Day :
- Advanced perspectives for better fitness in public health nutrition to reduce obesity and related chronic diseases
Location: Bitola, Macedonia
Chair
Vera Simovska
Symposium President, University of Bitola St.“Kliment Ohridskiâ€, Macedonia
Session Introduction
Vera Simovska-Jarevska
University of Bitola St.“Kliment Ohridskiâ€, Macedonia
Title: Effects of high-inensity lifestyle intervention on increased cardiometabolic risk in truncal obese adults
Biography:
Vera P. Simovska-Jarevska is Univ. Professor for Nutrition, Dietetics and Sports Medicine (MD., PhD) and Coordinator of Master Study for Nutrition at the University of Bitola. She was an Expert in the Macedonian Ministry of Health, the European Commission (FP7, HORIZON 2020) and a National coordinator in several projects covered by the WHO from 2001 to 2015 (CINDI, Move for Health, HEPA Europe). She has a wide range of professional experiences, obtained in 5 countries. Dr. Simovska’s research is focused on the role of nutrition and physical activity in the NCD prevention, especially obesity and cardiometabolic risk. She is the author of published over 100 original scientific articles, academic books and chapters.
Abstract:
Obesity is a chronic disease that increase the risk for coronary heart disease (CHD), type II diabetes (T2DM) and certain types of cancer, some of the leading causes of preventable death. It’s a growing public health problem worldwide. The purpose of our study was to develop a model of therapeutic efficiency high-intensity lifestyle intervention intended for truncal obese adults with increased cardiometabolic risk. Within the randomised controled trial at a group of truncal obese adults with risk factors for CHD and T2DM, we suggest the following two types of high-intensity lifestyle interventions: Ist-low fat, moderate hyperprotein, restriction diet (RD) of 1200-kcal/d(female) and 1500-kcal/d(male) with low atherogenic and glycemic(GI) index, and a specific proportion among SFA, MUFA and PUFA. The IInd-RD and the individually dosed physical activty (PA) with gradually, from low to modetare and peaks of high intensity (50%-60%-75%VO2max) in accordance to the initial level of the individual aerobic capacity (VO2max), expresed into METs. After 30 days was the increased energetic value of RD for 200-kcal/d in accordance with increased PA. The changes in anthropometric measures, metabolic profiles, VO2max and BMR are evaluated after 30 and 50days. The efficiency of the progammed PA in combination with RD represenets a significant higher reduction of BMI (kg/m2), WHR, fat mass index, risk factors for CHD and metabolic complication (hyperglycemia, dyslipidemia, arterial hypertension and atherogenic indexes) associated with truncal obesity and significant improvement in cardiorespiratory fitness for 17.16% VO2max from initial level. However, weight loss is influenced by individual biology and due to metabolic differences. European qudeline on prevention and management for nutritionists/dietitians by EFAD (ESDN Obesity) is desirable.
Daniela Nikolovska-Nedelkoska
University of Bitola St.“Kliment Ohridskiâ€, Macedonia
Title: Hot debates in nutrition and food production/reformulation against global obesity
Biography:
Ass. Professor Daniela Nikolovska Nedelkoska has completed her PhD thesis related to the antioxidant properties, bioactive compounds and therapeutic potential of the wild-growing macrofungi (mushrooms) in 2014. Her competences ranges from food engineering and biotechnology, to biological area of expertise. She has participated in several national and international projects in her field of interest. Ass. Professor Daniela Nikolovska Nedelkoska has published over 25 original scientific articles and abstracts.
Abstract:
Obesity is an important public health concern of our age. In theory, weight reduction involve behavior change related to diet and exercise. A lot of research has been devoted to the links between diet and obesity. Still, there are long-running differences of view, reflect the youth of the science and the difficulties of conducting controlled research that lasting for years, based on the daily routines of large numbers of free-living individuals. Increasingly sedentary lifestyles is considered as one of the major factor for the obesity epidemic in developed countries. Hence, the parallel debates on how to influence the consumer to make healthy lifestyle choices continues actively. Obesity, as multidimensional problem, requires an interdisciplinary approach involving the cooperation of all stakeholders such as the food industry, government, academia and medical community. Stakeholders should team up together in order to strengthen nutrition education of consumers and develop healthier product choices. Recently, attention has turned to the reformulating of the existing products (e.g. by decreasing sugars, fats and salts) and developing new food products. So, the food industry give its contribution in the battle against obesity by offering healthier food options on the market. The food labeling is also very important for consumers to have clarity and reliable nutrition information and to make responsible dietary decision. Giving consumers the nutrition information and nutritional food options can help them to make ‘informed healthy choices’ and, in the long term, to deal with nutrition problems, including obesity.
Vesna Antoska Knights
St.â€Kliment Ohridski†University of Bitola, Macedonia
Title: Mathematical modeling and optimisation in nutrition
Biography:
Vesna Antoska Knights is University Professor at Faculty of Technology and Technical Science-Veles at University “St.Clement Ohridskiâ€, Macedonia. Teaching subjects: Mathematic, Mathematic1, Mathematic2, Biostatistics, Modeling and Optimization. Current University senator at University “St.Clement Ohridskiâ€, R.Macedonia. Represented as a Women in Robotics Supporting and Collaboration - International Journal of Advanced Robotic Systems, InTech, 2014. Participant at following international project: EU FP7 project: Potkonjak V., Principal Leader, Antoska, V., and all., „Embodied Cognition in a Compliantly Engineered Robot“, 2008-20013. (www.eccerobot.org); FOODLINKS (www.foodlinks.eu), 2010-2013; World Bank project FY09 Conditional Cash Transfer project, Simulation Modeling of the Social Protection System in the Republic in Macedonia, 2008. DAAD project: SimLab - Parallel Numerical Simulation. Vesna Antoska Knights, is author and co-author of over 30 published original scientific articles, academic books and chapters.
Abstract:
Over the years, research in the life sciences has been fit greatly from the quantitative tools of mathematics and modeling. Many aspects of complex biological systems can be more deeply understood when mathematical techniques are incorporated into a scientific investigation. Modeling can be fruitfully applied in many types of food and nutrition research. As an example, modelling and optimization in nutrition is very important in planning meals for groups and individuals. Data base of nutritional composition of foods with mathematical and numerical methods covers the central concepts of practical optimization techniques such as fundamentals of linear optimization and simplex method, viewing software for optimization, programming and analysis, basics of fuzzy optimization. Using the field of nutrition, you can find many cases of recent advances in knowledge and understanding that were facilitated by the application of mathematical modeling to kinetic data, model of quality and needed food products which has influence of changing habits in food and diet.
Tatjana Kalevska
St.â€Kliment Ohridski†University of Bitola, Macedonia
Title: Whey properties and its use for production of functional and probiotic drinks
Biography:
Ass. Professor Tatjana Kalevska is a Doctor of biotechnical science employed at the Faculty of Technology and Technical Science-Veles, University St. Kliment Ohridski in Bitola. She has participated in many conferences, symposia, seminars and projects, with emphasis on the following as most significant: TEMPUS FOODLINKS Improving Academia-Industry links in food safety and quality and project “Training in technology of sheep and goat cheese production" MAÐSP, SIDA with a study period in R. Greece. Author and co-author of several scientific papers, published in the domestic and international scientific journals.
Abstract:
Whey is a by-product in the process of cheese production, represented with 85-90% from the total milk volume and contains 50% of the milk’s dry matter: lactose, whey proteins, minerals and vitamins. The high quality whey proteins are a source of energy and nutrients, rich with essential amino acids which makes them biologically essential proteins. The healing properties of whey are due to the presence of immunoglobulin and immunologically active substances which strengthen the immune system, protect the organism from different bacterial infections and allergic reactions. Only a small part of the whey produced in dairies in Macedonia is used for the production of albumin cheese, while the rest is left unused. The goal of this work is to show the therapeutic and functional properties of whey as well as the possibility of its use in production of functional and probiotic whey based drinks, with the use of new innovative technologies and scientific findings.
Sasko Martinovski
St. Clement of Ohrid, University of Bitola, Macedonia
Title: Modeling of Nutrition Business Models of Consumer Behavior when Buying Food Products
Biography:
Associate professor Sasko Martinovski, PhD, was born in Veles, where he completed his primary and secondary education. He got his Bachelor’s and Master’s degree in Sciences at the Faculty of Electrical Engineering - Skopje, at the University “Ss. Cyril and Methodius†Skopje, and obtained his PhD from the Faculty of Economics - Prilep, “Ss. Kliment Ohridski" with the paper on “GIS modelling for strategic planning of the development of the urban environmentâ€. His work experience is extensive, including work in a number of companies as head of the computer centre, work in the implementation of GIS projects, but also as an educator for IT education. Today he works as a professor at the Faculty of Technology and Technical sciences in Veles. During his career he has received a number of awards and certificates for his contribution to the IT sector. Recently, his main fields of scientific research activity include: Expert systems, GIS application in medicine, nutrition, food technology and economics, GIS and electronic services (e-business, e-marketing, e-commerce), GIS modelling and Marketing.
Abstract:
Introduction. In the planning of socio-economic development, making profit, protecting the environment and planning a healthy life, a modelling of models is needed, and the obtained anticipated changes at different levels are crucial to efficient management. Nowadays we use of various consumer behaviour models, the most known of which are only the deterministic or probabilistic, lumped or agent model, continuous product range or finite number of brands etc. In these models, the modelling is done with analytics and statistics (mathematical models). The subject of this research paper is to modelling for business model and the goal is nutrition models of consumer behaviour when purchasing food products in which emphasis is given to the determinant nutritional properties of food. The paper present original concept of modelling for business model. The model is built on the basis of several principles and one of the most important is to provide greater clarity and full understanding of the process that is built into the model. Nutritional business model of consumer behaviour we propose is not a classic mathematical model. It can include mathematics, statistics, and other methodologies including: nutrition, economic and geographic - Geographic Information System (GIS). Conclusion. The building a good nutrition model of consumer behaviour when purchasing food would help companies in order to get answers to questions about their marketing strategy. These models can be used in the Health and Nutrition sectors. Research has shown that the application of GIS, in the building of the model, is a very important and necessary component.
Rosida Jakimoska-Jordanoska
St. Clement of Ohrid, University of Bitola, Macedonia
Title: Screening childhood obesity in region of Prilep, Macedonia
Time : 10:50 - 11:00
Biography:
Rosida Jakimoska–Jordanoska is born in Prilep, Macedonia. She is a specialist of School Medicine and employed in Public Health Care Centre-Prilep, the Department for preventive healthcare for school children and youth from 6-18 years. She is Master ( 2nd degree qualification) student of Nutrition at the Faculty of Technology and Technical Sciences Veles.
Abstract:
Global computerization in developed, but also in developing countries is a social phenomenon in everyday life which is closely related to nutritional status and health status of children and adolescents. The aim of this article is through the implementation research of population to determine: - Trend of overweight in school children and adolescents for a period of 5 years; - To assess behavioural risk factors for overweight and obesity; - To determine the correlation between diet and physical activity and to develop a mathematical model to evaluate the positive effects of preventive educational activities. The survey was conducted in two stages, for two population groups of school-aged children and adolescents. The first part of the survey conducted anthropometric measurements, functional and biochemical analysis, and also population survey to monitor behavioural risk factors (empirical method). The study is planned to be implemented also examining diet and physical activity among all school-aged children and adolescents with standardized questionnaires (Food Frequency Questionnaire) and the International questionnaire for assessment of physical activity (IPAQ-short version). Systematic reviews are implemented in school children aged 12 to 13 years, as the first group and in adolescents aged 17 to 18 years, the second group of respondents. A total of 400 children aged 12 to 18 years, equal numbers of both sexes and divided into two groups involved in the research. The first group included 200 students aged 12-13 years, and the second group is also 200 students aged 17-18 years. The selection of participants is randomly. The survey is scheduled to take place in the Public Health Care Centre - Prilep, the Department for preventive health care for school children and youth from 6-18 years. According to the processed data, Body Mass Index Percentiles for boys (14-18 years), we received the following results: the males,16-17% are below normal less than the 5th percentile, 61.76% have a healthy weight or 5 percentile of less than 85 percentiles, 14.70% with increased body weight 85 to less than 95 percentiles, and 13.6% were overweight, equal to or greater than 95 percentiles. In women 17.79% below normal less than 5th percentile, 68.71% have a healthy weight or 5 percentile to less than the 85th percentile, 10.42% with increased body weight 85 to less than 95 percentiles, and 3.06% are obese, equal to or greater than 95 percentiles. This research is expected to provide the data that will be used in preventive medicine and nutritional development of educational programs in the domain of public health. and modification of lifestyle among school children of the municipality of Prilep.
Miodrag Stojanovic
St.â€Kliment Ohridski†University of Bitola, Macedonia
Title: Identification and determination of Ganodermic acid like bioactive compounds in samples from the medical mashroom reishi (ganoderma lucidum) and weight maintance.
Biography:
Miodrag Stojanović is a Master degree student on the Nutritional Studies at the St. Kliment Ohridski University of Bitola, Faculty of Technology and Technical Sciences – Veles. He has completed (graduated) his Bh.sc.eng studies at the UKIM Technology Sciences Faculty – Skopje. He is Owner of the Novus-trade company and Owner of the nutrition health company Dr.Robinson – Skopje with over 8 years of experience in healthy food and life. He was representative person for BACKALDRIN – Austria (2004 – 2008 y) and has own bakery for presentation and making healthy products.
Abstract:
Mashrooms constitute a kingdom of organisms - Fungi, which is separate from the other two kingdoms organized higher eukaryotes: plants - Plantae and animals - Animalia. Given the growing global interest in natural sources of bioactive components, makrofungite is a huge resource for expanding the diversity of chemical components from natural sources that could find application in therapeutic purposes. Biosynthesis of different groups of secondary metabolites, polysaccharides and protein components, and the content of essential trace elements (selenium, germanium, etc.) makes fungi valuable natural source of bioactive components with different therapeutical applications: antioxidant, antimicrobial and anticancer compounds, components who degrading the level of cholesterol in blood, boost immune system, etc. act as immunosuppressants and weight maintenance. This increasing interest in functional foods represents a paradigm shift from eliminating “bad†to increasing the “good†components that one consumes. The purpose of this research is to investigate the presence of secondary metabolite Ganoderic acid in different samples prepared by medical fungus Ganoderma lucidum using HPLC for identification and determination of GA in samples. Besides the identification and quantification of the test component, the paper is intended to provide a detailed review of the literature data relating to its bioactive action and therapeutic potential. Ganoderic acids term refers to a group triterpenoids (lanosterol derivatives) identified in fungi of the genus Ganoderma. The research results should provide better knowledge of the therapeutic properties of this medical and act on methablism and weight maintenance.
Zora Uzunoska
University of Bitola St. “Kliment Ohridskiâ€, Macedonia.
Title: The normal and slowly higher body weight is a protective factor of bone mineral density in premenopausal and Osteoporosis in postmenopausal patients with Rheumatoid Arthritis
Biography:
Prof. d-r. Zora Uzunoska, MD, PhD, specialist of Clinical Immunology is teaching Human Anatomy, Physiology and Immunology to Nutrition graduate and postgraduate students. She had upgraded her knowledge living in 6 countries, working in several fields of medicine: Clinical work with Cardiac and Rheumatic Patients, Laboratory Research, Education and Science. She is the author of two books: “Osteoporosis in Rheumatoid Arthritis†based on her PhD Research, being awarded as the first scientific work published about this topic in Republic of Serbia; and “The basic of Human Anatomyâ€, a Textbook for Nutrition students. She is the author and coauthor of 45 articles.
Abstract:
The body weight (BW), relative body weight (RBW) and its correlation with Bone Mineral Density (BMD) was investigated in 352 Rheumatoid Arthritis (RA) female patients, categorized in premenopausal (PreMP) and postmenopausal (PM) patients. BMD was measured by DXA densitometer in the beginning, 6 months and 1 year after trial. RA PreMP patients with a BW of 45-55 kg had significantly lower BMD compared to those with 56-66 and 67-77 kg (1.087 v. 1.216, 1.260 g/cm², p< 0.01, p< 0.001). There was no significant difference between BMD of RA PreMP patients, age of 40-49 with a higher BW, and those of 30-39 ages RA PreMP (1.255 v.1.260 g/cm²) which suggests that higher BW can prolong and reduce the bone loss during perimenopausal period. In RAPM, lower BW of 45-55 kgs was connected to reduced BMD and the presence of Osteoporosis. In this group BMD values were significantly lower compared to the same category of patients with a normal BW, BW of 67-77 kg and over 77 kg (0.897 v. 0.996. 1.071.1.061 g/cm². p< 0.01, p< 0.001). Low BW in RA PreMP is followed by BMD reduction of 10.6% compared to patients with a higher BW, while in low BW RAPM patients this percentage rises to 16.5% and the occurrence of Osteoporosis is notified. However RAPM patients with a higher BW or obesity had normal values of BMD. These results suggest that a lower BW is a risk factor for a lower BMD in PreMP and a significant risk factor for Osteoporosis in postmenopausal RA patients.
Biography:
Primarius d-r Mila Vidin, MD, MSc. is a spesialist of Medical Biochemistry and Specialist of General Practice, as well as Master of Science of Molecular Imunogenetics. She graduated Medical School and Specialty of Medical Biochemistry at the University of Skopje, Macedonia (1983-1985). In 1982, she public defenced her Master thesis at the Interdisciplinary Center for Postgraduate studies of University of Zagreb, Croatia. Her PhD thesis is in field of Comparative Physiology. Practical analysis of her Master thesis for HLA tissue typing was conducted in Department for Imunoserology, Institute of Transfusiology and Haematology at the Medical School of Skopje. Other courses are in the field of Integrative Medicine (Bioresonant therapy), and Total Quality Management and Accreditation of Clinical Laboratory. She is a member of the Serbian Section of Rheumatologist, Biochemical Society of Serbia and President of NGO for Secondary Stroke Prevention. She is the author of monography, two books and 55 scientific papers.
Abstract:
Obesity and Insulin Resistance (IR) аre the central issues in prevention of and care for comorbidities. In fact, the central problem is IR, which leads to a cascade of health problems. This condition should be diagnosed in primary practice and obesity clinics. Treatment should start at the earliest stage possible, when obesity-associated comorbidities are still reversible and includes a personalized dietary advice and counseling, preferably by a nutritionists/dietitians, and exercise program as a part of the treatment. Obesity-induced IR is a key component in the pathogenesis of type 2 diabetes mellitus (T2DM), hypertension, dyslipidemia and insulin resistance Sy (Metabolic Sy). We made effort to answer why we need a shift of paradigm regarding the relationship between body weight and comorbidities. Adipose tissue macrophages (ATMs) are necessary and sufficient for the development of the adipose tissue inflammation and insulin resistance associated with obesity. Also, it,s well known that longlasting or repeated temporary disturbances of glycoregulation in Metabolic Sy, obesity and pre-diabetes mellitus, disturbs insulin secretion of beta pancreatic cells with final stage, T2DM. For prevention of T2DM the most important is to detect "on time" first glycoregulation disturbances. Beside routine mesurement of fasting glycaemia and maybe OGTT, routine measurment of insulinaemia is not accepted in general practice in most of country in the world. ADA defined criteria IFC and IGT in 1997, and 2001. The WHO defined criteria of Sy X in 1998. and 2002 recommended measurment of insulinaemia, but not cheking of insulin sensitivity of pereferal tissue for exact diagnosis. In our a randomized controlled trial, glycoregulation parameters were measured in 70 patients with Metabolic Sy including obesity, 51yrs. age-old and respectively 70 healthy individuals. Diagnostic significance of glycoregulation parameters and their ROC ANALYSIS were performed. Efficacy of Quicki indeks has better diagnostic performances and better efficiency than glycaemia and insulinaemia separately. Quicki indeks helps to distinguish non-functional hiperinsulinaemia and presence of hypoinsulinaemia in patient with obesity-induced insulin resistance and pre-diabetes mellitus (T2DM). Weight loss through diet and exercise leads to significant health improvement and is, therefore, the key in treatment of obesity and insulin resistance related comorbidities.
Elena Stojanovska
St. Kliment Ohridski†University of Bitola, Macedonia
Title: Obesity as a risk factor for complications during the pregnancy
Biography:
Elena Stojanovska is Master (2nd degree qualification) student of Nutritional and Food Sciences, at Faculty of Technology and Technical Sciences. She graduated Chemistry School at “St.Cyril and Methodius†University-Skopje with over 8 years experience as a chemistry professor in a high school education- SUGS ,, Dimitar Vlahovâ€- Skopje. This is her first author’s publication presented at the Scientific Symposium-Euro Global Summit “Weight Loss 2015â€.
Abstract:
At present, more than one third of women worldwide are obese, more than one half of pregnant women are overweight or obese, and 8% of reproductive-aged women are extremely obese, putting them at a greater risk of pregnancy complications. Therefore, preconception assessment and counseling are strongly encouraged for obese women and should include the provision of specific information concerning the maternal and fetal risks of obesity in pregnancy, as well as encouragement to undertake a weight-reduction program. Lifestyle intervention could help obese pregnant women to limit their weight gain during pregnancy, but has not yet been evaluated in randomized controlled trials. It’s confirmed that a targeted lifestyle intervention programme based on the principles of motivational interviewing reduces gestational weight gain (GWG) and levels of anxiety or depresed mood in obese pregnant women.At the same time pregnant woman needs macronutrients and micronutrients that are essential for her life and fetal life. For all obese and overweight patients, consultation with dietician early in labor, and consultation with weight-reduction specialists before attempting another pregnancy should be encouraged.
Sanja Mancheva
St.â€Kliment Ohridski†University of Bitola, Macedonia
Title: DASH-diet in hypertension and obesity prevention
Biography:
Sanja Mancheva is a Master degree student on the Nutritional Studies of St.Climent of Ohrid University of Bitola,Facluty of Technolgy and Technical Sciences-Veles.She graduated medical school at St.Cyril and Methodius University-Skopje with over 10 years experience as doctor of medicine.
Abstract:
Arterial hypertension or high blood pressure is a chronic medical condition in which the blood pressure in arteries is elevated. What you choose to eat affects your chances of developing high blood pressure. Recent studies show that blood pressure can be lowered by following the Diatery Approaches to Stop Hypertension DASH-eating plan and by eating less salt also called sodium. In an attempt to explore the benefits of a reduced level of salt intake I have made a research. In the research I have conducted in my Office 62 patients at the age of 24-65 were included, out of which 39 have already had high blood pressure values of 85-100 mmHg for the diastolic and 130-160 mmHg for the systolic blood pressure. The patients were divided into two groups, one of which was put on diet by DASH-diet, and the patients of the other one were advised to continue to be on the usual diet. Each group has been divided into subgroups according to the quantity of salt which they have been taking on a daily basis. The different levels of salt were 3300mg, that is, the quantity that is usually taken on a daily basis and 2300 mg. i.e. medium reduced level of salt intake. The control of the blood pressure was carried out in the Office three days a week for a period of 45 days. Results showed that reducing dietary sodium lowered blood pressure for both eating plans, but true winnig combination was DASH eating plan and lower intake of salt or sodium.
Ivo Zele
St.â€Kliment Ohridski†University of Bitola, Macedonia
Title: NaCl restriction survey in patients with cardiovascular diseases and heart failure on Primary Health Care level in Macedonia
Biography:
Ivo Zele is Student degree of Food and Nutrition, Faculty of Technology and Technical Sciences – Veles at the University of Bitola “St. Clement of Ohridâ€. He is junior teaching associate on the Nutritional Studies at the Faculty. He worked in fitness shop “O2 Company†for four years. He is ambitious, communicative and responsible person. He is open for teamwork. This is his first presentation on the Euro Global Summit & Medicare Expo on “Innovative weight loss approaches to overcome health risks associated with obesityâ€.
Abstract:
Food consumption and nutritional practices are an important part of life for whole population, including patients with acute or chronic cardiovascular diseases and heart failures. Observing patients with cardiovascular diseases and heart failure in the west region of the Republic of Macedonia has shown an increasing trend of CVD in recent years. 10 healthcare institutions respondents from the west region of the Republic of Macedonia, which are one of the best in their field, participated in a research study during 2015. The research is based on institutional surveying, using standardized survey tools containing food records, type and frequency of food utilization and NaCl restriction. The survey is used to capture the restriction of NaCl in both working and non-working days and to monitor and analyze NaCl intake during the pharmacotherapy. The concluding results will be compared with the recommended quidellines of the World Health Organization. The results from the survey will be entered in a database using Excel software which enables both preliminary and final analysis of the data. The Simplex method for optimizing the data will be used and the numeric calculation of the Simplex method will be conducted using the C++ program language. Study results will be used to develop a model for future health promotion through healthy nutrition and quidelines during the treatment of patients with acute or chronic cardiovascular diseases and heart failure on PHC level in the country.
Vezire Starova
St.â€Kliment Ohridski†University of Bitola, Macedonia
Title: Nutritional Counselling on dietary change during Religious Fasting in Macedonia: Easter and Ramadan
Biography:
Vezire Starova is a Master degree student on the Nutritional Studies at the St. Clement of Ohrid University of Bitola, Faculty of Technology and Technical Sciences-Veles. She a graduated Philologist and educator with over 15 years of experience as teacher and translator.
Abstract:
Food consumption and nutritional practices are an important part in the religious life for many denominations, including the Orthodox Christianity and Islam, which are dominant in the Republic of Macedonia. Observing religious fasting in the Republic of Macedonia has shown an increasing trend in recent years. 360 respondents from Skopje, observers of the religious fasting rules, categorized in age groups from 15 to 65 years of age, belonging to the Orthodox Christian and Muslim faiths participate in a two-step research during 2015. The research is based on individual surveying, using standardized survey tools containing nutritional/dietary information notes, type and frequency of food utilization (FFQ) and BMI. 24 hours recall survey is used to capture the consumption of macro and micro nutrients in both working and non-working days to monitor and analyze nutritional intake during fasting in terms of various micro and macro nutrients as well as glycemic index. The concluding results will be compared with the recommended nutrient intake annex of the second edition of the World Health Organization’s Vitamin and Mineral Requirements in Human Nutrition publication. The results from the survey will be entered in a database using Statistica 9 software which enables both preliminary and final analysis of the data. The Simplex method for optimizing the data will be used and the numeric calculation of the Simplex method will be conducted using the program language C++. Study results will be used to set-up the recommendations for future health promotion programs and mass media education for healthy nutrition during religious fasting in the country.
Tanja Tefova
St.â€Kliment Ohridski†University of Bitola, Macedonia
Title: Make smart choice – improving cardiovascular health through healthy nutrition and dietary salt restriction
Biography:
Tanja Tefova is Student degree of Food and Nutrition, Faculty of Technology and Technical Sciences – Veles at the University of Bitola “St. Clement of Ohridâ€. She is junior teaching associate on the Nutritional Studies at her faculty. She has practical experience in Bovin Winery (2014, 2015). She is a member at Association of Citizens EKOVITA – Negotino. She is communicative and creative person and she has outstanding ability for planning, working in a team and motivating.
Abstract:
Modelling and optimization in nutrition can be applied in many types of food and nutrition research and it is very important in planning meals for groups and individuals. Dietary NaCl restriction is arguably the most frequent self – care behavior recommended to patients with cardiovascular diseases (CVD). Excessive NaCl intake frequently is associated with fluid retention. Observing the status of the patients in Macedonia has shown increasing trend of patients with CVD in recent years. CVD remains the leading cause of death in Macedonia, and the risk factor for atherogenic CVD increases progressively with age. The research is based on public health centres surveying, using standardized survey tools containing nutritional information notes, type and frequency of food utilization and NaCl restriction. The survey is used to capture the restriction of NaCl in both working and non-working days and to monitor and analyze NaCl intake during the treatment. The results from the survey will be entered in a database using Excel software which enables both preliminary and final analysis of the data. The optimization will be made with Simplex method which is one of the top ten methods for optimization. The numeric calculation will be conducted using the Visual Basic program language. The concluding results will be compared with the recommended publications of the World Health Organization. The results will be used to set–up recommendations for future health promotion programs for healthy nutrition.
Sasko Drvosanski
St. Clement of Ohrid, University of Bitola, Macedonia
Title: Modeling of Nutrition Business Models of Consumer Behavior when Buying Food Products
Biography:
Sasko Drvosanski is a Master’s degree student of the Nutritional Studies at the St. Clement of Ohrid University of Bitola, Faculty of Technology and Technical Sciences - Veles. He holds a BSc degree in information and communication technologies and has been professionally engaged in the field of marketing and communication for over 12 years. At present he is also a cofounder and editor in chief of a nutrition based web blog www.healthyfoodnotes.com
Abstract:
WHO statistics from 2014 highlight the fact that there are over 1.9 billon overweight people throughout the world, out of which over 600 millions are obese. Obesity is a major risk factor for development of chronic diseases such as cardiovascular diseases, T2DM and cancer. Aside of the dietary regime and the physical activity which have direct impact on the bodyweight, the new scientific research confirms the clear distinction between the type and structure of microorganisms that colonize the intestines of a normal weight and an overweight-obese person. The purpose of this paper is to give a short review of the role and functions of the human microbiome (population of microorganisms in the intestines) from the aspect of food absorption. It explains the participation of various bacteria types (focusing on two main types of bacteria “firmicutes“and “bacteroidetesâ€) in the food digestion and absorption, and their direct influence on regulation of the bodyweight. Taking in consideration the information on the factors that directly impact the human microbiome’s condition, in the conclusion reached on the bases of analysis of the latest research, we present a dietary recommendations that support regulation and balance of the gut microbiome, with respect to achieving optimal health and regulated body weight. Thus we can ackgnowledge the necesity of healthy and balanced intestinal micro flora (microbiome) as precondition for maintaining and regulating normal body weight.
Slavica Sivevska
St.â€Kliment Ohridski†University of Bitola, Macedonia
Title: Influence of dietary habits on development of caries in children from rural and urban areas of Skopje
Biography:
Slavica Svevska is a Master 2nd degree student of the Nutritional Studies at the St. Clement of Ohrid University of Bitola, Faculty of Technology and Technical Sciences Veles. She is a graduated Doctor of Dental Medicine with over 15 years of experience as general dentist.
Abstract:
Dental caries is one of the most common oral diseases in modern humans. The state of oral health influences on general health and opposite as part of a one common system. Oral health and nutrition have a synergistic multidirectional relationship. Official position of American Academy of Nutrition and Dietetics is that nutrition is integral component of oral health. Numerous data coming from different studies point to the role of carbohydrates in etiology of dental caries as a multifactorial disease. Main goal of this study is to determine the influence of dietary habits as one of main risks factors for dental caries diseases with children of 12 to 13 years of age in Skopje rural and urban areas related to the religious life for many denominations, including the Orthodox Christianity and Islam population. Apart from the main goal, it is to acquire data on oral hygiene habits, socio-demographic factors and to propose preventive measures concerning oral health. Case study will consist of 250 children of 12 to 13 years of age, equally from both genders and Macedonian and Albanian nationalities. Clinical examination will be conducted at all school-age children according to which DMFT index will be determined based on Klein-Palmer method and OHI index based on Greene-Vermillion method. Questionnaires will be fulfilled by the children from which we can collect data on dietary habits and types of food, oral hygiene habits and parents education. The questionnaire for dietary habits will consist of following: determining frequency of consumption of a different type of nutrition during a period of one week, or the so-called “Food frequency questionnaire†(FFQ). Results from this study will be statistically processed via STATISTICA 7 including descriptive statistic, student t-test, and correlation, linear and multivariable analyses. With this study we expect to collect the data given in the goal and be able to determine possible risk factors for dental caries disease and, as a result of it, propose preventive measures especially from the perspective of proper and balanced diet.
Maja Vanevska
University of Bitola St. „ Kliment Ohridskiâ€, Macedonia
Title: Psychosocial aspects of obesity
Biography:
Maja Vanevska, at the age of 39, lives in Skopje, Macedonia. She has finished her elementary education in ,, Goce Delchev ", district Ilinden, and in 1999 year completed secondary medical school for nurse - technician in: DSMU ,, Dr. Jovan Kalauzi "- Bitola, R. Macedonia. She graduated in 2006 in the, Sublime Medical School in Bitola, Republic of Macedonia and gain the title: Specialist Nurse - general direction. Now she is advanced university student of nutrition at the Faculty of Technology and Technical Sciences-Veles, Republic of Macedonia. From 2001 - and still - regularly employed as a Charge Nurse in the Department of Education at University Clinic of endocrinology, diabetes and metabolic disorders - Skopje, Republic of Macedonia.
Abstract:
The influence of psychosocial factors on obesity was discovered, test questionnaires were answered by 30 women (W) and 13 men (M), divided in two groups: group with normal BMI<25kg/m2 (A), and the second group of obese subjects with BMI>30 kg/m2 (B). Educational level and success in education was higher in W (83,33%) and M (33,33%) in A compared to W (44,44%) and M (14,29%) in B. Satisfaction of their work is higher in A: 90%W and 80%M compared to B: 66,67%W and 60%M. We aren’t satisfied from their colleagues relationships in 71,43%W and in 33,33%M, and not satisfied from the quality of their job, 42,86%W and 66,67%M. Feeling stress during their working activities was estimated in B (58,73% W) compared to A (36,3% M), and 20%M of both groups. The possibility of relaxation at home is significantly lower in B: 22%W and 14,29%M compared to A: 58,33%W and 66,67%M. Subjects in B consider negative the influence of their immediate surrounding, in 86,67%W and 100%M, disabling them in their psychosocial adaptation in the society. M have opinion that the other people make fun of their obesity in 67%. W don’t share that opinion. Educational level and success in education and their work was lower in obese, their non adaptation to immediate surrounding and its negative influence to them was higher. It is confirmed that obesity is connected with many psychosocial problems.
Valentina Pavlova
St “Kliment Ohridski†University of Bitola, Macedonia
Title: Efficacy and safety of herbal medicines in obesity management.
Biography:
Associate Prof. Valentina Pavlova is Doctor of Science (Ph.D.) in Chemistry, degree obtained at “Ss. Cyril and Methodius†University, Faculty of Natural Sciences and Mathematics, Institute of Chemistry, Skopje in 2007. She has completed her postdoctoral studies at Alexander Technological Educational Institute of Thessaloniki, Thessaloniki, Greece in 2015. Associate Prof. Pavlova is the author/coauthor of more than 100 articles; participate in 73 diploma works and 10 research projects. She is a Reviewer of four international journals. From May 2013 till today she is a Dean at Faculty of Technology and Technical Science–Veles.
Abstract:
Obesity is becoming one of the most prevalent health concerns among all populations and age groups worldwide, resulting into a significant increase in mortality and morbidity related to coronary heart diseases, diabetes type 2, metabolic syndrome, stroke and cancers. Prevention and treatment of this problem are an important deal for health systems, whose aim is to reduce the obesity and overweight prevalence, and related complications over the world. Nigella Sativa, Camellia Synensis, Green Tea, and Black Chinese Tea seem to have satisfactory anti-obesity effects and shown significant decrease in body weight. Nigella sativa and green tea decrease lipid peroxidation in plasma or liver, which seem a mechanism of anti-obesity effect. Higher anti-oxidant and anti-obesity activity showed green tea due to its high concentration of catechins, including epicatechin (EC), epicatechin-3-gallate (ECG) and epigallocatechin-3-gallate (EGCG). Significant decrease in body fat was seen by Catechin-enriched green tea and black Chinese tea. Safety of these plants still remains to be elucidated by further long-term studies.
Emilija Nedanovska
St “Kliment Ohridski†University of Bitola, Macedonia
Title: Learning about the importance of healthy eating in prevention against obesity and nutrition-related chronic diseases
Biography:
Emilija Nedanovska is Student Degree of Nutrition at the University St. Clement of Ohrid-Bitola, Faculty of Technical and Technological Science-Veles. She finished a high school education in “Josip Broz Tito†in Bitola which is one of the most successful high schools in Macedonia. This is my first strudent’s presentation at the European Conference in 2015.
Abstract:
Nutrition and dietetics is relatively young science in Macedonia. The Faculty of Nutrition was open five years ago and it enabled the youth to enrich their knowledge in this field. Still there is a need the rest of the population to be informed about the healthy benefits of food. It is a responsibility of the nutritionists and their associations. According to that, every nutritionist should possess characteristics as communicability and creativity. In Macedonia, there is an Association of Nutritionists, but it exists relatively short period. This association conducted a research with 181 respondent between 11 and 21 year, that showed 84% of the respondents are informed about healthy food, but more often they chose fast food and processed snacks as a fast source of energy. One of the main obligations of the Association is to promote the healthy benefits of food, to inform the population the way unhealthy food causes chronic diseases and to offer healthy substitutes for unhealthy food. The activities of the Association are especially important because 60% of men and 47% of women over the age of 20 in our country have increased body weight and 20% of them are obese. For successful mission it is very important this Association to be supported from other significant groups, as government, physicians, etc. Mutual cooperation can lead to healthier lifestyle of the population with decreased chronic diseases and healthy youth which is very important for the future of our country.
Marija Ristevska
University of Bitola St „Kliment Ohridskiâ€, Macedonia
Title: Obesity in young age and the benefit of balanced nutrition
Biography:
Marija Ristevska is Bachelors Degree of Nutrition (expected), Faculty of Technology and Technical Sciences-Veles at the University “St. Clement Ohridski†in Bitola, Macedonia. She completed high medical school at “D-r Jovan Kalauziâ€-Bitola.
Abstract:
Obesity is known as a chronic disorder involving excessive body fat that increases the risk of health problems. In the recent years, childhood obesity is on the rise. Childhood obesity also takes an emotional tool. Overweight children are frequently teased and excluded from team activities, which can lead to low self-esteem, negative body image, and depression. Research points to high fat diets and lack of exercise are the reasons that more preschoolers are on their way to obesity. There is a greater choice of processed food available in our shops and food outlets, which can contain lots of fat and sugar. Many parents do not guide their children toward healthy eating, because they do not want to prohibit them certain kinds of unhealthy food that their children want. A healthy eating plan limits foods that lead to weight gain. Portion control is an important factor in child care. Educating children and their families should be incorporated in daily curriculum. Potential health problems that are related to the weight, such a diabetes, makes nutrition a major health concern. It is important to regulate the food intake thereby the needs for nutrients required for proper growth and development of children should be satisfied. Exercise for young children means outdoor play typical for a growing child or other kind of regular training that is in the child liking and not a formal exercise program.
Marija Madjovska
University of Bitola St „Kliment Ohridskiâ€, Macedonia
Title: Mediterranean diet in prevention of obesity and cardiovascular disease
Biography:
Marija Madjovska is a student of Food and Nutrition Study, Faculty of Technology and Technical Sciences – Veles at the University of Bitola“St. Clement of Ohridâ€. She has attended practice in the company for the production of healthy food. She is communicative, social, worthy and responsible person. This is her first presentation on the Euro Global Summit & Medicare Expo on “Innovative weight loss approaches to overcome health risks associated with obesityâ€.
Abstract:
Food contains nutrients and biologically active substances which are important for growth and development, for proper metabolic functioning and they also affect the vitality and immunity from certain diseases. Proper diet involves daily use of various food in quantities that satisfy our real needs of proteins, fats, carbohydrates, minerals, vitamins, enzymes and other biologically active compounds that regulate our metabolism. If we enter more than the necessary amounts of food we risk to increase our body mass and become susceptible to a range of chronic diseases that are characteristic of people with overweight such as cardiovascular diseases, Ñтроке анд diabetes mellitus type 2. The Mediterranean diet is a set of dietary habits which if we practice them they can become a real source of health and protect against the aforementioned diseases which today are constantly increasing due to consumption of fast food meals that are full with trans fatty acids. The prevalence of cardiovascular diseases is 61% of all cause marbidity in Macedonia (2014). Research has shown that the traditional Mediterranean diet reduces the risk of heart disease. In fact, an analysis of more than 1,5 million healthy adults demonstrated that following a Mediterranean diet you can reduce the risk of death from heart disease and cancer, as well as you can protect yourself from Parkinson`s and Alzheimer`s diseases .
Davor Daniloski
University of Bitola St „Kliment Ohridskiâ€, Macedonia
Title: The importance of proper nutrition for pregnant women in the prevention of malnutrition, including obesity
Biography:
Davor Daniloski is a student of Nutritional and Food Sciences, and now he is a student assistant at Faculty of Technology and Technical sciences (study of Nutrition). He worked on several projects supported by the results obtained from experiments in laboratories: • Examination of the total number of bacteria in waste water "fifth channel" - Bitola • Biochemical analysis of cow milk (protein, fat, carbohydrates, pH, acidity, dry matter). • Biochemical analyzes of apples (oxidative processes) This is his first author’s publication.
Abstract:
Pregnancy is one of the best periods for each woman but is associated with physiological changes that result in increased plasma volume and red blood cells and decreased concentrations of circulating nutrient-binding proteins and micronutrients. To maintain a healthy pregnancy, it is necessary to take care of proper nutrition. The best time to refer to the dietician is when there is a desire to become pregnant, or upon becoming pregnant in combination with: - Underlying disease: diabetes, elevated risk of gestational diabetes, based on family history, cardiovascular disease, thyroid disease, muscle diseases, bowel diseases, chronic constipation, eating disorders, food sensitivities, (imminent) kidney failure; - High risk factor: overweight/obesity, unwanted substantial weight gain in a previous pregnancy, hypertension/gestational hypertension, underweight condition, experience with underweight condition in a previous pregnancy, elevated risk of gestational diabetes, based on family history, persistent nausea and morning sickness, specific problems and/or questions related to food. In the diet, pregnant women need macronutrients and micronutrients that are essential for life and life that mothers carry in their womb. Micronutrients and macronutrients that are to be ingested on regular basis are: carbohydrates, proteins, fats, vitamins, minerals and water. Some nutrients are particularly important during pregnancy and need to be consumed as a prenatal supplement. Folic acid is the most important nutrient during pregnancy because its deficiency can lead to the occurrence of spina bifida. This paper aims to provide an overview of the distinctive nutritional need of pregnant women.
Magdalena Damjanovska
First private University FON, Macedonia.
Title: The impact and conestions of some motor abilities on body mass index at the 18 years old students
Biography:
Magdalena Damjanovska (PhD) is an Associate Professor at the Faculty of Sport Management, First Private University FON, Skopje, Macedonia. She was Dean of the Faculty of Sports and Sport Management at private University, 2007-2009, the Member of the Senate of Unevrsity FON, 2007-2010 working at the State University of Skopje, the Faculty of Physical Culture from 1980 to 2006, a member of the Comission for Women and Sport with the Olympic Committee and a trainer of Rhytmic Gymnastics, Commisioner of Rhytmic Gymnastic. At present, she is an Associate Professor of rhythmic gymnastics, dance, sport communication and management and has published more than 30 papers in reputed journals.
Abstract:
For purposes of this study were measured 13 motor tests on a sample of 75 male students of the fourth year of secondary vocational school „Jovan Teslichkov“, Veles, aged 18± 6 months. The aim was whether the predictor system of motor variables have an impact on criterion variable of Body Mass Index (BMI). Regression analysis showed that the tests:„deep forward bend on the bench“(MDFBB), lifting the body from a lying position on the back – „abdominal muscle strength“ (MAMS), lifting the body with face lying down position – „back muscle strength“ (MBMS), „flexed-arm hang on the bar“ (FAHB) and „sprint 9-6-3-6-9 m. with 180˚ turns“, (MS96369), statistically have significant impact on BMI criteria variable. But because besides regular classes this sample of respondents had additional practical classes, which means more physical activity, was interesting this sample to be divided into two subsamples: 57 students who had normal values BMI and 18 students who had higher values BMI (clasification is made according to ITOF - Cole at all, 2007). The results of applied univariate analysis of variance showed that there were statistically significant differences in favor of students who had normal BMI, in the following tests: „strength of abdominal muscles“ (MSAM), „strength of back muscles“ (MSBM), „flexed-arm hang on the bar“ (FAHB), „Illinois test“ (MTILI), „sprint 9-6-3-6-9 test by with 180˚ turns “(MT96369), and test „jumps in 4 squares “(Mj4Sk).
Vera Simovska-Jarevska
University of Bitola St „Kliment Ohridskiâ€, Macedonia
Title: Evaluation the influence of sporting activities on cardiorespiratory fitness of youth in creating national standards
Biography:
Vera Simovska is Univ. Professor for Nutrition, Dietetics and Sports Medicine (MD.,PhD) and Coordinator of Master Study for Nutrition at the University of Bitola. She was an Expert in the Macedonian Ministry of Health, the European Commission (FP7, HORIZON 2020) and a National coordinator in several projects covered by the WHO from 2001 to 2015 (CINDI, Move for Health, HEPA Europe). She has a wide range of professional experiences, obtained in 5 countries. Dr. Simovska’s research is focused on the role of nutrition and physical activity in the NCD prevention, especially obesity and cardiometabolic risk. She is the author of published over 100 original scientific articles, academic books and chapters.
Abstract:
Sporting activities are an integral part of population health, everyday life and work, and related to specific aims and interests of society. The aims of our study were: -to determine the value and importance of sporting activities on the basis on influence on cardiorespiratory fitness of youth; -to create national standards for cardiorespiratory fitness of different kind of sport activities by age and gender groups using software analysis. Material and methods: 57 different kind of sport activities were evaluated from the register of the Institute of Sports Medicine in Skopje. A great number of these are already practiced countrywide, and some of them, considerating the dynamics, needs, possibilities and conditions of the social development, are likely to be practiced and improved in the next period. In the first phase, we have created a software tool for the best evaluation of different sport activities and their influence on cardiorespiratory fitness of 10.120 youth, engaged in regular sport activities in a city of Skopje. In the second phase, we evaluated 38 sport activities by using Astrand submaximal test. It was carried out on 891 randomly selected youth. The simple was divided into four groups of approximately the same number of youth by age and gender. In order to determine influence of sporting activities on cardiorespiratory fitness, compjuterized database provided 19 cardiorespiratory and anthropometric incomes, and 33 outcomes. The results of the arbitrary evaluation of spoting activities were evaluated with the essential descriptive statistics. Obtained results of cardiorespiratory fitness of physically active youth are significantly greater than VO2max of sedentary youth, presented in the next table: Age and gender of athletes VO2maxml/kg/min=X+/SD Minimum Maximum Male = 12-16 years 37.68+/-6.72 23 59 Male = 17-21 years 41.40+/-7.99 24.6 64 Female = 12-16 years 34.29+/-6.75 21 53 Female athletes = 17-21 years 36.36+/-7.29 22 58 Sedentary youth (both gender) 24.73+/-7.18 / / The results of software analysis are in order to help research institutes for creating standards through evaluating the influence of sporting activities on cardiorespiratory fitness of youth, specialist of sports medicine, sports coaches and nutritionist in diet planning, and prevention of sports trauma during exercise.
Aleksandra Leova
St. Kliment of Ohridski†Univeristy of Bitola, Macedonia.
Title: Correlation analysis between nutritional status and some function- biochemical parameters in physical active and sedentary school-aged children in the region of Skopje.
Biography:
Aleksandra Leova is Bachelors Degree of Nutrition, Faculty of Technology and Technical Science Veles at the University of Bitola “St.Clement Ohridskiâ€, Macedonia. Currently she attends 2nd degree qualification/Master Studies of Food Safety and Quality Management at the Faculty of Technology and Metallurgical Sciences of St.Kiril and Methody in Skopje. After graduating in October 2014, she started working like nutritionist and dietitian in the private polyclinic Center of internal diseases – “Heart†in Skopje where she encounters and works with obese people on a daily basis thus expanding her experience and knowledge of dealing with the problem of obesity. This is her first publication.
Abstract:
Introduction: Maintaining a healthy body weight of the young population of school age is very important, both in their physical and mental development. One of the basic requirements for a good child’s development is regular sports activity, healthy eating and a balanced diet. The role of nutritionist is to improve nutritional health of youth. The main objectives of this study are to examine the effects of sports activity in school-age children of 7-14 years old who participated in sport clubs in addition to the regular school physical and health education process on the body’s composition, some indicators of the nutrition and functional parameters, and to determinate the correlation of the biochemical and functional parameters between two groups of school children (experimental and control groups). Method: In this research there were 70 participants, 35 female and 35 male of school-aged children from several primary schools of the central area of the city of Skopje who practice sport in sport clubs beside the regular physical and health education in their schools, and equal number of school-age children of the same age who don’t practice sport activities. Correlation is made between experimental and control groups on the following parameters: BMIkg/m2, haemoglobin, erythrocytes, and systolic and diastolic blood pressure. Results: Male school-children with sport’s activity have lower value of BMIkg/m2 and higher value of Hb in comparison with the control group. Conclusion: The health effects of regular sports activity are confirmed by the maintenance of normal nutritional (BMIkg/m2) and haematological status (Hb and Er) of school-aged children.
Ðngel Panovski
University of Bitola St„Kliment Ohridskiâ€, Macedonia
Title: Athletes and the importance of Sport Nutrition
Biography:
Angel Panovski is a graduate student at the Faculty of Technical and Technological Sciences – Veles at the Department of Food Technology and Human Nutrition. He and his female colleague presented a scientific paper at the first international conference in Macedonia for nutrition, public health and food technology in November 2014. Angel have more than 10 years’ experience in various sports as well as in the fitness industry. This will be his second international presentation.
Abstract:
There are many books and scientific papers in the world, but there is not a single diet or exercise treatment that can be common denominator and not a single formula for everyone’s health. Nutrition has been linked to performance and health far back in ancient Greece where Hippocrates said “If we could give every individual the right amount of nourishment and exercise, not too little and not too much, we would have found the safest way to healthâ€. Therefore today we are striving on getting the best nutrition to make the best performance we can with our body and mind. What athletes should eat and how much of macro and micro elements should contain the meal is not a subject of unification but it will depend on the athlete’s sport, the amount and type of training. The nutritional education of the athletes is also very important but the fact of their knowledge stays marginal compared with the growing awareness for proper nutrition. The need of real education about sports nutrition is more than urgent for all of the athletes, sport associates, coaches, sport recreationists and everyone involved in the sport for best performance and best health.
Andrej Simovski
Bitola St„Kliment Ohridskiâ€, Macedonia.
Title: Dietary protein and essential amino acids supplementation for athletes- bodybuilders: From requirements to optimum adaptation
Biography:
Andrej B. Simovski is born in Skopje, Macedonia. He is Bachelors Degree of Nutrition (expected), Faculty of Technology and Technical Science Veles at the University “St.Clement Ohridski†in Bitola, Macedonia. Language skills: english, macedonian and serbian. Participant at the international projects, working on logistic support at annual conferences, workshops and continual medical education, creating power point presentations/posters at national campaigns, video materials and the website www.nosmoking.cjb.net . Also, he was translator of materials and case study, preparing the materials (agenda, sertificates, invitation letters, photocopying), brochures handing, taking part in organizing eco activities, organizing an exhibition and public education counselling as a Secretary of the NGO Public Health National organization for health promotion.
Abstract:
The main belief in resistance-trained athletes/bodybuilders is that it is needed to generate more muscle protein. There is a good rationale for recommending to athletes protein intakes that are higher than the RDA. Our purpose was to present the efficiency of recent clinical examinations of protein and essential amino acids supplements used by novice, amateur and world-class bodybuilders to gain muscle mass, strength and to present any possible adverse effects. On the basis of nitrogen balance measurements, the recommended protein intake to maximize muscle protein synthesis is 1.3-1.8 g/kg per day consumed as 3-4 nitrogenous meals. Sports nutrition scientists have accepted that protein intakes during early stage of intensive training in novice bodybuilders is 1.6-1.8 g/kg per day. Protein increases from 1.35 to 2.6 g/kg per day do not increase muscle mass gains during the first month of bodybuilding training (1.5 hrs/day, 6 days/week). Amateur bodybuilders may require slightly more protein than sedentary people. A well balanced diet would be achieved with a few corrections in food such as total calorie intake and protein quality. “Breads and cereals†and “milk and dairy products†revealed to be the most important groups. Protein supplements contributed 13% (18-22%) of total protein intake. It’s dubious whether extra dietary protein supplementation will help someone to achieve athletic goals. A world-class bodybuilders during 8-week pre-competition period achieved athletic goal by following high energy (54 kcal/kg/day), carbohydrate (76% of DEI) and protein (19%) diet. The exercise strategy included 2 hrs of aerobic and 3 hrs of weight training. Recent scientific findings are supported claims that excessive protein supplementation can lead to dehydration, liver and kidney changes. The most effective way to increase strength and bulk is to perform sport-specific resistance exercise training with the provision of adequate energy, carbohydrate, and protein.
Sonja Panovska
University of Bitola „St KlimentOhridskiâ€, Macedonia
Title: Nutrition and physical activity in obese subjects
Biography:
Sonja Panovska is born on 20.12.1980 in Skopje,Macedonia. She is a student of nutrition at Faculty of Technology and Technical Sciences Veles, Macedonia. She has finished her secondary school as a nurse in 1999 at DSMU “Pance Karaghozovâ€Skopje,Macedonia. Since 2000,she works as a nurse at “University Clinic of Enocrinoloy,diabetes and metabolic disordersâ€Skopje, Macedonia. She has finished postgraduaded studies of Master at Faculty of medicine“St.Cyril and Metodius†Skopje, Macedonia and has a title “Master of Public Health†She is active in promoting health,education of obesity and diabet patients at “University Clinic of Endocrinology,diabetes and metabolic disorders†Skopje,Macedonia.
Abstract:
Obese subjects have increased energy intake and reduced energy expenditure. Two groups of examinees answered tests questionnaires about nutrition and physical activity: group A with (BMI)<25kg/m2 and group B with BMI>30 kg/m2. In group B 50% of women (W) and 42% of men (M) and in group A only 8% of W were physicaly inactive (p<0.001). Less than 3 hours a day walk 100% of the group B examinees and 54% of the group A (p<0.001). More often watch TV 50% W and 33.33% M in group A, and in the group B 66.67% W and 50% M. Longer than 3h watch TV 38.89% W and 50% M in group B, that is higher than 8.33% W and 33.34% M in gr Ap<0.01 In group B 38.89% W and 42.86% M eat too much and 9.09% W from group A (p<0.001). Rare and much food take 35.29%W and 66.67%M in group B. Often and much food take 29.41% W and 16.67% M. All examinees from group B take food for less than 5 hours and 8.33% W and 40% M in group A. Hyper caloric food take 29.41%W and 85.71% obese M. Fast food is taken from 16.67% W and 14.28%M. Bread and paste are used in the group B in 77.78% W and 42.86% M, meat 33.33%W and 85.71% M, but use of fruits and vegetables was lowest compared to group A. Obese subjects are less physical active, have sedentary life and good appetite and take hyper caloric very often.
Vladimir Nikolovski
University of Bitola St„Kliment Ohridskiâ€, Macedonia
Title: Physiological base оf method for programming physical activity in obese young individuals
Biography:
Vladimir Nikolovski is Bachelors Degree of Nutrition (expected), Faculty of Technology and Technical Science-Veles at the University “St.Clement Ohridski†in Bitola, Macedonia.
Abstract:
Collaboration among sports pedagouges and sports nutritionists is necessary to reinforce the link between sound regular physical activity (PA) and dietary practice for weight management in young individuals. Our purpose was to propose the method for programming PA on physiological base in obese young individuals and to reinforce the collaboration among sports pedagouges and sports nutritionists in the area of health promotion and cardiovascular disease (CVD) risk reduction through increasing physical activity. Our method for programming PA was established using classification for aerobic fitness (WHO). The basic criterion for obese individuals selection in four PA groups was initial level of VO2max (ml-1kg-1min-1) expressed in term of METs. Training pulse was calculated using equation by Karvonen M. Intensity of PA was recommended in accordance with energy expenditure and expresed in term of METs (WHO/Andersen). Using tables of gross energy expenditure of various PA were chosen different types of PA. Diet of 1500kcal/d was prescribed in the Ist phase and 1800kcal/d in the IInd phase related to increased level of VO2max (ml-1kg-1min-1). The efficacy of programmed PA and/or diets were examined in 42 obese young individuals included in 8 wk randomized controlled trials. Using our method for programming PA were achieved significant reduction on body fat and CVD risk factors, safe performance and is avoided the risk for CVD events, so as enlarged type of PA. Ongoing debate are long-term effects on weight cycling and management, preferably 2-5 years.
Emilija Spasovska
St.â€Kliment Ohridski†University of Bitola, Macedonia
Title: Epidemiology of Obesity in Macedonian Youth
Biography:
Emilija Spasovska Mojsovska is a Master degree student on the Nutritional Studies at the St. Clement of Ohrid University of Bitola, Faculty of Technology and Technical Sciences-Veles.
Abstract:
Epidemic of obesity is an increased problem of modern society. Cause for this is the rapid unhealthy lifestyle, unbalanced diet and physical inactivity. The most common etiology facor is the intake of high-calorie foods in our everyday lives. Worldwide doubled the number of obese people from 1980 until now, so it is the fifth risk factor for nutrition-related chronic diseases. 30% of the world population has overweight seems that planet about 2 billion dollars a year. The calculations relating to 2030 that obesity can reach up to 50% of the world population. In 70% of obese people considered that lifestyle risk factors play an important role, while 30% were considered to have psychological disorders. 35% of adults 20 years and older were overweight in 2008, and 11% were obese. In 2011 more than 40 million children under five years were overweight and more than 30 million children with excessive weight. Within Macedonian youth still 43.7% of students in the fifth grade have increased body weight, and 29.4% of children are overweight and 11% are already obese in kindergartens.
- Track 1: Overweight & Obesity Track 2: Weight gain and contributing factors Track 3: Eating disorders and obesity and Weight gain and Health risks
Chair
Nikolai Reynolds
Ipsos Healthcare and Ipsos InnoQuest
Co-Chair
A.P.J. Houdijk
Trial Holland Health, The Netherlands
Session Introduction
A.P.J. Houdijk MD PhD
Trial Center Holland Health, The Netherlands
Title: Weight loss: What is the best outcome measures ??
Time : 11:20-11:50
Biography:
A P J Houdijk is a gastrointestinal/endocrine surgeon with a special interest in metabolic derangements related to body composition and complications after surgery. A hallmark of metabolic derangements after surgery is insulin resistance as a result of the stress response. This response is influenced by body composition. The parallels with the insulin resistant state in overweight and obesity has triggered his interest in studying the impact of different body stores in various disease states. The last few years he is engaged as the Program Director of the Trial Center Holland Health tackling overweight related problems.
Abstract:
The treatment of the world-wide obesity epidemic remains a problem. Despite many new approaches targeted at dietary improvement and restriction combined with increased physical activity programs, obesity numbers are rising. Body mass index (BMI) and weight assessment are frequently used to monitor weight loss programs. BMI and weight are influenced by weight gain or loss from body stores that have significant different effects on health. An increase in healthy muscle mass as a result of physical activity will obscure the loss of unhealthy visceral fat (VF) and despite health gain will reduce adherence to the program. In recent years much progress has been made on the causal factors involved in the benefit of muscle and the down side of VF in relation to health risks. Muscle has to be regarded as a hormone-producing organ influencing fat and glucose metabolism and VF induces an inflammatory state causing the metabolic syndrome. Health risk is dependent on the balance between muscle and VF. The measurement of VF is important in risk profiling and in follow up of interventions. Combining VF measurements with BMI has identified risk sub-phenotypes in surgical patients corresponding to the lean fit, lean unfit, fat fit and fat unfit phenotypes. These new parameters will help to monitor weight loss programs in the context of loss or gain of health in a particular sub-phenotype.
Edwin C.M. Mariman
Maastricht University Medical Center, The Netherlands
Title: Adipocytes as biological promoter of weight regain after weight loss
Time : 11:50-12:20
Biography:
Edwin C M Mariman completed his PhD in 1983 at the University of Nijmegen. In 1985, he was appointed as Senior Scientist at the Department of Human Genetics. In 1990, he became Head of the Research Division of Multifactorial Disorders. From 1995, he was Head of the Medical DNA-diagnostics Division. In 2001, he moved to the University of Maastricht as full Professor of Functional Genetics to study molecular and genetic aspects of obesity. He is coordinator of the Maastricht Proteomics Center, member of the committee for NWO-TOP grants, Editorial Board Member of several journals, (co)author of about 200 peer-reviewed articles.
Abstract:
Overweight is one of the major problems of modern day societies. Although weight reduction is fairly easy, maintenance of the reduced weight is the true challenge. Research has mainly focussed on psychosocial factors as a cause for weight regain, but also biological factors may play a role. We are investigating the possibility that adipocytes act as driving force behind weight regain after weight loss. Mature adipocytes are surrounded by a strong extracellular matrix (ECM). When adipocytes shrink during weight loss, the ECM should adjust in parallel. However, under conditions of energy restriction, this process is hampered, leading to mechanical stress between the adipocyte and the surrounding ECM. We hypothesize that this adipocyte cellular stress is a promoter of weight regain. Using genetic variation in 124 ECM genes as part of the pan-European DiOGenes GWAS, association was found between the risk for weight regain and five ECM genes. In addition, we quantified eight stress proteins in adipose tissue and found some of them to be significantly increased in persons who regained weight, but not in persons who remained weight stable. Together this supports our hypothesis. Moreover, we found that adipocytes during weight loss or shortly thereafter, increase their capacity for fat uptake and storage. A model for weight regain will be presented in which adipocytes try to get rid of their cellular stress by lowering the secretion of leptin to induce food intake by the host followed by re-filling of the adipocytes. As a consequence the host will regain weight.
U. Deniz Dincer
Bezmialem University School of Medicine, Turkey
Title: Does new approach regarding “Reversing adipocyte inflammation in obesity really worthy?â€
Time : 12:20-12:50
Biography:
U Deniz Dincer received her MD, Ankara University School of Medicine, 1986 and her PhD, Ankara University in Pharmacology, 1995. She completed her training as a Postdoc in USA (Indiana University School of Medicine) 1997, 1999-2000. She worked at Ankara University between 2001-2005 as an Associate Professor. She also worked at LSUHSC, New Orleans, USA and IUPUI, Indiana, USA as a faculty (Assistant Prof.) between 2004-2010. Between 2010 and 2012 she was department chair of Pharmacology, Ufuk University School of Medicine, Turkey. She is working as a Professor and Department Chair of Pharmacology, Bezmialem University School of Medicine, Istanbul, Turkey.
Abstract:
Visceral fat is thought to be the source of adiposopathy, which is characterised by chronic inflammation and necrosis. It produces and releases many bioactive peptides named adipokines, which play important roles in energy production, vascular homeostasis, immunity and metabolic syndrome. When healthy adipocytes are transformed to “sick adipocytesâ€, all the hormones, cytokines, chemokines and growth factors released from fat may change. Thus, a new perspective related to developing new approach against obesity and metabolic syndrome focuses on “reversing inflammation in adipose tissueâ€, which could break the link between inflammation and adiposopathy-associated complications. When clinicians and scientists aim to create an “avant-garde†human body, obesity cannot include on that picture; it is more than aesthetic outfit but certainly related associated complications. Reversing adipocyte inflammation is a “new therapeutic approach†which could reverse adiposity-associated complications in metabolic syndrome, type II diabetes and atherosclerotic cardiovascular disease.
Rebecca Cooper
Rebecca’s House Eating Disorder Treatment Programs, USA
Title: Neurobiology Implications of Obesity and Disordered Eating
Time : 14:00-14:30
Biography:
Rebecca Cooper is the leading expert in disordered eating, eating disorders and food addictions. She received her Master’s degree in Clinical Psychology from Pepperdine University and is a Licensed California Therapist, Licensed Professional Clinical Counselor, Certified Eating Disorder Specialist and holds a World Certificate for Psychotherapy. She authored the book, Diets Don\'t Work®, CDs, DVDs, Eating Disorder Workbooks, and numerous published articles. She created the first transitional living program for people with disordered eating, Rebecca\'s House Eating Disorder Treatment Programs in California. Her recovery program for disordered eating is used throughout the USA at treatment centers and by therapists.
Abstract:
Many people have a dysfunctional relationship with food wheretheir obsession with food, weight, dieting and body image is impacting their health and quality of life. New advances in weight loss procedures, programs and research into the disruption of the energy homeostasis caused by dieting and the mutation of inheritable genes are resulting in an epidemic of obesity and disordered eating. Disordered eating creates a complex interaction that involves genetics, environmental factors, psychological disturbances, neurochemical and biochemical changes, and disturbed thinking patterns. The world’s top scientists and researchers are studying the physical, behavioral, emotional, and mental effects of foods, lifestyle, and experiences that create a dysfunctional relationship with food. Research has shown that neurochemical and genetic expression can be altered and are implicated in obesity and disordered eating. It has also been shown that some people have genetic programming for fewer dopamine receptors. To compensate individuals may use substances (or some foods) to increase dopamine levels in the reward system of the brain.
Nikolai Reynolds
Ipsos Healthcare and Ipsos InnoQuest, Germany
Title: International Study on Weight Reduction Strategies
Time : 14:30-15:00
Biography:
Nikolai Reynolds completed his PhD at the University of Bonnin Germany at the Chair for Market Research and is today, an appointed Lecturer at the same chair. In the private industry, at Ipsos - an international market research company - he heads two business units as a Director: Ipsos Healthcare and Ipsos InnoQuest. He has published more than 30 papers and has been for four years a member of an advisory board for an EU Commission co-financed international research program focusing on supply chain relationships in the LATAM and the EU.
Abstract:
The objective of this study was to assess factors determining the reaction of individuals to the threats of overweight and obesity. Its aim is also to examine the interdependencies between weight-reducing strategies. The study encompasses a cross-country survey covering 19 countries and 13,155 interviews. Data were analyzed using a bivariate probit model that allows simultaneously analyzing two weight-reducing strategies. Results show that weight-reducing strategies chosen are not independent from each other. Findings also reveal that different strategies are chosen by different population segments. Women are more likely to change their dietary patterns and less likely to become physically active after surpassing a weight threshold. In addition, the probability of a dietary change in case of overweight differs considerably between countries. The study also reveals that attitudes are an important factor for the strategy choice. It is vital for public health policies to understand determinants of citizens’ engagement in weight reduction strategies once a certain threshold is reached. Thus, results can support the design of public health campaigns and programmes that aim to change community or national health behaviour trends taking into account, e.g., national differences.
Amalan Karthigeyan
Peterborough City Hospital, UK
Title: The use of pharmacotherapy in the treatment of binge eating disorder
Time : 15:00-15:30
Biography:
Amalan Karthigeyan attended medical school at the University of Debrecen in Hungary. He obtained his MD from there in 2012 and is now working as a junior doctor in the UK. He spent a short period of time working in an eating disorders unit in the town of Grimsby. During this time he had a case report published and participated in an audit analysing cardiac abnormalities in anorexia nervosa patients. The findings of this audit were presented at the 16th World Congress of Psychiatry which took place in Madrid in September 2014.
Abstract:
In treating binge eating disorder (BED), pharmacological treatment has proven beneficial. Multiple antidepressants including desipramine and fluvoxamine have demonstrated a decrease in the frequency of binge eating episodes as well as a decrease in the weight. For example, a placebo controlled trial of desipramine demonstrated a 63% decrease in binge eating frequency and mean weight loss of 3.5 kg for patients on desipramine compared to 16% decrease in binge eating frequency and mean weight loss of 1.2 kg for patients on placebo. Four previously published placebo-controlled trials on the effect of selective serotonin reuptake inhibitors (SSRIs) on BED demonstrated a minimum 50% decrease in the frequency of binges by SSRIs compared to placebos. Studies have also shown that in binge eating disorder, there are abnormalities with serotonin and norepinephrine. Anticonvulsants such as topiramate and zonisamide have also proven beneficial as they have been associated with anorexia and weight loss. One placebo controlled trial for topiramate demonstrated that 64% of patients treated with topiramate stopped binge eating while only 30% of patients on placebo demonstrated this. Both of these particular anticonvulsants act by inhibiting glutamate transmission. Anti-obesity agents including orlistat and sibutramine are also being used. An open trial of sibutramine on 10 obese patients over 12 weeks demonstrated that seven out of the ten patients had a reduction in their body weight while a placebo controlled trial on 60 patients demonstrated decreases in binge eating frequency and body weight. New options for pharmacological treatment such as atomoxetine and acamprosate are also emerging.
Bo Werner
Orebro University School of Medicine Sweden
Title: Increasing Rate Of Weight Loss For Schoolchildren Within The Epidemic Of Obesity – A Swedish Paradox?
Time : 16:00-16:30
Biography:
Bo Werner is currently working as a paediatrician in the Division of Social Medicine at the Department of Public Health Sciences, Karolinska Institute, Stockholm, Sweden. Werner\\\'s research shows that a population\\\'s health may well be described by child and school health records. She has published many papers based on her survey and research on the development of body mass index (BMI), overweight, obesity and weight loss among the schoolchildren in Sweden.
Abstract:
This paper contrasts two findings from the same national covering material in Sweden for children born in 1973 and 1981 from age 7y to 18y. For both boys and girls obesity is increasing in both prevalence and severity and at the same time there is an increasing rate of weight loss episodes especially among girls. Two questions are put: Does this simultaneously development challenge public health work and can these findings be replicated elsewhere? Like in most of the world, the obesity epidemic among children and adolescents is also present in Sweden. Longitudinal surveys of two national representative samples born in 1973 and 1981 have shown that over a period of eight years the rate of obesity among boys and girls, age 7 to 18y, has increased both in prevalence and severity. The last decade’s discussions on whether weight loss and eating disorders, especially among girls, is a growing problem have been ongoing in many countries, but nevertheless it has never been shown convincingly as an increasing phenomenon. In Sweden, by investigating the same data-set as in the study above, it has been shown that there is an increasing rate of weight loss episodes among both boys and girls, especially girls.
Ana Rodrigues Costa
University of Évora, Portugal
Title: How saliva can be useful in weigh management programs.
Time : 16:30-17:00
Biography:
Ana Rodrigues Costa has completed her PhD in Biochemistry from Évora University in 2012, studying the contribution of Na, K-ATPase to pancreatic B-cell dysfunction in DT2. She is currently Assistant Professor of Biochemistry in the Department of Chemistry at Évora University, Portugal. She developed investigation in ICT research center, as Senior Investigator of the Functional Biochemistry group. Her main scientific interests include: i) Physiopathology of DT2, ii) signal transduction studies in cellular models of disease; iii) the identification of salivary biomarkers in pathology.
Abstract:
Saliva contains cells and compounds, of local and non-local oral origin, namely inorganic, organic non-protein, protein/ polypeptide, and lipid molecules. This body fluid offers a non-invasive and stress-free alternative to serum, which can reflect real-time levels of biomarkers. In the last few years, steroids and non-steroid hormones have been investigated in saliva, providing particularly useful biomarkers for physical exercise behavior or psychosocial stress evaluation (e.g. cortisol, testosterone, leptin). In recent years, the attention turned also to the non-hormonal protein components of saliva. Salivary ï¡-amylase is one of the major protein components of saliva and its main function is the enzymatic digestion of carbohydrates, but it is also important for mucosal immunity in the oral cavity, as it inhibits the adherence and growth of bacteria. This enzyme is considered a marker for SNS activity and for metabolic energy balance, sensitive to physical exercise and stress. In this context, its activity/expression in overweight and obesity is of interest. Saliva proteome is being analyzed by 2DE in several physiological/pathologic situations in order to identify potential biomarkers. Additionally, saliva can also be useful to follow lipidemic profiles, since a correlation between levels of total cholesterol and HDL has been demonstrated. Despite the convenient assessment, some characteristics of salivary components also entail some pitfalls that might complicate study design and interpretation of results. To overcome some of these problems, the establishment of standard protocols for collection, analysis and expression of results is a priority.
- Track 4: Surgical Weightloss: Bariatric Surgery and Liposuction, Track 5: Dietary Approaches for Weight Management, Track 6: Current Clinical Research and Interventions in Treatment Approches
Chair
Farid Saad
Bayer Pharma, Germany
Co-Chair
Mohamed Saleh Ismail
University of Dammam, KSA
Session Introduction
Muneera Q Al-Mssallem
King Faisal University, KSA
Title: Traditional food and weight loss
Time : 11:20-11:50
Biography:
Muneera Q Al-Mssallem is a faculty member at King Faisal University, Saudi Arabia. She has got her PhD in dietetics from Surrey University, Guildford, UK. She has been working as an Assistant Professor at King Faisal University since 2011. She has published some of her works in some journals such as European Journal of Clinical Nutrition, Saudi Medical Journal, Journal of Diabetes & Metabolism, Annals of Nutritional Disorders & Therapy, Proceedings of Nutrition Society, and Arab Gulf Journal of Scientific Research.
Abstract:
Obesity is a chronic condition that has been found to be associated with habitual eating patterns and lifestyle. The recent dramatic modification in Saudi diet in particular, modifying the type of carbohydrates content of the diet, was behind the most health problems. This study investigates both, the relationship between consumption of traditional Saudi foods and prevalence of obesity, and the effect of consumption traditional Saudi foods on losing weight. The results have revealed that 28% of subjects were overweight or obese, and 70% of subjects usually consume the traditional Saudi foods. There was a significant inverse correlation between the BMI and the consumption of these traditional Saudi foods (p=0.003). The second part of the study on obese and overweight participants has shown that 4% of weight reduction has been achieved within 6 weeks on low glycaemic index traditional foods. In conclusion, dietary advice should be givento consume the healthy traditional food in order to overcome and diminish the occurrence of health problem escalation.
Farid Saad
Bayer Pharma AG, Germany
Title: Hypogonadism, Obesity and Testosterone Therapy (oral)
Time : 11:50-12:20
Biography:
Farid Saad worked for various pharmaceutical companies as specialist for reproductive endocrinology, pediatric endocrinology, andrology, endocrinology of male ageing, and hormonal male contraception in clinical development andrology, scientific and medical affairs. He currently works for Bayer Pharma in Berlin, Germany. He has authored and co-authored more than 100 peer-reviewed papers and more than 500 scientific abstracts. He received honorary Professorships in clinical research and endocrinology at Gulf Medical University, Ajman, U.A.E., and at Men’s Health Reproduction Study Center, Hang Tuah University, Surabaya, Indonesia.
Abstract:
Adipose tissue produces substances that suppress testosterone production. Low testosterone leads to further accumulation of fat mass. This situation represents a vicious circle. In an ongoing registry study of 347 hypogonadal men (total testosterone ≤12.1 nmol/L and presence of hypogonadal symptoms) being treated with testosterone in a urology office in Germany, only 7.5% had normal weight (BMI <25 kg/m2) at baseline, 22.8% were overweight (BMI 25-29.9 kg/m2) and 69.8% obese (BMI ≥30 kg/m2). The same applies to waist circumference (WC): 4.3% with WC<94, 30.8% 94-101.9, and 64.8% ≥102 cm at baseline. This distribution seems representative for hypogonadal populations. Only when long-term studies (5 years) with injectable testosterone undecanoate (TU) appeared in 2013 and 2014, substantial and sustained weight loss became apparent. In a controlled study, 5-year treatment with TU in men with metabolic syndrome resulted in progressive weight loss of 15.4 kg and decrease in WC of 9.6 cm. In registry studies, patients lost weight in the same magnitude. In none of these studies, patients regained weight during the observation time. In a meta-analysis on TU, the magnitude of effects depends on baseline BMI, duration of treatment, and age. It can be hypothesised that increase in lean mass and behavioural changes are factors in achieving weight loss by testosterone treatment. In conclusion, testosterone may have the potential to decrease obesity in hypogonadal men in a meaningful and sustainable manner.
Greta Krešić
University of Rijeka, Croatia
Title: Postpartum weight retention as a risk factor for the development of midlife obesity
Time : 12:20-12:50
Biography:
Greta Krešić received her BA (1997), MA (2001) and PhD (2005) in Food Technology and Nutrition from the University of Zagreb, Faculty of Food Technology and Biotechnology. The fields of her scientific interest is human nutrition (dietary intake, dietary habits, maternal and child nutrition). As an author and co-author, she has generated 30 peer-reviewed publications. She has held 15 poster and oral presentations and lectures on international congresses. She is a member of the editorial board of Croatian Journal for Food Technology, Biotechnology and Nutrition and also serving as a reviewer for 14 international scientific journals.
Abstract:
The childbearing years are an important life stage for women that may result in substantial weight gain leading to the development of obesity. In the light of early prevention of obesity, special concern should be taken in counselling women in the period after parturition since they are a very vulnerable population, considering the changes in metabolism and in lifestyle which have occurred. Weight gain before, during and after pregnancy not only affects the pregnancy but may also be a primary contributor to the future development of obesity in women during midlife and beyond. Women are often told that breastfeeding will help them lose weight, but they may have concerns about diet and substantial weight loss and its effect either on their breast milk quality or supply or on the growth of their babies. Evidence is limited and conflicting about whether women who breastfeed their infant lose more weight than women who do not breastfeed. From an evolutionary point of view, it appears reasonable to assume that the adipose tissue deposition during pregnancy would serve during breast-feeding as a nutritional reserve to ensure an adequate energy supply for the newborn. Weight change during postpartum and its major determinants such as pre-pregnancy BMI, gestational weight gain and diet will be discussed as a risk factor for obesity development.
Rohit Kumar
International Modern Hospital, Dubai
Title: Intraoperative, Early and Late complications of Laparoscopic Sleeve Gastrectomy
Time : 12:50-13:20
Biography:
Dr. Rohit Kumar has a vast experience in the fields of bariatric, gastrointestinal and general surgery. He has undergone training in laparoscopic bariatric surgery at Sir Ganga Ram Hospital, advanced laparoscopic training in Greece, and has done a fellowship in hepatobiliary and pancreatic surgery in Japan. He has, amongst his patients, a host of dignitaries, leaders, and foreign nationals. His areas of clinical interests include; Laparoscopic adjustable gastric banding, laparoscopic sleeve gastrectomy and laparoscopic Roux en Y gastric bypass, lap cholecystectomy, laparoscopic appendix, laparoscopic hiatus hernia, laparoscopic splenectomy, laparoscopic nephrectomy, laparoscopic colectomy, laparoscopic low anterior resection, laparoscopic gastrectomy, hepato-biliary and pancreatic surgery, laparoscopic inguinal hernia
Abstract:
Laparoscopic sleeve gastrectomy (LSG) is gaining acceptance among bariatric surgeons as a viable option for treating morbidly obese patients. We describe results of a single surgeon’s experience with LSG, its intra-operative, early and late complications and their management. We retrospectively reviewed the data of patients who underwent LSG from 2006 to 2015. Patients underwent LSG as a primary procedure or as revisional bariatric surgery. The short-term morbidity and mortality were examined. All patients entering our practice, requesting bariatric surgery, were offered three procedure options: laparoscopic gastric bypass, adjustable gastric banding, and LSG. After a one-on-one consultation with the surgeon, the patients made an informed decision to undergo LSG, and an informed consent was obtained. All patients were required to undergo a psychological screening, routine labs, electrocardiogram, upper gastrointestinal X-rays, pulmonary function studies, and a medical evaluation. All patients were scheduled for LSG as a primary definitive procedure. All patients received intravenous antibiotics, subcutaneous unfractionated heparin and sequential compression devices preoperatively. One-stage LSG was performed. The major complications were late leakage after 4 weeks, with hemorrhaging. Two patients required reoperation & one patient was treated conservatively. Furthermore, one patient had complete Dysphagia, and was treated conservatively. Moreover, one patient who had an injury to the lower esophagus was re-operated, intra-operatively. One patient had mesenteric injury; another patient had an NG tube stapled, while a third patient’s GE junction blew up because the balloon was inflated while doing the leak test. In addition, the serosal layer of ten patients came off while firing the first stapler. However, in spite of the presence of many such complications, only one case was aborted. In conclusion, LSG is a relatively safe surgical option for weight loss as a primary procedure.
Mohamed Saleh Ismail
University of Dammam, Kingdom of Saudi Arabia.
Title: Association between Dietary Calcium Intakes and Weight Loss
Time : 14:20-14:50
Biography:
Mohamed Saleh Ismail has completed his PhD at the age of 36 years from Minufiya University, Egypt. He has supervised 14 PhD and 26 Master theses in the field of human and clinical nutrition; also he published more than 20 papers in reputed journals and has been serving as a reviewer in several reputed journals e.g. Nutrition and Dietetics, Journal of Public Health etc. In addition, he translated three books from English to Arabic (Principles of Nutritional Assessment, Nutrition and Immunity in Human, and Simplified Diet Manual).
Abstract:
In recent years, several studies have reported a positive relationship between calcium intakes and weight loss, the highest the calcium intakes, the highest the weight loss. This association has shown in children, men, and younger and older women. Researchers calculated that a 300-mg increase in daily calcium intake was associated with a 3-kg difference in body weight (BW). The effect of higher calcium intake on BW is stronger in subjects with a larger fat mass. Two possible physiological mechanisms explained this relation. First: in cell cultures of human adipocytes, increasing 1,25(OH)2D levels can increase lipogenesis and decrease lipolysis. The concentration of 1,25(OH)2D increases when calcium intake is decreased. Second mechanism is fat binding in the gut, increasing dietary calcium intake increases the calcium concentration in the intestine, which in turn induces formation of insoluble fatty acid and bile acid soaps that are excreted through the feces, thus decreasing the amount of dietary fat available for oxidation and/or storage. In clinical trials, increasing dietary calcium intake by 905–4,000/ day increased fecal fat excretion by up to 8.2 g per day. Moreover, diets containing high amounts of proteins and calcium have shown to decrease BW. Nevertheless, studies reported a greater reduction in BMI when calcium is derived from dairy products rather than from supplements. Finally, there may be a threshold for calcium intake (800 mg/day) above which no additive beneficial effect exists. Some researchers believe that suboptimal calcium intake may increase the risk of developing obesity.
Vinod Kumar Singhal
Prime Hospital and Healthcare Group, UAE
Title: Sleeve Gastrectomy for Weight Reduction in Personal Perspective, Results of Surgery done in 5 Years
Time : 14:50-15:20
Biography:
Dr Vinod Kumar Singhal is extensively trained in GI Surgery (2001-2004) from one of the premier institute in India. Subsequently he obtained further education and training in advanced laparoscopic procedures for morbid obesity, from stalwarts in the field. Now working as GI, Bariatric and Advanced Laparoscopic Surgeon (Chair & Head- Department of General, Metabolic and Bariatric Surgery, Prime Healthcare, Dubai), practice is dedicated to the field. He is recognized with fellowship, by Royal College of Surgeons in England, Glasgow, Ireland, America. Serving proudly as member of foundation committee for European board (Metabolic and Bariatric Surgery).
Abstract:
An introduction to history and physiological basis, ideal patient selection and present role of sleeve gastrectomy in management of obese patients will be discussed. Technical details, alternative surgical approaches and intra-operative difficulties during sleeve gastrectomy like size of bougie, size of antrum, handling of hiatus and instrument failure will be discussed. Associated complications and best way to identify prevent and management will also be discussed. Surgical outcome of sleeve gastrectomy on resolution of obesity and associated comorbidities will be reviewed. Video presentation highlighting important steps will also be shown.
Biography:
Wojciech Konrad Karcz was born in August 7th 1970 Groß Sthrelitz. Currently he working as Head of Metabolic and Obesity Surgery, University of Lubeck, Germany.He graduated from Silesian Medical University in 1989-1995 and completed his Scholarship for doctor’s degree in Surgery on Silesian School of Medicine (for 4 years) in 1995-1999, After Medical Doctor Degree in 1999 where he awarded surgeon’s National Board First Degree in Poland. After that he studied Management of Health Care Economy Academy in Katowitz 1999-2000 and he got his manager degree in 1999, he is the Manager of Medical Center for Esthetic, Vascular and Dermatological Surgery in 2000-2002. And Surgeon National Board Degree from Germany 2004. He worked as consultant and senior consultant at various Bariatric & Visceral Surgeries. He worked at University Clinic of General and Vascular Surgery (S.S.M.), Medical Center for Esthetic, Vascular and Dermatological Surgery & Clinic of General and Visceral Surgery. He is member of various international associations.
Abstract:
Obesity is a primary disease in which no obvious cause exists, except for the imbalance of energy intake and expenditure. Gastric bypass surgery is called the gold standard in the United States for surgical weight loss procedures. Longitudinal studies indicate weight loss surgery is effective as a long-term, even life-long solution. Almost the same therapeutic results could be reached with the Isolated Sleeve Resection. The number of LSG operation per year in Germany is nowadays even bigger than bypass procedures. There are also many other new procedures which are performed in numerous clinics. Let us see what surgical therapy for weight loss do we really have what results we are able to achieve, when and which surgical techniques should be used and maybe we will find out which procedure could be called the “Gold Standard†in 2015.
Mujahid Saeed
University Hospital Birmingham NHS Foundation Trust, United Kingdom
Title: Weight loss: Non-surgical strategies through newer drug therapies
Biography:
Mujahid Saeed is a Consultant Physician and Diabetologist at University Hospital Birmingham and Honorary Senior Lecturer at the University of Birmingham, UK. He was the top academic student at medical school and was awarded 5 gold medals. He undertook his Specialist Training in General (Internal) Medicine & Endocrinology and Diabetes at the prestigious Oxford Centre for Diabetes, Endocrinology and Diabetes. His day-to-day activities include managing patients with obesity. He has an active interest in research and has run studies on newer diabetes therapies including those resulting in weight loss. He has several publications in peer-reviewed journals.
Abstract:
There has been a flurry of anti-diabetic medications since 2005 and the list is ever-expanding. These newer therapies include, glucagon-like peptide-1 (GLP-1) analogues, dipeptidyl peptidase-4 (DDP-4) inhibitors and sodium glucose co-transporter 2 (SGLT-2) inhibitors. Prior to their introduction, diabetes management was plagued by the invariable notorious side-effect of weight gain with the use of sulfonyl ureas (~2-3 kg), thiazolidinediones (~2–3 kg) and in particular with insulin (~4-10 kg). The latter group of medications remain a massive deterrent to both healthcare professionals in terms of prescribing and patients in respects to adherence as weight gain is undesirable and results in poor body image, depression, hypertension, hyperlipidaemia and an increased rate of micro- and macro-vascular diabetic complications. The newer therapies, apart from their anti-diabetic properties offer the desired effect of weight reduction (~2-3 kg) or at least weight neutrality (DDP-4 inhibitors). More recently, a GLP-1 analogue has been approved for management of obesity with promising efficacy (mean weight reduction of ~4-5 kg) in both non-diabetic and diabetic subjects. These newer therapies add to the armamentarium of therapies in addressing the global pandemic of diabetes and or obesity. Some of these offer other health benefits including a reduction in systolic and diastolic blood pressure (~4/2 mm of Hg) and improvement in some markers of hyperlipidaemia. The mechanisms through which weight loss is targeted, the data from the trials and the use of these newer agents in medically managing the ever-increasing tide of diabetes and obesity will be examined.
Louise Langman
Flourish Psychology Ltd., United Kingdom
Title: Mindful eating, an ancient solution to modern day difficulties: Shifting the focus from weight to well-being
Biography:
Louise Langman is a Consultant Clinical Psychologist, Mindfulness Practitioner and recovered Yo-Yo Dieter. She has more than twenty years experience of providing professional, evidence-based individual and group therapy to individuals of all ages across the spectrum of psychological distress and relational difficulties. Since completing her Professional Doctorate in Clinical Psychology in 2010, she has been working with the National Health Service and in private practice specializing in eating distress and Bariatric Psychology. She is committed to reducing weight stigma and to helping individuals reach their potential and experience well-being and resilience in all facets of life. She is currently South West Chair Elect of the British Psychological Society and Clinical Director at Flourish Psychology Ltd., UK.
Abstract:
Louise Langman is a Consultant Clinical Psychologist, Mindfulness Practitioner and recovered Yo-Yo Dieter. She has more than twenty years experience of providing professional, evidence-based individual and group therapy to individuals of all ages across the spectrum of psychological distress and relational difficulties. Since completing her Professional Doctorate in Clinical Psychology in 2010, she has been working with the National Health Service and in private practice specializing in eating distress and Bariatric Psychology. She is committed to reducing weight stigma and to helping individuals reach their potential and experience well-being and resilience in all facets of life. She is currently South West Chair Elect of the British Psychological Society and Clinical Director at Flourish Psychology Ltd., UK.
Jos Runhaar
Erasmus MC University Medical Center Rotterdam, The Netherlands
Title: Weight loss and knee osteoarthritis prevention in overweight and obese women
Biography:
Jos Runhaar has completed his PhD at Erasmus MC University Medical Center Rotterdam (2013). Currently he works as Post-doctoral researcher at the Department of General Practice of Erasmus MC. His works focusses on the effects and treatment of obesity and on physical exercise as treatment/preventionof knee osteoarthritis. He also is a full member of the European D-BOARD consortium. His work has been recognized by the OARSI by means of a Collaborative Scholarship in 2013. This allowed him to become a fellow at the University of Pittsburgh to study the biomechanics of obese women using the advanced imaging techniques.
Abstract:
Overweight is one of the major risk factors for knee osteoarthritis (OA) development. Despite this knowledge, the first ever preventive randomized controlled trial in OA research was recently completed. This study aimed to evaluate the effect of weight loss, through apragmatic tailor-made lifestyle intervention, on the incidence of knee OA after 30 months in a high-risk group of 407 middle-aged overweight and obese women. The lifestyle intervention was effective in reducing body weight at short follow-up (12 months), but not at long-term (30 months). Subgroup analysis, using Latent Class Growth Analysis, showed weight loss in mainly achieved by women with greater weight gain in recent years. The lack of a significant reduction in body weight after 30 months probably led to a non-significant effect on the incidence of knee OA. In total, 17% of all women achieved the predefined target of 5 kg/5% weight loss after 30 months. Incidence of knee OA was significantly reduced in women achieving the weight loss target (OR 0.5 [0.3-0.9] for combined clinical and radiographic knee OA and OR 0.3 [0.1-0.9] for radiographic knee OA). Moreover, blood glucose levels (HbA1c), fat percentage, waist circumference and blood pressure were significantly reduced among women achieving 5 kg/5% weight loss. Using the results of the first ever preventive trial in OA research, we now aim to design a more effective lifestyle intervention that achieves greater weight loss after long-term follow-up. Potentially, this will effectively increase health and reduce the incidence of knee OA among middle-aged women.
Seham Alsaif
University of Liverpool, UK
Title: The effect of visfatin and dyslipidemia on uterine contractility
Biography:
Seham Alsaif has completed his Honor’s MRes Degree from University of Liverpool. She is pursuing her PhD at the University of Liverpool with recent distinction award. She is a Clinician Sponsored by University of Dammam, KSA. She has published two papers.
Abstract:
Adipose tissue secretes adipokines which have been linked to the pathophysiology of pregnancy-related complications. Visfatin is a recently discovered adipokine whose levels were reported to be increased during obesity and pregnancy. The aim of this study is to examine the effect of visfatin on mouse myometrial contractility, both wild type and APOE knockouts (hyperlipidemia model). Myometrial strips from term non pregnant and pregnant Wild Type (WT) and APOE Knock-Out (KO) mice were dissected, super fused with physiological saline and the effects of visfatin (10 nM–150 nM), on spontaneous and oxytocin-induced contractions (0.5-1 nM) were studied. After regular contractions were established, contractility was examined for control of 100% and test response at 37°C for 10 min. Visfatin had a relaxant effect on pregnant mouse myometrium. This effect was small in pregnant tissue contracting spontaneously. For example, in the pregnant WT myometrium, 10-150 nM visfatin produced a reduction in the 5 min area under the curve (AUC) of 95±3%, (n=8), However under more physiological conditions, oxytocin-induced contractions, a larger decrease was found (AUC=76±9%, n=4), mean±SEM. In the dyslipidemia APOE KO, the stimulation by oxytocin was reduced the AUC by (97±6%, n=4) compared to spontaneous contractions (104±4%, n=5). Together these data suggest that increased output of visfatin and dyslipidemia in obese pregnant women may impair uterine contractility resulting in labor related complications.
Ahmad Alkhatib
Qatar University, Qatar
Title: Natural Herbs for Weight Loss: Recent Findings of Exercise-dependent Augmented Effects
Biography:
Ahmad Alkhatib is an accredited nutritionist (RNutr) and a certified sport Nutritionist (CISSN), and an Associate Professor in Clinical Physiology and Exercise Metabolism. He has held several leading academic positions over the past twenty years at several UK universities including Sheffield Hallam, Lincoln, Greenwich, Essex and Middlesex, before recently heading and developing the Sport Science department at Qatar University. His recent research focuses on optimizing health and exercise performance and preventing cardiovascular disease through novel nutritional and physical activity interventions. He has over sixty research publications and has won several excellence research and academic awards.
Abstract:
Natural herbs have been in use for weight loss purposes since the history began. However, the global obesity epidemic and the rise in obesity-related chronic diseases, including type-II diabetes and cancer, have highlighted the need for novel and effective approaches for herbal remedies. Whilst the popularity of several prescribed and non-prescribed slimming aids and herbal plant supplements have been marketed for their weight loss efficacy, single and multi-ingredient herbal supplements are still being investigated for their single or combined weight loss benefits. Limited research have highlighted an interesting efficacy for several popular herbal plant supplements including caffeine and capsaicin, Ayurvedic preparations and herbal teas, resulting in various degrees of effectiveness including thermogenic, appetite control and psychological benefits such as mood state. Recent research has suggested acute augmented weight-loss effects of combining herbal ingestion with exercise. For example, ingesting green tea, yerba mate and/or caffeine have been shown to increase metabolic rate, and augmented fatty acid metabolism and increase energy expenditure from fatty acid sources during exercise with various intensities, particularly low and moderate intensities. Other promising weight-loss effects have also been also reported for multi-ingredient herbal supplements, particularly those that are rich in phytochemicals and caffeoyl derivatives. Combining herbal ingestions with exercise still require further research in order to establish the supplement’s most effective protocols in terms of dosage and timing, and the long-term benefits, particularly those related to exercise protocols and exercise adherence.
- Track 7: Weight Loss and Preventive Measures Track 8: Tailoring Lifestyle Approaches for Healthy Future
Chair
Yusuf Ozturk
Anadolu University,Turkey
Session Introduction
Yusuf Ozturk
Anadolu University, Turkey
Title: St. John’s wort is a metabolic enhancer to control weight gain
Time : 10:00-10:30
Biography:
Yusuf Ozturk has completed his PhD from Ankara University in 1985. He was the Former Director of Graduate Institute of Health and is now the Head of Department of Pharmacology and the Dean of the Faculty of Pharmacy, Anadolu University. He has published more than 150 papers in reputed journals cited around 1600 times and has been serving as an Editorial Board Member of repute. Participating many scientific juries, boards and commissions, he has various national and international awards and prizes, acknowledging top and distguished review service.
Abstract:
Obesity is a complex metabolic disorder being related to important health consequences as a risk for serious chronic diseases. In our laboratories, we have been performing various experiments on the pharmacological effects of St. John’s Wort (Hypericum perforatum L; SJW) including metabolic and endocrine actions in animals. It has an effect on the body weight upon its subacute use. Acute and subacute administrations of SJW extracts seem to increase the bile secretion both in healthy and CCl4-pretreated rats. Choleretic activity observed in our studies is important in the utilization of lipids. Other studies are in general agreement with our findings i.e., hypolipidaemic activity of SJW have been reported in fructose-fed rats. SJW has also beneficial effects on the carbohydrate metabolism. Our studies have shown that SJW extracts normalize hyperglycaemia in rats with streptozotocin-induced diabetes. This observation has been confirmed by the other laboratories which report blood glucose lowering and and blood insulin normalizing actions of SJW. Accordingly, beneficial effects of SJW extracts on insulin resistance and lipid metabolic disorder have been reported in high-fat diet-induced obese mice. Additionally, we have observed a protective effect of SJW on the liver which is the center of metabolism. The hepatoprotective and choleretic activities observed in our laboratories are prominent in hypericin-rich fractions of SWJ extracts. Finally, antioxidant and tissue regerating effects of SWJ extracts are supportive activites observed. All together, findings stronlgy suggest that SJW may be important to control body weight being used for the ethnomedical management of metabolic disorders for many years.
Farid Saad
Bayer Pharma, Germany
Title: Hypogonadism, obesity and testosterone therapy
Time : 10:30-11:00
Biography:
Farid Saad worked for various pharmaceutical companies as specialist for reproductive endocrinology, pediatric endocrinology, andrology, endocrinology of male ageing, and hormonal male contraception in clinical development andrology, scientific and medical affairs. He currently works for Bayer Pharma in Berlin, Germany. He has authored and co-authored more than 100 peer-reviewed papers and more than 500 scientific abstracts. He received honorary Professorships in clinical research and endocrinology at Gulf Medical University, Ajman, UAE, and at Men’s Health Reproduction Study Center, Hang Tuah University, Surabaya, Indonesia.
Abstract:
Adipose tissue produces substances that suppress testosterone production. Low testosterone leads to further accumulation of fat mass. This situation represents a vicious circle. In an ongoing registry study of 347 hypogonadal men (total testosterone ≤12.1 nmol/L and presence of hypogonadal symptoms) being treated with testosterone in a urology office in Germany, only 7.5% had normal weight (BMI <25 kg/m2) at baseline, 22.8% were overweight (BMI 25-29.9 kg/m2) and 69.8% obese (BMI ≥30 kg/m2). The same applies to waist circumference (WC): 4.3% with WC<94, 30.8% 94-101.9, and 64.8% ≥102 cm at baseline. This distribution seems representative for hypogonadal populations. Only when long-term studies (5 years) with injectable testosterone undecanoate (TU) appeared in 2013 and 2014, substantial and sustained weight loss became apparent. In a controlled study, 5-year treatment with TU in men with metabolic syndrome resulted in progressive weight loss of 15.4 kg and decrease in WC of 9.6 cm. In registry studies, patients lost weight in the same magnitude. In none of these studies, patients regained weight during the observation time. In a meta-analysis on TU, the magnitude of effects depends on baseline BMI, duration of treatment, and age. It can be hypothesized that increase in lean mass and behavioural changes are factors in achieving weight loss by testosterone treatment. In conclusion, testosterone may have the potential to decrease obesity in hypogonadal men in a meaningful and sustainable manner.
Azadeh Nadjarzadeh
Shahid Sadoughi University of Medical Sciences, Iran
Title: Traditional herbal remedies: Old things, new insights
Time : 11:30-12:00
Biography:
Azadeh Nadjarzadeh has studied nutrition in Tehran University of Medical Sciences, Iran. Currently she is working as a head of Nutrition Department of Shahid Sadoughi University of Medical Sciences (Yazd, Iran). Also, she is the head of Nutrition and Food Security Research Centre. Her research interests are obesity, diabetes and infertility and the effect of dietary supplements on these conditions.
Abstract:
Obesity is a serious global health threat that has been associated with several chronic diseases. Some kinds of complementary medicine such as herbal medicine claim to help shed weight quickly. The effectiveness and safety of these products are under question. Certain herbs such as psyllium, green tea, yohimbe, bitter orange, guarana, and cumin may help in weight loss programs. But no herbal treatment can completely cure obesity without calorie restricted diets. We are going to present plenary discussion regarding the effectiveness of some traditional herbs in weight loss. In our recent clinical trial, we determined the effect of cumin powder as an adjuvant therapy in calorie restricted administered overweight/ obese women. According to our results, adding 3 gram/d of green cumin to a 500 calorie deficient diet resulted in more decrease in body weight, BMI, waist circumference, fat mass, TG, Chol, LDL and increase in HDL compared to only calorie restricted diets (p<0.05). Percentage of fat mass decreased 14.64 and 4.91 in cumin and control groups respectively. We have not yet identified the exact components within this herb that are responsible for the effects. But its dietary fibre and some fatty acids may be the active components. It is important to know that simply adding herbs is unlikely to make any significant difference to a person’s weight without any change to diet and life style. In fact, such herbs can only be used as an aid through a weight loss program with the emphasis on energy intake and physical activity changes.
Rossella Oliva
Outpatient Service for the Treatment of Obesity and Eating Disorders, Italy
Title: Binge eating disorder and food addiction
Time : 12:00-12:30
Biography:
Rossella Oliva holds a Master’s degree in Neuroscience and Neuropsychological Rehabilitation. She has undertaken her internships in different centers and outpatient services for the treatment of eating disorders in Italy. She has attended a master practitioner in The National Centre for Eating Disorders in London and has conducted different research projects at the University of Padua. She’s now working in an outpatient service for the treatment of obesity and eating disorders in Venice and also attending a four-year specialization school in cognitive-neuropsychological psychotherapy.
Abstract:
Now-a-days obesity has become a serious and costly problem and it has reached epidemic proportions globally. One interesting hypothesis to explain the development of this condition involves the relatively young and controversial Food Addiction (FA) model, which looks at similarities between the behavioral indicators of addiction and Binge Eating Disorder (BED), such as diminished control over consumption and continued excessive consumption despite negative consequences. Exploring the food-addiction construct and the co-occurrence with BED, may improve the clinical understanding of the pathophysiology of obesity and eating disorders and may suggest future treatment pathways to reduce their incidence and complications. The purpose of our study was to explore the FA construct in ninety-four obese and overweight patients referring to our patient’s services in Italy. In particular, this research aimed; 1) to assess the correlation between the scoring of the YFAS (Yale Food Addiction Scale) and the scoring of Beck Depression Inventory (BDI), Binge Eating Scale (BES) and Three Factor Questionnaire (TFEQ) and 2) to explore the association between YFAS’s scoring and measures of eating disorder and associated psychopathology. Based on our results, Binge Eating Disorder (BED) and FA are related but do not totally overlap. Since the subset of BED patients classified as having food addiction with the YFAS appears to represent a more disturbed variant for identifying the person with food addiction-like behaviors could have important clinical implication for the optimization of the treatment.
John Lingley
Aspirations Fitness and Mindfulness Coaching, UK
Title: Mindful eating: Supporting us to effectively manage our weight
Biography:
John Lingley has worked in companies such as GE Healthcare and many public schools delivering well-being programs. These include presentations, fitness programs and workshops based on, stress management, mindfulness, meditation and weight management. He is currently delivering the Mindfulness Based Cognitive Therapy.
Abstract:
Mindfulness can develop much greater levels of self-awareness to our automatic, reactive patterns of eating mindlessly due to trying to cope with our troublesome thoughts, feelings and emotions. Mindful eating can enable us to become more aware of what we are eating, why we are eating, when we are eating and to recognize if we are even hungry at all. Present moment awareness empowers us to fuel our body with nutrients that supports us to take care of ourselves and our health. More importantly we can recognize what the triggers and responses are to eating food when we are not hungry. When we have identified what these triggers are we can seek alternative, more effective methods for dealing with them rather than using food. Mindfulness brings greater self-awareness and enables us to become more aware of the choices that we have in regard to food and habits. In addition, meditative practice can create spaces between the thoughts that we have and the actions that we take. Asking ourselves; ‘Is it my body that needs feeding or is it my soul?’ Is it beneficial to rediscovering what our true needs are? We can become aware that we need to feed our soul and live by our values by perhaps exercising, spending time socializing, helping someone in need or looking after a neighbor. These are invaluable actions that are important to having a healthy relationship with food and so effectively managing our weight.
Ilya Vinnikov
University of Heidelberg, Germany
Title: Hypothalamic microRNAs suppress development of obesity
Biography:
Ilya Vinnikov has earned his Doctoral degree in 2008 at the Internal Medicine I department of the University of Heidelberg. The following years he spent as a senior Postdoc at the German Cancer Research Center (DKFZ) Heidelberg. He explored different sites of the regulatory circuit maintaining energy homeostasis including the neurons of the arcuate and paraventricular nuclei of the hypothalamus, midbrain dopaminergic neurons, and diabetes models. His main interest is to decipher how these complex heterogeneous structures within the brain interact with each other and with the periphery to regulate energy metabolism, both on subcellular, cellular and circuit levels.
Abstract:
Obesity is a growing epidemic characterized by an excess of fat content in the body. The contribution of neuronal microRNAs in the central control of metabolism is poorly studied. Using either AAV-vector derived or tamoxifen-inducible CamKII dependent Cre recombinases, we show that Dicer-dependent loss of microRNAs in the ARC neurons causes mTOR pathway activation and an imbalance in the levels of neuropeptides, resulting in severe hyperphagic adiposity. Similarly, the activation of mTOR due to Pten deletion in the adult forebrain leads to comparable weight increase. Conversely, delivery of the mTORC1 inhibitor rapamycin or specific microRNA mimics; predicted to target the mTOR pathway components, attenuate adiposity in mice lacking the Dicer1 gene in the forebrain. Our data indicate that non-coding RNAs, expressed in the hypothalamus, might be involved in the body weight control also in humans, which may have implications for treatment of the obesity syndrome. We propose a mechanism, in which microRNAs in the ARC inhibit the excessive activation of the insulin pathway, thus protecting from hyperphagia and obesity.
Roberto Gradini
Sapienza University School of Medicine, Italy
Title: Circadian nutrition in obese and overweight subjects with different body compositions
Biography:
Roberto Gradini is Associate Professor, General Pathology, Sapienza University School of Medicine, Rome, Italy (2001-2015). He is Director, Sapienza University, Rome, Italy (2007-2015), Visiting Scientist, Anestesiology, La Jolla Universiy, San Diego, USA (2010), Scientific Consultant, Neuroplasticity, University of Lille 1, France (2010-2011), Visiting Professor, Pathology, Rush University Medical Center, Chicago, USA (2009). He is also a Scientific Consultant, Neuropharmacology, I.N.M. Neuromed, Pozzilli (2002-2015) and a Clinical Assistant Professor, General Pathology, Loyola University, Chicago, USA (1985-1993).
Abstract:
The aim of the study is to analyze, in the same BMI range, the effectiveness of a circadian nutritional program in subjects with different body compositions for the fat loss and the maintenance of skeletal muscle mass, and to verify whether the program allows keeping results in the long run. Data were collected from obese and overweight subjects. Changes over time of body composition using BIA-ACC (BioTekna, Venice, Italy) medical device, weight, body mass index, dietary habits, physical activity, health status and lifestyle, were taken into account. Number of subjects: 4120 (1648 males, 2472 females). The subjects were divided into 4 groups according to percentage of fat mass FM, percentage of skeletal muscle mass and skeletal muscle mass index (SMI). All groups have adopted a circadian nutritional program for a period of six months as follows: Breakfast, glycemic load (GL): 40 to 60. Snack, GL: 20 to 30. Lunch, GL: 10 to 25. Snack, GL: 2 to 8. Dinner, GL: 0. At the end of the program, changes in weight and body composition were assessed. The first group showed the greater loss of fat mass and total weight. The groups 3 and 4 obtained fat mass loss and small loss of muscle mass. The second group showed the lesser loss of fat mass and total weight but with more muscle loss. This study highlights the importance in evaluating the body composition, and the crucial role of the muscle mass as a fundamental trigger in the metabolic modulation and regulation of energy expenditure.
Biography:
Binnur Okan Bakir graduated from Department of Nutrition and Dietetics, completed her Master of Science in Basic Medical Sciences and her PhD in Nutrition and Dietetics. She has been working as a Clinical Dietitian in Yeditepe University Hospital both with inpatients and outpatients between the years 2007-2011, and since then as a Lecturer in Yeditepe University, Department of Nutrition and Dietetics.
Abstract:
Probiotics, prebiotics or their combination (synbiotics) which are accepted as functional foods are attracting attention more and more as they have proved to have positive effects on human health. Probiotics are defined as live microorganisms which affects the host’s health beneficially by balancing the gut flora of the host. Prebiotics are non digestible natural carbohydrates and stimulate the proliferation of specific probiotic bacteria as Lactobacilli and Bifidobacteria. Synbiotics are the defined as the combination of probiotics and prebiotics. Probiotics are known as they are able to be used for prevention and/or therapeutically for viral, bacterial or antibiotic associated diarrhea, constipation, lactose intolerance, infectious intestinal diseases such as Irritable Bowel Syndrome, Enterocolitis, Crohn’s Disease, gastrointestinal tumors, food allergies, osteoporosis and as immune modulators, and prebiotics have additional proven effects except promoting the proliferation of probiotics; like decreasing blood cholesterol levels, increasing mainly calcium and other mineral’s absorption, antimicrobic effect as a result of their fermentation which produces organic acids and decreases pH. Probiotics and prebiotics have a synergistic effect and provide an effective therapy for the diseases reasoned by the abnormal intestinal flora if they are used as a combination (synbiotics). In recent years, it has been discovered that there is a relationship between body weight and intestinal flora and a potential therapy for obesity with probiotics and the action mechanisms of probiotics on preventing from obesity are becoming highlights.
Vera P. Simovska
St. Kliment Ohridski†University, Macedonia
Title: Effects of high-inensity lifestyle intervention on increased cardiometabolic risk in truncal obese adults
Biography:
Vera P Simovska is Doctor of Medical Sciences (PhD) and Spec. of Sports Medicine. She is the only Subspec. of Nutrition and Director of Master Study of Nutrition in Macedonia. She was an expert in the Macedonian Ministry of Health, the European Commission (RTD/FP7, HORIZON 2020, Europe Aid) and the United Nation\'s International Platform on Sports for Development and Peace (2005). She was a national coordinator in several projects covered by the WHO from 2001 to 2015 (CINDI, Move for Health, HEPA Europe). She is an Ass. Professor and author of published over 100 original scientific articles and abstracts.
Abstract:
Obesity is a chronic disease that increases the risk for coronary heart disease (CHD) and type II diabetes (T2DM) and it’s a growing public health problem worldwide. The purpose of our study was to develop a model of therapeutic efficiency high-intensity lifestyle intervention intended for truncal obese adults with increased cardiometabolic risk. Within the randomised controlled trial at a group of truncal obese adults with risk factors for CHD and T2DM, we suggest the following two types of high-intensity lifestyle interventions: 1st-low fat, hyperprotein, restriction diet (RD) of 1200-kcal/d (female) and 1500-kcal/d (male) with low glycemic (GI) and atherogenic index, and a specific proportion among SFA, MUFA and PUFA. The 2nd-RD and the individually dosed physical activty (PA) with gradually, from low to moderate and peaks of high intensity (50%-60%-75% VO2 max) in accordance to the initial level of the individual aerobic capacity (VO2 max), expressed into METs. After 30 days there was increase energetic value of RD for 200-kcal/d in accordance with increased PA. The changes in anthropometric measures, metabolic profiles, VO2 max and BMR are evaluated after 30 and 50 days. The efficiency of the progammed PA in combination with RD represents a significant higher reduction of BMI (kg/m2), WHR, fat mass index, risk factors for CHD and metabolic complication (hyperglycemia, dyslipidemia, arterial hypertension and atherogenic indexes) associated with truncal obesity and significant improvement in cardiorespiratory fitness for 17.16% VO2 max from initial level.
Nileshkumar J Patel
Staten Island University Hospital, USA
Title: Impact of obesity on atrial fibrillation hospitalization
Biography:
Nileshkumar J Patel is a Graduate of B. J. Medical College, India. He did his internship at Ahmedabad Civil Hospital, a 2800 bed hospital and one of the largest community hospitals in Asia. Currently he is a 3rd year resident physician at Staten Island University Hospital, USA. He is fortunate to be part of more than 30 papers in reputed journals. His abstract on Percutaneous Coronary Intervention (PCI) outcomes received 3rd prize for best of the best abstract at Society for Cardiovascular Angiography and Intervention Scientific Sessions. He will be pursuing Cardiology fellowship starting this July at Miami Miller School of Medicine.
Abstract:
Obesity has been attributed to almost 60% of the increase in atrial fibrillation (AF) incidence. Obese patients have a 45% to 50% increased risk for incident AF compared to participants with normal body mass index (BMI). Projected estimates are that by the year 2050 more than 10 million US citizens will have AF. This is the first study to investigate differences in frequency of AF related hospitalizations in obese vs. non obese patients.There were total 3,229,992 AF related hospitalizations between years 2000 and 2008. The relative increase in AF related hospitalizations among obese patients was 237.2% over the same period. Among obese patients, there is an exponential rise in AF related hospitalizations from 2000 through 2008, while the trend is linear among non obese patients. If the rise in AF related hospitalization continues to increase in a similar fashion, there will be 75,563 (95% CI: 50,229–113,675) AF related hospitalizations among obese population in 2020. Our data indicate that obesity has a major impact in AF related hospitalizations and both are likely to pose a large public health burden in the future. Aggressive risk factor modification, including management of obesity must be pursued to prevent AF related hospitalizations and thus reduce the “weight†on the health care system. It is further important to study the association between obesity and atrial fibrillation since obesity is a potentially reversible risk factor and intervention at this level may have major impact in cutting down the burden of two major epidemics.
Chia-Po Fu
Chung Shan Medical University, Taiwan.
Title: The effect of weight loss on epicardial adipose tissue thickness and its associative changes of cytokines in men with metabolic syndrome: a prospective weight reduction study.
Biography:
Chia-Po Fu graduated from Medical Faculty of Chung Shan Medical University in 2006 and completed his residency training and fellowship of Endocrinology and Metabolism at Taichung Veterans General Hospital. He was promoted as attending physician by his excellent performance in research. He and his colleagues published a series study of weight reduction, and he was also reviewer of many reputed journals. He won many awards by this series of weight reduction study. He is pursuing his PhD degree at Graduate Institute of Biomedical Electronics and Bioinformatics, National Taiwan University.
Abstract:
Obesity is a recognized risk factor for cardiovascular disease, diabetes, and hypertension.Adipose tissue secretes numerous proinflammatory cytokines, chemokines, and adipokines. Furthermore, obesity was also correlated with depression and the possible mechanism remains unclear. Epicardial adipose tissue (EAT) induces activated inflammatory cells secreting cytokines, including soluble CD40 ligand (sCD40L). In turn the serumsCD40L can trigger inflammatory responses. We initiated a prospective weight reduction study in men with metabolic syndrome and try to elucidated the effect of weight loss on epicardial fat thickness and insulin resistance, mechanism exploration of depression and (Brain-derived neurotrophic factor) BDNF, and its associative changes of cytokines, like paraoxonase-1, monocyte chemoattractant protein-1 (MCP-1), serum cystatin C, urinary N-acetyl glucosaminidase (NAG) and its indicative clinical significances. We also elucidated that different area of EAT thickness, examined by MRI, has different clinical significance and relationships with cytokines.
Ali Hussein albayati
University of Babylon, Iraq
Title: Diabetic Risk Assessment among Patients at Tertiary Teaching Hospital
Biography:
Ali Hussein albayati is a fully registered doctor in Iraqi Medical Association since 1999. He got his specialty in 2006 from Iraqi Board for Medical specialization since 2006. Nowadays, he is a faculty member in University of Babylon /College of Medicine (Assistant Professor) as well he is member of higher scientific committee of Merjan teaching hospital. He is a medico-legal expert in internal medicine and diabetes and Head of CME unit in Babylon medical college as well Head of Babylon endocrine and diabetes center. He is Member in AACE, ADA and ESE .he's national and international speaker about diabetes and endocrine diseases. Doctor Albayati is supervisor and trainer for the postgraduate student in diabetes and endocrine field .he attend many international meetings and conferences about diabetes and endocrine dysfunction. He have been awarded the excellence award from Babylon medical college and also from Merjan teaching hospital for his outstanding leadership and scientific abilities. He have also Leicester diabetes certificate in complete diabetes management.
Abstract:
The scoring system from Finnish Diabetes Association has been used to be the simplest and most practical, and informative to assess the risk of developing type II DM. this study has been carried out to evaluate the usefulness of the Finnish Diabetes Association scoring system in detecting asymptomatic DM. Furthermore, to determine the associations of scoring system with DM risk factors in a cross-sectional study at Tertiary Hospital. A hospital-based cross sectional study design was carried out on (300) free of DM patients at different outpatient clinics in Tertiary Teaching Hospital. The study duration was from July 2013 to January 2014. The results showed that, Out of 300 patients without DM, the overall mean of risk score for developing type II DM within 10 years risk score was (14.12± 6.12). Only (24.0%) of the patients were at very high risk for developing type II DM. High blood glucose were the (B= 0.368) strongest predictor to explain the risk score followed by family history of type II DM (B= 0.337) by using of standard linear multiple regression model. Multiple risk have been associated with developing of type II DM starting by age, central obesity, sedentary life style, low fibre diet, high prevalence of hypertension as well as genetic factor. Individuals’ awareness about their weight and the impact of sedentary life style needed more effort for primary DM prevention but still the strongest predictors of developing DM can be explain by high blood glucose and family history of having DM.