Scientific Program

Conference Series Ltd invites all the participants across the globe to attend 13th Euro Obesity and Endocrinology Congress Zurich, Switzerland.

Day 1 :

Keynote Forum

Muhammad A Jawad

Orlando Regional Medical Center, USA

Keynote: Management of diabetes in morbidly obese patients with bariatric surgery

Time : 09:35-10:15

Conference Series Euro Obesity 2017 International Conference Keynote Speaker Muhammad A Jawad photo
Biography:

Muhammad A Jawad is a board certifi ed through the American Board of Surgery and serves as the Medical Director of Orlando Regional Medical Center’s Bariatric Program. He has been an expert in Laparoscopic Surgery since 1989, where he has been performing complicated biliary, colon and endocrine surgery. He has performed more than 4,000 laparoscopic bariatric surgical cases since 2000, safely and with great success. He specializes in the laparoscopic gastric bypass, the adjustable Lap- Band, and sleeve gastrectomy procedures. He has presented more than 45 presentations both nationally and internationally on laparoscopic and bariatric surgery.

Abstract:

More than two-thirds of adults are considered to be overweight or obese. More than one-third of adults are considered to be obese. More than one in 20 (6.3%) have extreme obesity. Almost three in four men (74%) are considered to be overweight or obese. Th is has aff ected increase in the number of diabetes in United States. Diabetes is becoming more common in the United States. From 1980 through 2014, the number of Americans with diagnosed diabetes has increased four-fold (from 5.5 million to 22.0 million). Treatment of diabetes in morbidly obese person with bariatric surgery has shown excellent results, with resolution of diabetes between 70%-90%, depending on the procedure that was done, and the duration of the disease. Since the start of bariatric surgery in 1953 with J-I bypass, gastric bypass, gastro-plasty, BPD-DS, lap-band and the
sleeve gastrectomy, resolution of diabetes has been observed aft er these procedures. Th e mechanism of diabetes resolution and improvement is complex, part of it being results of low caloric intake, weight loss, and hormonal manipulations.

Keynote Forum

Robert Buist

BioCeuticals, Australia

Keynote: Rethinking the cardio risk paradigm

Time : 10:15-10:55

Conference Series Euro Obesity 2017 International Conference Keynote Speaker Robert Buist photo
Biography:

Robert Buist completed his PhD in Medicinal Chemistry and Pharmacology. He spent eight years in Asthma and Cardiovascular Drug Research at Macquarie University, followed by a Postdoctoral Research Fellowship at New York State Health Department. He is presently acknowledged as one of the founders of Nutritional Medicine in Australia. He is currently a Nutritional Educator for pharmacists, doctors, and other health professionals, and is a formulator of nutrition products and functional foods.

Abstract:

For the last 50 years, we have been advised to lower fat intake and reduce blood cholesterol. We have used commercial strategies to make these changes have little impact on the incidence of heart disease. Th ey have, however, resulted in a massive increase in low fat-high sugar products on supermarket shelves with an accompanying world–wide increase in obesity, metabolic syndrome, NAFLD and diabetes. Glycation, oxidation and infl ammation are the new risk factors. Could we change these risk factors through dietary and supplemental control? New dietary advice should emphasize whole, seasonal, high fi ber, unprocessed food. We need to place particular emphasis on understanding the eff ects of sugar in the diet and totally rethink our approach to dietary fat/oil consumption. Evidence indicates that cholesterol per se is not the problem. We are learning that the normal lipoprotein pathology tests are insuffi cient and that we need data on the lipoprotein subclasses. For example: large buoyant LDLs are associated with lower CAD risk and small dense LDLs are associated with increased CAD risk. Such new markers of cardiovascular risk are now being looked with great interest. Th ey include LDL fractionation, number of LDL particles, functional HDL, Apo B:Apo A ratio and triglyceride/HDL ratio. A high triglyceride/HDL ratio can predict a large number of small dense LDL particles whereas lower ratios are associated with large fl uff y (buoyant) LDLs. Th ese new markers and ratios should give valuable insight into the standard lipid panel of LDL-C, HDL-C and triglycerides.

Break: Networking & Refreshment Break 10:55-11:15 @ Europa Foyer

Keynote Forum

Hunkyung Kim

Tokyo Metropolitan Institute of Gerontology, Japan

Keynote: Exercise and nutritional supplementation on community-dwelling elderly Japanese women with sarcopenic obesity

Time : 11:15-11:55

Conference Series Euro Obesity 2017 International Conference Keynote Speaker Hunkyung Kim photo
Biography:

Hunkyung Kim is the Head of Prevention of Musculoskeletal Aging Research team at Tokyo Metropolitan Institute of Gerontology. After graduating from Kyungpook National University (South Korea) in 1986, he pursued Doctorate degree in exercise prescription and gerontology at University of Tsukuba (Tsukuba, Japan). His research focus has been on sarcopenia, frailty, urinary incontinence, falls, geriatric syndromes, locomotive syndrome, exercise, nutrition etc., with a particular interest in sarcopenic obesity in recent years.

Abstract:

Statement of the Problem: Sarcopenic obesity (SO), or the co-existence of both sarcopenia and obesity among elderly people has been an area of interest in current geriatric and gerontological research. Recent research has shown that SO is closely associated with knee osteoarthritis, metabolic syndrome, arterial stiffness, instrumental activities of daily living disability, gait abnormalities, falls, and all-cause mortality, yet there are a very limited number of intervention studies published. The purpose of the study was to determine the effects of exercise and nutritional supplementation on body composition, blood components and physical function in community-dwelling elderly Japanese women with sarcopenic obesity.
Methodology & Theoretical Orientation: A randomized controlled trial was conducted on 139 women defi ned with sarcopenic obesity, who were randomly assigned to one of four intervention groups. The exercise and nutrition (Ex+N), and exercise only (Ex) groups attended a 60-minute class twice a week for three months. The Ex+N and nutrition only (N) groups took essential amino acid and tea catechin supplementation daily for three months. Body composition measured by bioelectric impedance analysis, blood components such as albumin, cholesterol, vitamin D, etc, and physical function including grip strength, knee extension strength, and walking speed were analyzed.
Findings: Signifi cant group×time interactions were observed between the groups in usual walking speed (P=0.012), stride (P=0.004), and vitamin D (P<0.001). Th e Ex+N group showed significant decrease in body fat mass (P=0.036), increase in stride (P=0.038), and vitamin D levels (P<0.001). Further, both Ex+N and Ex groups were over four times as likely to reduce body fat mass as the HE group (OR=4.42, 95%CI=1.21-16.19; OR=4.50, 95%CI=1.13-17.9; respectively).
Conclusion & Significance: Although no additive effects were found, the combination of exercise and nutrition had beneficial effects on body fat, blood components and physical function in sarcopenic obese elderly women.

Conference Series Euro Obesity 2017 International Conference Keynote Speaker Shougang Wei photo
Biography:

Shougang Wei serves as Professor, PhD supervisor and Deputy Director in Department of Children’s and Women’s Health, School of Public Health, Capital Medical University, Peking, China. He has been engaged in the study of child and adolescent health, mainly focused on the field of childhood obesity about its health risks, pathogenic factors, and preventive and treatment measures.

Abstract:

Obese people and animals have higher rates of iron deficiency (ID) than their normal weight peers. It was still uncertain whether obesity-related ID is a true or functional deficiency of iron. This study was to determine the effects and the possible underlying mechanisms of obesity on duodenal iron absorption and liver iron accumulation. C57BL/6J mice were randomly divided into high-fat diet-induced obese (DIO) group and normal control (NC) group to be fed respectively for 16 weeks. Oral iron absorption was tested by measuring serum iron, liver iron and the retained duodenal iron 90 min after intra gastric administration of 57FeSO4 solution. The protein expression levels of iron transporters in duodenum and liver were evaluated by western blotting. Hepcidin mRNA levels in the liver and adipose tissues were quantified by real-time RT-PCR. The results showed that DIO mice had significantly higher iron retention in the duodenum, lower iron concentration in plasma and liver than NC mice. The protein expression levels of ferroportin-1 (Fpn1) in duodenum and transferrin receptor-2 (TfR2) in the liver were markedly decreased in DIO mice. Hepcidin mRNA levels in visceral adipose tissue but not in the liver were higher in DIO mice than NC mice. In conclusion, obesity-related ID may be attributed to impaired intestinal iron absorption of which iron being retained in the duodenal enterocytes, not to that iron being accumulated in the liver. Increased expression of visceral adipose hepcidin probably is the immediate cause for the malabsorption of iron in obesity by inducing reduction of the duodenal Fpn1.

  • Food, Nutrition and Health | Vitamins, Minerals and Enzymes | Nutritional Epidemiology | Pediatric Nutrition | Obesity Treatment

Session Introduction

Lina Zhao

Sun Yat-Sen University, China

Title: Iodine intake and health: the more, the better

Time : 12:35-13:05

Speaker
Biography:

Lina Zhao has her expertise in Nutrition and Chronic diseases. The inner layer of blood vessels is lined with endothelial cells, which act as the early responder to dietary factors. Her research focus on the effects of dietary factors on the endothelial functions and their roles in the development of chronic metabolic diseases including obesity, diabetes and atherosclerosis, and thus developing dietary intervention targeting disease prevention and management.

Abstract:

Statement of the Problem: Iodine is an essential microelement for human health. Historically, iodine deficiency-caused disease (IDD) has been a global public health concern. Comprehensive studies on IDD led to the implementation of universal salt iodization (USI) policy in many countries. With rapid global progress in correcting iodine deficiency, excessive iodine intake is emerging as a new concern. The spectrum of iodine excess induced thyroid disorders has been reported including hypothyroidism, autoimmune thyroiditis, endemic goiter and thyroid cancer whereas the extra-thyroidal effects of iodine excess on health is less studied. A comprehensive understanding of iodine excess on health will be of great benefit.

Methodology & Theoretical Orientation: We established a mouse model of excess iodine intake by adding different levels of iodine to drinking water for different period of time. Plasma lipid parameters and serum thyroid hormones were measured. Expressions of hepatic genes were detected by PCR and WB.

Findings: Dose-dependent hypercholesterolemic effects were detected in mice (TC, r=0.615; p< 0.01). Drinking 1.2 ug/mL iodine water for one month had no significant effect on serum lipid metabolism, while prolonged exposure induced an increase of serum cholesterol. Serum thyroid hormones were not affected by excess iodine intake throughout the study. At the molecular levels, a dose-dependent attenuation of hepatic low density lipoprotein receptor (LDLr) and thyroid hormone receptor β1 (TR β1) expression was detected in parallel to the change of serum cholesterol.

Conclusion & Significance: Our findings demonstrated a dose and time dependent hypercholesterolemic effect of iodine excess. TRβ1-mediated down regulation of hepatic LDLr gene may play a critical role. This study further expanded our knowledge on the potential hazard effect of iodine on health and will be instructive for reasonable iodine intake for improving overall health.

Break: Group photo + Lunch Break 13:05-14:05 @ La Place AB
Biography:

Dominik Szwajgier has expertise in Food Analysis and Human Nutrition, especially in the analysis of poly-phenolic compounds. He focused on the role of natural plant extracts and individual phenolic compounds in the prevention of Alzheimer’s disease. He tested natural plant extracts using various models of cell lines. In his professional career, he worked for a long time on the elevation of the antioxidant status of various types of beer by the increase of the content of phenolic antioxidants.

Abstract:

Statement of the Problem: Bilberry leaves decrease blood glucose and triglyceride levels and exert anti-diabetic effect. Here, we isolated new cholinesterase inhibitors (against Alzheimer’s disease) and examined anti-diabetic, pro-cognitive, and antimicrobial effect of bilberry fruit.

Methodology: Juice was ultra-filtered (5 kDa) and freeze-dried. Preparative and analytical HPLC was used for isolation of cholinesterase inhibitors, followed by confirmation by FT-IR and NMR spectroscopy and LC-MS. Diabetes mellitus was studied using Wistar male rats (feed enriched with 25% fruit, 2 months). Glucose, fructosamine, cholesterol (total, HDL, LDL), triglycerides, AspAT, AlAT i ALP levels as well as glucose receptors and β-amyloid plaques (in brains) were examined. Cognitive tests (elevated plus maze test, seven months old rats; 2, 5 or 10 g bilberry/kg b.m. for three months) were performed. The effect of selected compounds from bilberry on the growth of lactic acid bacteria was tested (cultivation of strains in micro-plates).

Findings: New cholinesterase inhibitors- derivatives of chlorogenic acid (4-O-caffeoylquinic acid, 5-O-caffeoylquinic acid or 3,5-O-dicaffeoylquinic acid) and benzoic acid (3-(β-D-glucopyranosyloxy)-4-hydroxybenzoic acid or 4-(β-D-glucopyranosyloxy)-3-methoxsybenzoic acid) were identified in bilberry. Brain mean weight was increased (p<0.05), alanine transaminase activity was decreased and creatinine levels were increased in animals fed bilberry, but no differences in blood parameters between normal and diabetic rats were observed. The administration of bilberry (5 g/kg b.w./day) to rats (for three months) improved short- and long-term memory (p<0.05).

Conclusion & Significance: Regular consumption of bilberry fruit can enhance the memory. Increased brain weight can be obtained, and liver functions can be normalized, but more biochemical markers should be studied to confirm these results. The hypoglycemic effect of the diet supplemented with bilberry pulp was not proved; therefore, it can be assumed that the consumption of bilberry fruit may not be helpful in the case of diabetes mellitus.

Nicolas Sauvageot

Luxembourg Institute of Health, Luxembourg

Title: The epidemiology of dietary patterns in the NESCAV study

Time : 14:35-15:05

Biography:

Nicolas Sauvageot has expertise in Nutritional Epidemiology. In the previous years, he has been working on measurement errors in dietary assessment methods as well as statistical methods used to assess relationships between diet and health. His main research interests are dietary patterns as well as their relationships with other factors.

Abstract:

Background: In nutritional epidemiology, the traditional approach of studying relationships between a single food and a health outcome has been complemented by the use of dietary patterns that consider how foods are consumed together. Dietary pattern analysis has many advantages and is believed to represent more closely the real world.

Aim: The aim of this study was to investigate the epidemiology of dietary patterns in the greater region (Luxembourg, Wallonia (Belgium), Lorraine (France)). Associations with several characteristics, namely cardiovascular risk factors, socio-demographics as well as lifestyle factors, were also explored.

Methods: The methods used to compute dietary patterns were dimension reduction techniques, cluster analysis as well as mixture models. We used data from the NESCaV survey (nutrition, environment and cardiovascular health), an interregional cross-sectional study of 3133 individuals living in the greater region. Cardiovascular health was assessed with self-administered questionnaire as well as clinical and anthropometric measurements. Dietary intakes were collected by using a food frequency questionnaire (FFQ) based on 134 food items.

Results: Although the different methods led to comparable results, obtained dietary patterns also showed some differences across methods. Briefly, non-prudent/convenient, convenient and animal protein and alcohol dietary patterns were associated with a higher cardiovascular risk. By contrast, prudent, breakfast and low starchy foods/high vegetables and dairy products patterns were associated with a lower cardiovascular risk. Finally, associations of dietary patterns with others factors showed that younger adults, men, less educated people, smokers, less physically active people as well as those living in Luxembourg and Wallonia are more likely to adopt unhealthy dietary patterns.

Conclusion: From a methodological standpoint, in order to have complementary insights, dietary patterns should be computed with both dimension reduction techniques and mixture models. From a public health perspective, these findings highlight the need for targeted health prevention campaigns promoting healthy diet and lifestyles.

Speaker
Biography:

Dr. Amr I.M. Hawal has his expertise in evaluation and passion in improving the health and wellbeing. His open and contextual evaluation model based on responsive constructivists creates new pathways for  improving health care specially in Neonatology field. He has built this model after years of experience in research, evaluation, teaching and administration both in hospital and education institutions. Our case presentation was done in one of the biggest & modern of art & advanced NICU based on tertiary generation level in the region (Latifa Hospital, DHA, Dubai, UAE).

Abstract:

Statement of the Problem: It’s a clinical case presentation of a male Preterm infant Newborn (+31 wks) who was delivered in our hospital & transferred to our NICU because of Prematurity, VLBW & need to respiratory support. Baby shortly undergo Necrotizing Enterocolitis (NEC) on 5th day of life shortly after start of expressed milk feeding …! Which early detected by use of Near Infra red Abdominal spectroscopy (NIRS). Baby was deteriorated clinically in a couple of hours & undergo intestinal perforation with peritonitis, So, Abdominal exploration surgery with intestinal resection & end – to end anastomosis was done urgently. Baby improved gradually & early feedings was started & gradually increased up to full feedings with use of Human Fortified Milk (HMF) & probiotics, Prebiotics.

Findings: the Study stated the evidence-based Feeding Strategies guidelines for necrotizing enterocolitis (NEC) among very low birth weight infants & Role of trophic feedings, Probiotics, Prebiotics & micronutrients in Prophylaxis, Prevention & Management of NEC.

Recommendations: 1) -Prematurity is the single greatest risk factor for NEC & avoidance of premature birth is the best way to prevent NEC. 2)-The role of feeding in the pathogenesis of NEC is uncertain, but it seems prudent to use breast milk (when available) and advance feedings slowly and cautiously. 3)-NEC is one of the leading causes of mortality, and the most common reason for emergent GI surgery in newborns. 4)-NEC remains a major unsolved medical challenge, for which no specific therapy exists, and its pathogenesis remains controversial. 5)-A better understanding of the pathophysiology will offer new and innovative therapeutic approaches, and future studies should be focused on the roles of the epithelial barrier, innate immunity, and microbiota in this disorder. 6)-Bioinformatics modeling is a new emerging strategy aimed at understanding the dynamics of various inflammatory markers and their application in early diagnosis and treatment.

Biography:

Sima Hamadeh is an Assistant Professor and Program Coordinator of Nutrition & Dietetics Sciences at Haigazian University-Lebanon. Her interests lie in areas such as the dietary motivations and behaviors in communities; the evolution of nutrition; the epidemiology of obesity especially among youth; the health promotion and communication; and the nutrition policies. She has several publications in scientific refereed journals and book. She has also many oral communications on public health nutrition in international and national congresses. She works closely with different national ministries and organizations, and international institutions in projects, seminars, researches and community programs.

Abstract:

Culture and society are essential in shaping a person’s lifestyle. Precisely, food communication can influence, positively or negatively, youth’ food choices and patterns. Schools have proved a valuable setting to promote nutrition and health among youth. The primary aim of this study was to qualitatively explore the perceptions of multidisciplinary Lebanese key stakeholders on nutrition communication and school nutrition policies (SNP) impact on youth lifestyles in metropolitan contexts. In order to explore these perceptions, directed and semi-structures individual interviews with key stakeholders (n=64) in conjunction with focus groups (n=2) with parents and teachers from 2 schools (1 private and 1 public) in Beirut city were employed. Collected data have been submitted to a thematic qualitative analysis. All participants perceived the transformation of the global communications and information landscape raises new challenges including extensive food marketing to youth. This study helps local and national efforts: to improve the healthfulness of food choices in a variety of spots and points of sales in cities and; to inform regulatory options and, food communication and SNP implications. The major participants’ suggestions for improvement of youth dietary patterns in metropolitan contexts includes: Participants’ suggestions for improving youth lifestyles in metropolitan contexts; identify and analyze sociocultural, environmental, behavioral, economic and political determinants of youth lifestyles; identify appropriate areas for action in different sociocultural contexts; work with the multiple role models, decision makers and nutrition gatekeepers influencing youth lifestyles; build workforce capacity for effective SNP deployment and evaluation; assess of the internal and external school environments; deploy a strategy to layer and repeat nutrition messages through multiple channels (e.g. visual marketing materials linked to in-class nutrition education program); need for more stringent government regulations on food communication and marketing directed to youth (e.g. prohibition of direct corporate ads on school space). Such perceptions offer the potential for future enhancement of the effective food communication strategies and SNP, and improvements in their efficacy to be made. Sociocultural-based nutrition communication strategies and SNP that pay attention to specific health behavioral goals, target populations, communication activities and innovative techniques for feedback and evaluation can help to improve youth dietary patterns and prevent diseases in adulthood.

Sheetal Kakade

University of Mumbai, India

Title: Study showing results of non-invasive obesity treatments

Time : 16:05-16:35

Speaker
Biography:

Sheetal Kakade is an Aesthetic Physician & Obesity Consultant. She has completed her Graduation and Post-graduation from University of Mumbai. She was awarded a Gold medal in MBBS in Obstetrics & Gynecology by University of Mumbai in 2000. She has also done Specialist Certification in Obesity Professional Education from IASO (International Association for the Study of Obesity) and currently working as Managing Director at Define Aesthetics Clinics in Pune and has experience as Consultant Anesthesiologist and Intensivist from year 2004-2010.

Abstract:

Aim: To study and quantify the results of non-invasive obesity treatments i.e., ion magnum and high focalized ultrasound. Ion Magnum: The Ion Magnum is a device based on nanotechnology is used to deliver pure analog multiline waveform. This is FDA approved equipment for muscle conditioning on prescription of a qualified medical practitioner only. High focalized ultrasound: High focused ultrasound concentrates up to 1000 beams of ultrasound energy with extreme precision at a targeted depth in the body. It has a triple effect on problematic areas; separation of adipose tissue into individual cells and the gate opening of cell membranes; drainage of contents of fat cells in the interstitial tissue; reduction of fibrous partitions between fat cells.

Materials & Methods: 50 patients, 24 males and 26 females were selected randomly of different age groups ranging from 13 years to 70 years. The Body Mass Index (BMI) values of patients ranged from 20.3 to 43.3. For every patient three readings of abdominal girth were taken before and after the treatment; 2 cm above level of umbilicus; at umbilicus and; 2 cm below level of umbilicus.

Results: The study showed that the total reduction in abdominal girth was minimum of 13 cm and maximum of 65 cm with an average of 33.28 cm. There were no complications noted in the above study. The patients were segregated into groups of 10, 15 & 20 treatments and within each group the total reduction in abdominal girth was calculated.

Preethi Kathirvel

Bharathiar University, India

Title: Muntingia calabura fruits - antioxidant and health benefits

Time : 16:35-17:05

Speaker
Biography:

Preethi Kathirvel serves as an Assistant Professor in Department of Microbial Biotechnology at Bharathiar University, Coimbatore, India. She awarded PhD degree from Bharathiar University for her work on “Studies on antioxidant and pharmacological activities of Muntingia calabura fruits”. She has published 22 research articles, two book chapters and edited two books in antioxidants and waste management field.

Abstract:

Cancer is the major cause of death worldwide, claiming over six million lives every year. In the recent years, alternative therapies have gained importance over conventional cancer for the treatment of cancer. Natural antioxidants, particularly in fruits and vegetables have gained increasing interest among consumers and the scientific community since epidemiological studies has indicated that frequent consumption of natural antioxidants is associated with a lower risk of cardiovascular disease and cancer. Muntingia calabura Linn is a plant that belongs to the family Elaeocarpaceae, commonly known as cherry tree. In the present study, the ripened fruits were collected and extracted with various solvents to detect its phytochemical constituents. The qualitative and quantitative phytochemical studies revealed the presence of phenolics, flavonoids, anthocyanins, ascorbic acid and vitamin E. The antioxidant activity of the fruits was studied in vitro with DPPH assay, superoxide radical, nitric oxide and hydroxyl radical scavenging assays. The in vivo studies such as anti-inflammatory, anti-cancer activity and anti-stress were also performed. From the experimental results it is clear that Muntingia calabura fruit is rich in antioxidant polyphenol and possess significant antioxidant activity, is an important and interesting finding because these fruits constitute part of the diet of weaning mothers in some countries. The work further exploits the potential of phytomedicine over chemotherapy in disease prevention and control. Thus, the incorporation of fruits into routine diet could prevent the risk of cardiovascular diseases, ageing, inflammations and cancers due to antioxidant compounds present in the fruits.

Break: Networking & Refreshment Break 17:05-17:20 @ Europa Foyer