Let me first repeat what I said about children with a family history of premature cardiovascular disease:
By restricting cholesterol testing to those with positive family histories, fewer children will be unnecessarily treated, but whether those at risk will benefit from learning of the high probability that they will develop coronary disease or from diet modification is still unknown.
I agree with Dr Freis on the need for more information. Until that information is forthcoming I cannot agree that proper patient management involves labeling children at risk, selectively modifying their diets, or treating them with cholesterol-lowering drugs.