Should your child’s annual physical include a cholesterol screening?

And, if so, should the results warrant, should he be put on statins?

This is the debate amount physicians.

There is worry that pharmaceutical companies may have too much sway over doctors who may be influenced by money to push cholesterol lowering drugs on children.

However, a growing obesity rate would suggest that high cholesterol and the danger of developing heart disease is a real possibility.

The guidelines are endorsed by the Academy of Pediatrics, which publishes the journal that carried the critical commentary Monday. The panel recommends that all U.S. children should get blood tests for high cholesterol as early as age 9 and that testing should begin much earlier for kids at risk of future heart disease, including those with diabetes or a family history of heart problems. Treatment should generally begin with lifestyle changes including diet and exercise, the guidelines say.

Cholesterol drugs would be recommended for some kids, but probably less than 1 percent of those tested. But the advice says those drugs, including statins, shouldn’t be used at all in children younger than 10 unless they have severe problems.

The guidelines aim to help prevent and treat conditions in children that put them at risk for later heart-related problems. At least 10 percent of U.S. children have unhealthy cholesterol levels and one-third are overweight or obese.

How about preventing obesity and not taking the risk of side effects from unnecessary drugs?