family history of diabetes or heart disease are signs and symptoms that parents should get their child screened, Ganjian said.
But sometimes there are no warning signs.
“That’s the point of the study. A parent might think their child is doing well on the growth chart and seems healthy, and it just gets forgotten,” Morley said. “Kids need to be screened regardless of signs or symptoms.”
Morley said there are some potential problems with doing routine screenings in school, including the health privacy law known as the Health Insurance Portability and Accountability Act () and possible embarrassment for some children.
Ganjian pointed out that more kids would get flagged for having disease, which means these routine screenings would have to be performed under the guidance of a doctor.
“It’s a waste of resources for children who are already being seen by a doctor on a yearly basis,” he said.
Ganjian stressed the importance of working together to prevent these conditions in children.
“If you’re going to use resources in the school setting, then use them to teach parents about the importance of a healthy lifestyle starting at a young age rather than waiting to catch kids once they have diseases,” he said.
Ganjean recommended that parents teach children about a healthy diet and the benefits of exercise. This includes encouraging your kids to eat five fruits and vegetables a day.
In addition, there should be no more than two hours of screen time each day to prevent a sedentary lifestyle along with one hour of exercise every day, and no sweet drinks such as juices and soda, Ganjian said.
Schools could inform kids and their families about the recommendations to have this routine screening, Morley said.
“They could encourage them to go to the doctor to get it done. This could empower people,” he said.