Scientific Program

Conference Series Ltd invites all the participants across the globe to attend 16th International Conference on Clinical Nutrition Tokyo, Japan.

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Scientific Program Day 1

Day 1 :

Keynote Forum

M R Goolam Hussain

Tri-Hospital Sleep Laboratory West, Canada

Keynote: Sleep-disordered breathing and comorbidities: Discovering the connection

Time : 09:30-10:10

Conference Series Clin Nutrition 2019 International Conference Keynote Speaker M R Goolam Hussain photo
Biography:

Dr. M R Goolam Hussain is a Canadian Physician who specializes in Sleep Medicine since 1992. He has graduated in 1977 from the University of Witwatersrand in South Africa and a Diplomate of the American Board of Sleep Medicine. He has co-authored several books and authoritative articles on sleep disorders. He is the Medical Director and Quality Advisor of the Tri-Hospital Sleep Laboratory West, Mississauga, Ontario, Canada, an active Assessor for the College of Physician and Surgeons of Ontario and a Lecturer at the University of Toronto.

Abstract:

Sleep-disordered breathing (SDB) is the repetitive obstruction of the upper airways during sleep resulting in the cessation of breathing, profound compensatory cardiovascular reactions and repetitive cerebral arousals from sleep. SDB is a highly prevalent condition with an elevated risk for serious cardiovascular diseases (including hypertension, ischemic heart disease, fatal cardiac arrhythmias), stroke, insulin resistance, diabetes mellitus, dyslipidemia, obesity and sudden death, and loss of alertness and serious daytime sleepiness and fatigue. Treating SDB has shown to improve the clinical outcomes and functionality. In this presentation, we will defi ne sleep-disordered breathing, discuss the relationship between obesity and SDB, including the clinical evidence and the mechanisms of each, discuss the relationship between type-2 diabetes and SDB, including clinical evidence and the mechanisms of each, discuss the relationship between cardiovascular disease and SDB, including clinical evidence and the mechanisms of each, identify patients who have SDB through simple screening and identify the diff erent treatment options.

Keynote Forum

M R Goolam Hussain

Tri-Hospital Sleep Laboratory West, Canada

Keynote: Sleep-disordered breathing and comorbidities: Discovering the connection

Time : dfgrsgb

Biography:

Dr. M R Goolam Hussain is a Canadian Physician who specializes in Sleep Medicine since 1992. He has graduated in 1977 from the University of Witwatersrand in South Africa and a Diplomate of the American Board of Sleep Medicine. He has co-authored several books and authoritative articles on sleep disorders. He is the Medical Director and Quality Advisor of the Tri-Hospital Sleep Laboratory West, Mississauga, Ontario, Canada, an active Assessor for the College of Physician and Surgeons of Ontario and a Lecturer at the University of Toronto.

Abstract:

Sleep-disordered breathing (SDB) is the repetitive obstruction of the upper airways during sleep resulting in the cessation
of breathing, profound compensatory cardiovascular reactions and repetitive cerebral arousals from sleep. SDB is a highly prevalent condition with an elevated risk for serious cardiovascular diseases (including hypertension, ischemic heart disease, fatal cardiac arrhythmias), stroke, insulin resistance, diabetes mellitus, dyslipidemia, obesity and sudden death, and loss of alertness and serious daytime sleepiness and fatigue. Treating SDB has shown to improve the clinical outcomes and functionality. In this presentation, we will defi ne sleep-disordered breathing, discuss the relationship between obesity and SDB, including the clinical evidence and the mechanisms of each, discuss the relationship between type-2 diabetes and SDB, including clinical evidence and the mechanisms of each, discuss the relationship between cardiovascular disease and SDB, including clinical evidence and the mechanisms of each, identify patients who have SDB through simple screening and identify the diff erent treatment options.

  • Clinical Nutrition

Session Introduction

Nareswari Dewi

Universitas Sebelas Maret, Indonesia

Title: Correlation between soy isoflavone intake and prevalence of perimenopausal syndrome in Surakarta
Biography:

Nareswaria Dewi has completed her Bachelor’s degree in Medicine in Surakarta, Indonesia. She was previously working as Research Assistant in Cipto Mangunkusumo Hospital and as Editorial Board for New Ropanasuri Journal of Surgery. She is currently working as General Practitioner in East Nusa Tenggara, Indonesia.

Abstract:

Introduction & Aim: Estrogen defi ciency due to menopause can lead to perimenopause syndrome in most women. Isofl avone is natural phytochemical compound contained in several types of plants and has partial agonist or antagonist effects on the estrogen receptor. Intake of foods containing isofl avone for example: Soy products can help reduce the symptoms of perimenopause syndrome. Th e aim of this study was to analyze the correlation between soy isofl avone intake and the prevalence of perimenopausal syndrome in Surakarta.

Methods: An analytical observational cross sectional study was conducted in Surakarta. Subjects were collected by consecutive sampling method, and then 163 qualifi ed subjects were recruited based on inclusive and exclusive criteria. Data collected were intake of soy isofl avone in mg per day as independent variable and total score of perimenopause syndrome as dependent variable. Data were obtained using semi-quantitative Food Frequency Questionnaire (FFQ) and Menopause Rating Scale (MRS) questionnaire, respectively. Statistical analyses were assessed by running Rank Kendall Tau test using SPSS 22 for windows program.

Results: It was statistically stated that the intake of soy isofl avone associated with the prevalence of perimenopausal syndrome in Surakarta with correlation value 0.677 and signifi cance value 0.01.

Conclusion: Intake of soy isofl avone associated with the prevalence of perimenopause syndrome in Surakarta. Perimenopausal women who eat foods containing soy isofl avones more frequently and in larger serving sizes tend to experience less significant perimenopause syndrome.

 

Maia Fae Aquino

Ospital ng Makati, Philippines

Title: A randomized controlled trial on the effects of intermittent gravity drip vs. bolus enteral feeding on the incidence of hospital-acquired pneumonia among intensive care patients
Biography:

Abstract:

Introduction & Aim: Hospital acquired pneumonia is a frequent complication of patients on enteral feeding. Bolus feeding is currently practice in our institution however its aspiration risk is not yet established. Intermittent gravity feeding is widely used however its eff ectiveness in preventing pneumonia is not yet proven. Trials have shown conflicting results on which feeding method has a lower risk for pneumonia.
 
Method: We performed a randomized study to examine the effectiveness of intermittent gravity drip feeding as a strategy in reducing the incidence of pneumonia. We included patients requiring nasogastric feeding within 24 hours from admission. We randomly assigned patients using fish-bowl technique to either intermittent gravity drip feeding or bolus feeding. The primary outcome was development of hospital acquired pneumonia. The secondary outcome was length of hospital stay and mortality.
 
Results: 106 were randomized into intermittent group and 104 into the bolus group. Th e baseline characteristics were similar at the start of the study. The primary outcome occurred in 55 of 104 patients (53%) in bolus group and 21 of 106 patients (20%) in the intermittent group (RR=0.37). Mortality occurred in 42 of 104 patients (41%) in bolus group and 26 of 106 patients (25%) in the intermittent group (RR=0.60). Th e average hospital stay for the bolus group was 17±11 days compared to intermittent group with 13±10 days.
 
Conclusion: Patients receiving intermittent gravity drip feeding had a lower rate of hospital-acquired pneumonia and mortality compared to those receiving bolus feeding. Th ere was no signifi cant diff erence on the length of hospital stay between the two methods of feeding.

 

Muhammad Umair Arshad

Government College University Faisalabad, Pakistan

Title: Muffins with added vegetable powders on satiety and glycemic responses before and after a meal in healthy young adults
Biography:

Muhammad Umair Arshad has completed his master’s degree and Ph.D. from University of Agriculture, Faisalabad and now he is working as the Director for the Institute of Home and Food Science, Faisalabad.

Abstract:

In vitro anti-diabetic eff ect of diff erent vegetables has been reported; however, the same role of these vegetables has not
been much explored through human intervention. Th erefore, present study was conducted to examine the comparative
effects of muffi ns supplemented with bitter gourd (BGM) and other vegetables like spinach (SPM) and eggplant (EPM) on
subjective appetite, Blood Glucose (BG), gut hormones and food intake in healthy young males through a randomized, cross
over experiment. Aft er 12 hours fasting, 24 healthy young males (18-30 years) were fed 300 g of plain muffi ns (control) or
supplemented with bitter gourd powder, BGM (10 g/100 g fl our), or spinach powder, SPM (10 g/100 g fl our), or eggplant
powder, EPM (10 g/100 g fl our). An ad libitum pizza meal was served at 120 minutes to measure the food intake. Subjective
appetite, blood glucose and gut hormones (insulin, GLP-1, active ghrelin) were measured at intervals from baseline to 120
minutes. Post-treatment (0-120 minutes) glucose, but not insulin, decreased following all the vegetables supplemented muffi ns
compared to the control (P<0.0001) with more pronounced eff ect of BGM. However, post-treatment average subjective appetite(P=0.0017) and food intake (P=0.0021) were reduced following BGM but not SPM and EPM. BGM further improved GLP-1 concentration (P<0.0001) and reduced active ghrelin (P=0.0022), compared with control. Th e bitter gourd supplemented baked foods possess potential more than other vegetables to regulate postprandial appetite and glycemic responses, without disproportionate increase in insulin concentration.

Vinod Nikhra

North DMC Medical College & Hindu Rao Hospital, India

Title: Therapeutic potential of gut micro biome manipulation: Concepts in fecal microbiota transplantation
Biography:

Vinod Nikhra is a Senior Consultant Physician and Faculty at NDMC Medical College and Hindu Rao Multi-specialty Public Hospital, India. He is a Healthcare Administrator, Academician and Clinician. He has been elected a Fellow by International Medical Sciences Academy and the Royal Society of Medicine, London. His published books which includes Aging slowly, Living longer and the anti-obesity guide.

Abstract:

Microbial Alterations and Dysbiosis: Th e composition and diversity of gut microbiota is an indicator of health and various groups of commensal bacteria provide health advantages as they enhance metabolism, the immune system, cancer resistance,endocrine signaling and brain function. In general, the gut microbiome remains relatively resilient over time, however,antibiotic use, erratic diet, illness and other factors can lead to alterations and dysbiosis, which weaken various elements of the barrier, causing collapse of the mucus layer that separates epithelial cells and microbiota and reduced expression of antimicrobial peptides which control bacteria including C. diffi cile.
 
Method: Fecal Microbiota Transplantation (FMT) is administration of a form of fecal material from the donor into the intestinal tract of the recipient in order to directly modify the recipient’s gut microbial composition suitably to confer health benefits. FMT has been used to successfully treat recurrent Clostridium diffi cile infection (CDI). Th ere are preliminary indications to suggest that it may also carry therapeutic potential for other conditions such as infl ammatory bowel disease, obesity, metabolic syndrome and functional gastrointestinal disorders.
 
Results & Conclusion: Th e occasional adverse eff ects of FMT are diarrhoea, abdominal cramping, belching and nausea, which are self-limiting and resolve in a variable period. An increased risk of IBD fl are, fever and elevation in infl ammatory markers following FMT may occur. Some serious adverse eff ects are upper GI bleeding, enteritis and peritonitis, which vary with the administration method and may be related to complications of the method itself rather than FMT. FMT is regulated in Canada as a ‘new biologic drug’, specifying the indications, patient’s consent, preparing the FMT from a known solitary donor and screening for potential pathogens prior to administration. Th e US Food and Drug Administration (FDA) considers stool as a biological product and drug, and mandates physicians to maintain similar precautions to administer FMT. FMT, so far is not regulated in West by the European Medicines Agency, or elsewhere in Asia, Africa or Australia. Th ere is increasing acceptance for the therapeutic use of FMT. However, the risks and benefi ts remain poorly defi ned because the published FMT experience remains limited. In future, FMT can be a pauci-strain type or multi-strain type depending on the fecal microbiota analysis of the recipient. The suitable strains can be picked-up from donor fecal sample, grown in cultures and transplanted through an appropriate route. Depending on the recipients’ microbiota diagnostic analysis, the FMT using suitable pauci-strains may be a promising development in near future. FMT using frozen sample is another prospective development and may lead toautologous FMT using the sample preserved from the healthy state in a microbiota bank similar to stem cells bank.

Olaitan Oluwasiji Olabisi

Wesley University, Nigeria

Title: Overweight and stress- predictors of hypertension among health workers in university teaching hospital, jos, plateau state, nigeria
Biography:

Olaitan Oluwasiji Olabisi is currently on his PhD study at the University of Ibadan, Nigeria. He is an assistant lecturer in Wesley Univeristy, Ondo, Nigeria where he teaches human nutrition. He research interest is in clinical nutrition with focus on cardiovascular diseases among adults. He is versatile in the use of SPSS, TDA software, WHO anthro and WHO Anthro plus for data analysis. He has published 3 papers in reputed journals.

Abstract:

Hypertension is a public health concern and healthcare providers are not exempted from its menace due to poor nutritional status and lifestyles. Th is study assessed blood pressure patterns, nutritional status and stress of workers in University Teaching Hospital, Jos, Nigeria. It was a descriptive cross-sectional including 283 randomly selected workers whose sociodemographic, medical and lifestyle characteristics was investigated by a semi-structured, self-administered questionnaire. Stress was assessed by International Stress Management Association (ISMA) questionnaire consisting of 20 points scale and being classifi ed into; low stress (≤4 points), moderate stress (5-13points), and high stress (14-20points). Weight and heights were measured by bathroom scale and stadiometer respectively. Waist and hip circumferences were measured by non-stretchable measuring tape. Obesity was defi ned by Body mass index (BMI), Waist –Hip Ratio (WHR) and Waist Circumference (WC), Waist-Height ratio (WHtR) and bioelectrical impedance analysis. Blood pressure was measured using digital sphygmomanometer and hypertension was defi ned as ≥140/90mmHg. Data were analyzed by Statistical Package for Social Science (SPSS) version 20.0. Descriptive statistics and association of the variables were determined. Statistical signifi cance was set at p<0.05. Proportion of male and female health workers was 32% and 68% respectively. Th eir mean age was 36.72 ±9.47years. More than half (64.3%) were within 30-49 years. Not less than 56.2% had family history of chronic diseases. Only 21.6% drank alcohol, 2.5% smoke cigarette and 65% did not engage in physical exercise. More than one quarter (39.1%) consumed fruit regularly. Prevalence of overweight/obesity was determined by BMI, WC, WHR, BIA and WHtR to be 48.9%, 31.1%, 43.1%, 65% and 71.4% respectively. Prevalence of hypertension was 30.1%. More than half (62.5%) of the respondents were moderately stressed and 7.4% highly stressed. Signifi cant diff erence exists in age, nature of work and marital status across the gender (p<0.05). Th ere was a signifi cant association between nutritional status of the respondents and their blood pressure (p<0.05). No signifi cant association was found between respondents’ stress status and blood pressure (p>0.05). Overweight, obesity, moderate stress and high blood pressure were prevalent among the health workers, and obesity was the predictor of hypertension among them. Healthcare providers need regular screening, nutrition education, engage in physical activity and have appropriate workload to maintain good nutrition and health status.

Cherry Ann Garcia

University of the Philippines, Philippines

Title: Maternal perspectives on probiotics, intake of probiotic food and occurrence of atopic dermatitis among children in selected urban communities in laguna, philippines
Biography:

Cherry Ann Garcia is a nurse and an educator. She is passionate in conducting free public health teachings in rural communities in their province. Her expertise is on medical-surgical nursing and psychotherapy and counseling. She is a pastor’s wife.

Abstract:

Introduction: Atopic dermatitis (AD), also known as eczema, is the most common chronic relapsing skin disease in children, affecting approximately 10% to 30% of children worldwide. For this reason, the research community investigated possible
innovative prevention and treatment strategies for AD. One of these strategies was the manipulation of the intestinal fl ora
through probiotics.
 
Method: Th is study is a cross-sectional, analytic study on 680 mothers and 680 children recruited in selected urban communities in Laguna, Philippines.
 
Results: Most mothers (92%, n=625) had highly positive attitude to probiotics. Composite scores were computed and
statistical data revealed that attitude is signifi cantly correlated with behavioral control (r=0.2087, p-value <0.001) and intention (r=0.2934, p-value <0.001). Furthermore, it was found out that both intention (r=0.3703, p-value <0.001) and perceived control (r=0.2355, p-value <0.001) were signifi cantly correlated to total amount of intake of probiotic food. Female children (42.43%) have higher intake than males (30.61%). High intake was also noted among children of mothers with educational attainment of Vocational (45.45%) and College and higher (41.09%); among low- (38.92%) and middle-income families (44.06%); and among those without family history of AD (38.55%). As for the frequency of consumption of probiotic food, 3 out of 10 of the respondents reported daily intake of at least one bottle of the probiotic foods enumerated. Among 680 respondents, 18.09% (n=123) were diagnosed as having atopic dermatitis, while 81.91% (n=557) were without AD. Th is study showed that the odds of having atopic dermatitis was 2.4 times higher among those with low intake status and 4.3 times higher among those with none intake status compared to children with high intake status.
 
Conclusion: Intake of probiotics are positively correlated with maternal education, income, highly positive attitude, high perceived control, and intention of mothers. Consumption of probiotics is a protective factor against atopic dermatitis.

 

Wubetu Woyraw

Debre Markos University, Ethiopia

Title: Uptake of minimum acceptable diet among children aged 6-23 months in orthodox religion followers during fasting season in rural area, Dembecha, North West Ethiopia in 2018
Biography:

Wubetu woyraw is currently working as lecturer in the Department of Nutrition and Food Science, College of Health Sciences, Debre Markos University, Debre
Markos, Ethiopia.

Abstract:

Introduction & Aim: Undernutrition is the cause for poor physical and mental development and has more burdens among
infants and young children aged between 6-23 months. Cultural practices like not providing animal source foods for infants
and young child aged between 6-23 months were barrier for practicing proper children feeding. Th e aim of this study was to
assess minimum acceptable diet and associated factors among children aged between 6-23 months in orthodox religion during
fasting season in rural area, Dembecha, Ethiopia.
 
Method: A community-based cross-sectional study was conducted to assess minimum acceptable diet. Random sampling
technique was applied to select 506 study participants. Interview was used to collect data on practice of minimum acceptable
diet, minimum dietary diversity, minimum meal frequency and related factors among children aged between 6-23 months
from mothers/caregivers.
 
Result: About 8.6% of infants and young children aged between 6-23 months received minimum acceptable diet. Education status of mother (AOR=0.22, 95% CI: 0.1, 0.48), involvement of mother in decision making (AOR=0.22, 95% CI: 0.10, 0.48), birth order of index children (AOR=0.36, 95% CI: 0.14, 0.94), knowledge on feeding frequency (AOR=0.3, 95% CI: 0.16, 0.58) and institutional delivery (AOR=5.13, 95% CI: 1.26, 20.80) were signifi cantly associated with minimum acceptable diet.
 
Conclusion: Minimum acceptable diet practice was low. Educational status of mother, involvement of mother in decision
making, knowledge on feeding frequency and institutional delivery were signifi cantly associated with minimum acceptable
diet. This indicates that nutrition education and counseling related to infant and young child feeding practice is not addressed for all mothers. Strengthening mothers’ education on acceptable child feed practice and working with religion leaders to increase knowledge of mothers on child feed practice are recommended.

 

Souheir Alia

United Arab Emirates University, United Arab Emirates

Title: Assessment of nutrition knowledge, and dietary behavior of post bariatric surgery patients in Rashid Hospital Outpatient Clinic in Dubai, UAE
Biography:

Souheir Alia, has her expertise in health education and promotion in both community setting as well as hospital setting, and works as a clinical dietitian in Rashid Hospital, DHA, in the city if Dubai, in UAE, and is in the process of fi nishing the requirement to fi nish her masters’ degree in food science, and her thesis being research based focusing on patients post bariatric surgery dietary protocol.

Abstract:

Obesity is a disease, which stands alone by itself, and it is accompanied by many co-morbidities, and that is why many means to treat obesity comes into account and one of the most prevalent ways in UAE is by bariatric surgery. Despite the vast research assessing nutrition knowledge of patients of several health conditions, none of the papers assessed the nutrition knowledge of patients’ post-bariatric surgeries, although this category of patients is very susceptible to malnutrition post-surgery. My aim in this study was to assess the general nutrition knowledge and the knowledge specifi c to the dietary protocol post-surgery, the medical and nutritional complications, and their awareness and understanding of dumping syndrome specifi cally, the clarity of information conveyed by the dietitians and its eff ect on their levels of compliance of the post-bariatric surgery dietary protocol and the follow up appointments with the dietitians, and fi nally a small part gave a glimpse of their quality of life post-surgery.

Method: The methods used to analyze the questionnaire was with the help of SPSS version 23.0. Descriptive statistics such as frequencies, proportions, means, and standard deviations were used. Statistical tests such as Chi-Square test of independence, and Pearson’s correlation were used to test correlation. To test signifi cant diff erences between values of quantitative variable were used using the statistical test ANOVA or its equivalent non-parametric test named Kruskal-Wallis. Normality was tested using the Shapiro-Wilk test, while Levene’s test was used to test the equality of variance.

Results: The results of this study showed a fairly good general nutrition knowledge of both groups, the questions assessing nutrition knowledge of the dietary protocol post-surgery were added up and given a score out of 14, in which it showed that only 19.4% of participants had very good knowledge, 66.2% had average knowledge, and 14.4% had poor knowledge. In addition, most patients didn’t know what dumping syndrome is, and of those who knew what it is 66.6% of them knew the food that promote its occurrence, and almost half of the participants who answered yes knew the symptoms of it. On the other hand, 79.5% of the patients followed up with a dietitian, and only 30.1% showed compliance to the dietitian’s instructions, which was strongly related to patients fi nding the information conveyed vague and unclear as 71.2% considered it as aforementioned.

However, the most experienced symptom post-bariatric surgeries was nausea, followed by dizziness, dehydration, and finally vomiting. As for the overall quality of life of participants the highest percentage 45.8% was given to participants who never felt agitated, fatigued and/or regretted their decision of getting operated, and as much as 83.1% found their daily activities to be more enjoyable. In conclusion, patients who undergo bariatric surgeries are a great area of improvement now that we can spot some gaps in the health care provided.