Day 1 :
Keynote Forum
Ekaterina Fairand
Certified Integrated Health Coach, France
Keynote: Weight management: Role of nutrition, psychology and lifestyle
Time : 9:30 -10:20
Biography:
Ekaterina Fairand is a Paris-based Certified Integrative Health Coach and a Medical Doctor. She has a degree in Medicine from I.M. Sechenov First Moscow State Medical University. After 20 years in the international companies in marketing roles, she made the decision to pursue her passion in Holistic Nutrition and Preventive Health. She attended Institute for Integrative Nutrition (NYC, USA), where she studied over one hundred dietary theories, and studied a variety of practical lifestyle management techniques, and innovative coaching methods with some of the world’s top health and wellness experts. Her teachers included Dr. Andrew Weil, Director of the Arizona Center for Integrative Medicine; Dr. Deepak Chopra, Leader in the field of Mind-Body Medicine; Dr. David Katz, Director of Yale University’s Prevention Research Center; Dr. Walter Willett, Chair of Nutrition at Harvard University; Geneen Roth, expert on emotional eating. She also has training in Hormones Program through Integrative Women's Health Institute.
Abstract:
Statement of the Problem: Weight loss requires a complex work of physicians, nutritionists, health coaches and psychologists.
Nutrition for losing weight.
Main principles.
• Calories eaten should not exceed calories burned
• Be careful with low-calorie high-protein diet to weight loss
• Keep low GI diet and don't use high glycemic index products
• Remember that one low GI product can easily turn to high GI product (cooked and raw carrot, white and brown rice e.g.)
• Why don't we lose weight if we eat practically nothing? We
• slow down our metabolism and every extra food stores as a fat
• Be careful with the quantity of oil in salads! Home cooked food should be the main food (avoid buying ready-to-eat salads)
• What to do with wine and sweets? Tricks how to avoid stress with food restrictions
• Eat lots of green vegetables (Mg and other minerals & vitamins)
• Don't eat soya milk (contains phytoestrogens) & reduce quantity of chicken and dairy food (high level of estrogen as well). Estrogen imbalance causes weight gain.
• 3-4 meals per day max and intermittent fasting (12h-16h) practice benefits to lose weight and insulin reduction.
Lifestyle main principles for losing weight
• Regular aerobic exercises (especially high-intensity intermittent) lower insulin resistance, reduce cortisol level, help to lose fat
• 8h of deep sleep (REM sleep is a prime calorie-burning time)
• Get rid of chronic stress (cortisol cause central obesity, excess cortisol leads to lose sleep) Psychological barriers to lose weight.
• Health Coaches and Psychologist can help with the emotional side of obesity to find benefits of meanings and needs to have an extra weight.
Conclusion & Significance: Weight loss process is a synergy of a right nutrition, physical activities, stress and sleep management and hormones balance.
Keynote Forum
Haluskova Balter Ivana
Partnership Science and Research for Health & Preventive medicine, France
Keynote: Targeting obesity, diabetes & microbiota in childhood
Time : 10:20 -11:10
Biography:
Haluskoya is a French Medical professional specialised internal medicine, certified in Immunology,Pediatry,Public health and diplomacy, Infectious diseases and Vaccines with years of Clinical/Medical practise. She has lived multi-country medical “field “experience in Southeast Asia (India in particular), West/Central/East Europe and Middle East. Speaking French, English, Italian, Russian, Czech/ Slovak. Over 12 years of experience she is a consultant and Senior medical lead in Research and development in various European and US companies and active member of academia(French immunology society). Promoting translation of science into adapted medical needs. She is a supporting research, education and cooperation around Preventive healthcare and innovative approaches like microbiota/host immune response to take NCDs an CDs. She has years of expertise to work globally but more focused on Asia (India in particular) and promoting broader Eurasian cooperation as a Medical advisor bringing new innovative concepts alive and getting they endorsed.
Abstract:
Microbiota under 3 years old fluctuates substantially and is more impressionable to environmental factors than the adult microbiota. Lifestyle, sanitization, caesarean sections, antibiotic usage, immunizations. It has been studied that there is a “critical window” early in life during which the microbiota can be disrupted in a way that may favour the development of disease later in life and there is and increasing evidence concerning role of microbiota changes during early life impacting the development of intestinal and extra- intestinal diseases. Many factors determine the establishment and composition of microbial communities in all mucosa, including the gut. The most important occurs at birth and shortly afterwards. Early life changes in microbiota composition can alter susceptibility to developing obesity later in life. Many studies shown presence/absence of specific microbes can modulate and program life-long changes in immunity and further clinical study might help understand exact paths on metabolic disease progression. A critical early window exists in a child’s life where its environmental exposures (diet, microbes exposure) can shift the immune-metabolism-microbiota interaction to pathophysiological states which lead to alterations in host growth rates, metabolism, immunity and result in diseases relating to obesity and malnutrition (diabetes 2). Research showed that impact of diet and environmental change stresses on the host can be passed on maternally to children through epigenetic modulation of the DNA by methylation. Thus maternal dietary and microbial exposures are also crucial to the development of the microbiota early in life as children may inherit genes with differing potential for predisposition for malnutrition or obesity, based on the diet of their mother.There is a need to focus on early life therapeutic approach to promote improved intestinal health to combat obesity and malnutrition but also on maternal health and therapeutic interventions in mothers and further clinical data would help to bring insightful value. A study showed that treatment of obese mice with Akkermansia muciniphila reduced high fat diet induced metabolic disorders, including fat mass gain, metabolic endotoxemia, adipose tissue inflammation and insulin resistance. Microbiota derived metabolites signal to distant organs in the body where they activate cellular receptors. Thus diet microbiota interactions may regulate host metabolism at several levels. Based on preclinical studies diabetes associated microbiota appears to metabolize amino acids differently leading to a unique suite of metabolites that can contribute to insulin resistance. Early life stress induces type 2 diabetes - like symptoms at adulthood in mice associated with defect of intestinal IL17 and IL22 secretion. By understanding the differing energy harvest and metabolic capabilities of each child’s gut microbiota, there might be support for crafting microbiota based interventions (supported already by preclinical data and research) to reverse susceptibility to obesity diabetes early in life and clinical data might support research evidence. A critical window exists early in life where interventions could have more of profound, long lasting impact on health. Understanding the microbiota changes during this window will be of great importance.
Session Introduction
Lorenzo Bracco
French Federation of Psychotherapy and Psychoanalysis (FF2P), France
Title: Biological condition for anorexia of female adolescents- different blood types between mother-daughter plus traumatic blood contact (mother/daughter) during pregnancy and/or birth
Time : 11:30 -12:00
Biography:
Lorenzo Bracco, MD, Physiatrist, Psychotherapist. He is a Member of: FF2P (France), European Association of Psychotherapists (EAP, Vienna), European Register for Psychotherapist (ERP, Vienna). Certificate: European Psychotherapy (ECP, Vienna), International Gestalt-Therapy (EPG, Paris), Master in Brief Strategic Therapy (Arezzo, Italy). He is a Somatic Experiencing® Practitioner and NeuroAffective Relational Model™ (NARM) Practitioner. He integrates Nutrition, Medicine, Psychotherapy: www.EcologicalNicheDiet.com (DNE®). His book “Anorexia, The Real Causes: Blood Types and Trauma” won the Cesare Pavese Award for Nonfiction Medical Writing. Jury’s motivation: “Lorenzo Bracco presents an in-depth investigation into the real causes of anorexia and offers innovative perspectives on understanding and treating this profound condition of existential distress”.
Abstract:
Objectives: The aim of the study is to reduce the mortality rate and the consequences of anorexia of the female adolescent by providing a theory that allows us to have an early or even predictive diagnosis. This kind of anorexia is the most important and most dangerous and begins within a limited time frame after menarche and is characterized by weight loss and loss of the menstrual cycle for more than three months. There can also be relapses of this kind of anorexia over the course of life.
Methods: Twenty five (25) years ago, the author came upon the blood type difference between a patient with anorexia of the female adolescent and her mother. Pregnancy had been with placental detachment and birth was traumatic, which was the presumed cause of mother/daughter blood contact. From that day on, he regularly checked, in the cases of anorexia of the female adolescent, the blood types of the daughter suffering from anorexia of the female adolescent and her mother.
Results: In his collection of data (more than 100 cases in 25 years): only the girls who have a different blood type (0, A, B, AB) from the mother are suffering from anorexia of the female adolescent and from their details the author determined a mother/daughter blood contact. There are no exceptions in his data.
Conclusions: Anorexia of the female adolescent recognizes that there are some psychological causes, but also requires the biological condition: Different blood types between mother/daughter + traumatic blood contact (mother/daughter) during pregnancy and/or birth. Recognizing this condition allows an early diagnosis, a predictive hypothesis and a new understanding and even a reframing of the mother/daughter relationship that is not primarily about emotional conflict but is simply the reflection of a relationship disturbed by an immunological alarm.
Darlene Antoine
Lorraine University Faculty of Medicine, France
Title: Genomics of the obese patient before and after bariatric surgery
Time : 12:00 -12:30
Biography:
Darlene Antoine is pursuing her PhD degree at Lorraine University Faculty of Medicine, Nancy, France. She is currently writing two papers based on her PhD project: Genomics of the Obese Patient before and after Bariatric Surgery. In the past, during her Master’s she worked in Cardiovascular Diseases at the University of Ottawa Heart Institute, and for that project she has two publications in reputed journals.
Abstract:
Obesity is today a worldwide clinical and public health burden. It is associated with an increased risk of type 2 diabetes, cardiovascular disease, cancer, metabolic syndrome, nonalcoholic steatohepatitis and mortality. The identification of multiple genetic defects responsible for monogenic syndromic and non-syndromic, oligogenic and polygenic forms of obesity over the last 20 years, confirms an inherited component. A partial genetic overlap has been demonstrated between BMI variation in general populations and extreme forms of obesity. However, little is known on the genetic determinants of BMI variation among obese people. For this study, clinical data were extracted from the CHRU Lorraine’s patient database. Blood was collected during the surgery for DNA extraction. The genotyping was performed using 240k SNPs Illumina BeadChip. Quality control was performed using GenomeStudio 2.0, PLINK considering a call rate >99%, and call Freq >95%. The results show that 169 (48%) of patients are carriers at least one of these mutations predisposing to obesity, and 182 are non-carriers, which explains that carriers for these mutations present 1.3 unit of BMI more than in the general population before the surgery. The variants do not have effect on weight loss in response to the modifications due to lifestyle and the surgery after two, seven, and 12 months. In summary, the results suggest that rare and low frequency genetic variants associated with BMI in a general population have six times more effect on BMI in the morbidly obese cohort. And different genetic variants control the response to obesity lifestyle modification and surgery.
Judy Ryan
The University of Dublin, Ireland
Title: Menopause and its influence on the weight status of women with an Intellectual Disability (ID), when controlling for confounding factors
Time : 12:30 -13:00
Biography:
Judy Ryan is a Registered Nurse in Intellectual Disability (RNID) and is pursuing her PhD from Trinity College Dublin. She is a Member of the Intellectual Disability Supplement to the Irish Longitudinal Study on Ageing (IDS TILDA) research team. This longitudinal research study is examining ageing in intellectual disability in Ireland. Her research area of interest is obesity in adults with an intellectual disability (IDS TILDA), and she has published and presented her research internationally. She is the Director of a Regional Nurse and Midwifery Planning and Development Unit for the Health Service in Ireland. With 30 years’ of experience in Nursing, she has worked in intellectual disability services in Ireland, Scotland and the UK and is a Member of the International Association for the Scientific Study of Intellectual and Developmental Disability (IASSIDD) and Nursing Network Intellectual Disability Ireland (NNIDI).
Abstract:
Introduction: Menopause status influences central adiposity when measured using waist circumference and waist to hip ratio, adjusting for weight (BMI), and Barthel Index and activity levels in women with an intellectual disability.
Methodology: Evidence for this study emanates from the intellectual disability supplement to the Irish Longitudinal Study on Ageing. Objective measures of height and weight, waist circumference and waist to hip ratio were obtained from 350 women with an intellectual disability (ID) in wave 2 of the IDS-TILDA study. Menopause status was categorized as pre (reporting continuation of menses) and post (self-reported 12 month of amenorrhea). Participant’s reported their menopause status. Barthel index was calculated to measure performance in activities of daily living along with the International Physical Activity Questionnaire (IPAQ). Logistic regression was conducted to determine the magnitude of the relationships between menopause and waist circumference controlling for all other variables in the model.
Results: In total 75% (n=262) of women had experienced the menopause. Waist circumference measures for substantially increased risk of metabolic syndrome were apparent in 82.8% of participants. Waist-to-hip-classification was high in 80.1%. Barthel index revealed severe dependency in 51.5% participants with just 1.2% engaging in a high level of physical activity (IPAQ).
Conclusion: Menopause, as a foreseeable life stage in the lives of women with an ID. Accentuating central adiposity and associated risk factors for women with an ID, who have experienced the menopause will inform behaviour and lifestyle change.
Miyee Woon
IIN Integrative Nutrition Health Coach, United Kingdom
Title: Nutritional value and quality of food
Time : 14:00 -14:30
Biography:
Miyee Woon has her expertise and passion in food and improving personal quality of life. With years of hands on experiences, research in simple homemade food, her findings in improving one’s health via food instead of medication was significant. She has built Miyee@KITCHEN to spread the word “The Kitchen is the heart of the house”.
Abstract:
Statement of the Problem: The fundamental benefits of nutrition and food are basically to keep us alive and able to complete our everyday tasks. Nowadays, we can see several types of diet: Vegetarian, Paleo, raw food, fishetarian, fruitarian, breatharian, etc. Each individual is unique and will therefore require a specific diet for optimal health. Quality of food: Can we really trust the packaging labels of the food we buy? Are we feeding our children real food? Will the switch to real food and the change of eating habits create significant changes to our body? The importance of primary food and secondary food: We need to explore the variation of the balance between primary and secondary food and how this variation affects quality of life.
Methodology & Theoretical Orientation: The circle of life theory chart: Relationship, home environment, home cooking, physical activity, health, education, career, finance, creativity, spirituality, joy, social life. Group coaching workshop: sharing of personal experiences and case study bringing the outcomes and examples.
Findings: We are now aware of the vital importance of both primary and secondary food for the wellbeing of the individual.
Conclusion & Significance: A healthy individual can be created by balancing the primary and secondary food.
Miroslava Nedyalkova
Sofia University, Bulgaria
Title: Assessment of similarity patterns of diabetes mellitus type 2 patient's clinical data by chemometric tools
Time : 14:30 -15:00
Biography:
Miroslava Nedyalkova has completed his PhD from Sofia University, in 2014. She is a Member of Faculty of Chemistry and Pharmacy, working in the field of Computational Chemistry and Multivariate Statistics.
Abstract:
The present study deals with the assessment and interpretation of clinical data for patients diagnosed with diabetes mellitus type 2 by the use of intelligent data analysis. One hundred (100) patients were involved and each of them were characterized by 33 clinical indicators related to testing the blood sugar, renal and liver functions and anthropometric data. The assessment methods were non-hierarchical cluster analysis being very convenient for supervised pattern recognition tasks. The major goal of the study is to try to find patterns of similarity (clusters) within the data set in order to improve the overall information needed by the medics for specific treatment and checking of the health status. Five clusters were interpreted with respect to similarities between the clinical indicators. The same number of clusters was a priori chosen for interpretation of the patterns of similarity between the patients. Each pattern will be specifically explained and discussed.
Silvana Pannain
University of Chicago, USA
Title: Obesity pathophysiology and the role of pharmacotherapy in weight loss and long-term weight maintenance
Time : 15:00 -15:30
Biography:
Silvana Pannain is an Associate Professor of Obesity Medicine and Endocrinology, Diabetes and Metabolism University of Chicago, Chicago, IL, USA and the Founder and Director of the Weight Management Program at the University of Chicago. She has completed her Medical degree in 1990 and her Residency in Cardiology and Cardiac Surgery in 1994 at the University of Naples Federico II, Italy; the Internal Medicine Residency in 2002 at Albert Einstein College of Medicine, Montefiore Medical Center Bronx, New York, USA and the Endocrinology Fellowship in 2004 at University of Chicago, Chicago, Illinois, USA. She has been Board Certified in Endocrinology, Diabetes and Metabolism since 2007 and Obesity Medicine since 2016. She has published numerous papers in peer reviewed journals and has been serving as an ABOM Obesity Medicine Certification Committee Member, since 2018.
Abstract:
More than one-third of adults in the United States suffer from obesity. In Europe in 2008, over 50% of adults were overweight and roughly 23% of women and 20% of men were obese. Obesity is intimately linked to many of the most common chronic illnesses like hypertension, hyperlipidemia, heart disease, sleep apnea, stroke, type 2 DM and 13 types of cancer. In recent years, clinical practice guidelines have emphasized the need for a chronic disease approach to obesity management. This is especially important given the high rates of recidivism seen with lifestyle modifications alone. Despite the prevalence and impact of obesity and the challenges of obesity management, many physicians report insufficient training in this area. This interactive lecture will offer participants the opportunity to learn about the physiology of appetite regulation and the process of metabolic adaptation to weight loss. This adaptive process appears to lead to a disproportionate reduction in energy expenditure, increased hunger, and decreased satiety, which may persist long after weight loss ceases. In this way, metabolic adaptation may make maintenance of a reduced body weight more difficult. Additionally, the lecture will discuss current obesity pharmacotherapy and their roles in weight loss and long-term weight maintenance. When used appropriately in combination with lifestyle modification, pharmacotherapy has an important role in the treatment of obesity and improves both short-term and long-term outcomes. The session will cover the efficacy and risks of the drugs currently approved for obesity, with reference to the clinical trials, clinical practice guidelines and considerations for use.
John Leju Celestino Ladu
University of Juba, South Sudan
Title: Impact of malnutrition on children less than five years of age in juba payam, republic of south sudan
Biography:
Abstract:
John Leju Celestino Ladu
University of Juba, South Sudan
Title: Impact of malnutrition on children less than five years of age in juba payam, republic of south sudan
Time : 15.30 - 16.00
Biography:
John Leju Celestino Ladu has completed his PhD as well as Post-doctoral (PD) Researcher from Southeast University, School of Energy and Environment. He worked as an Assistant Professor in the Department of Environmental Studies, College of Natural Resources and Environmental Studies, University of Juba and as the Deputy Dean of the College of Natural Resources and Environmental Studies, University of Juba. Apart from lecturing in the university, he works as an Environmental Consultant in private and government institutions in the Republic of South Sudan. He has participated in several national and international conferences in South Sudan, Sudan, Uganda, Somalia, China, Germany and Norway. He has published more than 40 papers in reputed journals and has been serving as an Editor in several journals.
Abstract:
The world’s youngest Nation, the Republic of South Sudan is a fragile state working to recover from decades of conflict and civil war. Children in South Sudan face substantial health risks as a result of malnutrition that has a greater impact on child growth and development such as physiological functions of growth, reproduction, defense, and repairs. Malnutrition among children less than five years of age continues to be one of the South Sudan’s major human development challenges. In spite of tremendous economic crisis made in the last two to three years of conflict, malnutrition among children in both urban and rural areas of South Sudan still claims many lives of children less than five years of age. However, mounting cases of malnutrition has caught the public eye and so health care providers as well as the government are taking the necessary steps to improve the current status of nutrition for children in South Sudan. In this study, a hospital based cross-sectional study was carried to study the impact of malnutrition on children less than five years of age in Juba Payam (district), Republic of South Sudan. Whereas, the specific objectives are to examine the causes of malnutrition on children less than five years of age, to investigate the feeding practice of children from their caretakers (especially mothers, fathers and grandparents), to investigate some environmental factors that contributes to malnutrition problems on children less than five years of age and to investigates socioeconomic factors that are linked to malnutrition problems from the communities in Juba Payam. A cross-sectional descriptive study was designed to collect primary informationmfrom households using a scientific questionnaire, observations and interviews to obtain the data for this research study and the data collected were analyzed and interpreted statistically. The results obtained indicated that 56% children were suffering from chronic malnutrition and 24% children were underweighted and 20% children were suffering from acute malnutrition. The study results showed that children with middle and poor economic status were more stunted as compared to children of high economic status.The results showed that children of mothers with no education were significantly more stunted. According to results obtained regarding the associates of child malnutrition status, 22% had never been breastfeed after their birth due to absent of milk from their mothers and maternal death, while 24% were affected by household size. Moreover 30% were faced by lower incomes. Socio-economic and demographic factors, lack of proper feeding practices; internal conflict and environmental health condition are found to be significantly associated with the high prevalence of malnutrition on children less than five years of age in Juba Payam, Republic of South Sudan. However, to reduce the burden of malnutrition among under-five children, a combined effort by the government, non-governmental organizations individuals and the community as well are essential to improve the nutritional status of children at Juba Payam. Working at the effective, efficient and equitable program should be designed to reduce child malnutrition. In addition, nutrition surveillance needs to be done continually and special attention should be given to vulnerable groups such as poorest and most undernourished children. A healthy mother can give birth to a healthy children, thus the intervention programs for improving the nutritional status of children must focus not only on children but also on their mothers nutritional status.
John Leju Celestino Ladu
University of Juba, South Sudan
Title: Impact of malnutrition on children less than five years of age in juba payam, republic of south sudan
Biography:
John Leju Celestino Ladu has completed his PhD as well as Post-doctoral (PD) Researcher from Southeast University, School of Energy and Environment. He worked as an Assistant Professor in the Department of Environmental Studies, College of Natural Resources and Environmental Studies, University of Juba and as the Deputy Dean of the College of Natural Resources and Environmental Studies, University of Juba. Apart from lecturing in the university, he works as an Environmental Consultant in private and government institutions in the Republic of South Sudan. He has participated in several national and international conferences in South Sudan, Sudan, Uganda, Somalia, China, Germany and Norway. He has published more than 40 papers in reputed journals and has been serving as an Editor in several journals.
Abstract:
The world’s youngest Nation, the Republic of South Sudan is a fragile state working to recover from decades of conflict and civil war. Children in South Sudan face substantial health risks as a result of malnutrition that has a greater impact on child growth and development such as physiological functions of growth, reproduction, defense, and repairs. Malnutrition among children less than five years of age continues to be one of the South Sudan’s major human development challenges. In spite of tremendous economic crisis made in the last two to three years of conflict, malnutrition among children in both urban and rural areas of South Sudan still claims many lives of children less than five years of age. However, mounting cases of malnutrition has caught the public eye and so health care providers as well as the government are taking the necessary steps to improve the current status of nutrition for children in South Sudan. In this study, a hospital based cross-sectional study was carried to study the impact of malnutrition on children less than five years of age in Juba Payam (district), Republic of South Sudan. Whereas, the specific objectives are to examine the causes of malnutrition on children less than five years of age, to investigate the feeding practice of children from their caretakers (especially mothers, fathers and grandparents), to investigate some environmental factors that contributes to malnutrition problems on children less than five years of age and to investigates socio-economic factors that are linked to malnutrition problems from the communities in Juba Payam. A cross-sectional descriptive study was designed to collect primary information from households using a scientific questionnaire, observations and interviews to obtain the data for this research study and the data collected were analyzed and interpreted statistically. The results obtained indicated that 56% children were suffering from chronic malnutrition and 24% children were underweighted and 20% children were suffering from acute malnutrition. The study results showed that children with middle and poor economic status were more stunted as compared to children of high economic status The results showed that children of mothers with no education were significantly more stunted. According to results obtained regarding the associates of child malnutrition status, 22% had never been breastfeed after their birth due to absent of milk from their mothers and maternal death, while 24% were affected by household size. Moreover 30% were faced by lower incomes. Socio-economic and demographic factors, lack of proper feeding practices; internal conflict and environmental health condition are found to be significantly associated with the high prevalence of malnutrition on children less than five years of age in Juba Payam, Republic of South Sudan. However, to reduce the burden of malnutrition among under-five children, a combined effort by the government, non-governmental organizations individuals and the community as well are essential to improve the nutritional status of children at Juba Payam. Working at the effective, efficient and equitable program should be designed to reduce child malnutrition. In addition, nutrition surveillance needs to be done continually and special attention should be given to vulnerable groups such as poorest and most undernourished children. A healthy mother can give birth to a healthy children, thus the intervention programs for improving the nutritional status of children must focus not only on children but also on their mothers nutritional status.