Day 2 :
Keynote Forum
Beverly M Copeland
Prairie View A&M University, USA
Keynote: Analysis and evaluation of meals served in state registered private childcare settings
Time : 09:00-09:40
Biography:
Beverly M Copeland has her expertise in Childhood Obesity working in the low-income and underserved populations. She seeks to find solutions to the prevention and treatment of childhood obesity. She is a registered and licensed Dietitian with the skill set needed to understand and developed tailored nutrition intervention programs to combat childhood obesity. She continues to work with caregivers, teachers and other stakeholders who are interested in seeing childhood obesity on a downward trajectory. She is currently an Assistant Professor and Director at College of Agriculture and Human Sciences-Prairie View A&M University.
Abstract:
The prevalence of obesity nationally among 2-5 year-old children declined from 14% in 2003–2004 to 8% in 2011-2012. However, low-income families and certain racial and ethnic groups continue to have higher rates of obesity above the national average. The dietary guideline 2015-2020 reported an under consumption in key nutrients needed to maintain health and prevent disease. The goal of this study was to determine compliance of meals offered in private childcare centers in Waller county and to analyze and evaluate the nutritional quality and content of meals served in state registered child care facilities against the 2015–2020 Dietary Guidelines. Nutritional adequacy of breakfast and lunch menus and the types of foods offered was assessed against national standards. A cross-sectional descriptive study design was utilized. A convenience sample of 10 childcare centers was selected. Menus were collected from selected centers and three were visited for on-site meal observation. Menus were analyzed for nutrient content using Nutritionist Pro software (Axxya Systems, Stafford, Texas) and the Statistical Package for the Social Sciences (SPSS). Results found a statistically significant difference between the 2015-2020 Dietary Guidelines for children between the ages of 1-5 year old and the intake of protein, fat, vitamin A, vitamin C, calcium, fiber and sugar. The researchers concluded that children dietary intakes did not meet national standards on some key nutrients necessary to support proper growth and development and prevention of disease.
Keynote Forum
Shaweta Vasudeva
National Academy of Sports Medicine, USA
Keynote: Ketogenics: Implementation in clinical practice and biopsychosocial considerations
Time : 09:40-10:20
Biography:
Shaweta “Shay” Vasudeva is a teaching professional, speaker, author and coach. As a result of her passion to help others become the best version of “SELF,” she has founded a company called ShayTheCoach. Her background includes Nutritional Coaching, Personal Fitness Training, Corrective Exercise, Cranial Sacral Work and teaching Karate & Tai Chi Classes.
She is a hard-working individual who has earned a Bachelor of Arts and Master of Arts in Psychology and is currently pursuing a Master of Science in Kinesiology at A.T. Still University, College of Graduate Health Studies. She is a Certified Nutritional Therapist, Certified Personal Trainer, Certified Corrective Exercise Specialist, and Goju Karate Black Belt. She currently teaches at Rio Salado College and takes clients at her private practice in Phoenix, AZ.
Abstract:
With so many fast food options, social gatherings, and cultural norms of sharing meals, the ketogenic lifestyle (as any mindful and health conscious lifestyle) can be a challenge. Therefore, this oral presentation will focus on the history of ketogenic diets, differing between their clinical use versus fad use (risks and benefits of each), implementation within a practice, and lifestyle management of a ketogenic diet (including testing options to ensure a ketogenic state has been reached and is being maintained).
The research will highlight the works of: American Heart Association (2015); Anderson (2015); Cox et al. (2016); Dashti et al. (2004); Ede (2017); Freeman, Kossoff, & Hartman (2007); Gustin (2018); Roehl & Sewak (2017); & Volek et al. (2008) & (2016); Whitney & Rolfes (2013)
- Physical activity | Nutrition & Metabolism | Behavioral & Environmental Factors | Child Nutrition
Chair
Elena Roura
AlÃcia Foundation, Spain
Co-Chair
Ashley Knowell
South Carolina State University, USA
Session Introduction
Julian D Stowell
Sabri Ãœlker Foundation, Turkey
Title: The balanced nutrition education programme in schools in Turkey
Time : 10:50-11:20
Biography:
Prof. Dr Julian Stowell has retired as a Vice President of Scientific Affairs for DuPont, becoming a consultant in nutrition science and legislation. Prof. Dr Stowell has a background in biochemistry, holding degrees from Birmingham University, the University of Kent and the University of Hertfordshire, all in the UK. He has some 40 years experience in R&D, manufacturing, commercial and scientific roles in the food and pharmaceutical sectors. Prof Dr Stowell is a board member of the International Life Sciences Institute (ILSI) Europe, and in May, 2010 was appointed as a visiting research professor at the Oxford Brookes University Centre for Nutrition and Health, formerly the Functional Foods Centre. He is a Fellow of the Royal Society of Medicine (RSM) and Past President of the RSM Forum on Food and Health. Prof Dr Stowell has also chaired and participated in many other groups active in the field of health and nutrition.
Abstract:
The nutritional status of the Turkish population mirrors that in other European countries and around the world. Turkey currently ranks second in Europe in terms of the number of overweight people. However, this overweight population is increasing more rapidly than elsewhere. Almost a quarter of seven and eight year old children in urban environments are now obese whilst in rural areas the figure is less at about 13-15%. The attendant risks of obesity including cardiovascular disease, type 2 diabetes, certain types of cancer and reduced quality of life and life-expectancy are well documented and are manifest at high levels in Turkey. In addition to the more obvious problems associated with obesity, several other nutrition related issues prevail in Turkey. These include, stunting of children due to malnourishment, which predominates in rural communities, running at about 5-6%, iodine deficiency which was recorded at 27.8% of the population in 2009 and high salt intake which, at 14.8 grams per day, is almost three times the recommended level. Turkey has a relatively young population in comparison with other European countries, providing an excellent opportunity to make a positive difference. Against this background the Sabri Å°lker Food Research Foundation was established in 2009 with a view to improve public health in Turkey and beyond. A particular focus of the Foundation has been food, nutrition and physical activity education in schools. The balanced nutrition education programme was established in 2011 in collaboration with the British Nutrition Foundation (BNF). BNF education materials were adapted for local use by colleagues at the Faculty of Health Sciences, Hacettepe University in Ankara. The initial target was 2nd to 4th grade students but, spurred on by the success of the programme, students from preschool up to 8th grade are now included. Some 6 million students, their teachers and families have now been reached by the programme. Research has been undertaken to evaluate the impact of the programme and positive results have been achieved with respect to energy intake (reduced), weight management (improved) and physical activity, (increased). In 2017, the Balanced Nutrition Education Project won the most successful Corporate Social Responsibility (CSR Project) award, organized by Türkiye SaÄŸlık Gönülleri Vakfi. Details of the programme and the results obtained will be provided.
Arèvalo Harold
El Bosque University, Colombia
Title: Use of the muscle as a strategy for management of childhood obesity
Time : 11:20-11:50
Biography:
HAROLD AREVALO, MD, Esp Sports Medicine, current president of the Sports Medicine Association of Colombia AMEDCO, coordinator of the postgraduate degree - Sports Medicine specialty of El Bosque University. Online leader and embroidery of childhood obesity. National and international speaker. Author and co - author of different academic articles.
Abstract:
Childhood obesity is a condition that has increased rapidly throughout the world, and many of the strategies proposed by different organizations have failed in that attempt. Of the activities that have important evidence to address this condition, are the physical activity and nutritional control, with some contributions of anti-inflammatory foods (Mediterranean diet). Based on this, the muscular system and its different physiological responses: release of myokines, regulation of metabolic response, anti-inflammatory states, etc. It makes the muscular system one of the main tools for the control of childhood obesity. The process of transformation of this system and the neurohormonal response in different stages of life, makes the muscle fiber dynamic...
The release of a large number of myokines in sedentarism vs physical activity, generates changes in the metabolic regulation, and use of caloric expenditure. Another effect that has generated a positive evaluation in relation to physical activity is the mitochondrial functional improvement compared to prolonged sedentary states. We can not leave aside the immune response and the control of the infiltration of macrogafos at the level of the adipocytes that is mediated directly with the muscular intervention. You have to see the physical activity as a medicine, which must have a prescription according to the patient's needs, their age, clinical condition, physical capacity, among other characteristics
Waseem Samsam
Anti-Doping Lab Qatar, Qatar
Title: Early predictors of incipient metabolic syndrome in an Arab population
Time : 11:50-12:20
Biography:
He is a physician and working in anti-doping lab Qatar for four years in the life science and research department. His field is more about the physiological studies for diabetes and pre-diabetes status.
Abstract:
Background: Metabolic syndrome is defined by a constellation of abnormal metabolic factors that directly increase the risk for type 2 diabetes and cardiovascular disorders. In the Gulf Cooperation Council region, the prevalence of metabolic syndrome in the population is higher than in most developed countries, with generally greater rates for women, often higher than 40%. Thus, early clinical identification of patients is important to adequately implement treatments to reduce their risk of subsequent metabolic disease.
Aims: The aims of this study were to investigate the hypothesis that in sedentary subjects, post-prandial hyperinsulinemia, despite normal levels of glucose, is an indicator of incipient diabetes. Further this lesion is associated with markers of adipose and hepatic dysfunction.
Methods: 42 apparently clinically healthy residents of Qatar were studied. After a 10-hour overnight fast, subjects underwent a detailed clinical assessment, including body composition by bio-impedance, anthropometry measurements (height, weight and BMI), and blood pressure. A liquid mixed meal was administered (200 ml of 18 g proteins, 17.4 g fats and 40 g carbohydrates: total energetic value of 400 kcal) and blood sampling carried out prior to and 30 and 120 minutes after the meal. The study was approved by the Institutional Research Ethics Committee and all subjects provided written informed consent prior to participation. Fasting serum levels of lipids {high-density lipoprotein (HDL), low-density lipoprotein (LDL), total cholesterol, and triglycerides}; liver function markers [gamma-glutamyltransferase (GGT), alkaline phosphatase (ALP), alanine aminotransferase (ALT), aspartate aminotransferase (AST), total bilirubin (TB), direct bilirubin (DB), albumin (ALB)] and; plasma glucose, insulin and pro-insulin were also determined. HOMA-IR (homeostasis model of assessment-insulin resistance) was calculated using the following formula: (fasting insulin in mIU/L*fasting glucose in mmol/L)/22.5. Serum levels of leptin and adiponectin were measured using human 2-site ELISAs. All inter- and intra-assay CVs were less than 10%.
Results: There was no difference in age, blood pressure and body composition between the two groups. However, 48% of this population showed hyperinsulinemia in the fasting state, as well as relative hyperglycemia, hyperinsulinemia and hyperproinsulinemia 2 hours after the meal challenge. Systemic lipids and markers of liver function were comparable between the groups. Leptin was elevated in the hyperproinsulinemia group (26.1 ng/ml versus 20.9 ng/ml), this did not reach to significance. However, adiponectin was significantly lower in this cohort (5.8 mcg/ml versus 8.5 mcg/ml, P=0.002). Significant correlations were apparent between fasting insulin concentration and height, measures of body fat as well as muscle mass. In addition, fasting insulin also correlated significant with SBP, as well as all measures of glucose and HOMA-IR. Interestingly fasting insulin also correlated positively and significantly with liver enzymes. Inverse, but significant, association was found between insulin with HDL-C and adiponectin. Most of these relationships were lost in the postprandial state.
Conclusions: Thus, these data indicate that post prandial hyperinsulinemia and decreased adiponectin levels should be considered in the plethora of the altered biochemical parameters that define the metabolic syndrome. More importantly, since these biochemical alterations occur in seemingly healthy residents, they may well be considered early biomarkers of incipient metabolic syndrome. The reason for this lesion in a young and healthy population is likely to be the consequence of a sedentary lifestyle. Exercise and training can improve both insulin resistance and increase adiponectin and should be actively advocated for this population.
Yonna Sacre
Holy Spirit University of Kaslik, Lebanon
Title: Evaluation of food behavior and nutritional status of pregnant women resident in Keserwan - Lebanon
Time : 12:20-12:50
Biography:
Yonna Sacre completed her PhD from Humboldt University in Berlin and Master Degree in Human Nutrition and Dietetics from Saint Joseph University Beirut. She is actually an Assistant Professor at Holy Spirit University of Kaslik, teaching different human, lifecycle and community nutrition courses. She is Member of the Lebanese National Nutrition Exam Committee and Jury Member and President of several master theses’ defense committees at USEK-Kaslik, Lebanon.
Abstract:
Pregnancy, this particular moment in the life of a woman, requires monitoring of eating behavior changes. However, the food choices during pregnancy should be healthy, including the consumption of different food groups, and nutritional status is the process of acquisition and consumption of food. So a varied diet is associated with good nutritional status. This is why the nutrition education is a strategy commonly applied to improve maternal nutrition during pregnancy. Therefore, it is crucial to assess the eating behavior and nutritional status of pregnant women living in Keserwan. The purpose of this study is to evaluate the feeding behavior, nutritional status and level of awareness of pregnant women residing in Keserwan. A cross-sectional descriptive study is carried out, two main types of research instruments. A questionnaire containing socio-demographic, personal information, questions on eating behavior, food frequency and nutritional education as well as laboratory tests already done by pregnant women. The total sample surveyed included 150 pregnant women between the ages of 18 and 40 years randomly selected from the hospitals and clinics of the Keserwan gynecologists and allocated in an equitable manner between two regions chosen according to altitude. The final analysis led to the results obtained 48.7% of pregnant women aged 30 to 40 years, 56% have a normal BMI between 18.5 and 24.9, 80.7% have acceptable food behavior, 68% have an acceptable level of awareness and half have an acceptable nutritional status. Thus age affects the eating behavior, so more pregnant women are older plus they have good eating behavior. It would be possible to institute an awareness-raising program in the aim of increasing the level of education of pregnant women with regard to eating behavior and nutritional status.
- Workshop
Session Introduction
Burcu Aksoy, Stacey Lockyer and Teresa Valero
Sabri Ãœlker Foundation, Turkey
Title: Implementation of nutrition education programmes in schools: Approaches from Turkey, UK and Spain
Time : 13:50-14:50
Biography:
Dr Burcu Aksoy BSc MSc PhD
Nutrition Scientist
Burcu has been Nutrition and Scientific Communication Executive since 2016. Prior to this position, she was Research Assistant at Department of Nutrition and Dietetics in Hacettepe Universiy in Ankara, Turkey between 2007- 2016. She graduated from the Hacettepe University with bachelor’s degree in Nutrition and Dietetics and MSc in Dietetics program of Institute of Health Sciences in Hacettepe University and PhD in Nutrition and Dietetics program of Institue of Health Sciences in Hacettepe University respectively 2010 and 2016. She studied the relation between plasma fatty acids, amino acids levels and the nutrition status of adults in her PhD.
Dr Stacey Lockyer BSc MSc PhD RNutr
Nutrition Scientist
Stacey was inspired to work in public health nutrition by the launch of the FSA’s 5 A DAY campaign during her degree in Biology with Psychology at Royal Holloway, University of London and went on to study MSc Nutrition and Food Science at the University of Reading, working on a human study looking into fish oil and vascular function for her dissertation. Stacey spent the next two years as a research assistant investigating the effects of ApoE genotype and dietary fat manipulation on heart disease risk markers before beginning her PhD studying olive leaf polyphenols, part of which involved running a human study at the Institute of Food, Nutrition and Human Health at Massey University in Auckland New Zealand. Stacey was the Nutrition Society Student Member of Council for two years during her PhD which involved organising conference events for student members along with writing for the Nutrition Society Gazette. Following gaining her doctorate Stacey worked at the Royal College of Physicians as a research fellow, performing systematic reviews for t development of NICE guidelines before joining the BNF as a nutrition scientist in June 2015.
Abstract:
Nutrition education can provide individuals with the knowledge, skills and motivation to help them to make healthy dietary choices. Schools are an ideal setting for nutrition education because they are one of the main social contexts in which lifestyles are developed but schools are part of a network of influences which shape eating and activity patterns and attitudes. As an instance, school aged children develop behaviour through interaction with other pupils, teachers, parents, siblings and external influences such as the media. As well as nutrition education, schools also have many other means of contributing to good nutrition and health. School-based nutrition interventions can include learning experiences and other actions implemented by schools which make healthy nutrition a way of daily life, both at present and in the future. The Balanced Nutrition Education Project was established in 2011 by the Sabri Ülker Food Research Foundation in collaboration with the Turkish Ministry of Education’s Elementary Schools General Directorate to contribute to developing healthy eating behaviors in school children in Turkey. The Balanced Nutrition Education Project is being implemented in 10 cities and 500 schools and in 4 different regions of the country and at present the 2017-2018 programmes is reaching 6 million students, teachers and parents (Figure1). The Food – a fact of life programme was devised by the British Nutrition Foundation (BNF) and originally launched in 1991. It provides resources to support food and nutrition teaching through a progressive learning framework, all of which are tested in schools. The programme also supports the professional training of teachers at primary and secondary school levels. In addition, BNF provides a healthy eating week for schools (and others) to help address whole school food issues – and in 2017, 9,681 schools registered representing 4.2 million children and young people (Figure 2). Programmes may lead to different outcomes in different countries, as a result of cultural differences and other factors; it is very useful to share experiences, which highlights the importance of networks such as BNF and Sabri Ülker Foundation to ensure communication and sharing of best practice.
- Obesity and Heart Disease | Exercise & Kinesiology | Genetics and Obesity | Child Nutrition
Session Introduction
D Meeike Kusters
VU Medical Center, Netherlands
Title: Thicker intima-media thickness in obese children as compared to children with familial hypercholesterolemia: A wake-up call
Time : 14:50-15:20
Biography:
D Meeike Kusters has completed her PhD on the treatment of children with familial hypercholesterolemia in 2016 from University of Amsterdam. She is a Pediatrician in training at VU Medical Center in Amsterdam, and will complete her training in October 2018. Afterwards, she is planning to continue Post-doctoral research on the identification, evaluation and treatment of cardiovascular risk factors in children. She has published more than 20 papers in reputed journals.
Abstract:
Background: Atherosclerosis initiates early in life, often during childhood. In some children, this process is accelerated owing to genetic or environment factors, such as familial hypercholesterolemia (FH) or obesity. It is well known that children with FH exhibit an increased carotid intima-media thickness (c-IMT), a validated surrogate marker of future cardiovascular disease. Therefore, it is recommended to treat these children with cholesterol-lowering medication starting at the age of eight years. Obesity is strongly associated with a constellation of risk factors for cardiovascular disease (CVD) and it has been shown that childhood obesity also confers a significant risk for CVD events in adulthood. However, no clear recommendations exist as to the treatment of obesity related risk factors during childhood.
Methods: In three cohorts (85 obese children, 171 children with FH and 75 healthy children; all 8-18 years of age), we measured anthropometrics, lipid levels and c-IMT. By means of multivariable linear regression analysis, we compared c-IMT of obese children with c-IMT of children with FH and that of healthy controls.
Results: In obese children (mean age 14.4±2.1 years, mean BMI SDS 4.06±0.4), c-IMT was significantly increased (mean c-IMT 0.476±0.059 mm), not only as compared to healthy children (mean c-IMT 0.432±0.040 mm, P<0.001), but also as compared to children with FH (mean c-IMT 0.441±0.046 mm, P<0.001).
Conclusion: In this study, we have shown for the first time that obese children have a thicker c-IMT than children with FH. This unexpected finding suggests that clustering of risk factors exponentially increases the risk of accelerated atherosclerosis already from a young age. It raises the question whether drug treatment of these risk factors in obesity such as lowering cholesterol, might be justified. Further research should focus on additional imaging studies to learn more about the extent and progression of atherosclerotic abnormalities over time in children with obesity, as well as its possible treatment options.
Ashley Knowell and Shanora Brown
South Carolina State University, USA
Title: Analyzing the role of high pro-inflammatory diets and childhood obesity in the risk of adult carcinogenesis in South Carolinian children
Time : 15:20-15:50
Biography:
Dr. Ashley E. Knowell is investigating the role of childhood obesity as a risk factor for adult cancers. The ultimate goal of the project is to provide families with the necessary tools and information to establish healthy nutritional habits, reduce childhood obesity and ultimately reduce adult cancer risk among South Carolinian children. Her research interests also include tumor suppressors, cell death and the development, progression, and treatment of cancer in African-Americans and South Carolinians. She is graduate of Clark Atlanta University with a Molecular Biology, Cancer Biology focus.
Dr. Shanora Brown has actively been involved in the study of prostate cancer, molecular mechanisms of tumor progression as well a genetic factors contributing to the disparities in cancer among diverse populations. Her current research focus is investigating and understanding the link between nutrition and childhood obesity as a risk factor for adult carcinogenesis in South Carolinian children. Ultimately, eliminating or reducing preventable risk factors such as unhealthy nutrition and childhood obesity could have important implications for reducing clinical manifestations of adult cancers, such as breast and prostate.
Abstract:
In the United States, childhood obesity has been a growing epidemic with, 1/3 of US children considered overweight or obese. This increased number can be linked to several factors including nutrition and social economic status. Households that do not have access to healthy, nutritious foods are significantly more likely to be obese earlier in life. Obesity in children can lead to numerous health complications such as diabetes, high blood pressure, chronic inflammation and carcinogenesis. African American is more likely to be diagnosed and die from some forms of cancer. Therefore, eliminating or reducing preventable risk factors such as unhealthy nutrition and childhood obesity could have important implications for reducing clinical manifestations of adult cancer outcomes. Areas of South Carolina, such as the I-95 Corridor, have a long history of being under-developed which contribute to numerous problems such as obesity, poverty and sub-par health care. We have enrolled SC children from varying degrees of rurality to determine if obesity and/or high-fat pro-inflammatory diets contribute to increased levels of pro-inflammatory markers and obesity related genes to include: Adiponectin, leptin, SAA1 /2, Interleukin 1 and 6. Subjects will be randomized into obese and non-obese groups based on BMI guidelines. The transcriptional levels of pro-inflammatory genes will be measured by quantitative RT-PCR. Reducing childhood obesity and pro-inflammatory diets are beneficial in the reduction of cancer risk and will serve as preventive measures for early-stage onset of adult cancers. Data analysis on the limited sample set is ongoing. Results will be presented during the conference.
Mehnoosh Samadi
Kermanshah University of Medical Sciences, Iran
Title: Comparison of snack composition in obese and normal weight children
Time : 16:15-16:45
Biography:
Mehnoosh Samadi has completed her PhD from Ahvaz Jundishapur University of Medical Sciences. She is the Assistant Professor of Nutritional Science department in the School of Nutritional Science and Food Technology of Kermanshah University of Medical Sciences, Kermanshah, Iran. She has published more than 10 papers in reputed journals and has been serving as an Editorial Board Member of repute.
Abstract:
In developing countries as a result of urbanization, lifestyle and modernization, the obesity as a risk for health problems increases. The purpose of this study was to determine the association between obesity and energy and nutrient intake and distribution of energy throughout the day. This cross-sectional study was conducted in 410 girls aged 10-8. Height and weight were measured and BMI was calculated. Body fat using the Body Composition Analyzer (BCA) was measured, total energy intake, percentage of energy from protein, carbohydrate and fat and energy content of each meal and snack obtained using three food records were assessed. Percent calories from fat in overweight and obese children and in children with higher fat mass, significantly more than children of normal weight (mean±SD respectively: 35.4±8.5 compared to 28.7±7.6). Percentage of energy intake from breakfast was lower in overweight and obese children than normal weight children (mean±SD respectively: 12.9±6.9 compared to 19.8 ±5.7) and percentage of energy intake from lunch and evening snacks compared to normal weight children were more (mean ±SD respectively: 40.8±8.9 and 15.2±5.5 compared to 35.7±9.7 and 11.2±6.3) and children with normal weight, have more energy intake from morning snacks (mean±SD respectively: 6.2±5.4 compared to 4.1±3.4). This study showed obese and overweight children's snacks had higher amounts of fat and snacks for children with normal weight had greater amounts of fruit and the use of low-energy snacks to prevent obesity in children's diet can have an important role.
Mehnoosh Samadi
Kermanshah University of Medical Sciences, Iran
Title: Does dietary calcium intake is effective in regulating body weight in children?
Time : 16:45-17:15
Biography:
Mehnoosh Samadi has completed her PhD from Ahvaz Jundishapur University of Medical Sciences. She is the Assistant Professor of Nutritional Science department in the School of Nutritional Science and Food Technology of Kermanshah University of Medical Sciences, Kermanshah, Iran. She has published more than 10 papers in reputed journals and has been serving as an Editorial Board Member of repute.
Abstract:
Fat Mass Index (FMI) relates body fat mass to height and allows comparing body fat mass of individuals at different heights. In this study, dietary calcium intake and some nutritional factors in obese children aged 8-10 were investigated. In this study, 580 children with FMI at or above the 90th percentile of age-specific data (FMI 6.9 kg/m2) are known as obese in case group and 600 children with FMI less than the 90th percentile are known as normal weight in control group was classified. In this study, body fat mass was measured by bio impedance analyzer and for calcium intake; we used a validated food frequency questionnaire. In the case group calcium intake was significantly lower than the control group (574±112 and 836±161 mg/d) (P<0.01), respectively. In this study, we use three model of logistic regression. In model one, after adjustment for total energy intake and the percentage of energy from macronutrients inverse association between calcium intake and obesity was significant. In model two by further adjustment for the effect of fruits and vegetable intake inverse association between calcium intake and obesity was significant and in model three by further adjustment for the effect of physical activity level inverse association between calcium intake and obesity became weaker but yet was significant. Even after controlling for confounding factors the inverse relationship between calcium intake and FMI remained significant. In this study, we showed that FMI may be a more accurate index that shows the association between calcium intake and obesity.
- Physical Activity | Nutrition & Metabolism | Behavioral & Environmental Factors | Child Nutrition
Chair
Burcu Aksoy
Sabri Ãœlker Foundation, Turkey
Co-Chair
Waseem Samsam
Anti-Doping Lab Qatar, Qatar
Session Introduction
Fatemeh Abdollahi
Mazandaran University of Medical Sciences, Iran
Title: Prevalence of obesity and overweight based on body mass index Z-scores among a group of Iranian adolescences, 2005 to 2014 years
Time : 10:45-11:15
Biography:
Fatemeh Abdollahi has completed his PhD from Universiti Putra Malaysia, School of Medicine and Health Sciences. She is the Faculty member and Researcher at Mazandaran University of Medical Sciences. She has published more than 20 papers in index journals on maternal and child health.
Abstract:
The high prevalence of obesity and overweightness has been a major public health focus during past decades. This study assessed the prevalence of obesity/overweightness, its trend and related factors among Mazandaran adolescent’s students. In a descriptive study and using stratified, randomly sampling method, the students’ documents in the first degree of three educational levels; primary, lower secondary and upper secondary were assessed during 2005-2014 years. Body Mass Index (BMI) was calculated. BMI Z-score was categorized in three grade; normal (1≤z<- 2), over weight (1≤z<2) and obese (≥2). The prevalence of obesity at each level was investigated. Based on BMI Z-score, 3.1%, 4%, and 2.9% of sample population at ages 7, 12 and 15 years were obese respectively. Moreover, the rate of overweightness increased from 8.3% (98) at age 7 to 10.1% (121) and 10% (119) at ages 12 and 15 years respectively. At the age of 15 years, the rate of obesity and overweight in girls was double that much of the boys (1.9% vs. 1.1% and 7% vs. 3%). There were no significant relationship between obesity/overweightness and parent occupation and education, kind of school as well students’ living places. The prevalence of obesity in comparison to national adolescents’ obesity was low but the prevalence of overweightness was high at each educational level. Intervention programs for the prevention of overweightness should be initiated at primary or secondary school ages.
Mehnoosh Samadi
Kermanshah University of Medical Sciences, Iran
Title: Fat mass index or body mass index; which is more accurate in diagnosing childhood obesity?
Time : 11:15-11:45
Biography:
Mehnoosh Samadi has completed her PhD from Ahvaz Jundishapur University of Medical Sciences. She is the Assistant Professor of Nutritional Science department in the School of Nutritional Science and Food Technology of Kermanshah University of Medical Sciences, Kermanshah, Iran. She has published more than 10 papers in reputed journals and has been serving as an Editorial Board Member of repute.
Abstract:
As for increasing prevalence of obesity in children, it is essential to use a measure that accurately diagnoses obesity in children. The purpose of this study was to determine the sensitivity and specificity of body mass index (BMI) compared to fat mass index (FMI) as a measure of child actual obesity. This cross-sectional study was conducted in 580 girls aged 8-10. In this study, FMI at or above 90th percentile of age specific data (FMI 6.9 kg/m2) are known as obese and FMI less than 90th percentile are known as normal weight. ROC curves to evaluate performance BMI against FMI was used to determine the actual obesity. The kappa test was done to determine whether the two criteria were used to define obesity in children. Mean and SD BMI and FMI in children was 19.4±3 (kg/m2) and 6±2.1 (kg/m2) respectively. The area under the ROC curve 83% was calculated and the sensitivity and specificity and cut-off point of BMI compared with FMI was calculated 21.2 kg/m2 and 59 percent and 97 percent. The agreement between BMI=21.2 kg/m2 and FMI=6.9 kg/m2 to determine obesity was 0.5. In this study, the BMI sensitivity was poor and only 59% of the children who were obese based on FMI, were also obese based on BMI and 3% of the children, who were identified as non-obese based on FMI, were obese based BMI. FMI seems more accurate measure of obesity than BMI is, however, more research is needed in this area.
Susantha Indrawansa
The Foundation for Health Promotion, Sri Lanka
Title: School-based intervention to enable school children to act as change agents on weight, physical activity and diet of their mothers
Time : 11:45-12:15
Biography:
Abstract:
Background
School health promotion has been shown to improve the lifestyle of students, but it remains unclear whether school-based programs can influence family health. We developed an innovative program that enables school children to act as change agents in promoting healthy lifestyles of their mothers. The objective of this study was to examine the effect of the child-initiated intervention on weight, physical activity and dietary habit of their mothers.
Methods
A 12-month cluster randomized trial was conducted, with school as a cluster. Participants were mothers with grade 8 students, aged around 13 years, of 20 schools in Homagama, Sri Lanka. Students of the intervention group were trained by facilitators to acquire the ability to assess non communicable disease risk factors in their homes and take action to address them, whereas those of the comparison group received no intervention. Body weight, step count and lifestyle of their mothers were assessed at baseline and post-intervention. Multi-level multivariable linear regression and logistic regression were used to assess the effects of intervention on continuous and binary outcomes, respectively.
Results
Of 308 study participants, 261 completed the final assessment at 12 month. There was a significantly greater decrease of weight and increase of physical activity in the intervention group. The mean (95 % confidence interval) difference comparing the intervention group with the control group was −2.49 (−3.38 to −1.60) kg for weight and −0.99 (−1.40 to −0.58) kg/m2 for body mass index. The intervention group had a 3.25 (95 % confidence interval 1.87–5.62) times higher odds of engaging in adequate physical activity than the control group, and the former showed a greater number of steps than the latter after intervention. The intervention group showed a greater reduction of household purchase of biscuits and ice cream.
Conclusions
A program to motivate students to act as change agents of family’s lifestyle was effective in decreasing weight and increasing physical activity of their mothers.
Motadi SA
University of Venda, South Africa
Title: Overweight and obesity among adults aged 18-45 years residing in and around Giyani town in Mopani district of Limpopo province, South Africa
Time : 12:15-12:45
Biography:
Mr. Selekane Ananias Motadi is a junior lecturer of Nutrition at the University of Venda. He received his junior degree BSc in Nutrition at the University of Venda. In 2010, He registered for Master Degree in Public Nutrition at the same university. He is a registered Nutritionist with Health Professional Council of South Africa. He was offered tenure in the Department of Nutrition. In addition to teaching, Mr. Motadi is a regular contributor to the micronutrient malnutrition particularly zinc and a Mamelodi sundowns United fan. He has registered for postgraduate diploma in health professional education at the University of Cape Town which he envisages completing in 2015. He has collaborated on manuscripts with Prof XG Mbhenyane, Dr. RL Mamabolo, Ms. HV Mbhatsani and Mr. NS Mabapa entitled “Prevalence of zinc deficiency among children aged 3-5 years in Vhembe district, Limpopo province, South Africa”. He currently resides in Limpopo Province, South Africa with his brother.
Abstract:
Objective: To describe the prevalence of overweight and obesity among adults aged 18-45 years residing in and around Giyani town.
Methods: This study included 100 participants recruited from a location in Greater Giyani Municipality of Mopani district, Limpopo Province, South Africa. This municipality was purposively selected and convenience sampling was used to choose study participants. Body weight and height were measured using standard techniques. Waist circumference, systolic, diastolic, glucose, cholesterol and body fat levels were also assessed.
Results: The prevalence of overweight and obesity was 18.1% and 20.5%, respectively. Obesity was more prevalent in females (19%) than males (1.5%). The risks found in study participants included hypertension, diabetes, high total cholesterol, alcohol consumption and cigarette smoking. There was a significant difference in systolic blood pressure (p≤0.03) between males and females. Systolic blood pressure of about 22.9% of male participants compared to females (20%) was in the hypertensive range. However, only 9.2% of females had prehypertension of between 85-89 mmHg. Furthermore, 17.1% of males had hypertension values ≥90 mmHg as compared to 9.2% of their female counterparts.
Conclusion: Overweight and obesity were common in adults residing in urban areas. The results observed here call for intervention to combat the rising problem of overweight and obesity among adults in the form of nutrition education to ensure food diversification and reduction of food containing fats and hidden fats.
Mehnoosh Samadi
Kermanshah University of Medical Sciences, Iran
Title: The association between nutritional supplements and body mass index (BMI) in children in pediatric intensive care unit
Time : 12:45-13:15
Biography:
Mehnoosh Samadi has completed her PhD from Ahvaz Jundishapur University of Medical Sciences. She is the Assistant Professor of Nutritional Science department in the School of Nutritional Science and Food Technology of Kermanshah University of Medical Sciences, Kermanshah, Iran. She has published more than 10 papers in reputed journals and has been serving as an Editorial Board Member of repute.
Abstract:
Because of the direct relationship between malnutrition among ICU-hospitalized patients and the delay of recovery, the most important action rehabilitation service for these patients while stabilizing the basic indicators is providing nutrients especially energy requirements. When the patient's need for energy is growing increasingly, the best strategy is to use nutritional supplements. In this study, dietary intake in PICU children was studied and the effects of a dietary supplement in the prevention of weight loss in pediatrics were evaluated. In this cross-sectional study the study population was 880, 10-13 years old children in pediatric intensive care unit (PICU). Peptamen complete was used (1 kcal/ml, 16% protein (whey), 50% carbohydrate, 34% fat). Body weight and height were measured and BMI was calculated. Total energy intake and the percentage of energy from macronutrients and also nutritional supplements intake were measured using three food record questionnaires. Compared with the children in the lower quartile of nutritional supplements intake, children in higher quartile had a greater BMI (P<0.01). In this study, we use logistic regression and adjusted the effects of confounding factors. After Adjustment for the percentage of energy from fat the inverse association between BMI and nutritional supplements intake reached statistically levels significant (OR in quartiles 0.90, 0.88, 0.81, 0.77), (P<0.05). Since all the energy needs of the children in ICU with regular diet is hardly supplied and energy intake in the form of liquid supplements is better tolerated in these patients, the use of dietary supplements is suitable to meet their nutritional requirements.
Haider Mannan
Western Sydney University, Australia
Title: An investigation of causal relationship between age at introduction of formula feeding or solids and incidence of childhood overweightedness or obesity in Greater Western Sydney Australia: A prospective cohort study
Time : 15:15-15:45
Biography:
Dr Haider Mannan is a biostatistician and epidemiologist having subject knowledge of comorbid obesity and eating disorders among Australian adults as well as obesity as a risk factor of diabetes, cardiovascular diseases and disability. He has been developing research track record in the broad area of obesity research with his recent interest and focus been on eating disorders among obese adults in the South Australian population. He has published in some top ranked obesity and epidemiology journals which include International Journal of Obesity (Impact factor of 5.373 which is the highest in the field of obesity), American Journal of Epidemiology (5 year Impact Factor 6.067, ranked 9/86 in epidemiology), Obesity (5 year Impact Factor 4.72, ranked 10//79 in nutrition & dietetics), Annals of Epidemiology (5 year IF 3.387, ranked 30/86 in epidemiology).
Abstract:
Background — Epidemiological evidence suggests that timing of introduction of formula-feeding or solid foods may be associated with subsequent overweight or obesity, and the association may vary by any breastfeeding at first year for four months or more versus not.
Methods — We included 346 infants from South Western Sydney using the Longitudinal Study of Australian Children (LSAC) who at baseline examination were singleton births, neither overweight nor obese (weight for age<97.7th percentile), and were full term births(gestational age>39 weeks). The primary outcome was time to the occurrence of first overweight or obesity at ages 2, 4, 6, 8 and 10 of the child. Risk of overweight or obesity was defined as body mass index (BMI)≥ 85th percentile, using the National Centre for Health Statistics curves. The primary exposure variable of interest was age at introduction to formula or solid foods (<4, and ≥4 months). Missing data were estimated using multivariate normal imputation (MVNI) based on 25 imputations. We used Cox proportional hazards regression to assess the temporal association between age at introduction to formula or solids and the timing of occurrence of incident overweight or obesity at ages 2, 4, 6, 8 and 10 of the child and test whether the association between age at introduction to formula or solids and timing of occurrence of incident overweight or obesity was modified by any breastfeeding at first year (≥4 months versus not); with and without adjusting for mother’s BMI, age, education during pregnancy, race and social disadvantage (SEIFA).
Results — The risk of overweight or obesity was significantly higher among infants introduced to formula or solids at <4 months compared to those introduced at ≥4 months in both unadjusted and adjusted analyses. We found strong interaction between age at formula or solids introduction and breastfeeding for 4 or more months and subsequent risk of incident overweight or obesity. The risk of overweight or obesity by age at formula or solids introduction decreased with increase in any breastfeeding duration to 4 or more months.
Conclusions — Timing of introduction to formula or solids within 4 months was a risk factor of incident childhood overweight or obesity for children 10 years later; so increasing the prevalence of exclusive breast-feeding to more than 4 months would be a worthwhile public health measure. Increasing any breastfeeding duration to at least 4 months would help to further decrease the risk of childhood overweight or obesity.
- Young Researchers Forum
Session Introduction
Maya Barbour and O’Quan Cross
South Carolina State University, USA
Title: Evaluating the expression of known pro-inflammatory and obesity markers in prostate cancer
Time : 15:45-16:15
Biography:
Maya Barbour is a Senior Biology major at South Carolina State University from Charleston, South Carolina. She has plans of attending graduate school. She has been actively engaged in research for the past four years.
O’Quan Cross is a Senior Nutrition major at South Carolina State University from Greenville, South Carolina. He has plans to pursue a Masters in Nutrition or Food Science. He has been actively engaged in research for the past four years.
Abstract:
In the United States, childhood obesity has been a growing epidemic with, 1/3 of US children considered overweight or obese. The increased number of overweight and obese children can be linked to several factors including nutrition and social economic status. Households that do not have access to healthy, nutritious foods are significantly more likely to be obese earlier in life than other children. Obesity in children can lead to numerous health complications such as diabetes, high blood pressure, chronic inflammation and carcinogenesis. African American minorities are more likely to be diagnosed and die from one of the various forms of cancer. Therefore, eliminating or reducing preventable risk factors such as unhealthy nutrition and childhood obesity could have important implications for reducing clinical manifestations of adult cancer outcomes. In order to understand the implication of inflammation in the participants, we first analyzed the expression of the inflammation biomarker in prostate cancer cells, used as our baseline data. The pro-inflammatory markers and obesity related genes investigated include adiponectin, leptin, SAA1 /2, interleukin 1 and 6. The transcriptional levels of pro-inflammatory genes were measured by quantitative real-time polymerase chain reaction. The results indicated that the expressions of chronic inflammation markers were increased in cancer DNA as compared to normal DNA. Overall reducing childhood obesity and pro-inflammatory diets while increasing physical activity and access to healthy foods are beneficial in the reduction of cancer risk and will serve as preventive measures for early-stage onset of adult cancers.
Taiwo Biotidara and Sydney Spry
South Carolina State University, USA
Title: Expression of chronic inflammatory markers in South Carolinian children
Time : 16:15-16:45
Biography:
Taiwo Biotidara is a Senior Biology major at South Carolina State University from Lagos, Nigeria. He has hopes of attending medical school. He has been actively engaged in research for the past four years.
Sydney Spry is a Senior Biology major at South Carolina State University from Miami, Florida. She has plans of attending graduate school to pursue a degree in Cancer Biology. She has been actively engaged in research for the past four years.
Abstract:
The increased number overweight and obese children in the United States and specifically South Carolina can be linked to several factors which include but are not limited to nutrition, socioeconomic status and access to health care. Obesity is a major health concern as it is a precursor to many diseases in children; obesity can lead to numerous health complications such as diabetes, high blood pressure, chronic inflammation and carcinogenesis. Therefore, saliva samples from two different counties (Chesterfield county and Newberry county) with varying degrees of rurality (rural vs. very rural) were analyzed to determine if obesity and/or high fat inflammatory diets contribute to increased levels of pro-inflammatory markers and obesity related genes in children ages 2-19. Based on a review of literature, a list of 12 genes was grouped according to their degree of inflammation into two categories either chronic or acute. The DNA collected from the participants was used to detect expression levels of chronic inflammation markers (IL-16, IL-12b chronic and SAA2). The procedure involved extracting RNA from samples collected, followed by reverse transcription after which a PCR (Polymerase Chain Reaction) was used to investigate gene expression. Increased expression was found in participants that ate high fat/proinflammatory diets, irrespective of weight class (normal, overweight, obese). Project is ongoing and data is still being collected.
Dejah Thomas and Richard Drayton
South Carolina State University, USA
Title: Implication of childhood obesity and high pro-inflammatory diets in South Carolinian children: survey and data stratification
Time : 16:45-17:15
Biography:
Dejah Thomas is a Senior Biology major at South Carolina State University from Atlanta, Georgia. She has plans of attending medical and/or graduate school. She has been actively engaged in research for the past four years.
Richard Drayton is a Sophomore Computer Science at South Carolina State University from Yamassee, South Carolina. He has been working on App development for the past year. He has been actively engaged in research for the past year.
Abstract:
In South Carolina, childhood obesity is growing at an alarming rate surpassing the national average. 40% of children in SC are classified as either overweight or obese. The rise of childhood obesity in the US is astounding due to factors such as socioeconomic status and poor nutritional choices. In SC, counties located within the I-95 corridor, commonly referred to as the corridor of shame, due to years of being severely underfunded and underdeveloped; thereby, contributing to a variety of problems such as poverty, lack of health care, poor health choices, and obesity. Childhood obesity can lead to numerous health complications in adulthood that includes diabetes, high-cholesterol, chronic joint pain, and cancer. The purpose of this study is to address the epidemic of childhood obesity in SC. If the preventable risk factor of childhood obesity is targeted, it could play a significant role in reducing the number of adult cancer cases. Our study is enrolling South Carolinian children from varying degrees of rurality and backgrounds to determine if obesity and/or high-fat pro-inflammatory diets contribute to the increased level of pro-inflammatory markers, which in turn contributes to long-term chronic inflammation leading to increased adult carcinogenesis. A screening survey, which gives a snapshot of the participant’s nutritional, physical activity background and demographics, has been developed and a fully integrated mobile app will be launched. Participants recruited from six counties will be stratified by rurality, lifestyle factors and socioeconomic status to assess the effect of these exogenous factors on adult cancer risk.