Scientific Program

Day 1 :

Keynote Forum

James A Cocores

University of Florida College of Medicine & McKnight Brain Institute, USA

Keynote: Prescribing Pills without Co-Prescribing a Greater Alkaline Lifestyle Merely Perpetuates Misery and Mortality

Time : 09:30 to 10:05

Biography:

Department of Psychiatry, University of Florida College of Medicine & McKnight Brain Institute, Gainesville, FL, USA

 

Abstract:

People who have insufficiently wrapped their minds around redox biophysics refer to relative metabolic acidosis as “increased systemic oxidative stress,” the fundamental cause of opioid food misuse disorder and nicotine misuse disorder, and their associated symptoms of ischemic heart disease, cancer, stroke, diabetes, lung disease, and Alzheimer’s. Oxidative stress doesn’t actually describe or help clinicians visualize how chronic illness is prevented and evolves whereas “relative metabolic acidosis” helps clinicians see exactly how chronic illness can be prevented and progress—namely, by sizzling our minds and bodies from within each one of our 37 trillion cells.

Redox detox thinking via Overeaters Anonymous (OA), Nicotine Anonymous (NicA), and Emotions Anonymous (EA) helps reduce systemic acidotic cortisol levels as well as adrenaline, dopamine, and opioid withdrawal symptoms, such as fear, worry, anxiety, unhappiness, pain, and attention deficit. Regular OA, NicA, or EA attendance helps restore relative metabolic alkalosis, which is associated with more courage, acceptance, serenity, compassion, and happiness.

Redox detox aerobic exercises include bicycling, dancing, hiking, jumping jacks, leg lifts, rowing, swimming, and tai chi helps reduce the relative metabolic acidosis of stagnation and rigorous anaerobic exercise. If individuals are still too overweight to begin a more alkaline-type physical routine, then remember what Hippocrates said: Walking is man’s best medicine. Have individuals start out by walking as far as is comfortably possible. Then, at one-week increments, move the time they walk up a notch so that they are eventually walking 20 to 40 minutes per day. They may walk around their home or around an indoor mall when weather is uncomfortable. Redox detox eating and drinking are contraindicated in people taking blood thinners and consist of consuming more than 50% of food and drink from minimal processed avocado, asparagus, baby lima beans, broccoli, broccoli rabe or rapini, Brussels sprouts, cabbage, celery, chard, collard greens, cucumber, gandules, giant lima beans, green beans, Italian cut green beans, kale, leeks, limes, mustard greens, okra, seaweed, spring greens, sprouts, wheat grass, and zucchini.

Progress can be assessed by monitoring urine pH and at home, using relative skin smoothness, increased bleeding time after shaving cuts or paper cuts, urine pH greater than 6.8, and urine alkalinity greater than 120, which can be measured using multi-purpose 6-way test strips. Prescribing pills without co-prescribing a greater alkaline lifestyle will remain an exercise in futility in the clinical management of chronic illness and the prevalence of chronic illness.

 

Biography:

To be updated.

Abstract:

Background: Largest organ of human body, the skin, is colonized by millions of microorganisms, most of which are not only harmless but also beneficial to the host. Human skin microbes depend upon geographical variations, ethnicity and various host factors. Despite several studies on human skin microbiota in various parts of the globe, it has not been studied in Nepalese population.

Aims and objectives: To identify skin bacterial normal flora in different ethnic groups residing in different altitude of Nepal.

Materials and Methods: We cultured skin swabs of 166 randomly selected volunteers belonging to 10 major ethnic groups from 3 distinct geographical altitudes of Nepal, viz. Bharatpur (415 m from sea level), Kathmandu (1,400 m from sea level) and Lukla (2,860 m from sea level). The isolated organisms were characterized and tested for their susceptibility against different antibiotics.

Results: Altogether 231 bacterial isolates were characterized from 166 skin samples. Among them, 140 isolates (60.60 %) were Gram positive and 91 isolates (39.40 %) were Gram negative bacteria. Staphylococcus aureus (35.49%) was the most dominant skin bacterial flora followed by Escherichia coli (22.51%) and Streptococcus spp. (17.75%). Medium altitude Kathmandu exhibited the highest growth (120 isolates) followed by low land Bharatpur (66 isolates) and high land Lukla (51 isolates) which is statistically significant (p value =0.0124). The antibiotic susceptibility testing against 14 antibiotics exhibited the Gram positive isolates were the most sensitive to Imipenem (94.93 %) whereas the least sensitive to Cephalexin (31.36 %) and the Gram negative isolates were the most sensitive to Amikacin (100%) whereas the least sensitive to Amoxycillin (28.57 %).

Conclusion: Our data indicates that the skin bacterial normal flora; which is directly exposed to external environment; has significant relationship with altitudes where individuals live. The result desires further study for the adaptability of normal flora found in different altitudes. Some bacterial commensals were found resistant even against new generations of antibiotics as well, and hence can cause life-threatening infections if they happen to cross the skin physical barrier.

 

 

 

Biography:

CONSULTANT DIABETOLOGIST AND ENDOCRINOLOGIST                         

Has passed MBBS and MD from Govt medical college surat.

-has done post graduate diploma in diabetes and fellowship in endocrinology from lilavati hospital, Mumbai.

-Post graduate diploma in endocrinology from university of south wales,UK

-is a member of American Association Of Clinical Endocrinologists .Has presented

papers in various international conferences.

-presently working as a diabetologist and endocrinologist at DESAI DIABETES AND

ENDOCRINE CLINIC and at ADVANCED DIABETES CENTRE ,SURAT

-Also attached to Govt. medical college ,surat as an honorary endocrinologist

-conducting many phase 3-4 clinical trials and interested in clinical research in the field of diabetes and endocrinology.

 

 

Abstract:

Chia is an edible seed that comes from the desert plant Salvia hispanica, grown in Mexico dating back to Mayan and Aztec cultures. "Chia" means strength, and folklore has it that these cultures used the tiny black and white seeds as an energy booster. That makes sense, as chia seeds are a concentrated food containing healthy omega-3 fatty acids, carbohydrates, protein, fiber, antioxidants, and calcium. Chia seeds are an unprocessed, whole-grain food that can be absorbed by the body as seeds (unlike flaxseeds). One ounce (about 2 tablespoons) contains 139 calories, 4 grams of protein, 9 grams fat, 12 grams carbohydrates and 11 grams of fiber, plus vitamins and minerals.

The mild, nutty flavor of chia seeds makes them easy to add to foods and beverages. They are most often sprinkled on cereal, sauces, vegetables, rice dishes, or yogurt or mixed into drinks and baked goods. They can also be mixed with water and made into a gel. The evidence is limited on chia, and only two clinical trials examined heart health and body weight," says explains researcher Catherine Ulbricht, PharmD. "One showed some beneficial heart effect, but neither showed any effect on weight loss."

That’s why at Advanced Diabetes Centre ,Surat, India , we decided to conduct retrograde analysis of our patient pool where we put chia seeds as a adjunct to our standard diabetes management. We measured weight , BMI, visceral body fat,total body fat and HbA1c in this patient . we fetch out data at baseline and 3month after initiation of chia seeds in 50 patients.

Results:

We measured total 3 kg weight loss (from 85.34 at baseline to 82.34 kg after 3 mth),reduction in total body fat was 1.4% (34.88 to 33.49),BMI reduced by 0.36 (from 30.56 to 30.26), visceral body fat increased by 0.35% (from 15.97 to 16.32),while HbA1c reduced by 0.6 gm% (from 8.0 to 7.6) .

Conclusion:

This results affirms role of chia seeds in dietary management of diabetetic patients, but weight loss is marginal with decent overall metabolic management.

 

Biography:

Sofia Parrasia has expertise in pharmacology. Her interest is in the study of nutraceuticals for the prevention of chronic metabolic diseases. She has gained expertise both in private company, as well as in the academic institution. She contributed to the project conceptualization, experimental design, as well as rtPCR and WB analysis.

 

 

Abstract:

Obesity and related issues are major and developing threat to international human health. Obesity is associated with an extended threat of illnesses including type-2 diabetes, cardiovascular headaches and hypertension, persistent infection and neurodegeneration. Current pharmacological techniques are inadequate or risky, and a properly-researched method based totally on nutraceuticals might be notably beneficial. Pterostilbene (Pt; trans-three,five-dimethoxy-four’-hydroxystilbene) is a herbal phenol showing brilliant biomedical activities just like those of resveratrol. Its high bioavailability is a chief advantage for possible biomedical programs. We evaluated the results of lengthy-term Pt supplementation in a murine version of diet-caused weight problems. C57BL/6 mice were chronically fed a high-fats food plan, without or with pterostilbene supplementation (90 mg/kg bw/day) for 30 weeks. We evaluated the effect of pterostilbene supplementation on browning-associated genes in inguinal adipose tissue (iWAT), and infection-associated genes in visceral (vWAT) in addition to iWAT. Analysis of iWAT found out that Pt appreciably improved the transcription of numerous browning-related genes, inclusive of Cidea, Ebf2, Pgc1α, PPARγ, Sirt1 and Tbx1 and an increase in UCP1 protein degrees. Moreover, the transcription of adiponectin and the anti inflammatory M2 macrophage marker Cd206 have been increased, and Il-10 confirmed a fashion in the direction of growth (p = 0.08). VWAT was much much less responsive; the distinction can be ascribed to a depot-unique differential accumulation of Pt.
These outcomes underscore the therapeutic potential of Pt supplementation for obesity-associated continual inflammation and metabolic syndrome, and contact interest to an sudden adipose tissue specificity of the distribution and effects of this vital nutraceutical.

Keynote Forum

Ibrahim Abdullah Refaei

Clinical Dietitian, Kingdom of Saudi Arabia

Keynote: Dysphagia Diets

Time : 11:55 to 12:20

Biography:

Clinical Dietitian
Pediatric Dietitian in (Early Intervention program at SBAHC - Riyadh)
Member of National Newborn Screening Program of MOH (Saudi Metabolic Nutrition).

Abstract:

Dysphagia is a digestive sign or symptom where the patient is not able to appropriately swallow foods and drinks. Despite the high prevalence of Dysphagia, it is usually underrecognized which can cause severe complications. Anatomically, dysphagia may be oropharyngeal and/or esophageal. While from a pathophysiological point of view, dysphagia could be a result of organic or structural diseases or diseases that are associated with impaired physiology.
The risk of developing cerebrovascular and degenerative neurologic disorder increases with age and these disorders could be associated with dysphagia which increases the risk of oropharyngeal aspiration and pneumonia among the elderly.
Dysphagia can also lead to malnutrition, dehydration and weight loss as a result of the decreased food and drinks intakes which contributes to malnutrition.
Rehabilitation of patients with dysphagia can reduce the risks of malnutrition as well as pneumonia. Adequate treatment of dysphagia requires a multidisciplinary approach including diet management, swallow therapy, oral care as well as pharmacological treatment using angiotensin-converting enzyme inhibitors.
Diet management is an essential component of dysphagia treatment to enhance the oral intake of foods and drinks safely and easily. Modified diet includes texture modified foods or thickened liquids to help the patients to eat comfortably and minimize the risk of aspiration. The choice of foods and liquids as well as adjusting their consistencies should be tailored for each patient according to his swallowing abilities and preference.
The outline of this workshop will be as follows:
1-Education regarding different fluids consistencies (Thin, Nectar, Honey, Pudding)
2-The guidelines for preparing fluid with different kind of thickeners
3-The rule of dietitian in dysphagia management.
4-Recommended food for Different Dysphagia levels with Liquid consistencies.
5- Provide advice on which foods are easiest for the patient to eat, how they can be prepared to make them more palatable, and how to maintain a balanced diet.
6- How to fortify meals (with Modulars and Supplements) to make sure the patient achieves their Nutritional requirements.
7- Provide advice about which foods the patient should avoid and on which products can help to make food easier to swallow.
8- Dietitian may recommend Artificial nutritional support through a nasogastric or PEG tube (Formula Display).

 

Keynote Forum

Manal M. Samarkandy

Project Manager, Ministry of health, Saudi Arabia

Keynote: Health Edutainment and Dietary Habits In Saudi Arabia

Time : 12:20 to 12:55

Biography:

With Master’s Degree in Clinical Nutrition, three (3) years of my 15 years of Clinical Dietitian as Dietitian Supervisor, 3 scientific paper published. I have skills and qualifications for Senior Management position in Dietetics. I am a highly motivated, proactive and perfectionist in all aspects of Clinical and Managerial responsibilities with overwhelming innovative ideas with list of activities and projects to prove my achievements.

 

 

Abstract:

Health edutainment program (HEP) is the principle by which individuals and groups of people learn the healthy behavior’s and safe practices in an edutainment way. Services such as comics, VR, gamification, video games and TV documentaries will be part of Health Edutainment Programs. These platforms are going to be user friendly for the public and the health care settings that provide evidence based care. Furthermore, HEP will reach all age groups to promote healthy lifestyles and wellbeing.

Objectives:

The main objectives of conducting this survey were to;

Evaluate the community’s specific needs in the area of health edutainment in order to determine the priorities and develop appropriate services’ domains.

Explore new ideas originating from the community to enhance the services provided through the health edutainment program.

Encourage the community members to volunteer in the health edutainment field through assessing their willingness to volunteer and knowing their preferred programs to take part in.

This was a population-based survey where data was collected from the public through an online questionnaire published on the website of the Saudi Ministry of Health  (MoH’s official twitter) and shared to the public in order to Evaluate the community’s specific needs in the area of health edutainment, explore new ideas originating from the community to enhance the services provided through the health edutainment program and encourage the community members to volunteer in the health edutainment field. A total of 611 participants with equal gender distribution responded to this survey. Collected data was refined and summarized.

 

 

Biography:

Dr. Hani Ayyash  has expertise in clinical hematology, BMT and Palliative care . His open and contextual evaluation model based on responsive constructivists creates new pathways for improving healthcare. He has built this model after years of experience in research, evaluation, teaching and administration  both in hospital and education institutions. He has been speaker in many national & international conferences regarding blood disorders

Abstract:

Overview: Hemophilia is a genetic bleeding disorder caused by a deficiency of clotting factor and classified to Hemophilia A and B. Nutritional status is very important and proper nutrition among hemophilia patients is highly significant. This study aimed to evaluate nutritional status among adult hemophilia patients enrolled in the European Gaza Hospital in the Gaza strip.Subject and method: The present study is descriptive design. A census sample used and the subjects were 27 hemophilia patients enrolled in European Gaza Hospital and they enrolled in Hemophilia and Thalassemia clinic. Data collected by self-administrative questioners and statistical analysis done by using SPSS version 23.Results: The study pointed out that the average age of patients was about 30.3 years and most patients have foods induce bleeding and only 3.7% of them take vitamin supplementation. Prevalence of hepatitis was 37%% of patients and the results not registered any patients obese while 37.0% of them were overweight. Only 5% of patients have a deficiency of total protein and albumin while 8 % of them were anemic. diversity score was the daily food that the highest score was starch followed by beverages while the lowest scores were nuts and sweeteners.Conclusion: The study showed that the percentage of overweight, anemia, hepatitis,  take foods to induce bleeding were elevated while the prevalence of hypoproteinemia and hypoalbuminemia was rare. Diet diversity score among hemophilia patients showed that the highest score of daily food was starch followed by beverages and the lowest score were nuts and sweeteners. Recommendation: Hemophilia patients should avoid foods that increase their bleeding, and increasing the daily intake of food that improve blood clotting and maintain the normal weight. Also, we hope that the Ministry of Health in Gaza strip , to use our findings as a first  study ever in Gza strip to  increase workshop to advice  the hemophilia patients to intake supplementation and increase awareness of patients to  safe food guideline.  

Keynote Forum

S.CD Ayman Hussein Tunkar

Director of Clinical Nutrition KAMCJ, Jeddah, Saudi Arabia

Keynote: Advanced Critical Care Nutrition for Septic Patient with Multi-Organ Failure

Time : 14:00 to 14:30

Biography:

Senior Critical Care Dietitian, Director of Clinical Nutrition KAMCJ
Managing Clinical & General Nutrition Departments, Founder & Developer of Nutrition Care Therapy in Critical Care Units at KAMCJ
Public Health Master Degree Holder from University of Queensland, Brisbane, Australia,
With extensive & comprehensive experience in Enteral & Parenteral Nutrition Therapy over 13 years.
Specialized in Critical Care Nutrition Therapy, interested in Sport Nutrition as a hoppy & life changer
 

Abstract:

Malnutrition is alteration of body composition in which deficiencies of macronutrients and micronutrients result in reduced body cell mass, organ dysfunction, and normal serum chemistry values. Malnutrition is associated with many adverse outcomes including depression of immune system, impaired wound healing, muscle wasting, longer lengths of hospital stay, higher treatment costs and increased mortality.
Early nutritional assessment and identification of high risk patients for malnutrition, proper calculation of caloric requirements, early enteral nutrition and advancing trophic feeding to 80% of goal by the end of the first week and finally to start parenteral nutrition early in high risk patients when enteral nutrition is not feasible or sufficient should take priority when dealing with critically ill patients.
The purpose of this lecture is to present a systemic review of the available evidence-based literature concerning the updated guideline for Advanced Critical Care Nutrition Therapy related to critically ill septic patient with multi-organ failure. 

Biography:

Dr Syartiwidya has expertise in the evaluation of health conditions in the community, especially for non-communicable diseases namely diabetes. He believes that diabetes can be controlled or prevented from becoming a complication of other diseases by regulating eating patterns, especially food that is at risk of causing the disease. She is very concentrated in the development of liocal food in his area, namely sago. This is evidenced by the results of his research related to sago and its impact on health.

 

Abstract:

The objective of this study was to analyze food habits and carbohydrate contribution intake from sago consumption in Kepulauan Meranti regency Riau Province. The study design was cross sectional study through interviews and filling out FFQ and food recall questionnaires, also measurement of body mass index from 181 subjects with inclusion criteria are sago consumption, aged 35-80 years, and undiagnosed with diabetes. The results showed that there were 71,16% participant have been consumed sago more than 10 years and consumed sago 1-6 times a week,  about 173,7±88,3 g/day. Subjects with normal body mass index (BMI) were more than 50%. There were significant correlation between energy and carbohydrate intake with BMI. Frequency of sago consumption have significant correlation with carbohydrate and fat intake, nor with sago consumption. The significant correlation between the carbohydrates contribution from sago to amount of sago consumption (g / day), frequency of sago consumption / month, the frequency of sago consumption in the last month, amount of total energy intake, carbohydrate intake and protein intake, with a value of p = 0.000 at the level of α = 0.01. In conclusion, sago consumption minimal 1-6 times a week could be contribution to keep the BMI in normal range if consumed at the amount of 173,7±88,3 g/day.

Keynote Forum

Dr. S.F. Mamba

University of Eswatini, Kwaluseni, Eswatini

Keynote: DROUGHT, RESILIENCE AND ACCESS TO FOOD IN RURAL COMMUNITIES IN ESWATINI – THE CASE OF MPOLONJENI CONSTITUENCY

Time : 15:45 to 16:20

Biography:

Dr. Mamba is a human geographer with research interests in rural and urban food security, rural-urban
food linkages and urban livelihoods, impacts of climate variability and change on the food system,
HIV/AIDS and the poverty-food security nexus. Mamba also researches on environment and development
issues. He holds a PhD in Geography and Environmental Science, Master of Science in Environmental
Resources Management (majoring in Land & water), Bachelor’s Degree (majoring in Geography &
English) and a Post Graduate Diploma in Education.
Mamba is member of several professional bodies such as the International Society for Urban Health
(ISUH), Young African Statisticians and Demographers (YASD), Food Security Network (FSN)
and Population Association for Southern Africa (PASA), among others. He is a reviewer of various
reputable international peer-reviewed journals. He also publishes in chapters in books and in peerreviewed
international journals. He has a great passion for research and enjoys mentoring students on
both quantitative and qualitative research methodologies.

Abstract:

Drought has been accepted as a major hydrological disaster that threatens the livelihoods of most rural communities in the Kingdom of Eswatini. Over 70 percent of the population in the country is rural and derive its livelihoods on agriculture, which is practiced under rain-fed conditions. This increases the level of exposure and vulnerability of this population to hunger and poverty, particularly in the era of climate change. Drought, which has become recurrent and more devastating to crops, has risen the food insecurity bar and has pushed thousands of the Swazi population over the cliff of hunger, making it increasingly difficult for the country to achieve the Sustainable Development Goals (Goal 1 & 2) of ending poverty and hunger (and malnutrition) by 2030. The study explores the drought-food production nexus by examining the effects of the 2015/16 drought on access to food in rural households in Mpolonjeni in the Kingdom of Eswatini, and the adaptation strategies employed by rural communities in the constituency during drought periods. The study used quantitative approach to data collection and analysis, where 123 households (out of 2 228) were sampled using the simple random technique. Among the key findings of the study was that drought had major detrimental effects on crops (reduced crop yields, limited food crop variety) and killed a number of livestock in most households in the constituency, thus negatively affecting their economic condition, access to food and food security in general. As a result a substantial number of families are finding it difficult to recover from drought impacts, which also vary between communities and by gender. The study therefore concluded that as climate continues to change, the most vulnerable population in Mpolonjeni Inkhundla will continue to suffer from chronic food shortage, in particular if mitigation measures to enhance rural resilience to drought are not taken. The study, thus recommended that the government of Eswatini must be fully involved in the improvement of the rain-fed agricultural enterprises in rural areas and provide supplemental irrigation systems in the rural areas.

Keynote Forum

Dr. Sauryya Bhattacharyya

Assistant Professor, India

Keynote: MICROENCAPSULATION: A PROMISING TREND IN FOOD APPLICATION

Time : 1:15 to 1:40

Biography:

To be updated 

Abstract:

Encapsulation is a modern day technology utilized for packaging very small amounts of solid particles, liquid droplets, or gas molecules in a form that can be released easily at controlled rates under specific conditions. It is useful as drug delivery system, to adjudicate the efficacy of many drugs, which would otherwise be degraded in the physiological system upon ingestion due to activities of systemic enzymes or by external factors like light, moisture and oxygen. The technique was developed to reduce cost of production as well as to increase the stability of compounds and to improve the release properties useful to food industries. They are currently applied extensively in food industries involving beverage, bakery, meat, poultry, and dairy products. Recent studies indicated that components like green tea polyphenols, silkworm purple oil and ethyl butyrate were successfully encapsulated using suitable matrix materials viz. binary polymer, soybean protein isolate/β-cyclodextrin and whey protein isolate. However, all the carriers have advantages and disadvantages in terms of properties, cost, and encapsulation efficiency. Amongst natural substances, alginates are extensively used for controlled delivery of incorporated materials. Microcapsules produced from alginates and pectin in tandem can deliver effectively probiotics like Lactobacillus species as well as pharmaceutical substances like aspirin, folic acid, vitamin E in cosmetic applications. Recently in our laboratory, composite microcapsules have been developed with alginate and natural pectins isolated from citrus peels. The objective was to utilize the otherwise waste material, i.e. citrus peels, as the source of pectin as well as polyphenols as antioxidants for effective application. A similar study is going on in our laboratory where natural flower pigments from Clitoria ternatea and Hibiscus rosa-sinensis are incorporated in the microcapsules for their differential release in diverse pH conditions in vitro. This would help us to understand probable systemic release of the packaged materials, if consumed orally.

 

Keynote Forum

El Bakkay Sellam

University Ibn Tofail, Morocco.

Keynote: Metabolic syndrome and its relationship with obesity in procreative women in Morocco

Time : 14:30 to 14:55

Biography:

Food and Nutrition Transition (ETAN), Biological Testing Laboratory, Department of Biology, Faculty of Sciences, University Ibn Tofail, BP 133, Kenitra, 14000, Morocco, 

Abstract:

The objective of this study was to define the prevalence of metabolic syndrome (MS) and its relationship with obesity in the eastern region of Morocco.

Materials and methods: Our study was conducted in 2013, in the oriental region of Morocco (Oujda-Angad). The study included 624 women aged 20-49 years healthy and non-pregnant. Anthropometric measurements was determined according to WHO standards.The medical tests were conducted in a private testing laboratory in Oujda. Data of demographic and socioeconomic level were collected using a questionnaire.The data were processed on SPSS.

Results: The average age of the women surveyed was 33.42 ± 8.02 years. The BMI values ​​indicated that the prevalence of obesity among women surveyed was 30,61% and the prevalence of overweight was 38,78%. The abdominal obesity affects 79,10% of women. the MS affects 21% (according to the definition of NCEP-ATP III) of women surveyed, while according to the definition of the IDF prevalence increases to 35%. The MS increases with age, was affects 25% of women aged between 20 and 29 years, and 37,5% of women aged between 40 and 49 years. All women with MS were overweight (obesity included) (p = 0.004). With the exception of level of education all socio-demographic factors were not associated with the MS.

Conclusion: The prevalence of metabolic syndrome in our study was higher. The MS was more pronounced among obese and illiterate women. The results of this study will help in the planning of control of these problems in the future.

Keywords: obesity, metabolic syndrome, women of child procreated, Morocco

 

Day 2 :

Keynote Forum

Dr Nisha Khanal

Nepal

Keynote: Menstruation; Science and custom rivalry in Nepal

Time : 11:50 to 12:15

Biography:

Abstract:

In this 21st century where all the advancements have taken over our life, preventive and curative health has reduced the burden of death by almost half, here in my country women are having inevitable death during their menses and postpartum period because of a custom prevalent here. “Chaupadi” refers to living in an isolated hut during menstruation and post partum period which is a custom practiced in many parts of my country. Many casualties have been reported due to snake bite, carbon mono oxide poisoning, frostbite, rape due to this custom. While rest of the world is making efforts to empower women, women in my country are busy following a custom that classifies them as untouchable during menses. While women elsewhere are stepping into moon, moonlight is a joy to see for those in periods here because a dark room is all they get during this time.Menstruation is a normal cyclic process in women. Women should be talking more nitritious food due to their cyclic blood loss. But women here are still fed with leftovers during their menses. They are not allowed to touch day to day household goods, domestic animals , men counterpart during their menses with a belief that those things will make your god angry. Living in a dark shed 4-6 days once a month has become a part of life for women here which has compromised their nutrition, hygeine and safety. 

 

Keynote Forum

Dr. Waleed S. Mahmoud

Associate Professor, Prince Sattam bin Abdulaziz University, Saudi Arabia

Keynote: Influence of Isometric Exercise Training on Quadriceps Muscle Architecture and Strength in Obese Subjects with Knee Osteoarthritis

Time :

Biography:

Associate Professor, Physical therapy and health rehabilitation department, College of Applied Medical Sciences, Prince Sattam bin Abdulaziz University.

 

Abstract:

Obese individuals may increase the rate of progression of knee osteoarthritis (OA) due to diminished quadriceps muscle power relative to body mass. The study aimed to evaluate the impact of isometric exercise training on quadriceps muscle in terms of quadriceps architecture and strength in obese subjects suffering from the knee (OA).

 Methods: A randomized controlled trial was conducted in which Forty-four obese male subjects aged 40–65 years with knee osteoarthritis were randomly assigned into group A (n=32) and group B (n=12). In addition to traditional physical therapy treatment for both groups, isometric exercise training was given to group A for 12 weeks. Group B participants did not engage in any exercise program, keeping their usual activities for the same period. Ultrasonography and isokinetic dynamometer were used to measure vastus lateralis (VL) architecture, and its maximal voluntary isometric knee extension torque (MVIC), respectively, of the affected knee. Visual analogue scale (VAS) and Western Ontario and McMaster Universities Arthritis Index (WOMAC) were utilized to evaluate the Knee pain and function, respectively. Outcome measures were tested before and at the end of the study. 

Results: at the end of the study, there were significant improvements occurred in group A concerning MVIC and muscle architecture parameters compared with group B subjects (p<0.05). Also, there was a substantial improvement in post-test VAS and WOMAC scores in group A subjects compared to group B subjects (p<0.05). 

Conclusion: For obese subjects who suffer from knee OA, a 12-week quadriceps isometric training program enhances knee pain and quadriceps muscle strength and architecture parameters. Isometric training of quadriceps muscle is suggested to be involved in exercise intervention for obese patients with knee OA. 

 

Keynote Forum

Mrs. SHAMEEMA

Clinical Nutritionist, Saudi Arabia

Keynote: EFFICACY OF FOOD AND NUTRITION IN LIFE STYLE MODIFICATION

Time :

Biography:

To be Updated.

Abstract:

Food and nutrition are the prime source of energy for our body.Food intakes plays an important role in body weight. Nutrition is defined as the process in which animal or plant takes in and utilizes to release energy from the body. It is essential for growth and development, health and wellbeing. These are assessed by bodyweight which categorize by Body Composition Analysis. Purpose. Relationship between food nutrition and bodyweight includes a discussion of how the body weight can be maintained with a healthy balanced eating habit and lifestyle modification.Methodology and theoretical orientation. The factors affecting the eating habits depends on the time, quality and quantity of food. The urge to eat is controlled by gut hormones and brain, mainly hunger hormones and satiety hormones, after a sustained weight loss within two years, the satiety hormones are override by hunger hormones, by a feeling of hunger which tends to have more food is influenced by factors such as food's savory appeal, the body's fat stores and need of energy. For decades, scientists have been researching the role of two hormones called leptin and ghrelin in regulating hunger, food preferences, and satiety as signals from the body to the brain and seem to regulate appetite and satiety. Life style correction to manage body weight are dietary plans, physical activity and behavioral therapy, which helps the complete transformation of the individual. Attitude towards the eating, exercise and behavior therapy are essential for a sustained weight reduction. Conclusion and Significance: Life style changes leads to obesity, which is a chronic medical condition. Obesity in adulthood leads to diabetes, high blood pressure, cardio vascular disease, gallstones, strokes, risk factor for a number of cancers which is associated with a striking reduction in life expectancy for both men and women so that a healthy lifestyle correction is required. For a healthy life style modification wellness centers are recommended to give guidelines and motivational support to the individual in order to change their attitude, awareness and authenticity towards a healthy living.

 

Biography:

To be Updated.

Abstract:

Background and aims. The aim of this paper was to make a comparison between the main clinical characteristics (especially age at onset and body mass index - BMI) of newly diagnosed diabetic patients based on the analysis of our current data, our previous data and data from international literature. Materials and method. We analyzed a cohort of 1463 (757 males and 706 females) recorded between 2010-2012 and compared it with the previous cohorts of diabetic patients belonging to the same “Ion Pavel” Diabetes Centre, Bucharest and whose characteristics were published along the years. We divided patients according to age, sex and type of diabetes. Results. Our data showed that the main clinical characteristics (the decrease of the age at onset and the increase in BMI) in the recent cohort of diabetic patients can be related to the lifestyle changes and the increased prevalence of overweight and obesity in the general population. Conclusions.

The pathogenesis of type 2 diabetes is closely related with a negative effect of overweight on the β-cell function, suggesting that prevention of diabetes must be based on a decrease in BMI induced by an appropriate change in the modern pathogenic lifestyle.

key words: Type 2 diabetes, obesity, adipocytes, β-cell function

 

Keynote Forum

Dr. Asna Urooj,

Professor, University of Mysore, India.

Keynote: Dietary Inflammatory Index (DII): The link between Diet, Inflammation and Disease

Time :

Biography:

Prof Asna Urooj, has expertise in screening medicinal plants and food ingredients for their therapeutic potential as alternative anti-diabetic, anti-hyperlipidemic, anti-oxidant, ant-cancer and anti-glycation agents using a combination of in-vitro, ex-vivo and in-vivo assays. A need-based approach considering the prevailing regional health and nutritional problems has been the key driver in her research endeavors in establishing the metabolic and clinical efficacy in respective target groups. Her interest is to understand factors impacting nutrient bio-accessibility and design strategies to enhance bio-accessibility within food matrix. She has completed 14 research projects funded by UGC, DST, MHRD, and BBSRC-UK. She serves as a reviewer and editor for several National and International journals. She has 185 research papers in peer reviewed journals, with 3101 citations and h-index of 27, i10-index of 67. 18 candidates have completed PhD, while 8 are working. She is a recipient of the several prestigious awards.

 

Abstract:

The role of dietary components in modulating inflammation; a well known risk factor for most chronic diseases is the current focus of research interest. The Dietary Inflammatory Index (DII) is the inflammatory potential based on the hypothesis that a Low-grade inflammation correlates with a set of chronic conditions such as obesity, diabetes, cardiovascular diseases and cancer. This association has also been found in youth for obesity, central obesity, metabolic syndrome, atherosclerosis and several other cardiovascular risk factors. The DII measure includes blood levels of inflammatory cytokines, to score the  inflammatory property of each nutrient or food component of the diet. The index correlates with  C-Reactive protein (CRP) in apparently healthy adults and seniors and also to other inflammatory biomarkers such as interleukin-6 (IL-6) and a combined inflammatory biomarker score in adults and elderly population. ‘Unhealthy’ dietary patterns (e.g., Western-style diets high in fats, refined carbohydrates, protein) are typically associated with higher levels of inflammation, whereas ‘healthier’ diets (high in fruits, vegetables, fish) are associated with lower levels of inflammation. A dietary pattern approach has been considered advantageous as it considers synergistic or antagonistic interactions among nutrients and other food components. Studies on nutrient intake and low-grade inflammation across age groups in both health and disease are scarce. The possible relationship between diet-related inflammation and the risk of chronic diseases requires investigation, especially in Indian population in the context of Nutrition transitions. We have examined the impact of disease specific functional foods on the inflammatory marker (C-RP) among COPD and Head and neck cancer patients, and diet-derived bioactive among T2DM subjects. Food based interventions demonstrated an anti-inflammatory effect as evident by reduction in CRP levels in all 3 subject groups . Exploring diets from the inflammatory perspective is worthwhile to prevent  oxidative stress associated with chronic diseases.

 

Keynote Forum

Dr. G. Saleh

Head of clinical nutrition department, 57357 Cancer Children Hospital, Egypt.

Keynote: Nutritional challenges in pediatric oncology

Time : 10:30 to 11:00

Biography:

Dr. has her expertise in the field of clinical nutrition since 1991, 2017 till now Head of clinical nutrition department at 57357 Cancer Children Hospital of Egypt (57357 CCHE).

 

Abstract:

Adequate nutrition during cancer plays a decisive role in several clinical outcome measures, such as treatment response, quality of life, and cost of care. However, the importance of nutrition in children and young adults with malignancies is still an underestimated topic within pediatric oncology. Malnutrition in children with cancer should not be accepted at any stage of the disease or tolerated as an inevitable process. It is accepted that the prevalence of malnutrition at diagnosis averages 50% in children with cancer in developing countries; whereas, in industrialized countries, it is related to the type of tumor and the extent of the disease, ranging from < 10% in patients with standard-risk acute lymphoblastic leukemia to 50% in patients with advanced neuroblastoma. Children, cancer metabolism, and nutrition represent a dynamic triangle that affect the morbidity and mortality of the patient. Nutritional problems include: Anemia (50%of patients), anorexia, cachexia, xerostomia: especially after radiation of the head and neck, sores of mouth and throat, oral mucositis, entero-colitis, tumor lysis, insulin-resistance

Anorexia is complicated having central and peripheral causes, cachexia is the loss of muscle mass with or without fat loss, oral mucositis has four grades according WHO classification, the last grade is an indication for use of morphia and nothing per oral cavity should be given, as well enterocolitis. Tumor lysis has special dietary recommendations and very common following aggressive chemotherapeutic protocols.In spite of the loss of weight and cachexia, cancer patient may develop insulin resistant and hyperglycemia specially in protocols including corticosteroids. Obesity may be developed in pediatric cancer patients due to limitation of movement and corticosteroids. Immunocompromising status developed after chemotherapy needs special application of food safety measure specially patients undergoing bone marrow transplant. Early nutrition intervention in cancer patient can minimize many of these challenges.

 

Keynote Forum

Dr. Shilpee Agrawal

Assistant Professor, Department of Food Science and Nutrition, India.

Keynote: BIOCOLORANTS AND ITS HEALTH ADVANCES

Time : 11:00 to 11:30

Biography:

Dr. Shilpee Agrawal.

Assistant Professor, Department of Food Science and Nutrition.

Sheth P. T. Mahila College of Arts & Home Science and Science Unit, Surat.

 

Abstract:

Color becomes the most delicate part of any commodity not only for its appeal but for the consumer acceptability. During food processing, a significant amount of color is lost, and hence synthetic or natural colours are added to enrich the allure and acceptability of any food commodity. Nowadays, biocolorants are gaining popularity as colouring vehicles to food produces due to consumer awareness about the deleterious health complications instigated by synthetic dyes. Biocolorants are prepared from plants, animals and microorganisms but majorities are of plant origin. Carotenoids, flavanoids, anthocyanidins, chlorophyll, betalain and crocin are the major food biocolorants which are extracted from several horticultural plants. Biocolorants, in addition to food coloring agents, also act as food preservatives, quality control markers and nutritional supplements. Carotenoids are well known as the sunscreen for preserving the quality of food by from deleterious effect of intense sunlight. Anthocyanin profiles can be used as an indicator to evaluate the quality of colored food. Lycopene reduces the risk of developing atherosclerosis and coronary heart disease by preventing the oxidation of low-density lipoprotein (LDL) cholesterol. Various researchers exhibited a direct correlation between the consumption of chlorophylls and decreased risk of colon cancer. Although biocolorants have potential health benefits, but its higher cost than synthetic dyes and lengthy extraction procedures makes it less easily available and popular. The paper reviewed various scientific researches from various published journal articles and reports with an objective of finding the health implications of these natural food colours.

 

Keynote Forum

Abu Hazafa

organizer of A.Q Research Group, Pakistan

Keynote: Natural Polyphenols: A Dietary Tool for the Prevention and Treatment of Cancer

Time : 09:30 to 10:15

Biography:

Abstract:

Statement of the Problem: The statistical analysis of cancer investigated as the second leading cause of death and major public health problem after cardiac arrest. In 2018, globally, 9.6 million people died because of cancer. The lung (11.6%), colorectal (10.2%), prostate (7.10%), skin (5.8%), and stomach cancer (5.7%) were reported as the most diagnostic cancer in previous years. Natural products are one of the richest sources of anticancer drugs, drug combinations, and chemotherapy strategies. Among all-natural compounds, polyphenols are suggested to be more potent anticancer drugs because of their no or less adverse effects, excess availability, and secure mode of action. Fruits, vegetables, beverages, and legumes are the primary sources of polyphenols. Aim: The present review investigated whether and how the natural compounds especially polyphenol namely flavonoids, phenolic acids, lignans, and stilbenes significantly reported in the prevention and treatment of cancer cells. Findings: The results stated that phenolic acids, lignans and stilbenes are examined in arresting the cell cycle at different phases such as S/G2/M/G1-phases during the treatment of colorectal (HCT-116), oral (H-400), bladder (T-24 and 5637), and gastric (MKN-45 and MKN-74) cancer cells. The results revealed that polyphenols induced the apoptotic in the treatment of cervical (A-431), breast (MCF-7), prostate (DU-145), hepatocellular (hepG-2), and lung (SKLU-1) cancer cells, similarly polyphenols also reported in the treatment of breast (T47D and MDA-MB-231), cervical (HTB-35), colon (HT-29 and Caco-2), and prostate (PC-3) cancer cells by inhibiting the cell proliferation through various pathways including Wnt, NF-κB, Akt, caspase-3, MAPK, and CD95 pathways. Conclusion & Significance: Based on the in vivo, and in vitro studies, it is concluded that natural polyphenols mainly flavonoid and phenolic acids significantly reduced the cancer cells without affecting the healthy body cells. Recommendations are made that randomized clinical trials should be carried out for more trustworthy validation.

Biography:

EF has studied on plasma levels of amino acids and advanced glycated end products focusing on the elderly. She is currently working on her doctoral thesis on the elderly. This time she has also focused on elderly but at community level. After she researched the effects of self-management education programs on self-efficacy and blood pressure management of hypertensive elderly, she has focused on elderly nutrition field. She is working on elderly nutritional care model at primary care setting She also used forecasting models to evaluated performance of this model. She has built this model after years of experience in research, evaluation, administration both in hospital and primary health care centers.

 

 

Abstract:

Emotional states and situations can affect food intake. Emotional eating is one of the important factors in etiology of obesity and eating disorders. The aim of current study was first, to compare the gender differences in response to emotional eating and second, to identify the relation of anthropometric and dietary factors with emotional eating. A sample of 247 subjects from three schools of Tabriz university of medical sciences, Tabriz, Iran where participated in the study. Each participant filled out a general nineteen-item and an emotional eating ten-item questionnaire. Statistical analyses of the study were conducted by independent t-test, chi-square, Pearson correlations and logistic regression using the SPSS version 19. The findings of this investigation indicated that body mass index (r= -0.759, p<0.0001 and r= -0.818, p<0.0001), waist circumference (r= -0.217, p=0.014 and r= -0.182, p= 0.048) and dietary energy intake (r= -0.221, p= 0.012 and r= -0.186, p= 0.024) correlated significantly with emotional eating in female and male groups respectively. The female had higher emotional eating score versus male (6.56± 1.56 and 6.47± 1.21, respectively). Marital status, smoking, recent weight loss and weight gain diets were the strong predictors of the emotional eating. Identifying the predicting factors of emotional eating and the fact that gender differences could affect chance of being emotional eater may help to provide appropriate nutritional and psychological education programs in community, which may control the emotional eating status and consequently give beneficial effects on individuals’ health in society.

 

Keynote Forum

Sohawon Hanaa Amiirah

University of Mauritius, Mauritius.

Keynote: Is salt consumption in local foods a public health concern among Mauritian adults?

Time :

Biography:

Abstract:

Salt is the main source of sodium in the diet. A small amount of salt is important for good health. However, salt consumption has increased nowadays and most of the sodium we eat comes from processed, ready-to-eat foods and this can lead to high blood pressure in sensitive individuals. The main objectives of this study are to investigate whether or not Mauritians are aware of the local recommendations of salt to be consumed per day based upon the World Health Organisation (WHO) recommendations; to know the attitudes of Mauritian adults towards salt consumption and its recommended daily intake; and to evaluate the reported daily consumption of salt among Mauritian adults. A cross-sectional study was carried out to evaluate the reported daily consumption and to know the attitudes towards salt consumption and its recommended daily intake. The study was carried out among 300 respondents chosen at random, aged between 30 and 60 years old and consisted of both males and females. A survey-based questionnaire was designed to carry out the investigation, and the results obtained were interpreted and analysed using the Statistical Packages for Social Sciences (SPSS 20.0). The results obtained showed that 51.3 % of the respondents were aware of the local daily salt intake recommendation, and reported putting 1 teaspoon (5 grams) of salt during their food preparation. 85.7 % of the respondents also found this recommendation adequate. However, another 27.4 % of respondents were neither aware of the fact that 1 teaspoon of salt is the daily recommended amount to be consumed nor did they consume the 5 grams of salt as recommended. Furthermore, the food frequency questionnaire included in the survey revealed that the consumption of highly salted processed foods was quite high among the respondents. Therefore, the study demonstrates that nutrition education programmes need to be set up so as to raise awareness on the recommended daily intake for good health as well as on the risks associated with excessive intake of highly salted processed foods given that we have noted that it is the consumption of these foods which is the major culprit.

 

 

Keynote Forum

Dr AL shaimaa

Clinical pharmacist, Egypt.

Keynote: Overview of Parenteral Nutrition

Time :

Biography:

Dr AL shaimaa Ibrahim pharm D .BCNSP. BCPS ,my area of experience implementation TPN  unit  in Fayoum Oncology Center in Egypt  under aseptic technique as my practice  Training in clinical pharmacy programme at Ulster university and Antrim hospital placement  UK, also work as senior clinical pharmacist at  Cairo university  specialized  pediatric hospital My work of interest  now in research about lymphoma patients and how it affect fertility in young ages receiving chemotherapy treatments also Nutrition screening and Assesment to  improve quality of life for cancer patients so make nutritional plans I did many workshops and lectures in university and hospital how clinical  nutrition pharmacy success and important to improve people health.

 

 

Abstract:

Prevalence malnutrition among hospitalized sufferers. As excessive as 30% to 50% Malnutrition has been associated with accelerated complications that encompass:terrible wound recuperation impairment of organ competencies extended mortality. Study on hospitalized children are  malnourished for approximately 6 months after discharge

 

TPN caution signs and symptoms are Neonates with BW 1.5kg, (VLBW, ELBW) 30wks gestational age, individual: sufferers with a nonfunctioning or inaccessible GI tract, in which the duration of PN is anticipated to be at the least 7 day.Indications:1. Severe pancreatitis 2. Peritonitis three. Severe inflammatory bowel sickness (e.G., Crohn sickness, ulcerative colitis) 4. Extensive bowel resection (e.G., quick bowel syndrome) causing malabsorption or maldigestion 5. Complete bowel obstruction 6. Severe intractable vomiting or diarrhea 7. Inability to fulfill complete dietary desires via the use of enteral course by myself (can use PN as complement to EN). TPN aspect:carbohydate,fat,protein,nutrients are electolytes,trace elements,fluid. Rout of control. Peripheral and centeral Important because determines whether or now not solution is “too centered” for peripheral vein and need to accept centrally• Usually 900  mOsm/L = vast PN. Pediatric patients can tolerate barely better amounts due to the elevated elasticity of their veins Neonates are usually okay as plenty as 1100-1200 mOsm/L.  PPN (expected to be much less than 2 weeks). Final dextrose attention ought to be 10% or less. Final AA consciousness need to be 2.5%–four%. Aseptic method education and Order Of mixing. Monitoring TPN Complications.Transition feeding Parenteral to enteral

Biography:

VANIE STEPHANE CLAVER studied the dietary behaviour and nutritional status of students at Nangui Abrogoua University. He is currently preparing his doctoral thesis on qualitative and quantitative dietary intakes and their relationship to micronutrient status in pregnant women in maternity facilities in the city of Abidjan.VSC a étudié le comportement alimentaires et l’état nutritionnel des étudiants de l’Université Nangui Abrogoua. Il prépare actuellement sa thèse de doctorat sur les apports alimentaires qualitatifs et quantitatifs et leur lien avec le statut en micronutriments des femmes enceintes.

 

Abstract:

Aims: Birth weight is a powerful predictor of infant growth and survival, and depends on the fetal growth environment, which is influenced by maternal nutritional status. However, the association between maternal anthropometric and nutritional factors and birth weight is not well characterized in Côte d'Ivoire. The objective of this study was to determine the maternal anthropometric and nutritional characteristics associated with birth weight.

Study Design: This was a retrospective study.

Place and Duration of Study: This study was done in maternity hospitals of three municipalities in Abidjan, Côte d'Ivoire, from 1st October to 30 November 2018.

Methodology: It consisted in collecting birth data from 146 newborns born from a monofetal pregnancy, whose mothers aged 20 to 42 had participated in a previous survey. Also, the relationship between birth weight, maternal anthropometry and maternal nutrition factors has been studied. Univariate, bivariate and multivariate data analysis was done using SPSS version 25 software.

Results: The results indicate mean birth weight of 3118.48±515.39 g and 7.6% and 5.5% respectively of low and excessive birth weight. In a multivariate linear regression, the mean birth weight of newborns of women with medium and high dietary diversity score was higher than those newborn of women with low dietary diversity score (AOR=0.386, 95% confidence interval (CI) : 0.072-0.699 ; p=0.017 and AOR=0.233, 95% CI : 0.016-0.450; p=0.036). Similarly, women with gestational weight gain greater than 7 kg and high stature (>1.55 cm) gave birth to heavier children (AOR=0.551, 95% CI: 0.346-0.756; p=0.000 and AOR=0.633, 95% CI: 0.207-1.059; p=0.004, respectively)

Conclusion: Although it revealed the presence of low and excess birth weight, this study has shown that maternal anthropometry and dietary diversity score were associated with birth weight of the baby.