2nd International Conference on
Obesity and Weight Loss

October 15-17, 2018 |Amsterdam, Netherlands

Program Schedule

  • Sessions:
    Session-1: Obesity and Weight Management & Obesity Prevention and Control

    Time:

    Title: Nutrition and Lifestyle Strategies for Weight Management in Saudi Women-2016

    Basem Mohammed Futa
    Saudi Diabetes and Endocrine Association , Saudi Arabia

    Biography
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    Biography

    Basem Mohammed Futa
    Saudi Diabetes and Endocrine Association , Saudi Arabia

    Basem M. Futa is Head of ‘Nutrition and Health Education Committee of Saudi Diabetes and Endocrine Association, Kingdom of Saudi Arabia (KSA). He completed his PhD in Nutrition, UK. He is a Blood Donation Ambassador’ from the Saudi Society for Promoting Organ Donation and a Professional Member in many national, regional and international healthcare associations, such as Saudi Diabetes and Endocrine Association, Saudi Cancer Foundation, Saudi Kidney Foundation



    Abstract
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    Abstract

    Basem Mohammed Futa
    Saudi Diabetes and Endocrine Association , Saudi Arabia

    Background and Objectives: For the past three decades the prevalence of overweight and obesity has increased dramatically worldwide, and becomes a global epidemic with more than one in five people qualifying as obese, at the same time, there has been a rising trend of obesity in the kingdom of Saudi Arabia which places it among the highest nations. The kingdom experienced a shifting from its cultural food to fatty-sugary-westernized food during the past few decades which has contributed to obesity among all generations. The obesity exposes the individuals at higher risks of many non-communicable diseases, including diabetes type 2, cardiovascular disease, stroke, hypertension and some types of cancers. Method: Saudi Diabetes and Endocrine Association has conducted this study to measure obesity rate among Saudi women, and developed a six month lifestyle, nutrition and physical activity program for weight management. The participants were assessed nutritionally, anthropometrically and medically prior, during and at the end of the program, targeting 10% weight loss goal to the end of the program. Results: 160 women with age between 20-40 years were enrolled in the program and assessed, and the overall prevalence of overweight and obesity was as follow, noting that 85% of the participants have achieved their set goals. • Normal weight 29% (BMI 19-24.9) • Overweight 34% (BMI 25-29.9) • Obesity 47% (BMI above 30) Conclusion: The study has shown high prevalence of overweight and obesity among younger group of Saudi women due to excessive caloric intake and lack of physical activity, noting that the majority of Saudi population is less than 30 years old at present time and accordingly, it’s expected that the magnitude of obesity will be bigger in near future which mandates establishing of age specific obesity awareness programs for Saudi population and implementing preventative strategies to combat it.

    Time:

    Title: Germ Rice Extract Improves Lipid Metabolism in High Fat Feeding C57bl/6 Mice

    Yumiko Yoshiki
    Ishikawa Prefectural University, Japan

    Biography
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    Biography

    Yumiko Yoshiki
    Ishikawa Prefectural University, Japan



    Abstract
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    Abstract

    Yumiko Yoshiki
    Ishikawa Prefectural University, Japan

    Obesity stems from an imbalance between calorie intake and expenditure, leading to the accumulation of excess fat in the body and is associated with the development of various metabolic abnormalities, such as insulin resistance and dyslipidemia. The incidence of obesity is dramatically increasing and by 2025, 18% of the world’s men and 21% of the world’s women are expected to be obese. Although many medications are available for the management of hyperlipidemia and hyperglycemia, they fail to completely control glucose and lipid homeostasis. Furthermore, they often cause side effects and are expensive. Therefore, there is a need for natural products that can inhibit obesity, are safe for human consumption, and are available at an accessible price. Here, we evaluated the effects of a germ rice extract on lipid metabolism with the aim to find anti obesity effects in mice. The germ rice (Koiazusa) produced in Ishikawa, Japan, in 2016, contained 6.5 times more γ-aminobutyric acid than normal rice (Koshihikari). We used water extract of germ rice that was roasted for 20 s at 220 °C to prepare pre-gelatinized starch. Although germ rice extract (GRE) did not affect water and food consumption and high fat diet (HFD)-induced gain in body weight in C57BL/6 mice, it reduced glucose, AST, ALT, total cholesterol and the arteriosclerotic index in serum samples. Moreover, oral administration of GRE inhibited lipid accumulation in the liver of HFD-fed mice, thus reducing the liver damage induced by HFD-feeding. We found a significant difference in PPAR-α gene expression levels in the liver between HFD-fed and GRE- and HFD-fed mice. No differences in the expression levels of FAS, PPAR-γ and SREBP1c, which are associated with lipid production, were found. PPAR-α is a ligand-activated transcription factor that activates fatty acid oxidation and lipoprotein metabolism and improves plasma lipid profiles. Collectively, our data indicate that oral administration of GRE inhibits fatty liver through the activation of β-oxidation by up-regulating of PPAR-α mRNA

    Time:

    Title: Qatar’s Efforts to Combat Obesity

    Rasmeh Al Huneiti
    Ministry of Public Health Qatar & University of Calgary in Qatar, Qatar

    Biography
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    Biography

    Rasmeh Al Huneiti
    Ministry of Public Health Qatar & University of Calgary in Qatar, Qatar

    Dr. Rasmeh AL- Huneiti is Clinical Guidelines Specialist in Healthcare Quality and Patient Safety Department in Ministry of Public Health in state of Qatar and Adjunct Professor in Calgary University Qatar. She graduated from University of Jordan, 1991 with Bachelor in General Nursing. Her post basic qualifications include; Diploma in Primary Healthcare 1995, Master in General Nursing Education 1999, International Diploma in HR Management, 2009, and PhD in Medical Education from Brunel University in UK. She developed an E-learning Model for E-health Education in Developing Countries. Rasmeh has many years’ experiences in a variety of challenging roles, including clinical nursing, education, administration, training and staff development and regulation, research, and clinical guidelines development. She is a volunteer in Qatar Red Crescent Society and Reviewer and Editing Board member in many international conferences and peer reviewed Journals she published her research work internationally



    Abstract
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    Abstract

    Rasmeh Al Huneiti
    Ministry of Public Health Qatar & University of Calgary in Qatar, Qatar

    Obesity is a global public health problem The World Health Organization (WHO) estimates that there are more than 1 billion overweight adults, of whom at least 300 million are ]considered obese, the state Qatar like all other high income, oil-producing countries has also affected. Qatar has placed significant collective efforts and enormous resources to combat this health issue and prevent its complications, in my talk I will measures, initiatives, and national programs that been established in Qatar at both organizational and national level in response to high prevalence of obesity in the country (published work)

    Time:

    Title: Obesity Prevention and Control in Mauritius

    Sudhir Kowlessur
    Ministry of Health and Quality of Life, NCD & Health Promotion Unit, Mauritius

    Biography
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    Biography

    Sudhir Kowlessur
    Ministry of Health and Quality of Life, NCD & Health Promotion Unit, Mauritius

    Mr Sudhir Kowlessur, Chief Health Promotion and Research Coordinator. He is the Head of NCD and Health Promotion Unit at the Ministry of Health and Quality of Life in Mauritius. Mr S. Kowlessur holds a MA in Health Promotion and Communication from Middlesex University, UK. He was in charge for the conduct of several Surveys / Research in Mauritius pertaining to NCDs / Type 2 Diabetes Prevention Study / Nutrition, among others since 1987. He also participated and made presentations at several International Conferences such as World Congress on Prevention of Diabetes,World congress in Prevention of Diabetes in Dresden, Germany among others. Mr.S. Kowlessur is the co-author of several publications on Diabetes / NCDs resulting from analysis of data on the Mauritian studies



    Abstract
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    Abstract

    Sudhir Kowlessur
    Ministry of Health and Quality of Life, NCD & Health Promotion Unit, Mauritius

    Introduction: The findings of the continuing rise in the prevalence of obesity in Mauritius mandates that current obesity prevention activities are reviewed against the world’s best practices as established both in developed and developing countries Obesity Prevention Programme: A National Service Framework for Diabetes has been developed for the prevention, treatment and control of diabetes in Mauritius A Mobile Clinic Programme has been implemented to carry out screening for NCDs in the Community / Worksite / Secondary School Physical Activity Programme is being enhanced Empowerment Programme are organized to empower Health Personnel and Community Health Leaders Some of the sensitization programs are also backed up by the media campaigns Sensitization Campaigns are organized regularly to sensitize the community at large National Plans of Action on Physical Activity and Nutrition have been developed Findings of the Mauritius Type 2 Diabetes Prevention Study which was a 3-year study Achievements: The prevalence of Diabetes has remained stable Pre-diabetes has declined There is an increase in prevalence in physical activity among both male and female adults aged 20 to 74 years. Conclusions: Various measures for the prevention of obesity in Mauritius have been undertaken. However, though some positive points have been noted, yet more efforts are required to combat obesity in Mauritius.

    Time:

    Title: High-fat Diets Rich in Polyunsaturated Fatty acids Counteract Catch-up Fat during Nutritional Rehabilitation after Caloric Restriction

    Raffaella Crescenzo
    University of Naples, Italy

    Biography
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    Biography

    Raffaella Crescenzo
    University of Naples, Italy

    Raffaella Crescenzo, born in Naples in 1970, graduated in 1997 in Biological Sciences at University of Naples “Federico II”, Italy, obtained a PhD degree in Physiology, a postdoc position at University of Fribourg, Switzerland, and other two postdoc at University of Naples. She is now researcher of Physiology, in the Department of Biology of University of Naples. Her research is centered on study of whole-body energy balance and adaptive changes in tissue metabolism (liver, skeletal muscle, adipose tissue, gut, brain) in different conditions: high-fat and high-fructose feeding, food restriction, refeeding, ageing. The results produced 43 papers and 30 congress abstracts



    Abstract
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    Abstract

    Raffaella Crescenzo
    University of Naples, Italy

    Catch-up growth, a risk for later obesity and type 2 diabetes, is characterized by a higher rate of fat relative to lean tissue deposition. Using a rat model of refeeding after semistarvation, such catch-up fat has been shown to be primarily driven by suppressed thermogenesis and to be exacerbated by high-fat diets rich in saturated and monounsaturated fats. High-fat diets rich in polyunsaturated fatty acids (PUFA) seem to limit the excess fat deposition and improve glucose homeostasis; these anti-obesity effects being explained partly by a higher lean tissue deposition and partly by enhanced metabolic efficiency. To investigate whether changes in liver mitochondrial energetics and adipose tissue metabolism could underlie the enhanced energetic efficiency, that drives catch-up fat during refeeding after caloric restriction, rats were subjected to caloric restriction (50% of spontaneous intake) for 14 days and then refed for 2 weeks isocaloric amounts of low fat or high-fat diets, the latter differing only in PUFA content. We evaluated whole-body metabolism, hepatic lipogenic capacity and mitochondrial energetics, as well as modulation of de novo lipogenesis by the different fatty acids in white and brown adipose tissue, together with body composition, energy balance, glycemic profile, oxidative stress and markers of inflammation. High-fat high-PUFA diet was able to improve protein deposition and maintain glucose homeostasis, limiting lipid storage in adipose tissue and oxidative stress and inflammation in the liver. The suppression of thermogenesis is counteracted by PUFA also via increased thermogenesis, resulting from increased hepatic mitochondrial proton leak and decreased mitochondrial efficiency.

    Time:

    Title: Perioperative Management of the Obese Patient

    Natasha Singh
    Fort Lauderdale, Florida, USA

    Biography
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    Biography

    Natasha Singh
    Fort Lauderdale, Florida, USA

    Dr. Singh currently serves as Chief of Anesthesiology at the Surgical Center of Fort Lauderdale. She received her MD degree from the Perelman School of Medicine at the University of Pennsylvania. She also has a PhD in Molecular Genetics from the University of Colorado, Boulder. She completed her residency in Anesthesiology at the University of Miami Jackson Memorial Hospital. She has worked in private practice for over 15 years. Her interest in obesity and its perioperative management arose out of her recognizing that over a third of her patients presenting for surgery were obese.



    Abstract
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    Abstract

    Natasha Singh
    Fort Lauderdale, Florida, USA

    Obesity continues to be a worldwide epidemic impacting all aspects of healthcare including the perioperative period. According to CDC data the prevalence of obesity in the US (as defined by a BMI > 30) is almost 40 % and morbid obesity (BMI>40) is between 5-10%. One third of the general surgical population in the US is obese. Obese patients provide special challenges to the anesthesiologist. Locating veins, measuring blood pressure, ventilating the patient to ensure adequate oxygen delivery, placing a breathing tube can all be extremely challenging to the physician and can result in fatal complicationsfor the patient. Perioperative complications for obese patients include increased cardiovascular risk, pulmonary complications including hypoxia, increased thromboembolic events leading to stroke and increased postoperative infections. My talk will address the pathophysiology of the obese patient and the implications this has in the perioperative period.

    Time:

    Title: Stage of Obesity Epidemic Model: Learning from Tobacco Control and Advocacy for A Framework Convention on Obesity Control

    Lin Xu
    School of Public Health, Sun Yat-sen University, Guangzhou, Guangdong, China

    Biography
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    Biography

    Lin Xu
    School of Public Health, Sun Yat-sen University, Guangzhou, Guangdong, China

    Lin Xu got herPhD degree on Epidemiology from the School of Public Health (SPH) in 2012 and joined the Schoolof Public Health of Sun Yat-sen University as a professor in 2016. Xu has published more than 70 papers in the international peer-reviewed journals, and has an H-index of 19. Her broad area of research is non-communicable chronic disease, specifically diabetes and cardiovascular disease epidemiology in older people. She has useddifferent epidemiological methods including Mendelian randomization to identify causal factors, and risk prediction models to identify predictors of cardiovascular disease and diabetes. Her research interest also lies in looking at the health effect of sex hormones, especially testosterone and estrogen on cardiovascular health



    Abstract
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    Abstract

    Lin Xu
    School of Public Health, Sun Yat-sen University, Guangzhou, Guangdong, China

    The 2011 United Nations political declaration against non-communicable diseases (NCDs) targeted four major risk factors: tobacco use, harmful use of alcohol, an unhealthy diet, and a lack of physical activity. The Framework Convention on Tobacco Control (FCTC), MPOWER strategies, and the four-stage model of the tobacco epidemic are useful references for the prevention and control of other risk factors and NCDs. Obesity control is a more complex challenge. Herein we propose a stage of obesity epidemic model (SOEM). Obesity is in the early stages in most countries with increasing prevalence, but its effects on mortality will increase rapidly, even if its prevalence may have reached a peak and be declining. Based on current relative risk, obesity kills one in three obese people. Like tobacco, epidemiological studies of obesity in the early stages would underestimate the risks and disease burden. Further research will reveal more harm, especially from long-term obesity since childhood. The prevalence of obesity will likely overtake smoking prevalence, but commitments to obesity control are too weak. The SOEM is needed and should be useful to forewarn against the expanding public health problems attributable to obesity, and challenges in epidemiology and interventions. Learning from tobacco control, we advocate for a framework convention on obesity control. Framing obesity control initiatives in the spirit of MPOWER strategies against tobacco should be considered to prevent and control obesity and obesity-induced diseases. Healthcare professionals should take leading roles in these initiatives and obese individuals should reduce their weight and ‘quit’ obesity.

    Sessions:
    Session-2: Childhood Obesity & Bariatric Surgery & Surgical and Non-Surgical Treatments

    Time:

    Title: Effect of Bariatric Surgery on Thyroid Function and Thyroxine Dose Requirement in Hypothyroid Obese Patients

    Mohamed Aly Elsherif
    Hamad General Hospital and Qatar Metabolic Institute, Qatar

    Biography
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    Biography

    Mohamed Aly Elsherif
    Hamad General Hospital and Qatar Metabolic Institute, Qatar

    Dr. Mohamed Aly Elsherif earned his master and doctorate degrees in internal medicine and diabetes at Tanta University, Egypt and continued his interest in endocrinology by earning master of endocrinology from the University of South Wales, UK. He completed his fellowship training in internal medicine at Tanta Medical School. He worked as specialist internist in health insurance hospital and consulted on endocrinology and diabetes in MDH hospital in Saudi Arabia. He chaired internal medicine department in 2 private hospitals is Saudi Arabia for 4 years and moved to Qatar to continue his interest in clinical management of metabolic and endocrinal disorders with special focus on diabetes and obesity management. Dr Elsherif has a clinical experience of more than twenty years in the field of endocrinology, diabetes and obesity management. He is internationally recognized by World Obesity Federation as a certified obesity health professional holding SCOPE certificate Dr. Elsherif is now an associate consultant in bariatric endocrinology, working in bariatric and metabolic surgery department Hamad General Hospital and Qatar metabolic institute. He has a great interest in teaching as well as research activities and has several research studies published in high impact journals and presented in international conferences. Dr. Elsherif practiced his interest and experience in teaching and was selected by HMC medical education to be one of the instructors of communication skills and other educational courses, he was also invited as a speaker in local and international conferences as well as university educational activities to both under and post graduate students.



    Abstract
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    Abstract

    Mohamed Aly Elsherif
    Hamad General Hospital and Qatar Metabolic Institute, Qatar

    Introduction Hypothyroidism is associated with weight increase that could be attributed to decrease in basal metabolic rate and thermogenesis. Influence of bariatric surgery on thyroid hormones in normal thyroid function and subclinical hypothyroid patients were investigated, though a scanty published data explored the effects of bariatric surgery on overt hypothyroid patients. Aim To assess the influence of bariatric surgery on thyroid hormone levels and on thyroxine requirement in clinically hypothyroid obese patients as well as correlation between patients’ initial BMI, weight loss (BMI and % excess weight loss) and thyroid status. Methods A retrospective review of 158 morbidly obese hypothyroid patients on thyroxinereplacement who underwent laparoscopic sleeve gastrectomy (LSG), gastric bypass (RYGB) and laparoscopic gastric greater curvature plication (LGGCP) between2011-2015, were evaluated for changes in thier thyroid condition at 6, 12 and 24 months post operatively. Dose of thyroxine and weight loss were correlated. Results Mean age =38.7 years. Mean preoperative BMI was 45.8, which decreased at 2 years to 33. About 85.4% of patients underwent LSG, 12% RYGB and 2.5% LGGCP. EWL% at 6, 12, 24 months was 27.6%, 53.4% and 58.8% respectively.Our study has demonstrated a statistically significant positive association between serum TSH and BMI. The mean pre-op thyroxine dose of 102.7 mcg dropped to 68.4 mcg at 24 months after surgery. 42.5% of patients had improved thyroid status at 6 months, 8.2% were cured and 2.2% deteriorated as evident by reduced thyroxin dose, stop of thyroxin replacement and increased thyroxine doserequirements respectively. Among the 67 patients whose thyroid status improved, 82% underwent LSG, 16.4% RYGB and 1.5% LGGCP. Conclusion Bariatric surgery significantly improves thyroid function in hypothyroid patients and can be curative in some cases.Laparoscopic sleeve gastrectomy seems the favourable procedure associated with improvement and cure of hypothyroidism.Further studies with larger sample size are still needed to further explore the cause effects and the possible mechanisms behind.

    Time:

    Title: Is Weight Loss Secondary to Restrictive Bariatric Surgery Physiologic?

    Mohammad Talebpour
    Sina Hospital, Iran

    Biography
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    Biography

    Mohammad Talebpour
    Sina Hospital, Iran

    Dr. Mohammad Talebpour was born at Tehran, Iran, 1964. He passed general doctorate and general surgery in Tehran University of Medical science (TUMS) from 1982 to 1993. He is faculty of TUMS from 1994 up to know. He has started basic laparoscopy from 1994. He passed active fellowship of advanced laparoscopy at Ninewells Hospital, Dundee, UK under supervision of Prof Cuschieri and at IRCAD Center under supervision of Prof Marescaw and Prof Leroy at 1999. He has started advanced laparoscopy from 2000 including bariatric surgery. He introduced gastric plication as the new novel physiologic restrictive bariatric method at 2000 and has the most experience in this field during 18 years with about 2000 cases. He is associate Prof and head of laparoscopic ward in TUMS, Sina Hospital, Tehran, Iran. He is a member of IFSO, IEF and IAS. He is a delegate of Iranian IFSO branch. He has published 25 papers, presented up to 100 oral lectures and was invited speaker in 18 international meetings.



    Abstract
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    Abstract

    Mohammad Talebpour
    Sina Hospital, Iran

    Aim: The aim of this study is to show: is weight loss secondary to restrictive bariatric surgery although completely different to just diet, physiologic and can body composition after 6 months of operation, be accepted as a normal physiologic condition or not? Method: The protein mapping of 30 morbid obese patients calculated by high performance liquid chromatography before and after 6 months of operation. Body composition of patients checked as well. The rate of weight loss and the changes of body composition and protein mapping analyzed. Result: The mean weight before and after 6 months of operation was 116 and 79. The mean BMI was 44 to 30. Fat percentage 46.1 to 28.3 and predicted muscle mass was 33.3 to 30.1. The body composition after 6 months of gastric plication was highly suggestive to normal, very superior to pre operation condition. About 10% of protein was lost due to protein catabolism secondary to aggressive calorie restriction Conclusion: Although the rate of weight loss is too much faster in compare to diet and exercise, it is physiologic and is the result of hormonal changes based on change of protein mapping due to accelerated lipolysis. It is with 10% protein lose which can be controlled by at least 100 gr protein intake daily. Exercise has shown increase the muscle mass and decrease the risk of protein catabolism during rapid weight loss.

    Time:

    Title: Nutritional Impact of Surgical Treatment of Obesity and the Evolution of Techniques Related to Micronutrient Deficiency. Nut.

    Ma Soledad Reyes
    University of Chile, Chile

    Biography
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    Biography

    Ma Soledad Reyes
    University of Chile, Chile



    Abstract
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    Abstract

    Ma Soledad Reyes
    University of Chile, Chile

    Bariatric surgery, as has been reviewed in other modules, has been the most effective strategy to produce a significant long-term weight reduction in patients with severe and morbid obesity, associated with an improvement in the pathologies associated with excess weight. . However, the development of deficiencies of some micronutrients has been reported repeatedly in the literature, especially in restrictive malabsorptive surgeries such as biliopancreatic diversion, with and without duodenal change and Roux-en-Y gastric bypass. Exclusively restrictive procedures, such as laparoscopic adjustable gastric banding, are not exempt from complications of this nature, even when the number of affected conplications is lower and the degree of compromise is also less. In the case of sleeve gastrectomy, a technique that was initially restrictive, there was also a compromise in the nutritional status of the micronutrients, although in a lower frequency and magnitude than in the gastric bypass. Among the nutrients affected in bariatric surgeries are iron, calcium, zinc, folate, vitamin B12 and vitamin D. The pathophysiology of vitamin and mineral deficiencies in bariatric surgery is multifactorial. One of the factors that have been highlighted in the last time, is the nutritional status with which patients face this type of surgery.

    Time:

    Title: Impact of Regular Patient Follow Up on Weight Loss and Nutrient Profile Post Bariatric Surgery

    Somya Shrivastava
    Max Hospital, India

    Biography
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    Biography

    Somya Shrivastava
    Max Hospital, India

    Dr. Somya Shrivastava is a highly motivated Nutritionist and Dietetics expert. She is currently working as the Head of the Clinical Nutrition Department. She has been chosen the ‘Best Dietician of the year ‘at Max Healthcare for my dedicated contributions to the organization. She is a knowledge seeker and a voracious reader on topics of nutrition. She has been a practicing nutritionist since 11+ years, with my keen interest in Bariatric, Sports Nutrition and in oncology to name a few.



    Abstract
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    Abstract

    Somya Shrivastava
    Max Hospital, India

    Background Bariatric surgery, a highly successful treatment for obesity, requires adherence to special dietary recommendations to ensure the achievement of weight loss goals and weight maintenance. Nutrition counseling is important for patients undergoing gastric bypass surgery. All patients with bariatric gastric procedures are at risk for nutrient deficiencies, and regular compliance to diet and supplements help in maintaining nutrient profile. Method: A prospective study examined patients (N= 60) who underwent Bariatric surgery from September 2017 to December 2017 The number of follow up visits of each patient with the nutritionists was compared to the weight loss and nutrient profile. Spearman’s correlation was used to analyze data and also draw descriptive statistics of the patients. For analyzing the data SPSS 16.0 was used. Results: A moderate correlation was found between the number of postoperative nutrition visits and the percent change in post surgery BMI at 1 years (Spearman’s ρ = 0.616; P <=0.01). Nutrient profile Vitamin B 12 improved substantially post operatively as compared to pre-operatives but no change in albumin levels was seen. Conclusion: Patients with more nutrition visits following bariatric surgery experienced greater weight loss and also maintained a better nutrient profile as compared to pre- operative stage that means patient follow up plays a significant role in the amount of weight loss after bariatric surgery.

    Time:

    Title: Guar Gum Fiber as Fat Replacer in Low Fat Cheddar Cheese

    Aysha Sameen
    University of Agriculture Faisalabad, Pakistan

    Biography
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    Biography

    Aysha Sameen
    University of Agriculture Faisalabad, Pakistan



    Abstract
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    Abstract

    Aysha Sameen
    University of Agriculture Faisalabad, Pakistan

    Low fat Cheddar cheese is the demand of present era, but lacks the quality and functionality. Guar gum shows stability during freeze-thawing cycles and it can retard ice crystal growth by slowing mass transfer across solid and liquid interfaces. Guar gum is added to low fat milk to maintain texture and rheology of cheese similar to full-fat cheese. Guar gum was used at 0.15, 0.30 and 0.45% in Cheddar cheese with 2% fat level of milk. The result regarding analysis of variance for low fat Cheddar cheese revealed highly significant (p<0.01) effect on gumminess and chewiness and Significant (p<0.05) effect on hardness, melt-ability and yield. Cohesiveness, springiness and flow-ability showed non-significant (p>0.05) effect of different levels of guar gum. By increasing the level of guar gum, cheese become softer, maximum hardness was found in cheese with less concentration of gum. Gumminess and chewiness decrease by increasing the level of gum. Melt-ability and flow-ability increased by increasing gum level. The decrease in hardness of cheese containing guar gum was probably due to change in protein matrix compactness since addition of guar gum increases water binding capacity of protein matrix. Decrease in fat with incorporated fat mimetic ingredients could increase protein water interaction enhancing adhesiveness in cheese. Scanning electron microscopy results showed that cheese with guar gum has better texture as compared with other samples, it shows more homogeneous structure. The addition of guar gum as fat replacement improved the sensory characteristics of low fat cheese samples when added up to the level of 0.45% guar gum.

    Time:

    Title: Relationship between Low Birth weight and Thinness, Severe Obesity in 3 to 12-Year-Old Shanghai Children: A Large-Scale Population Based Study

    Shijian Liu
    Shanghai Jiaotong University, China

    Biography
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    Biography

    Shijian Liu
    Shanghai Jiaotong University, China



    Abstract
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    Abstract

    Shijian Liu
    Shanghai Jiaotong University, China

    Background: The aim of this study is to investigate the relationship between low birth weight (BW) and thinness or severe obesity during maturation. Methods: A large-scale school-based cross-sectional population-based survey was conducted in 3 to 12-year-old children in Shanghai, China. BW was divided into low (< 2500 g) and normal (2500–4000 g) group. International Obesity Task Force BMI cut-offs were used to define grade 1, 2, 3 thinness, overweight, obesity and severe obesity. Logistic regression was used to estimate the association. Results: Total 70,284 children participated in the survey. The percentage of grade 1 thinness and severe obesity in children with low birth weight is significantly higher than that with normal birth weight (P < 0.05). Low BW correlated with an increased risk of grade 1 thinness (OR = 1.56, 95%CI = 1.38–1.75), grade 2 thinness (OR = 1.34, 95%CI = 1.10–1.64), grade 3 thinness (OR = 1.99, 95%CI= 1.63–2.42) and severe obesity (OR = 1.27, 95%CI = 1.03–1.55) but did not correlate with overweight. Conclusion: The relationship between low BW and thinness or severe obesity risk is associated.

    Time:

    Title: Post Laparoscopic Sleeve Gastrectomy Neurological complications

    Sapan Ashok Jain
    Shantiraj Hospital Pvt. Ltd., India

    Biography
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    Biography

    Sapan Ashok Jain
    Shantiraj Hospital Pvt. Ltd., India

    Dr. Sapan Ashok Jain is a Bariatric, GI, Laparoscopic surgeon at KEM Hospital, Bombay. He has completed his MBBS in 1997 from Dr. D.Y. Patil Medical College, University of Mumbai, India & & M.S. in General Surgery from Seth G.S Medical College and K.E.M. Hospital, University of Mumbai, India. He received the fellowship award in Laparoscopic Surgery from AIIMS-Dept: of Surgical Disciplines, New Delhi, India on 11th October 2016, received the 1st Pace fellowship award in Bariatric & Metabolic Surgery from LASER- Sri Aurobindo Medial College and also received the 1st Fellowship award in Minimal Access Surgery from Indian Association of Gastrointestinal Endosurgeon’s Society. He has completed his internship training in January 1999. Currently he is working as dedicated Bariatric, GI, Laparoscopic Surgeon at: - Fortis JK Hospital, Udaipur (India) & performing all advanced Laparoscopic Surgical procedures especially Bariatric and Upper GI Surgery.



    Abstract
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    Abstract

    Sapan Ashok Jain
    Shantiraj Hospital Pvt. Ltd., India

    Macro and micro nutritional deficiencies may occur in some bariatric patients post surgery, which can result in serious neurological complications. We present the case of a patient who developed polyradiculoneuropathy -a variation of acute inflammatory demyelinating polyneuropathy or - guillain-barre syndrome or apgars-acute post gastric reduction surgery neuropathy following laparoscopic sleeve gastrectomy surgery. We discuss the importance of identifying symptoms of polyradiculoneuropathy (prn) or apgars after bariatric surgery and give recommendations for treatment.

    Time:

    Title: Correlation between Obesity (O), Nephrolithiasis (Nl), Arterial Hypertension (Ah): A Myth To Dispel

    Giovanni Colucci
    General Practitioner, ALS Taranto, Apulia, Italy

    Biography
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    Biography

    Giovanni Colucci
    General Practitioner, ALS Taranto, Apulia, Italy

    Since 1984, he carries out the activities of General Practitioner in Martina Franca, and since 2001 operates in association Medica network with nine other colleagues. Animator Training in General Practice since 1998 Physician General Tutor since 1998 Researcher SIMG Network for Pharmacovigilance active FarmaSearch 2002 Co-author of the guidelines SIO (Italian Society of Obesity) Apulia. Collaborated in the research activities, updating and training carried out by the Department of Clinical Pharmacology and Epidemiology at the Mario Negri Sud Consortium in the area of General Medicine (2007/13). Founder / coordinator of the "Supplementary Training Project for the Degree Course in Nursing Students Training Centre IRCCS CastellanaGrotte". Course Tutoring students at the family doctor (Martina Franca). Co-author of the guidelines SIO (Italian Society of Obesity) Apulia: Guide lines for physical activity aimed at the prevention and treatment of overweight and obesity in adulthood Author and coadjutor of 103 publications on national journals, conference proceedings, a popular science brochures and compact disc (C. D.)



    Abstract
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    Abstract

    Giovanni Colucci
    General Practitioner, ALS Taranto, Apulia, Italy

    Background. Nephrolithiasis is a widespread disease: the prevalence is estimated to be 7-13% in North America, 5-9% in Europe, 1-5% in Asia. Obesity and Arterial Hypertension are associated with NL, with high acute and chronic morbidity. Aim. Demonstration of: a) Correlation between O, AH, NL; b) Correlation between NL and high salt intake, fructose drinks, water intake. Methods. This study has recruited a sample of 1086 adolescents (age: 15.6÷24.6) of both sexes (M:478, F:598). All the patients have been examined as follows: BP, HR, BMI, WC, urinalysis (fresh sample), kidney ultrasound. The sample has been split in case (NL) (157: M 43.9%, average age: 17.75±0.88) control (354: M 45.8%, average age: 17.77±0.84), administering a survey: sport; daily water intake; high sodium, oxalates, urates, fructose foods. Results: BMI: 22.8% >25 (Overweight/Obesity); WC: 10,2%, compatible with abdominal obesity; BP: 11.0% >140/90 [M: 3.98 (p< 0.0001; age: 1.028 (p=0.75); O: 1.859 (p< 0.05)], showing correlation with Obesity. Urinalysis: 11.4% albuminuria; 24.3% hematuria. Multivariate analysis has not shown correlation between NL, AH, O, tap or mineral water, sport, food (high-sodium, fructose, oxalates, urates). Correlation between NL and daily water intake <1 lt. Correlation between Obesity (7,4%) (case-control) and sugary snacks (OR: 1.19; IC:028-4.99), but not with sugary and carbonated drinks (OR: 3.16; IC: 055-18.27). Conclusions. In adolescents NL is related to pathological alterations but not to glucose, lipid and protein metabolism. On the contrary, metabolism disorders are the main determinant of NL in adult population with increased cardiovascular risk. Primary prevention is therefore important: in Primary Care the adolescents should be encouraged to avoid the risk factors for the development of these diseases with a healthy lifestyle.

  • Sessions:
    Session-3: Obesity & Associated Health Disorders & Obesity in Women & Food and Diet Patterns

    Time:

    Title: The Effect of Ginger on Body Composition, Conicity Index and Blood pressure in Patients with Active Rheumatoid Arthritis

    Naheed Aryaeian
    Iran University of Medical Sciences, Iran

    Biography
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    Biography

    Naheed Aryaeian
    Iran University of Medical Sciences, Iran

    Naheed is an Associate Professor in department of Nutrition, School of Public health, Iran University of Medical Sciences. She has completed his BS in Nutrition from Shaheed Beheshti of Medical Sciences, Tehran ,Iran, MS from Tabriz University of Medical Sciences, Tabriz-Iran & Ph.D in Nutrition, Minor Immunology from Nutrition department, Health Faculty, Tehran University of Medical Sciences, Tehran –Iran. She has published more than 30 journals.



    Abstract
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    Abstract

    Naheed Aryaeian
    Iran University of Medical Sciences, Iran

    Background: Despite probably beneficial effects of Ginger on weight, body composition and Blood pressure, there is little information on its effects in active rheumatoid arthritis (RA) disease. Many of patients with this inflammatory disease suffer from cachexia. This article has designed to investigate the effects of Ginger powder on weight, body composition and blood pressure inadults who suffer from active RA. Methods: In a randomized, double-blind placebo-controlled trial; Seventy nine patients with active RA were divided randomly into two groups to receive either Ginger or placebo for 3months. Ginger was prescribed 1500 mg daily as 2 capsules. Food assessment measured by Food processor (version 4) program.Body composition analyzer machine (BIA, Quad Scan 4000, United Kingdom).Comparison between groups was done by t-test for quantitative variables and by Chi-square test for qualitative data. Results: Regarding the anthropometric characteristics, Weight,body mass index (BMI), Conicityindex and hip Circumference were significantly increased in control group compared to baseline (P < 0.001) (P < 0.001) (P < 0.05) (P < 0.001) and the difference between two groups was significant (P < 0.001) (P < 0.04) (P < 0.02) respectively. Waist Circumference (WC) were increased in control group and the difference was significant (P < 0.01). Percent body fat (PBF) was significantly decreased in Ginger group (P < 0.05). There were no statistically significant differences in Soft Lean Mass and blood pressure. Conclusion: Ginger as a food supplement resulted in a significant suppression in weight gain, BMI, PBF, Conicity index and varies anthropometric characteristics of RA patients in short period and may be considered useful as a nutritional strategy.

    Time:

    Title: Obesity, A Worldwide Disease: The Impact on Fertility and General Health

    Adrian Ellenbogen
    Technion Israel Institute of Technology, Israel

    Biography
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    Biography

    Adrian Ellenbogen
    Technion Israel Institute of Technology, Israel

    Dr. Adrian Ellenbogen , Clinical Assistant Professor in Obstetrics and Gynecology at the Rappaport School of Medicine, Technion- Israel Institute of Technology, Haifa, Israel , Founder and Director (retired) of in vitro fertilization unit at Hillel Yaffe Medical Center, Hadera, Israel . Director of the postgraduate course in Obstetrics Gynecology and Infertility, Rappaport School of Medicine , Technion- Israel Institute of Technology, Haifa, Israel Member of many international (ASRM, ESHRE, ISMAAR, ISIVF, ISGE) and national societies (Israeli Fertility Association, Israeli Society of Obstetrics and Gynecology). Editorial Board Member of the Journal of Reproduction System & Sexual Disorders Reviewer : Fertility and Sterility, the Journal of Reproduction System & Sexual Disorders, Harefuah, IVF Lite , Presented more than 110 lectures in different international and national scientific meetings and published many peer review papers in top rated scientific journals. He has a special interest in in vitro maturation of oocytes, poor responders, PCOS , IVF outcome, pioneered IVF treatment with minimal stimulation and egg donation law in Israel , researching and publishing in these fields. Received 2003 Israeli Ministry of Health and Israeli Civil Service Commission Award for Excellency in labor. Receives 2012 and 2013 , 2014 and 2015 Star Award of American Society of Reproductive Medicine.



    Abstract
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    Abstract

    Adrian Ellenbogen
    Technion Israel Institute of Technology, Israel

    Obesity is a common problem among women of reproductive age. According to the World Health Organization (WHO), if the body mass index (BMI) equals to or is greater than 25 kg/m2, it is considered overweight, whereas if the BMI equals to or is greater than 30 kg/m2, it is considered obesity. Obesity plays a significant role in reproductive disorders, particularly in women. It is associated with anovulation, menstrual disorders, infertility, difficulties in assisted reproduction, miscarriage, and adverse pregnancy outcomes. Moreover it brings out many problems such as social, psychological, demographic, and health problems. It is related to increased health risks such as diabetes mellitus, hypertension, coronary heart disease and is linked to various malignancies, particularly endometrium, breast, and colon cancers. Obesity is a complex disease resulting from the interactions of a wide variety of hereditary and environmental factors. The combined progress in quantitative genetics, genomics and bioinformatics has contributed to a better understanding of the genetic and molecular basis of obesity. Moreover, environmental factors can affect pregnancy and may cause epigenetic changes in the fetus leading to obesity and its complication in the later life. The new concepts of the etiology of obesity, its impact on fertility and general health will be briefly discussed.

    Time:

    Title: Relationship between Nonalcoholic Fatty Liver Disease and Vitamin D Nutritional Status in Obesity

    Adryana Cordeiro
    University of Portugal, Portugal

    Biography
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    Biography

    Adryana Cordeiro
    University of Portugal, Portugal

    ClinicalNutritionist PhD and MSc in Science of Medical Clinic Program/Faculty of Medicine/University Federal of Rio de Janeiro (UFRJ) Researcher of Micronutrients Research Center/UFRJ Researcher of Post-doc/Biomedicine Departament/ Biochemistry Unit/Faculty of Medicine/University of Porto– Portugal



    Abstract
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    Abstract

    Adryana Cordeiro
    University of Portugal, Portugal

    Nonalcoholic fatty liver disease (NAFLD) has become one of the most common chronic liver diseases worldwide [1]. NAFLD is characterized by an accumulation of fat in the liver in the absence of such secondary causes as alcohol abuse, viral hepatitis, and so forth [2], while presenting such wide-ranging histological features as simple macrovesicularsteatosis and nonalcoholic steatohepatitis (NASH) that can evolve into fibrosis, cirrhosis, or hepatocellular carcinoma [3]. Vitamin D deficiency (VDD) can result from problems relating to the absorption of vitamin D, hydroxylation due to liver failure, inadequate exposure to sunlight and others factors. It is one of the most prevalent micronutrient deficiencyin the world, with a billion people estimated to be deficient [4]. Individuals with obesity, including those suffering from liver disease, are more susceptible to VDD [5]. A potential explanation for this deficiency is, when there is damage of the liver, synthesis of 25(OH)Dmay be impaired by the presence of steatosis. VDD can exacerbate NAFLD at least in part through an inflammatory-mediated pathway, given how vitamin D mediates its intracellular signals via the vitamin D receptor (VDR),which is constitutively expressed in the liver [6]. There is limited information on the potential role VDD plays in NAFLD diagnosed via liver biopsy, mainly where NASH is concerned [8]. Thus, the aim of this presentation will be demonstratethe relationship between serum 25(OH)D concentrations andNAFLD staging, mainly, as diagnosed via liver biopsy, the gold standard method, in extreme obesity (BMI ≥ 40kg/m2).

    Time:

    Title: Autonomic Function Test in Obese Among Mid-Western Population of Nepal

    Bhawana Pant Neupane
    Nepalgunj Medical College, Nepal

    Biography
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    Biography

    Bhawana Pant Neupane
    Nepalgunj Medical College, Nepal



    Abstract
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    Abstract

    Bhawana Pant Neupane
    Nepalgunj Medical College, Nepal

    Purpose:Obesity is associated with metabolic risk factors such as high blood pressure, blood fat abnormality, and glucose intolerance which may influence the morbidity and mortality of cardiovascular diseases.Beside being a risk factor for cardiovascular disease, certain cancers and type II diabetes, obesity has also been associated with change in autonomic function in human.Although a lot of progress has been achieved in past decade on accessibility and awareness about health, the obesity remains impending and burgeoning health concern in Nepal. With this trend, we can foresee that the Body Mass Index (BMI) one of the commonly used indirect measure of obesity, might potentially turn out to be one of the leading factor of autonomic dysfunction. Methods: 100 healthy subjects were screened and divided into 2 groups- Group I(BMI>30) and Group II (BMI< 30).Height was measured by stadiometer with subjects having their shoes removed. Weight was measured with weighing machine in light clothes. BMI was calculated using the formula: BMI= weight(kg)/height(m2) Resting heart rate (RHR) was recorded with Lead II of ECG. Blood pressure(BP) and Heart Rate(HR) were recorded in supine position and on immediate standing.Cold pressure test: Resting BP was recorded in sitting position. Then the subjects were asked to immerse the hand in cold water, and the BP was measured from other hand. Data was analyzed using SPSS 16 (Statistical Package for Social Science). Result:Our result showed that RHR of Group I (79.32 ± 4.22) was higher than that of Group II (74.38 ± 7.26).However, on student –T test,BP and HR response to immediate standing (P =0.34&P=0.23 respectively) were non-significant between obese and non-obese person. When the correlation was done for the change in BP in response to cold pressor test in between obese and non obese person it was found to be significant (P = 0.04). Conclusion: Our data suggests that the BMI can be a predictor of autonomic dysfunction.

    Time:

    Title: Effect of Physical Exercise on Adiposity and Aerobic Fitness in Middle Age Women Differing in Body Mass

    Vaclav Bunc
    Charles University, Czech Republic

    Biography
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    Biography

    Vaclav Bunc
    Charles University, Czech Republic

    Dr. Václav Bunc, PhD earned from the Technical University Prague, professor in the Exercise Physiology on Charles University Prague Main topics: evaluation of physical fitness, exercise physiology, obesity reduction, functional and physical testing in laboratory and field, body composition, BIA methods, moving regimes for prevention in cardiac and obese patients. Publications: first author more than 400 items in scientific Journals. He is a member of Czech and International scientific societies.



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    Abstract

    Vaclav Bunc
    Charles University, Czech Republic

    Overweight and/or obesity is a growing problem over the world. Alongside a range of health problems associated with increased body mass (BM) – adiposity and reducing of fitness level it is an important limiting factor for realization of regular physical exercise and quality of life. The study goal was to assess the effect of movement intervention in women differing in the BM. Study was carried out in 42 women with normal BM (mean age=42.6±3.6 years; BM=69.3±3.7 kg; height=167.5±4.6cm; %BF=25.1±2.5%), 40 overweight women (42.0 ± 2.9; 80.9±3.9; 169.1±4.0; 28.9±2.9%) and 38 obese women (43.8±3.0; 90.4±4.6; 168.3±3.5; 32.1±3.4%). Body composition was assessed by bioimpedance method using prediction equations that are valid for the Czech middle aged women population, functional variables were assessed on a treadmill. The energy content of weekly movement program for women with normal BM ranged from 990 kcal to 2350 kcal (mean 1590±350 kcal) in females with overweight from 1230 kcal to 1980 kcal (1640±290 kcal) and in obese women from 1510 kcal to 2180 kcal (1780±370 kcal). Reduction in %BF ranged from 15.6% in obese to 16.4% in normal BM of starting value and in VO2peak increased from 13.9% in normal BM to 15.7% in obese. In middle aged women differing in BM are absolute changes in adiposity and aerobic fitness like a result of imposed movement intervention substantively and statistically significant. On the contrary, differences in percentages of pre-intervention values are non-significant. We can conclude that an exercise program with a similar energy content, form and intensity causes the similar changes in adiposity and in motor and functional performance in women, differing in BM.

    Time:

    Title: Obesity and the Susceptibility of the Occurrence of Lower Limbs Osteoarthritis in a Cohort of Women from El Jadidaprovince

    Rekia Belahsen
    Chouaib Doukkali University, Africa

    Biography
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    Biography

    Rekia Belahsen
    Chouaib Doukkali University, Africa

    Dr. Rekia BELAHSEN is Professor and Head of the Training and Research Unit on Nutrition and Food Sciences, Director of the Lab. of Biotechnology, Biochemistry and Nutrition at UCD in El Jadida (Morocco). Graduated in Nutrition & Alimentation (France); and PhD in Endocrinology & Nutrition at Laval University (Canada). Expert evaluator for many national and international organizations (European Commission, UNICEF, etc….). PI of many National & international funded projects. Several awards and numerous fellowships: the FAO Medal of Merit (Morocco) in 2007, a grant from Islamic Development Bank in 1998. Author of many publications and is involved as reviewer and editorial for several journals. Executive member of many national, regional and international organizations (SMN, FANUS, MENANA, Nutricion sins Fronteras, IUNS). She organized several meetings (1st FANUS meeting, Ouarzazate, Morocco in 2007; the International Workshop on Nutrition transition and Population health, El Jadida Morocco in 2011, 7th ANEC Conference, Marrakech, Morocco in 2016, IUNS, 2013 (Spain) & 2017 (Argentina)). The main current research topics: nutrition transition, obesity, community nutrition, Mediterranean diet, micronutrient deficiency and Food composition and valorization of traditional Mediterranean diet.



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    Abstract

    Rekia Belahsen
    Chouaib Doukkali University, Africa

    Introduction: obesity has aroused these last time a significant interest because of its strong association with osteoarthritis by the worsening of the mechanical constraints exerted on the articulation. Considered as degenerative disease and debilitating, the prevalence of osteoarthritis does not cease to increase due to the increase in both the life expectancy and the prevalence of obesity. The objective of this study is to assess the link between obesity and the susceptibility of the occurrence of the osteoarthritis of the lower limbs in a sample of women. Methodology: The studywas undertaken on 137 women from 11 urban and rural localities of an agricultural province of Morocco, El Jadida. The evaluation of symptomatic the susceptibility of the occurrence of osteoarthritis of the lower members among the participants was performed using the Moroccan version of the WOMAC index for the lower limbs. Another questionnaire has allowed collecting socio-demographic data and anthropometric measurements in the surveyed in order to establish the relationship between obesity and the occurrence of osteoarthritis risk. Results: The study data show that the female population surveyed was 45± 13 years old, mostly obese (77%) and that the median score of the WOMAC is 38. The perception of the WOMAC pain linked to the susceptibility of osteoarthritis is felt much more among women with morbid obesity with an average of 15.40. For the waist/hip (WHR), participants having gynoïde(WHR < 0.80) and Android (WHR > 0.85) have expressed more pain with the respective averages (6.14; 8.13) and functional discomfort (22,71; 27.97) of their lower limbs than those with mixed morphotypes. Conversely, for the three dimensions of the WOMAC, no significant difference was observed for the sum of the skinfolds. The susceptibility of occurrence of osteoarthritis in its two forms (knee and coxarthrose) is much more evident in the category of age>50 years with a rate of 22%. Conclusion: The study results report a link between obesity and the risk of occurrence of osteoarthritis, its prevention is important and its magnitude varies according to the age and to the osteoarthritislocation.

    Time:

    Title: Metabolic Heterogeneity of Obesity and its Mid and Long-term Effects

    Yimin Zhu
    Zhejiang University School of Medicine, China

    Biography
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    Biography

    Yimin Zhu
    Zhejiang University School of Medicine, China

    Yimin Zhu Ph.D, & Professor, vice director of Department of Epidemiology & Biostatistics, School of Public Health, Zhejiang University. His major research interests include molecular epidemiology, genetic susceptibility, epigenetics and metabonomics in obesity, metabolic syndrome. His team has screened multiple biomarkers of these diseases using multi-omics technologies such GWAS, RNA-seq, Medip-seq and metabonomic, and also systematically investigated the metabolic heterogeneity in obesity and its mid and long-term adverse effect.



    Abstract
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    Abstract

    Yimin Zhu
    Zhejiang University School of Medicine, China

    Obesity has heterogeneity. Obesity has different metabolic status as: metabolically abnormal obesity (MAO) and metabolically normal obesity (MNO). This study investigated the prevalence and distribution of MNO in Chinese population and explored the determinants of heterogeneity. Obesity has heterogeneity. Obesity has different metabolic status as metabolically abnormal obesity (MAO) and metabolically normal obesity (MNO). In a cross-sectional investigation on metabolic syndrome in China, The study investigated the prevalence and distribution of MNO in Chinese population and the determinants of heterogeneity. Then in a prospective cohort, we explored the effect on metabolic components in the subjects with MNO and the effect of weight change on the metabolic components. The Long-term effect of MNO on mortality of diabetes, cardiovascular diseases, and cancers were evaluated with meta-analysis. The results indicated the prevalence of MNO of obesity in China was 27.9%, which was lower than those in most of countries in the world. The determinants of metabolic heterogeneity were central obesity, Physical activity, sedentary time, Fruits/vegetables intake and Family history of MD and CVD, respectively. Comparing with the subjects with metabolically health (MNNW), normal weight, MNO increased the risk of the incidences of abnormal metabolic components and mortalities of diabetes and cardiovascular diseases, however, these risks were significantly lower than those in the subjects with MAO. Weight loss could reduce the risk of abnormal metabolic components. In conclusion, obesity has metabolic heterogeneity and MNO increase the risks of mid and long term outcome comparing with the subjects with MNNW and decrease the risks comparing with the subjects with MAO. This finding have significance on public health and provide the evidence on classification and individual management of obesity.

    Time:

    Title: Cholesterol-Enriched Diet Provokes Pathological Alterations in Kidneys with Traits Typical of Lysosomal Storage Diseases

    Elena Rampanelli
    University of Amsterdam, Netherlands

    Biography
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    Biography

    Elena Rampanelli
    University of Amsterdam, Netherlands

    Dr. Elena Rampanelli After graduating in Medical Biotechnology from the University of Bologna, Italy, she obtained her PhD degree at the University of Amsterdam, The Netherlands. After her PhD, Dr. Rampanelli worked as postdoc at the University Hospital of Regensburg (UKR), Germany; subsequently, she worked at the Academic Medical Center of Amsterdam (AMC), The Netherlands, and later at the UNC Lineberger Comprehensive Cancer Center, University of North Carolina (UNC), US. She recently returned to The Netherlands to join the Amsterdam University Medical Center (AUMC).



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    Abstract

    Elena Rampanelli
    University of Amsterdam, Netherlands

    Obesity represents a growing public-health problem. Besides being a majorrisk factor for the onset of diabetes and cardiovascular diseases,obesity has been associated with the onset of chronic kidney diseases (CKD) and end-stage renal diseases (ESRD). Emerging evidenceindicate a lipid-mediated effect in initiating renal dysfunction/injury.However, the cellular mechanisms connecting obesity/dyslipidaemia with CKD/ESRD remain largely unclear. We found that upon overnutrition with a cholesterol-rich Western-type diet (WD), renal proximal tubular epithelial cells (PTEC) become target sitesof lipid deposition and display giant vacuoles of lysosomal/autophagosomal origin harbouring oxidized lipoproteins and concentric membrane layer structures. These organelles are reminiscent of multilamellar bodies (MLBs) found in lysosomal storage diseases (LSD). In fact, similarly to LSD traits, lipidomicsand proteomics showed that MLBs function as intracellular lipid storage sites and are likely to be secreted into urineby lipid-overloaded PTEC. In addition, the tubular intralysosomal lipid storageis accompanied by inflammation, fibrosis, tubular damage and dysfunction and a tubular cell transcriptional reprogramming to increase lysosomal degradation. Collectively, our data show that renal epithelial cells actively respond to overnutrition and participate in the management of lipid overload by generating MLBs. Our study emphasizes the role of renal cells in lipid handling and the importance of healthy lysosomes in the maintenance of kidney wellbeing.

    Sessions:
    Session 4 : Endocrinal Disorders and Diabetes & Genentics of obesity & Eating Disordors

    Time:

    Title: Bariatric surgery in Type 1 and 2 Diabetics and in Prediabetics: Lessons Learnt from the Saudi Arabian Experience

    Osamah Alsanea
    Saudi Diabetes and Endocrine Association , Saudi Arabia

    Biography
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    Biography

    Osamah Alsanea
    Saudi Diabetes and Endocrine Association , Saudi Arabia

    Dr. Osamah Alsanea graduated with honors from Kuwait University. He completed his did and early surgical training at King Faisal Specialist Hospital in Riyadh then was awarded a scholarship to complete his surgical training at Tufts University, Boston. He obtained a fellowship in Minimally Invasive Surgery under the Dr. Schwaitzberg past president of SAGESand Dr Shikora past president of IFSO then completed a completed a fellowship in Endocrine Surgery under Dr. Clark past president of AAES and ATA at UCSF California. Dr. Alsanea practice emphasizes minimally Invasive, bariatric and Endocrine Surgery in the first dedicated multidisciplinary diabetes therapy center



    Abstract
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    Abstract

    Osamah Alsanea
    Saudi Diabetes and Endocrine Association , Saudi Arabia

    Almost a third of the adult population in Saudi is obese and of those 18% deserve to undergo bariatric surgery. Only 2% of those eligible present for bariatric surgery. The primary reason to undergo bariatric surgery in Saudi Arabia remains to be weight reductionand improvement of the quality of life (80%) rather than resolution of co-morbid conditions (18%). The health care delivery system is a combination of governmental, employer sponsored and third party payor. While care for chronic illnesses is mandated by law, bariatric surgery is not covered by most insurance providers limiting affordability but recent drop in cost due to competition has helped improve access to surgery. Endocrinologists have been reluctant to refer patients for bariatric surgery due to short and long term safety concerns of bariatric surgery. Endocrinologist have been troubled by the ineffectively of band surgery which was the only procedure available during the 90’s and when more radical effective procedures with malabsorption were introduced, early complications during the learning curve and long term serious macronutrient and micronutrient deficiency and lack of surgical follow up in delayed surgical complications have caused them to be more reluctant to refer patients. The introduction of sleeve gastrectomy has solved many of these issues reducing nutritional deficiencies and long term surgical complications. The surgery community has been liberal in applying the new guidelines in low BMI The recent guidelines of offering metabolic surgery in diabetics with low BMI and even the new trend. A unique subset of patients are type 1 diabetics who are morbidly obese and the results in these patients have shown the importance of early post operative glycemic control and that there weight loss is identical to non diabetic patients.

    Time:

    Title: Bariatric Surgery in Saudi Arabia: The Past, Present and Future

    Osamah Alsanea
    Saudi Diabetes and Endocrine Association , Saudi Arabia

    Biography
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    Biography

    Osamah Alsanea
    Saudi Diabetes and Endocrine Association , Saudi Arabia

    Dr. Osamah Alsanea graduated with honors from Kuwait University. He completed his did and early surgical training at King Faisal Specialist Hospital in Riyadh then was awarded a scholarship to complete his surgical training at Tufts University, Boston. He obtained a fellowship in Minimally Invasive Surgery under the Dr. Schwaitzberg past president of SAGESand Dr Shikora past president of IFSO then completed a completed a fellowship in Endocrine Surgery under Dr. Clark past president of AAES and ATA at UCSF California. Dr. Alsanea practice emphasizes minimally Invasive, bariatric and Endocrine Surgery in the first dedicated multidisciplinary diabetes therapy center



    Abstract
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    Abstract

    Osamah Alsanea
    Saudi Diabetes and Endocrine Association , Saudi Arabia

    More than two thirds of the adult population in Saudi Arabia are overweight and one third are obese. It is estimated that 4% of the adult population in Saudi Arabia are eligible for bariatric surgery based on weight criteria only and 9% are eligible if reversible metabolic disorders are included. Open bariatric surgery in Saudi Arabia started in the eighties with open Vertical banded gastroplasty. In 1993, laparoscopic gastric banding was introduced in Europe, and soon after was performed by Dr. Bukhari and Dr. Madani in Saudi Arabia. The first international laparoscopic gastric bypass surgery was performed in 1994 by Dr. Wittgrove in San Diego but was delayed in Saudi till 2000. Successful gastric bypass was performed in 2001. Perceptor and Proctorship Visiting bariatric surgeons influenced the type of surgery performed in different centers. Laparoscopic bilio-pancreatic diversion (Scopinaro Procedure) began earlier than gastric bypass based and resulted in significant weight loss and resolution of comorbid conditions but with a high price to pay due to severe nutritional deficiencies. Roux- Y gastric bypass became popular in th enew millenium with the return of western qualified young surgeons and the results were encouraging that made it the number one procedure for over a decade replacing Scopinaro and band surgery. Since 2007, Sleeve gastrectomy became the most popular gained momentum and in 2012 became the number one procedure in. Saudi. Worry about long term small bowel complications from R Y gastric Bypass and difficulty in addressing weight regain after the procedure and the simplicity with which one anastomosis gastric bypass can be performed has made the latter the more popular procedure second Sleeve thus far. Many lesser invasive but ineffective trial procedures including endoscopic procedures continue to be performed in a newly regulated heath care system but they fade quickly.

    Time:

    Title: Link between Diabetes and Environmental and Occupational Exposures

    Janvier Gasana
    Kuwait University, Kuwait

    Biography
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    Biography

    Janvier Gasana
    Kuwait University, Kuwait

    Janvier Gasana, MD, PhD, is a professor and chair of Department of Environmental and Occupational Health of Kuwait University Faculty of Public Health since January of 2016. Previous faculty positions were held for 4 years at the National University of Rwanda Faculty of Medicine and for 20 years at Florida International University in Miami, Florida. His research focuses on exposome which represents a concept that incorporates the complex environmental and occupational exposures we face as humans. The current specific focus is on the mounting evidence of link between environmental and occupational exposures and NCDs (Non-Communicable Diseases) including Obesity and Diabetes



    Abstract
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    Abstract

    Janvier Gasana
    Kuwait University, Kuwait

    Chronic cardio-metabolic disorders such as type 2 diabetes mellitus (DM2) have become an uncontrolled epidemic and a burgeoning cause of morbidity and mortality worldwide. In 2011, more than 170 M people had a diagnosis of DM2 with projected increase to 366 M by 2030. The Arab world, the countries with the highest prevalence of DM2 are: Saudi Arabia, Oman, Kuwait, Bahrain and UAE, whilst the countries with the lowest prevalence are Mauritania and Somalia. This prevalence was significantly associated with high GDP per capita and energy consumption. As a consequence of rapid increase in combustion of fossil fuels for power generation and transportation, air pollution (indoor and outdoor) has been deemed a major risk factor for death and disability particularly in rapidly developing countries of the world. Increasing evidence from the literature review supports the role of occupational and environmental chemicals in diabetes development. Both epidemiologic studies and experimental evidence support adverse cardio-metabolic consequences of air pollution exposure, including worsening of whole body insulin sensitivity, promotion of hepatic endoplasmic reticulum stress, brown adipose dysfunction, and peripheral inflammation. Articles on the link between Diabetes and environmental and occupational exposures that were published up to 2017 were retrieved from Highwire, PubMed, Embase, Web of Science, Global Index Medicus, and Medline search engines.The culprit chemicals include toxic metals, persistent organic pollutants (POPs), and bisphenol A (BPA) which impact health at the cellular level, and they have been linked to the development of DM. The difference observed between countries in the Middle East with regard to the levels and trends in causes of DALYs (disability-adjusted life-years), LE (life expectancy), and HALE (healthy life expectancy) can be attributed to a myriad of determinants, including social, cultural, ethnic, religious, political, economic, and occupational and environmental factors as well as the performance of the health system.

    Time:

    Title: Investigation of Monogenic Obesity in a Qatari Cohort of Severely obese and Normal-Weight Controls

    Mashael Al Shafai
    College of Health Sciences, Qatar University, Qatar

    Biography
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    Biography

    Mashael Al Shafai
    College of Health Sciences, Qatar University, Qatar

    Dr Mashael Al-Shafai is an Assistant Professor at the Department of Biomedical Sciences at the College of Health Sciences at Qatar University (QU). She obtained her Bachelor degree with honor in Human Genetics from Leeds University in the United Kingdom in 2009. After that, she joint the Research Division at Qatar Foundation as a Research Analyst and participated in several research projects at Weill Cornell Medicine in Qatar. In 2016, she acquired her PhD in Clinical Medicine Research from Imperial College London where she investigated the genetics and the epigenetics of obesity in Qatari families using whole genome sequencing and genome-wide DNA methylation profiling technologies. Her research interests lie in the area of medical genetics, particularly on obesity and T2D. She has a number of publications in peer-reviewed journals and has won several research grants for her work. Dr Al-Shafai is currently the co-chair of the IRB committee at QU and she is a member in several committees at QU and at the national level, and a member in the Qatar Genome Project Consortium.



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    Abstract

    Mashael Al Shafai
    College of Health Sciences, Qatar University, Qatar

    Monogenic obesity is a rare form of obesity that results from rare single gene variants. There are at least nine well-established monogenic obesity genes includingLEP, LEPR, MC4R, PCSK1, SIM1, POMC, BDNF, NTRK2 and ADY3. In this study, we aim to investigate the prevalence of, and characterize, rare variants in the known monogenic obesity genes in severely obese subjects and normal-weight subjects from Qatar Biobank. Whole genome sequencing data for 250 cases and 250 controls was generated using the Illumina 10X platform, and processed using BWA for alignment, GATK for variant calling and SNP eff for variant annotation. After applying variant prioritization steps, we identified a number of promising coding variants within our genes of interest that merits further investigations. Among these, a novel heterozygous mutation in MC4Rthat was detected in three cases and none of the controls. The mutation is predicted to be pathogenic based on Insilco analysis. Further functional studies are needed to confirm the pathogenicity of the identified variants

    Time:

    Title: Impact of Inulin on The Quality Parameters of Low Fat Cheddar Cheese

    Mian Shamas Murtaza
    Muhammad Nawaz Shareef University of Agriculture, Pakistan

    Biography
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    Biography

    Mian Shamas Murtaza
    Muhammad Nawaz Shareef University of Agriculture, Pakistan



    Abstract
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    Abstract

    Mian Shamas Murtaza
    Muhammad Nawaz Shareef University of Agriculture, Pakistan

    Low fat cheese is the demand of this era due to overconsumption and sedentary life style and increase in diseases like hypertension, obesity, cardiovascular diseases etc. Inulin is a food ingredient that belongsa class of carbohydrates known as fructans with degree of polymerization range from 2-70. It has functional and health-promoting properties as they reduce caloric value, add dietary fiber and endorse prebiotic effects. Inulin is frequently used in industrially processed dairy as a bulking agent for fat replacement, textural modifications and organoleptic improvements. Hence, inulin can fruitfully be used in manufacturing different kind of cheeses to have reduced or low fat, texturized or symbiotic product. Present study was designed to evaluate the effect of different levels of inulin in low fat Cheddar cheese to improve its quality. Different levels of inulin have significant effect on the physic-chemical (moisture, fat, protein, ash,) characters. Melt-ability and flow-ability showed inverse relationship with levels of inulin. Melt-ability and flow-ability decreased by increasing inulin and increasing hardness. Maximum melt-ability and flow-ability was noted in I1 as 54.00 mm and 18.70% respectively. Yield calculation showed non-significant effect within levels but significant effect as compared with control. The fat substituting property is based on its ability to stabilize the structure of aqueous phase which creates an improved creaminess. The addition of inulin as fat replacement improved the sensory characteristics of low fat cheese samples when added up to the level of 0.5% inulin. Increase in inulin levels in cheese samples decreases the scores awarded for various parameters.

  • Sessions:
    Session 5 : Ties b/w Obesity & Diabetes, Cardiovascular Diseases, Pulmonary Function, Allergy & Immunity & Exercise, Dietary Supplement, Nutrition & Healthy Lifestyle

    Time:

    Title: Movement in Human Life and its Importance for Health

    Włodzimierz Starosta
    International Association of Sport Kinetics, Poland

    Biography
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    Biography

    Włodzimierz Starosta
    International Association of Sport Kinetics, Poland

    Prof. Dr. habil., Dr h.c. Włodzimierz Starosta. Education: University School of Physical Education in Poznan (Poland) 1951-1952; Institute of Physical Culture in Leningrad (Soviet Union) 1952-1956; Institute of Physical Culture in Leningrad Ph. D. -1963; University School of Physical Education in Warsaw (Poland) habilitation (second doctor degree)- 1977. Full prof. from 1990. Visiting Professor: University School of Physical Education in Moscow; University Saarbrucken, Greifswald and Magdeburg (Germany); Zagreb (Croatia); Ljubljana (Slovenia); Izmir (Turkey); Preśov (Slovakia), Tartu (Estonia), Bologna and Urbino (Italy); Italian Olympic Committee. Membership of professional bodies: International Society of Sport Genetic and Somatology (general secretary) 1983-1990; International Association of Sport Kinetics-IASK (president) 1990-2011; member of Executive Board and Regional Coordinator Eastern Europe of ICSSPE (2004-2008); International Ringo Federation (president from 2004). Doctor honoris causa of Open International University for Complementary Medicines in Colombo (1996); Meritorious professor of Kinesiology Faculty of University of Zagreb (2009); Distinguished Service Award of United States Sport Academy (2015). Honorary member of: International Academy of Integrative Anthropology, Academy of Science of Technological Cybernetics of Ukraine, International Academy of Gerontology, Politechnical Academy of Belarus. Editorial Committee of journals: “Human Kinetics”; “Biology of Sport”; „Acta Kinesiologiae Universitatis Tartuensis”; “Kinesiology”; “Kinesiologia Slovenica”; “Studies in Physical Culture and Tourism”; “Anthropomotorics”; “Sport Medicine”; “Acta Facultatis Educationis Physicae Universitatis Comenianae”. Publications: over 800 research papers publish in 32 countries of the world including 60 Monographs in Polish, English, Italian, Russian, German. Personal Achievements in sport: sportsmen in 20 sport disciplines, in 12 classified. Greatest achievements in ice figure skating, wrestling and ringo (18 medals on International Polish, European and World Championships). Coach 1 class in ice figure skating – practicing 20 years as a coach



    Abstract
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    Abstract

    Włodzimierz Starosta
    International Association of Sport Kinetics, Poland

    Contemporary man no longer listens to signals which his organism sends to inform him about his needs. Man has started to act against his own good, indulging into improper, i.e., physically inactive, life. The aim of the paper is to a) indicate to possibility to diagnose man’s state of health on the basis of his movement activity; b) point out the importance of movement activity and its conditioning for the improvement of man’s health. Conclusions: 1. Movement activity is man’s biological need and indispensable component of his life to guarantee the maintaining of good health. 2. Movement activity should accompany man all through his life. 3. On the basis of man’s movement activity, and in particular the quality of performing movements, it is possible to evaluate the level of his movement coordination. 4. Movement activity adequate to man’s possibilities, strengthens man’s health. 5. Movements should be accompanied by various kinds of respiration suitable for the changing character of exercises and their intensity. 6. Kinds and intensity of movement activity depend on age. 7. Kinds and intensity of movement activity depend on the particular character and system of movement education and tradition popular in a given country. Europeans could follow patterns of movement activity popular among inhabitants of Japan or China. Key words: movements, health, life, respiration, age, body weight, movement education.

    Time:

    Title: Features of Nutritional Behavior of Patients with Primary Insulin Resistance

    Irina Kurnikova
    RUDN University, Russia

    Biography
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    Biography

    Irina Kurnikova
    RUDN University, Russia

    Irina Kurnikova MD, PhD, Professor of Medicine, RUDN University (Peoples Friendship University of Russia), Moscow, Russia. Irina Kurnikova Doctor of Medical Sciences (since 2010), Professor, the first academic degree (PhD) received at the age of 28 years. Problems of endocrinology studies for over 20 years. Currently, she teaches at the Peoples' Friendship University of Russian (RUDN-university, outdated abbreviation), curator of the scientific direction endocrinology. She has published more than 30 articles in reputed journals, the author of 25 books and tutorials in Russian language, 10 inventions (patents). Leading expert in the field of diagnostics, treatment, rehabilitation of diabetic and thyroid diseases. Under the leadership of I. Kurnikova, 6 candidate and 2 doctoral dissertations were defended.



    Abstract
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    Abstract

    Irina Kurnikova
    RUDN University, Russia

    Purpose: of this study was to assess the influence of acupuncture on the production of serotonin and the features of the nutritional behavior of patients with primary insulin resistance. Methods: patients (42 people) aged 38.4 ± 2.0 years, body mass index (BMI) 32.3 ± 4.2 kg / m2. Two groups of observation were formed: group 1 (20 people) received reflexotherapy using special corporal and auricular points and a hypocaloric diet. Patients of the 2 nd group (22 people) were given only a diet. Were studied: BMI, the ratio of WC/HC, HOMA-IR index, insulin and C-peptide. ELISA (Labor Diagnostica NORT Serotonin research ELISA, Germany) determined serotonin in serum. The reflexotherapy procedures included daily corporal and auricular acupuncture.Statistical processing of the results of the study was carried out using the software package Statistica 6.0 for Windows (StatSoft Inc.). Results: the serotonin content in the blood serum of patients was reduced in comparison with the control group (173.3 ± 60.8 and 223.9 ± 90.4 ng / ml). The values of the analytical parameters before treatment between the indices of group 1 and group 2 were not statistically different. In the first experimental group of patients, after a 2-week course of acupuncture, there was a significant decrease in anthropometric parameters: BMI initially - 33.7 ± 4.5 after treatment - 29.2 ± 4.05 kg / m2 (p = 0.002). The body weight of patients decreased by 9.8% (from 88.9 ± 10.6 kg to 80.2 ± 10.5 kg (p = 0.013) Pearson correlation analysis was performed and statistically significant correlations between BMI and serotonin concentration in serum r = -0.23 (p = 0.04). A statistically significant increase in the level of serotonin in the blood serum of patients was found 69.5%, up to 294.5 ± 98.7 ng / ml compared to the initial 173.7 ± 71.3 ng / ml in this group of patients (p = 0, 0057).In the group 2tendency of serotonin level increase in the serum of patients was established by 34.4%, up to 227.9 ± 95.9 ng / ml in comparison with the initial 169.6 ± 72.4 ng / ml (p = 0.031). Conclusions: Shown that the increase in serotonin in the serum is statistically significant only when the combination of the therapeutic diet with reflex therapy, but not in the case of exclusively dietary correction.The use of reflexotherapy with the use of special corporal and auricular points promoted the increase of serotonin in the blood serum and led to rapid satiety during eating.

    Time:

    Title: Association of Epicardial Adipose Tissue Thickness with Left Ventricular Systolic and Diastolic Dysfunction among Indian Phenotype

    Ananda Mohan Chakraborthy
    Institute of Postgraduate Medical Education and Research, India

    Biography
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    Biography

    Ananda Mohan Chakraborthy
    Institute of Postgraduate Medical Education and Research, India



    Abstract
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    Abstract

    Ananda Mohan Chakraborthy
    Institute of Postgraduate Medical Education and Research, India

    Introduction: The metabolic effects of obesity are a result of increased adiposity in the ectopic sites. Ectopic fat deposition in the liver, skeletal muscle and visceral adipose tissue promotes insulin resistance and increases cardiovascular risk. Epicardial adipose tissue (EAT) is the visceral fat of the heart. Increased EAT is a measure of ectopic obesity. Increased epicardial ectopic fat is proposed to increase the incidence of cardiac dysfunction by release of inflammatory adipokines which act in a paracrine and endocrine fashion. Indian phenotype is different in many sense, despite of low body mass Index (BMI), they have high abdominal and visceral fat, high insulin resistance, low level of adiponectin, high CRP, low HDL and high small dense lipoprotein and triglyceride. It has been seen that metabolic complications are more pronounce in same BMI Indian phenotype compare to western counterpart. The purpose of this study was to detect the presence and extent of left ventricular dysfunction in relation with EAT among patients with Indian phenotype and its correlation with already known metabolic parameters i.e. fasting insulin, LDL cholesterol, triglyceride level, BMI, waist circumference, inflammatory markers like hS CRP and uric acid. Method: Overweight and obesity was diagnosed based on BMI (Body MassIndex) which is weight in kg divided by height in m2. All overweight and obese individuals were screened for obesity related complications and classified according to stage. Visceral obesity was diagnosed based on waist circumference (WC). The measurement of EAT thickness and left ventricular dysfunction was performed by transthoracic echocardiography. Biochemical and inflammatory parameters were assessed. Data thus obtained analysed by standard statistical software. Results: Among 146 obese and overweight patients were assessed, the mean EAT thickness was 5.607 (SD 1.59). Patients having left ventricular diastolic dysfunction (LVDD) had a mean EAT thickness of 5.60 (SD 1.66) compare to 4.80 (SD 2.2) among normal persons (two-tailed P= 0.011,<0.05),which is statistically significant. Left ventricular Systolic dysfunction (LVSD) patients had mean EAT thickness of 6.33 (SD 0.94) compare to 5.35 (SD 1.58) in normal patients (tow-tailed P=0.0001, <0.05), that is statistically significant. Moderate insulin resistance patients had a low mean EAT compare to sever insulin resistance patients. Mean EAT was poorly correlated with waist circumference and BMI in this study. EAT thickness was significantly correlated with LVDD and LVSD, even after adjusting for other cardiometabolic risk factors such as age, systolic blood pressure, BMI, blood glucose and LDL cholesterol and triglyceride. Conclusion: Greater EAT is found in subjects with higher insulin resistance. EAT is significantly associated with LVDD and LVSD even after adjusting for other risk factors. Waist circumference, although a marker of visceral adiposity was poorly correlated with EAT as patients even with low WC had higher EAT same as to say for BMI. It can certainly be said that EAT is an individual risk factor for LVSD and LVDD after adjusting all known risk factors among patients with Indian phenotype.

    Time:

    Title: Effects of High Protein and Balanced Diets on Lipid Profiles and Inflammation Biomarkers in Obese and Overweight Women at Aerobic Clubs: A Randomized Clinical Trial

    Reza Ghiasvand
    Isfahan university of medical sciences, Isfahan, Iran

    Biography
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    Biography

    Reza Ghiasvand
    Isfahan university of medical sciences, Isfahan, Iran



    Abstract
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    Abstract

    Reza Ghiasvand
    Isfahan university of medical sciences, Isfahan, Iran

    BACKGROUND: We studied the effects of high protein (HP) and balanced diets (BDs) on lipid profiles, and high-sensitive C-reactive protein (hs-CRP) levels in obese and overweight women. METHODS: In a parallel designed randomized controlled clinical trial, 60 healthy women with body mass index ≥25 kg/m2, aged 20-46 years, enrolled in an 8-week investigation at aerobic clubs. They were categorized into two groups (HP and BDs), randomly. Fasting lipid profile and hs-CRP levels were evaluated at the beginning and end of the trial. We assessed dietary intake by 3-day records and also used SPSS (version 18; SPSS Inc., Chicago, IL, USA) for data analyzing. RESULTS: Fifty-six participants completed the intervention. Concentrations of low-density lipoprotein cholesterol (P < 0.001 in BD group vs. P =0.023 in HP group) and high-density lipoprotein cholesterol (P < 0.001 in BD group vs. P =0.002 in HP group) increased significantly in both groups. Circulating triglycerides levels increased in both intervention grows, but the change in the HP group was not significant compared with the other group (P = 0.007 in BD group vs. P =0.099 in HP group). Whereas total cholesterol concentration decreased but not significantly so (P = 0.53 in BD group vs. P =0.73 in HP group). There were marginally significant decreases in the hs-CRP levels due to both diets (P = 0.057 in BD group vs. P =0.086 in HP group); however, there were no significant differences between the groups. CONCLUSIONS: Administration of HP and BD in overweight and obese women with regular aerobic exercise showed improvement in lipid profiles and hs-CRP levels within the groups, but there were no significant differences between groups.

    Sessions:
    Poster Presentations

    Time:

    Title: Dumping Syndrome: Case Series of Uncommon Incidence Following Laparoscopic Sleeve Gastrectomy

    Mohamed Aly Elsherif
    Hamad General Hospital and Qatar Metabolic Institute, Qatar

    Biography
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    Biography

    Mohamed Aly Elsherif
    Hamad General Hospital and Qatar Metabolic Institute, Qatar

    Dr. Mohamed Aly Elsherif earned his master and doctorate degrees in internal medicine and diabetes at Tanta University, Egypt and continued his interest in endocrinology by earning master of endocrinology from the University of South Wales, UK. He completed his fellowship training in internal medicine at Tanta Medical School. He worked as specialist internist in health insurance hospital and consulted on endocrinology and diabetes in MDH hospital in Saudi Arabia. He chaired internal medicine department in 2 private hospitals is Saudi Arabia for 4 years and moved to Qatar to continue his interest in clinical management of metabolic and endocrinal disorders with special focus on diabetes and obesity management. Dr Elsherif has a clinical experience of more than twenty years in the field of endocrinology, diabetes and obesity management. He is internationally recognized by World Obesity Federation as a certified obesity health professional holding SCOPE certificate Dr. Elsherif is now an associate consultant in bariatric endocrinology, working in bariatric and metabolic surgery department Hamad General Hospital and Qatar metabolic institute. He has a great interest in teaching as well as research activities and has several research studies published in high impact journals and presented in international conferences. Dr. Elsherif practiced his interest and experience in teaching and was selected by HMC medical education to be one of the instructors of communication skills and other educational courses, he was also invited as a speaker in local and international conferences as well as university educational activities to both under and post graduate students.



    Abstract
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    Abstract

    Mohamed Aly Elsherif
    Hamad General Hospital and Qatar Metabolic Institute, Qatar

    Introduction Dumping syndrome (DS), which is categorized into “early” or “late” based on the onset of symptoms, is a clinical impediment characterized by postprandial discomfort, including nausea, abdominal pain, diarrhea, feeling hot, dizziness, syncope, hypotension, palpitations, hypoglycemia and tremors, following bariatric-surgery. The condition is well known and with increasing number of operations as a treatment for morbid obesity the situation warrants additional attention provided by healthcare professionals. Data on incidence of DS following Laparoscopic Sleeve Gastrectomy (LSG) is scarce. The majority of studies have so far focused on DS post Gastric bypass surgery. Objective The purpose of this case series is to demonstrate the observation of early dumping syndrome in Qatari patients following Laparoscopic Sleeve Gastrectomy (LSG), to plan for and expand available treatment options Results The majority of patients had mild-moderate symptoms with only one case presenting with severe symptoms that required hospitalization (5th patient) as blood sugar was very low (36-45 mg%) with very low potassium (2-2.5 mmol). Of the five patients, the first four responded to the diet modification with two required adding Acarbose oral tablets to control their symptoms. The fifth patient with severe symptoms had to undergo more intense therapy to control the symptoms, including administration of intravenous fluids, electrolytes correction, Acarbose, Octreotide and symptomatic treatment for abdominal pain and nausea as well as the usual diet modification and nutritional supplement. Conclusion DS is a serious condition and patient education should focus on raising the awareness of potential complications. providers must have the knowledge and expertise to predict and deal with such ailment that may require medication for critical cases.

    Sessions:
    Workshops

    Time:

    Title: Outcomes of a Study for Measuring the Obesity Prevalence for Students at Al-Khobar City Schools, Eastern Province, Kingdom of Saudi Arabia – 2017

    Basem Mohammed Futa
    Saudi Diabetes and Endocrine Association, Saudi Arabia

    Biography
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    Biography

    Basem Mohammed Futa
    Saudi Diabetes and Endocrine Association, Saudi Arabia

    Basem M. Futa is Head of ‘Nutrition and Health Education Committee of Saudi Diabetes and Endocrine Association, Kingdom of Saudi Arabia (KSA). He completed his PhD in Nutrition, UK. He is a Blood Donation Ambassador’ from the Saudi Society for Promoting Organ Donation and a Professional Member in many national, regional and international healthcare associations, such as Saudi Diabetes and Endocrine Association, Saudi Cancer Foundation, Saudi Kidney Foundation.



    Abstract
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    Abstract

    Basem Mohammed Futa
    Saudi Diabetes and Endocrine Association, Saudi Arabia

    Background and Objectives: Method: Saudi Diabetes and Endocrine Association have measure BMI for male/female students to 20 schools (10 for males and 10 for females’ including elementary, preparatory and secondary stages). The number of students enrolled in study were 6,171 (3,421 males and 2,750 females). Result: Body Weight Level Elementary Stage Schools Preparatory Stage Schools Secondary Stage Schools Male Students 1004 Female Students 559 Male Students 1423 Female Students 825 Male Students 759 Female Students 1286 Overweight/Obesity 5% 6% 31.5% 35% 36% 47% Discussion and Conclusion: 1. There is a low rate of overweight/obesity (5% for male students and 6% for female students) among the students in the elementary schools’ stage. 2. The overweight/obesity rate has increased in the preparatory schools’ stage and reached 31.5% for males’ students and 35% for females students. 3. The overweight/obesity rate has furtherly increases in the secondary schools’ stage and reached 36% for males’ students and 47% for females students. An action planwas developed to limit the fatty and salty snacks in the schools’ canteens with more of educational programs for students, their families and teachers about health and strategies to combat obesity among students in this Kingdom of Saudi Arabia including performing one hour of physical activity per day, and to limiting TV/screen times.

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