A growing number of American children are taking drugs for a wide range of chronic conditions related to childhood obesity, according to prescription data from three large organizations.The numbers, from pharmacy plans Medco Health Solutions, Express Scripts and the marketing data collection company Verispan, indicate that hundreds of thousands of children are taking medication to treat Type 2 diabetes, high blood pressure, high cholesterol and acid reflux - all problems linked to obesity that were practically unheard-of in children two decades ago.

The data, disclosed publicly in recent months or provided at the request of The New York Times, show that concerns that children will be taking adult medications - heightened recently by a recommendation by a national pediatricians group - are already a reality.

This month, the American Academy of Pediatrics said that more children, as young as 8, should be given cholesterol-lowering drugs. The recommendation was attacked by some experts as a license to put children on grown-up drugs.

While the drugs do help treat the conditions, some doctors fear they are simply a shortcut fix for a problem better addressed by exercise and diet.

Even so, some pharmaceutical companies are developing new versions, including flavored ones, of adult medications for children.

While some of the percentage increases in the three analyses are significant, doctors emphasize that prescriptions of such drugs to children represent less than one percent of their sales.

Express Scripts and Medco developed estimates of how many children might be taking such drugs by extrapolating their data - involving more than four million children - across the broader population. The companies use different assumptions to reach their estimates, but the data suggest that at least several hundred thousand children are on various obesity-related medications.

The greatest increase occurred in drugs for Type 2 diabetes, with Medco’s data showing a 151 percent jump from 2001 to 2007.

Medco’s data, released in May, showed that use of drugs to treat acid reflux problems in children, often aggravated by obesity, increased 137 percent over seven years.

Its analysis also showed an 18 percent increase in drugs to treat high blood pressure and a 12 percent increase in cholesterol- lowering medications during the seven-year period.

Express Scripts found a 15 percent increase over three years in drugs to treat cholesterol and other fats in the blood, a category that is primarily statins.

“We were amazed at how quickly the rates of drugs used have climbed,” said Donna Halloran, an assistant professor at St. Louis University who worked on the Express Scripts analysis, presented at a meeting of the American Public Health Association in November.

Verispan data recorded a 13 percent increase in high blood pressure prescriptions in the under 19 age group from 2005 to 2007.

Its numbers show, however, a less than one percent increase during the period in cholesterol-lowering drugs in children.

Some experts say that the increases in many of these obesity- related drugs reflect a systemic failure, with doctors and parents turning to them because they find lifestyle changes too difficult to implement or enforce.

“I think a lot of people in pediatrics, myself included, are struggling with what is the right management to do for these kids,” said Russell Rothman, an assistant professor at Vanderbilt University, who surveyed doctors and found wide variations in how children were being treated.

“You see elevated blood pressure, or elevated sugars, or elevated cholesterol and you try exercise and diet and you don’t see any improvement,” Rothman said. “I worry that some providers and some families are looking for the quick fix, and are going to want to start medication immediately.”

David Collier, director of a pediatric weight management center at East Carolina University in Greenville, North Carolina, an area where 45 percent of the children are overweight, is among doctors who support the recent recommendations that statins may be warranted in some children as young as 8.

“We have been using statins for two or three years now,” he said.

Originally published by The New York Times Media Group.

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