Day 1 :
Session Introduction
Dr. Ana Dâmaso
federal university of Sau Paulo, Brazil
Title: Interdisciplinary Therapy was Effective to Reduce the Metabolic Syndrome Prevalence in Women with Obesity
Biography:
Professor Ana Dâmaso has completed her PhD in Nutrition Sciences at the age of 35 years from Paulista Medicine School at the Federal University of São Paulo; and postdoctoral studies in Pediatrics Sciences from the same University. She is Brazilian Researcher of National Council on Scientific and Technological Development. She has published more than 100 papers in reputed journals and has been serving as an editorial board member of World Obesity Federation.
Abstract:
Introduction: metabolic syndrome is a constellation of altered parameters that coexist with obesity increasing risks for cardiovascular disease.
Objective: To evaluate 1) the effects of the clinical multicomponent therapy in the prevalence of metabolic syndrome; and 2) if the leptin and adiponectin can modulate its response in women with obesity.
Methods: Interdisciplinary therapy consisted of follow-up with an endocrinologist, nutritionist, and exercise physiologist, associated with health education by web-based weekly videos about exercise and nutrition to promote lifestyle changes (# 12semanas®) and support through Facebook®, Instagram® and WhatsApp®. This study was approved by the Research Ethics Committee. Women with obesity (n = 32), aged 31.06 ± 4.70 years and BMI of 34.01 ± 4.00 kg/m² were selected. Body composition by electric bioimpedance and adiponectin, leptin by ELISA were performed. The metabolic syndrome screening was made by IDF criteria.
Results: At the beginning of therapy 21.8% of women with obesity present metabolic syndrome (MS) diagnosis wich was reduced to 3%. In the delta comparison, MS group presented higher values for body weight, waist circumference, body fat, total cholesterol, and reduced HDL-c. Improvements were finding in body composition and lipid profile in both analysed groups. In the MS group it were observed a reduction in the leptin concentration. Delta comparison finding a positive correlation between leptin/adiponectin ratio with waist circumference and HOMA-AD.
Conclusion: Clinical approach associated with health education was effective in reducing the MS prevalence mediated by leptin and adiponectin avoid the development of cardiovascular disease in women with obesity.
KeyWords: Obesity, Metabolic syndrome, Exercise, Diet therapy, Social networking
Areum Yoo
Wonkwang University Hospital, South Korea
Title: Relationship between Serum Lipid ratios and Cardiovascular Disease Risk Factors in Korean Adult: Using 2016 Korea National Health and Nutrition Examination Survey Data
Biography:
Areum Yoo has completed her PhD at the age of 28 years from Jeonbuk National University, South Korea. She is the resident of Wonkwang University Hospital, South Korea. She is majoring in Family Medicine.
Abstract:
Lipid profile is major predictive index for cardiovascular disease, but there are only few studies on relationship between lipid ratio and cardiovascular disease risk factors in Korean population. We investigated the association between three lipid ratios and cardiovascular disease risk factors among Korean adults. This study used data from the seventh Korea National Health and Nutrition Examination Survey conducted in 2016. Lipid ratios included triglyceride (TG)/high density lipoprotein cholesterol (HDL), the total cholesterol (TC)/HDL and the low density lipoprotein cholesterol (LDL)/HDL. Cardiovascular risk factors included in this research were as follows: systolic blood pressure (SBP)≥ 140, diastolic blood pressure (DBP)≥ 90, fasting blood sugar (FBS)≥ 126, HbA1c≥ 6.5, body mass index (BMI)≥ 25, waist circumference (WC) men≥ 90, women≥ 85 and metabolic syndrome (MetS). A complex samples logistic regression test was performed to analyze the association between lipid ratios and cardiovascular disease risk factors. Results that 1) TG/HDL ratio had statistically significant relationship with DBP, FBS, HbA1c, BMI, WC and MetS. 2) TC/HDL ratio was correlated to SBP, DBP, FBS, BMI, WC and MetS. 3) LDL/HDL ratio had association with BMI, WC and MetS. We identified significant association between lipid ratios and cardiovascular disease risk factors, especially three lipid ratios were commonly associated with BMI, WC and MetS.
Dr. Mitra KazemiJahromi
Department of Endocrinology, Hormozgan University of Medical Sciences, Bandarabbas, Iran
Title: The association between serum lipid profile and glycosylated hemoglobin in type 2 diabetic patients
Biography:
Mitra Kazemi Jahromi is an Endocrinologist, Assistant Professor of Hormozgan University of Medical Sciences, Bandar Abbas, Iran . Education: General Practice: Shiraz University of Medical Sciences, Shiraz, Iran.
Specialty of Internal Medicine: Tehran University of Medical Sciences, Tehran, Iran, 2011
Sub specialty of Endocrinology and Metabolism: Shahid Beheshti University of Medical Sciences, Research institute for endocrine sciences, Tehran, Iran, 2018.
I have published some national and international papers in esteemed journals about internal medicine and now working in Clinical Research Center and Endocrine Research Center of Hormozgan University of Medical Sciences with more focus on diabetic patients. I have appeared many national and international symposiums as a speaker.
Abstract:
Background: Patients with type II diabetes are at high risk of dyslipidemia, and subsequently, cardiovascular diseases. The present study investigates the relationship between glycosylated hemoglobin and lipid profile, and its effect as a predictive indicator of dyslipidemia in type II diabetes.
Method: The present cross-sectional study enrolled 802 patients with type II diabetes. Glycosylated hemoglobin was divided into two groups (<8% and ≥8%).GFR at two levels (>60% and ≤60%) was measured using two different techniques (EPI and MDRD). Then, the relationship of lipid profile with different levels of HbA1C and GFR was separately determined.
Results: In the present study, 74% of those with HbA1C≤8% and 71% of those with HbA1C>8% were female. Cholesterol, Triglyceride and LDL were significantly higher in patients with HbA1C>8% compared to those with HbA1C≤8 %( P value<0.005, 0.046 and 0.005, respectively). The relationship with HDL was not significant. Moreover, analysis of data at two levels of GFR showed a significant difference in patients with GFR≥60 only in terms of Triglyceride. This relationship was significant using both EPI and MDRD methods (P value=o.o11 and 0.017 respectively).
Conclusion: Glycosylated hemoglobin can be used as a predictor of dyslipidemia in patients with type II diabetes, and its subsequent diagnosis and treatment, and thus prevention of cardiovascular diseases.
Biography:
Abduh ELsayed Mohamed Elbanna is an Professor of Surgery at Al-azhar University, Faculty of Medicine Cairo, and also Alhosain hospital General Surgery Department Unit A, Egypt.
Abstract:
Background: Goals of bypass surgery are weight loss, prevention of further weight gain, long-term maintenance, improvements of co-morbidities, no nutritional deficiency, psychological and QOL improvements.
Objectives: Modified intestinal bypass operation (Elbanna Operation) is less problematic than other bypass surgery in nutrition. The problem is that Bypass procedures depend on BPD and the concept of maldigestion and consequently malabsorption. These procedures sacrifice or exclude parts of the stomach (85-90%) and bypasses the duodenum and the proximal jejunum .These parts represent the most active digestive and absorptive areas of the gastrointestinal tract. Protein digestion begins in the stomach with pepsin. In the duodenum, trypsin and chymotrypsin (pancreatic juice) in addition to carboxypeptidase, peptidase, and biliary secretion split polypeptides into free amino acids ready for absorption and digest fats to get fat-soluble vitamins. Vitamin absorptions and minerals are chelated by free form amino acids in the duodenum and in the proximal jejunum.
Methods: We have experienced 256 patients morbidly obese patients , 198 females (77.4%) and 58 males (22.6%), aged 21 to 52 years old; (39.7 ± 9.2) mean age, with morbid and sever obesity BMI ≥40 kg/m2 up to 106 Kg/m2. All subjects have undergone a new modified intestinal bypass (MIBP) surgery Novel (Elbanna Operation) in the period from December 1999 to July 2015. Subjects were followed up for 3 years after the operation. In our procedure, we have the gastric and biliopancreatic secretion for digestion, together with 30 cm duodenum, 50 cm of proximal jejunum, and 100 cm of terminal ileum for absorption with removal of the fundus.
Results: Excellent weight loss (93% ±3.5), most of the element deficiencies in our study occurred in the maximum period of weight loss followed by normal levels. Additionally, there was no liver affection, no micro or macronutrients deficiency without any post-operative vitamin supplementation or any nutritional support.
Conclusion: Novel modified intestinal bypass (MIBP) “Elbanna Operation” concept has a good digestion, selective absorption, better satiety, and decreased appetite.
Amanda Macdonald
NextGenU.org, USA
Title: Diabetes Educator course with a Specialization in Indigenous Health
Biography:
Amanda Macdonald has completed a BA in Social Sciences from McMaster University in 2018. She is currently working in the healthcare field as a Pharmacy Technician since 2018, and is working with NextGenU.org as a course creator since 2019. Her current project focuses on Diabetes education to create a course accessible from anywhere in the world for free, to facilitate better communication and education surrounding patient management of diabetes mellitus.
Abstract:
Diabetes Mellitus is a global epidemic, with 500 million people suffering globally in 2013. Patients cannot successfully manage their diabetic symptoms due to the lack of quality improvement (QI) of diabetic self-management education (DSME). In 2013, this number was 3 to 5 times higher in First Nations populations. The objective of this research is to facilitate better QI and DSME in Indigenous populations across the globe by creating a free, accredited course. This course will educate sustainable health promotion techniques needed for monitoring sugars, mental illness, treating common complications, medication management, and physical and nutritional therapy, to only name a few. Research on the succession will be analyzed in a Public Health practice-based research network (PBRNs) method with surveys, interviews, and statistical analysis on short-/long-term effectiveness from baseline tests. These will include: heart rate, blood pressure, mental health, medication, blood sugar levels >3 months, hyper-/hypo-glycemia, blood circulation, ankle brachial pressure test scores, kidney function, and macrovascular, retinopathy, dermatology and nerve damage complications. These tests will be completed in a small group of remote Indigenous communities in Quebec, Canada. It is hypothesized that this will improve public health efforts of patient self-management of diabetes and its associated symptoms. With this free, accredited, accessible online course to prepare health practitioners in DSME, better glycemic control, less hospital visits, decreased retinopathy, nephropathy, and neuropathy is expected.
Biography:
Ashesh Kumar Chowdhury has completed his medical graduation at the age of 24 years from Dhaka Medical College under Dhaka University and postdoctoral studies in Immunology from same University School of Post Graduate Medical Faculty. He pursued PhD form International Centre of Genetic Engineering and Biotechnology (ICGEB). He is the professor and Head of Dept. of Immunology, BIRDEM General Hospital, a world renowned diabetes treatment and research organization.
Abstract:
Presence of several criteria for metabolic syndrome and lack of uniformity among them create confusion among the physicians during diagnosis. We estimated serum levels of adiponectin, soluble CD36 and hs-CRP in patients with metabolic syndrome and to see the variation of their levels in comparison to those of a group of healthy subjects. A total of 180 subjects were enrolled in this cross-sectional study. 120 of them met the criteria of ‘consensus definition’ for metabolic syndrome and 60 of them were healthy subjects without metabolic syndrome. Statistically significant difference was found in serum level of adiponectin (10.38 ± 5.09 vs 20.87 ± 8.23 ng/ml, p= <0.001), soluble CD36 (4.6 ± 2.93 vs 3.75 ± 1.68 ng/ml, p <0.001) and hs-CRP (3.26 ± 4.73 vs 3.23 ± 0.00 mg/dl, p= 0.002) between metabolic syndrome patients and healthy subjects. It also revealed significant difference in adiponectin (11.6 ± 4.32 vs 20.87 ± 8.32, p= 0.013) and soluble CD36 (4.20 ± 2.09 vs 3.75 ± 1.68, p= 0.006) level between diabetic and non-diabetic group of metabolic syndrome. Adiponectin level showed significant relation with most of the (4 out of 5) parameters of metabolic syndrome (waist circumference [WC] (r= -0.651, p <0.001), systolic blood pressure [SBP] (r= -0.385, p<0.001) and diastolic blood pressure [DBP] (r= -0.510, p<0.001), triglyceride (TG) (r= -0.253, p=0.024) and high density lipoprotein [HDL] (r= 0.256, p= 0.022)). Soluble CD36 showed positive significant relation with 3 parameters (WC (r= 0.345, p= 0.002), TG WC (r= 0.275, p= 0.014) and (DBP (r=0.361, p=0.001).
Biography:
Ashesh Kumar Chowdhury has completed his medical graduation at the age of 24 years from Dhaka Medical College under Dhaka University and postdoctoral studies in Immunology from same University School of Post Graduate Medical Faculty. He pursued PhD form International Centre of Genetic Engineering and Biotechnology (ICGEB). He is the professor and Head of Dept. of Immunology, BIRDEM General Hospital, a world renowned diabetes treatment and research organization.
Abstract:
Presence of several criteria for metabolic syndrome and lack of uniformity among them create confusion among the physicians during diagnosis. We estimated serum levels of adiponectin, soluble CD36 and hs-CRP in patients with metabolic syndrome and to see the variation of their levels in comparison to those of a group of healthy subjects. A total of 180 subjects were enrolled in this cross-sectional study. 120 of them met the criteria of ‘consensus definition’ for metabolic syndrome and 60 of them were healthy subjects without metabolic syndrome. Statistically significant difference was found in serum level of adiponectin (10.38 ± 5.09 vs 20.87 ± 8.23 ng/ml, p= <0.001), soluble CD36 (4.6 ± 2.93 vs 3.75 ± 1.68 ng/ml, p <0.001) and hs-CRP (3.26 ± 4.73 vs 3.23 ± 0.00 mg/dl, p= 0.002) between metabolic syndrome patients and healthy subjects. It also revealed significant difference in adiponectin (11.6 ± 4.32 vs 20.87 ± 8.32, p= 0.013) and soluble CD36 (4.20 ± 2.09 vs 3.75 ± 1.68, p= 0.006) level between diabetic and non-diabetic group of metabolic syndrome. Adiponectin level showed significant relation with most of the (4 out of 5) parameters of metabolic syndrome (waist circumference [WC] (r= -0.651, p <0.001), systolic blood pressure [SBP] (r= -0.385, p<0.001) and diastolic blood pressure [DBP] (r= -0.510, p<0.001), triglyceride (TG) (r= -0.253, p=0.024) and high density lipoprotein [HDL] (r= 0.256, p= 0.022)). Soluble CD36 showed positive significant relation with 3 parameters (WC (r= 0.345, p= 0.002), TG WC (r= 0.275, p= 0.014) and (DBP (r=0.361, p=0.001).
Biography:
Sophie Bondje and Camilla Barnes are Junior Doctors in training at Lister Hospital, Stevenage. Felicity Kaplan is a Consultant in Diabetes and Endocrinology at Lister Hospital Stevenage.
Abstract:
Milk-alkali syndrome (MAS) is a triad of hypercalcaemia, metabolic alkalosis and renal insufficiency. It is caused by ingesting vast quantities of calcium carbonate. We present a case of milk-alkali syndrome secondary to concurrent use of over-the-counter (OTC) Rennie tablets for dyspepsia and Adcal D3 for osteoporosis. A 72 year old lady presented to hospital with a two day history of nausea, vomiting, epigastric pain, constipation, lethargy and mild delirium. Past medical history included osteoporosis and she had been taking Adcal D3 daily. Inital blood tests showed an elevated serum adjusted calcium at 3.77 mmol/L (normal range 2.2-2.6) and creatinine 292 umol/L (45-84) from a baseline of 84. This was corrected with IV pamidronate and IV fluids. She developed asymptomatic hypocalcemia and rebound hyperparathyrodism. A myeloma screen, vasculitic screen and serum ACE were normal, while a CT chest, abdomen and pelvis showed renal stones but no malignancy. IA bone marrow biopsy showed no evidence of malignancy. Once the patient’s delirium resolved we established that she had been self-medicating with significant quantities of Rennie tablets for epigastric pain relief in the weeks prior to admission. MAS is now the third most common cause of hypercalcaemia due to the modern prevention and management of osteoporosis, and readily available OTC preparations for dyspepsia relief. Educating patients and healthcare professionals on the risks associated with these seemingly safe medications is required. Appropriate warning labels on OTC calcium-containing preparations would help prevent further cases of this type and unnecessary morbidity and hospital admission.
Biography:
Ashesh Kumar Chowdhury has completed his medical graduation at the age of 24 years from Dhaka Medical College under Dhaka University and postdoctoral studies in Immunology from same University School of Post Graduate Medical Faculty. He pursued PhD form International Centre of Genetic Engineering and Biotechnology (ICGEB). He is the professor and Head of Dept. of Immunology, BIRDEM General Hospital, a world renowned diabetes treatment and research organization.
Abstract:
Presence of several criteria for metabolic syndrome and lack of uniformity among them create confusion among the physicians during diagnosis. We estimated serum levels of adiponectin, soluble CD36 and hs-CRP in patients with metabolic syndrome and to see the variation of their levels in comparison to those of a group of healthy subjects. A total of 180 subjects were enrolled in this cross-sectional study. 120 of them met the criteria of ‘consensus definition’ for metabolic syndrome and 60 of them were healthy subjects without metabolic syndrome. Statistically significant difference was found in serum level of adiponectin (10.38 ± 5.09 vs 20.87 ± 8.23 ng/ml, p= <0.001), soluble CD36 (4.6 ± 2.93 vs 3.75 ± 1.68 ng/ml, p <0.001) and hs-CRP (3.26 ± 4.73 vs 3.23 ± 0.00 mg/dl, p= 0.002) between metabolic syndrome patients and healthy subjects. It also revealed significant difference in adiponectin (11.6 ± 4.32 vs 20.87 ± 8.32, p= 0.013) and soluble CD36 (4.20 ± 2.09 vs 3.75 ± 1.68, p= 0.006) level between diabetic and non-diabetic group of metabolic syndrome. Adiponectin level showed significant relation with most of the (4 out of 5) parameters of metabolic syndrome (waist circumference [WC] (r= -0.651, p <0.001), systolic blood pressure [SBP] (r= -0.385, p<0.001) and diastolic blood pressure [DBP] (r= -0.510, p<0.001), triglyceride (TG) (r= -0.253, p=0.024) and high density lipoprotein [HDL] (r= 0.256, p= 0.022)). Soluble CD36 showed positive significant relation with 3 parameters (WC (r= 0.345, p= 0.002), TG WC (r= 0.275, p= 0.014) and (DBP (r=0.361, p=0.001).
Elia Garcia Caldini
Laboratory for Cell Biology University of Sao Paulo School of Medicine, Brazil
Title: Effect of Antioxidant-rich fruit Extract Intake on Oxidative Stress, Hemodynamic Profile and Insulin Resistance in Hypertensive Patients
Biography:
Elia Garcia Caldini has completed her PhD in Experimental and Comparative Pathology at University of São Paulo (Brazil) and postdoctoral studies from Bologna University (Italy). She is the Professor at Pathology Department and director of the Medical Research Laboratory for Cell Biology at University of São Paulo School of Medicine. She has published more than 70 papers in journals with a strong editorial policy.
Abstract:
Diets high in antioxidant substances (polyphenols) may reduce the risk of cardiovascular events. Low consumption of fruits and vegetables is involved in oxidative stress, hypertension and insulin resistance. Although the consumption of fresh fruit or juice is the best way to acquire its nutritional components, the use of capsules containing fruit extracts has the advantage of being easily consumed and lasting longer. Therefore, studies are needed to support antioxidant supplementation in the form of encapsulated fruit extracts and to verify if the protective properties of these fruits remain after the processing that generates the extracts. Thus, the objectives of this study are: 1) To determine the phenolic content and antioxidant capacity of cranberry, blueberry and pomegranate extracts; 2) Perform evaluation of oxidative stress markers, markers of inflammatory activity, together with hemodynamic assessment. For this, a placebo-controlled clinical trial was conducted with hypertensive and normotensive subjects who received the fruit extract capsules (blueberry, cranberry and pomegranate) for 4 weeks. Hemodynamic, inflammatory mediators, insulin resistance, and plasma antioxidant activity evaluations were performed. Biochemical analysis of fruit extracts showed that the antioxidant activity of phenolic components remains in the capsules. The HOMA-IR index, that discloses insulin resistance, decreased significantly after capsule consumption. Although there were no hemodynamic changes, there was a decrease in lipid peroxidation after capsule consumption and an increase in catalase activity. The results of this study suggest that supplementation with cranberry, blueberry and pomegranate capsules can reverse oxidative damage and reduce insulin resistance in hypertensive patients.
Manisha Sapkota
Manmohan Memorial Institute of Health Sciences, Nepal
Title: Diabetes risk score among young adult students
Biography:
Manisha Sapkota has completed her Bachelor at the age of 22 years from Manmohan Memorial Institute of Health Sciences. Her manuscript which was submitted to Journal of Multidisciplinary Healthcare has moved to status 'First Report Returned. She is Medical Laboratory Technologist at South Asian Polyclinic and Diagnostic Center.
Abstract:
Objective:
Diabetes is a chronic metabolic disease which is growing at worrying rate in developing country like Nepal. It is prevalent in children, adolescent and young adults due to increase in risk factors such as over feeding, physical inactivity, obesity. Therefore, the aim of this study was to assess diabetes risk score among young individuals.
Methods: Across sectional study was conducted among students of age group (18to 25 years) studying at Manmohan Memorial Institute of Health Sciences and Central Institute of Science and Technology. All the socio-demographic data, anthropometric measurements, lifestyle and dietary habits were recorded by using standard questionnaire. Fasting plasma glucose and lipid profile were estimated by using standard manufactthe urer’s guideline. Then the Diabetes risk score was calculated by The Finnish Diabetes Risk Score (FINDRISC tool). Association between cardio-metabolic risk factors and diabetes risk score was established by ANOVA test.
Results: Among total 825 students, 739 (89.6%) were recruited for the study with complete questionnaire, anthropometric measurement and fasting blood sample. Median age of the study population was 20 years. Among total study population, 553 (74.80%) were under low risk (FINDRISC<7), 164 (22.18%) were at slightly elevated risk (FINDRISC 7-11), 15 (2.02%) were at moderate risk (FINDRISC 12-14) and 7 (1.01%) were at high risk of diabetes. BMI, TC and LDL-C were higher at significant level (p<0.001) with increasing diabetes risk score in our study population.
Conclusion: Risk factors for diabetes were common among young adults. Early assessment of diabetes risk in young may provide insights for preventive and control plan for risk population.
Sudhir Joshi
District Ayurveda Officer, India
Title: Treatment of malnourished children by Ayurvedic principles w.s.r to Charakokta dashemani
Biography:
Dr. Sudhir V Joshi has done Masters in Ayurveda from highly esteemed Institute of Post graduate Training and Research- Jamnagar, his speciality being Bhaishajya Kalpana. Presently he is District Ayurveda Officer at Vadodara, Gujarat state, India. He had presented research paper in World Ayurveda Congress - Ahmedabad in December 2018. My both articles have been published in Journal of Conventional Knowledge and Holistic Health.
Abstract:
Since centuries malnutrition has been a constant threat to our society. Though several steps have been taken for its elimination we have not been able to remove it in a substantial manner. Ayurveda is an age old treatment modality and its efficacy has stood the test of time but its efficacy in treating this condition has not been gauged in a methodic way. Ayurveda has a rich arsenal for combating various diseases and allied conditions. It also has variety of treatment protocols. One modality that is very popular and effective even in short time frame is its Vyadhi prayanik chikitsa.Vyadhi pratyanik chikitsa is targeted towards vyadhi-diseased state or condition with potent medicines that can pacify dosh-dushya and vyadhi altogether. The dashemaani drugs described by Acharya Charak are a set of such drugs. Each drug of specific set is cautiously chosen and is highly efficient in resolving the relevant disease/disease entity/disease condition. Specific drugs were selected from the different dashemaani. Children of aanganwadi of Vasvel village, Dist. Vadodara were selected as the subjects of the study. Increase in weight, was taken as benchmark for the study along with monitoring of general wellness as a subjective parameter. Weight gain was observed in all children .Details would be presented and discussed in complete paper.
Sudhir Joshi
District Ayurveda Officer, India
Title: Jan Andolan: A strategy to create change agents to sensitize school children about holistic health and nutrition in Vadodara district, Gujarat, India
Biography:
Dr. Sudhir V Joshi has done Masters in Ayurveda from highly esteemed Institute of Post graduate Training and Research- Jamnagar, his speciality being Bhaishajya Kalpana. Presently he is District Ayurveda Officer at Vadodara, Gujarat state, India. He had presented research paper in World Ayurveda Congress - Ahmedabad in December 2018. My both articles have been published in Journal of Conventional Knowledge and Holistic Health.
Abstract:
Purpose: Malnutrition among school children is a cause of concern in India. Faulty dietary practices, lack of physical activity and stress are the major factors contributing to dual burden of mal nutrition in school children. Anemia – micronutrient malnutrition is also prevalent among this group. Various strategies to improve nutritional status are implemented at present. Recently National nutrition Mission is focusing on Jan andolan strategy to create awareness in community for improving their nutritional status. the present study was planned to form a nutrition brigade – change agents to sensitize their own school fellows on various aspects of nutrition and health.
Methods:
List of schools having secondary division were obtained from the district education office of the Vadodara . these schools are divided in 7 Shala Vikas sankul( SVS) - School development Clusters). From 7 SVS total of 60 schools were selected after permission from concerned authorities. Students of 9 and 11 th were enrolled for the study .Based on their anthropometry measurements, leadership qualities and basic knowledge about nutrition and health four change agents were selected from each enrolled school s
Results: from each school four change agents’ two boys and two girls were selected. In all 240 change agents are selected. In the month of September- Nutrition month celebrations, these change agents will be sensitized about jan andolan strategy using various activity based approach to create awareness about nutrition and health amongst their fellow school children.
Conclusion: 240 change agents are serving as effective strategy to achieve holistic health of school children in India.
Janine Alessi
Hospital de ClÃnicas de Porto Alegre, Brazil
Title: Association between eating behavior, biochemical measurements, and pyy hormone levels in obese adolescents
Biography:
Janine Alessi is a physician graduated from the Universidade Federal do Rio Grande do Sul. She is currently a resident doctor in internal medicine at Hospital São Lucas da PUCRS and a master's student at Universidade Federal do Rio Grande do Sul.
Abstract:
Abstract: Studying the different dimensions of eating behavior during lifestyle interventions can serve as a tool to identify causes of obesity and track treatment strategies for obese people.
Objective: To evaluate the eating behavior of obese adolescents and its association with biochemical, anthropometric and PYY measures.
Methods: 51 obese adolescents received counseling for weight management at 12 monthly appointments. Fasting serum PYY levels, total cholesterol (TC), high density lipoprotein cholesterol (HDL-C), triglycerides (TG), low density lipoprotein cholesterol (LDL-C), insulin and glucose levels, waist circumference (WC) and results from the Three-Factor Eating Questionnaire (TFEQ-21) were assessed.
Results: Over one year there was a significant increase in PYY levels (p = 0.026); reduction in TC (p = 0.003), TG (p = 0.022), BMI (p = 0.002), BMI z-score (p <0.001) and WC (p = 0.003). There was a decrease in the Uncontrolled Eating score (UE), illustrating that adolescents displayed more self-control (p = 0.008) at the end of the study. The reduction in UE was associated with a significant improvement in insulin levels (rs = 0.326; p = 0.020). The reduction in UE was also associated with lower levels of blood glucose (r = 0.332; p = 0.017), and the increase of cognitive restriction, with the reduction of insulin insulin (rs = -0.294 p = 0.036) and TG (r = -0.368; p = 0.008).
Conclusions: Our results show that after a year of monitoring weight loss, adolescents had more controlled eating behaviors, increased PYY levels, and reduced weights.