Day 1 :
Keynote Forum
Marja Koski
Child Psychiatry,University of Helsinki, Finland
Keynote: The current psychiatric state of Obesity solution
Time : 09.30 am - 10.15 am
Biography:
Dr. Marja Koski is a Licentiate of Medicine, M.D (University of Turku) and also a Special Competence in Rehabilitation (University of Helsinki). He did Diploma in Health Administration (University of Helsinki) and DPH (Nordic School of Public Health, Gothenburg, Sweden), Psychotherapist (National Supervisory Authority for Welfare and Health), psychodynamic individual psychotherapy. Presently he is working as Specialist of Child Psychiatry (University of Helsinki),
Abstract:
The World Health Organization (WHO) projected that by 2015, approximately 2.3 billion adults will be overweight, and more than 700 million adults will be obese. Globally, nearly 43 million children under the age of 5 years were overweight in 2010. According to Fin Riski 2012 health survey of working-age men BMI average was 27.1 kg/m2 and 26.0 kg/m2 for women. One in five Finnish was fat. Finnish men, body mass index has risen since the 1970s, and women since the 1980s. However, progress has slowed and even stabilized in the past decade.
We must find new method to prevent development of obesity in the future. The psychiatric and psychological methods should be to pay attention to the background in obesity. Individuals use solutions that they have learned in the childhood to defuse anxiety and different emotions. The researchers have found the relationship between stress and severe obesity. Recently we found connection between depression and obesity. In research, they have found connection between some personality disorders and obesity.
Doctors in the primary care should pay more attention to many chronical disorders that are connected to obesity. They should use team which consist of dietician, psychologist and psychiatrist.
Keynote Forum
Steffen Scheunemann
seca Asia Pacific SDN BHD, Kuala Lumpur,Malaysia
Keynote: SECA
Time : 10.15 AM - 10. 45 AM
Biography:
Kaulalumpur,Malaysia
Abstract:
seca GmbH & Co. KG. is a German company that develops, produces and sells weighing scales and measuring instruments. Its products are exported to more than 110 countries. The company’s headquarters is in Hamburg and it has branches in Austria, France, England, Switzerland, Japan, China, Mexico and the USA. In 1970, Sönke Vogel decided in favour of a new corporate concept. Since then focus has been on medical measuring and weighing, on products which are needed for diagnosis and therapy purposes in medicine in order to determine the precise weight of a patient. The product portfolio has been consistently expanded and is available on all international markets.
Keynote Forum
Patsama Vichinsartvichai
Navamindradhiraj University, Bangkok, Thailand
Keynote: The influence of obesity and body fat distribution on the quality of life in peri- and postmenopausal women living in urban area of Thailand
Biography:
Dr. Patsama obtained his MD degree in 2004. After completion of fellowship in reproductive medicine, he practices as a consultant at Vajira hospital. During 2016, he completed Master in Clinical Embryology from Monash university. His area of interests includes metabolic syndrome in menopause, reproductive endoscopy, fertility preservation and fertility awareness promotion.
Abstract:
During the menopausal transition, changes in the hormonal milieu are associated with changes in body fat composition leading to abdominal obesity and predisposing metabolic syndrome. These transformations make a significant contribution to the shift of body fat from the gynoid to the android pattern, and hence the type of body pattern might affect the quality of life. We investigated the influence of patterns of body fat distribution and body mass index on menopause-specific quality of life (MENQOL) in peri- and postmenopausal women living in Bangkok. A total 214 peri- and postmenopausal women, mean age 55 years, with intact uterus and no history of hormonal treatment were recruited. Anthropometric measurements were conducted as standard techniques. The Thai version of MENQOL questionnaire was used to evaluate menopause-specific quality of life. According to the body fat distribution patterns, 53.3% were women of the android type and 46.7% were of the gynoid type. The android body pattern was associated with worsening of vasomotor and psychosocial domains (p<0.05). However, overweight and obese women had slightly better scores in the sexual domain of the MENQOL. Peri- and postmenopausal women with android body pattern have lower quality of life in the vasomotor and psychosocial domains while women with normal BMI have the slightly lower quality of life in the sexual domain. The maintenance of premenopausal body proportion might mitigate the menopause-specific quality of life.
- Treatments for Obesity
Location: Khwaeng Silom
Chair
Treatments for Obesity
Khwaeng Silom
Session Introduction
Woong kim
Department of Life Science , Chosun University, Korea
Title: Anti-adipogenic Effects on 3T3-L1 Preadipocytes from funtional plant Pinus densiflora sieb. et zucc needles
Biography:
Woong Kim has completed his master’s course at the age of 27 years from Chosun University and now doctoral student at Chosun University.
Abstract:
Obesity is a common disease in worldwide and considered a significant risk factor causing various complications. Pinus densiflora sieb. et zucc contains several natural compounds that have various biological activities. However, the health beneficial effects of these compounds have rarely been reported. In this study, to evaluate the inhibitory effect of pine needle extract powder(PNEP) on adipocyte differentiation in 3T3-L1 preadipocytes. The level of adipogenesis in the 3T3-L1 cells was measured by Oil Red O staining. As a result of Oil Red O staining, PNEP significantly inhibited adipocyte differentiation by more than 55% in 3T3-L1 preadipocytes in a dose-dependent manner. Furthermore, We confirmed PNEP inhibited adipocyte differentiation by suppressing the expression of the adipogenic transcription factors Fatty acid binding protein(aP2) and Sterol regulatory element binding transcription factor 1(SREBP1c) using real-time PCR analysis. These results shows that PNEP inhibits adipogenesis by suppressing the expression of adipogenic transcription factors.
Cheolwoo Park
Department of Life Science ,Chosun University, Korea
Title: The Anti-Obesity Effect of Pinus densiflora Sieb. et Zucc. in mice
Biography:
He graduated at Department of Biotechnology, Chosun University. currently progress a master’s course in plant molecular biology laboratory, Department of Life Science, Chosun University.
Abstract:
Pinus densiflora Sieb. et Zucc. (red pine) have various biological activities and widely distributed around East Asian countries, including Korea, Japan, China, and southeastern Russia. Although P. densiflora has been used traditional medicines, scientific evidence of anti-obesity effect has not been reported. The aim of this study was to investigate whether pine needle extract powder (PNEP) decreased body weight and white fat mass in ICR mice. We designed four group that similar in weight : normal diet (ND), hight fat diet (HFD), PNEP (300mg/kg and 500mg/kg). Their body weights were monitored twice weekly during the feeding period on 12 weeks. In comparison with HFD mice, PNEP (500mg/kg) group showed significantly lower body weight gain (-23%), white fat mass gain (-71%). Also, Blood analysis results that total lipid, cholesterol, free fatty acid, triglyceride and ALT were significantly decreased in the PNEP (500mg/kg) group compared with that in the HFD group. We confirmed that PNEP were significantly decreased body fat, white fat mass and obesity blood factor through blood analysis in ICR mice. Therefore, PNEP can be considered for use in therapy to control body fat and to develope functional food.
Seong-Soo Roh
Daegu Haany University, Republic of Korea
Title: Diospyros kaki Fruit and Citrus unshiu Peel mixture (PCM) enhances fecal lipid excretion through the inhibition of fat absorption
Biography:
His major is traditional Korean medicine, and he has lectured and studied pharmacology and toxicity in Korean medicine at Daeguhaany university. In addition to natural drug research, he is also focusing on research on functional food ingredients and natural cosmetic materials. Now he is the editor-in-chief of The Korea Association of Herbology and serves as an academic member and editor of internationally renowned journals. He has built this model after years of experience in research, evaluation, teaching and administration both in hospital and education institutions.
Abstract:
This study aimed to investigate the action of Diospyros kaki fruit (young persimmon) and Citrus unshiu peel mixture extract (PCM) on the excretion of diatery triglyceride in high-fat diet-induced obese mice. The inhibitory activity on pancreatic lipase of PCM was evaluated in vitro and its anti-obesity effects were studied based on the serum, liver, and fecal triglyceride level analysis from high-fat diet (HFD)-fed mice in vivo. Moreover, we measured the protein expressions of AMP-activated protein kinase alpha (AMPKa), the fatty acid oxidation and thermogenesis-related genes (e.g., PPARα, CPT-1, and UCP-2) and lipogenesis-related genes (e.g., SREBP-1, SREBP-2, ACC, SCD-1, and HMGCR) with western blot in the liver. Hepatic functional parameters were analyzed in the serum. PCM exhibited the inhibitory effect on lipase activity with an IC50 value of 428.9 μg/mL. Moreover, the diatery TG by the PCM200 treatment was significantly excreted to the fece. Furthermore, PCM200 treated mice increased significantly the level of phosphorylated AMPKα in obese mice. Lipogenesis-related protein expressions in PCM200 were marked reduced compared to these of HFD control mice. Whereas, PCM administration didn’t show an effect on fatty acid oxidation and thermogenesis-related protein expressions. Thus, the PCM treatment produced no obvious adverse effects on the liver function. Taken together, PCM promoted fecal lipid excretion by inhibiting intestinal absorption of dietary fat and improving lipid metabolism via activation of AMPK. Accordingly, these data clearly show that PCM possess an anti-obesity function in mice fed a HFD Accordingly, PCM may be a promising herbal formula in the prevention or treatment of obesity.
- Obesity Associated disorders and its curent research
Location: Khwaeng Silom
Session Introduction
Wang Lingying
Sichuan University, China
Title: Effect of Continuing Nursing Model on Blood Glucose Control in Chinese Diabetic Mellitus Patients
Biography:
Wang Lingying is studying in West China School of Medical,Sichuan University for master nursing degree.She is a student cadre.
Hu Xiuying is a professor. She has published more than 100 articles in reputed journals and is the head of the nursing department in West China Hospital.
Abstract:
In view of the situation that the fluctuation of blood glucose and the quality of life of diabetic patients were decreased after discharge from hospital,to investigate the effect of continuing nursing model on blood glucose control in Chinese diabetic patients. Through the retrieval of relevant papers in CNKI,VIP and Wanfang databases, the data were analyzed and compared by retrospective method. Comparison of the data shows that after the implementation of continuing nursing intervention,the experimental group of fasting blood glucose, 2h postprandial blood glucose , glycated hemoglobin and glycemic standard time were lower than those in control group 13%-33%, the difference was statistically significant (P<0.05). Continuing nursing has a positive effect on the improvement of blood glucose control in diabetic patients, and it is suitable to promote in patients with diabetes mellitus.
Xu Xiaofeng
Sichuan University, China
Title: Literature Review and Analysis of the nursing researches of elderly patients with obesity in China
Biography:
Xu Xiaofeng is studying nursing postgraduate at Sichuan University.She has published some articles in different journals. Hu Xiuying is a professor and has published more than 100 articles in reputed journals. She has been serving as an editorial board member of repute.
Abstract:
To analyze the present situation and problems in the field of the nursing of elderly patients with obesity by reviewing literature, and to provide evidence for the improvement. The CBM, VIP, CNKI and WanFang databases were used to retrieve the studies describing nursing of elderly patients with obesity. There were 298 articles. Then we screened the literature according to the inclusion and exclusion criteria. Main results and characters of the literature were described. A total of 56 articles were included from 2003 to 2016. And the articles developed with increasing trend year by year. The study design use in nursing of elderly patients with obesity were mainly investigative research(33.93%), followed by quasi-experimental study(30.36%). The research topics mainly focused on the relationship between obesity and other diseases（28.57%），followed by the nursing intervention of elderly patients with obesity(25.00%).Studies focused on nursing of elderly patients with obesity develop relatively late in China and are with low quality. The researches are main about the elderly patients with obesity complications such as diabetes, high blood pressure and lack of specific nursing care in elderly patients with obesity. We need more researches to improve it.
Biography:
Ms Drauna is currently a first year PhD student of International Health at the Universiy of Tokyo. She completed her Masters in Public Health at the University of Tsukuba in Japan. Her Masters thesis investigated the trends of sociodemographic risk factors of diabetes in Fiji. Her Bachelors degree in Public Health was completed in Fiji in 2012; her thesis was on the unhealthy food advertisements on the radio which contributed to a larger study on mass media and junk food in Fiji.
Abstract:
Diabetes and obesity are major public health problems in the Fiji Islands. Till now, policies, projects and research have rightfully targeted the areas of nutrition and physical inactivity to decrease obesity and then to control diabetes. Among such obese persons, metabolically healthy obese individuals do not present the complications commonly associated with obesity. In high and upper-middle income countries, its prevalence ranges from 2-51% among obese populations, but little is known about its prevalence and its sociodemographic factors in Fiji. This study aims to examine its demographic and adiposity predictors. Utilizing data from the NCD Risk Factor STEPS survey 2011 (n=2,688) that was conducted by the Ministry of Health in Fiji, a complex survey data analysis was done. In this study, metabolically healthy obese individual was defined as an obese individual who meets only one out of the four characteristics of metabolic syndrome recorded (waist circumference, fasting blood glucose, diastolic and systolic blood pressure). As a result, raised fasting blood glucose and obesity prevalence were found to be 28.8% and 30.7%. However, 61.7% of the obese group did not present raised fasting blood glucose. Prevalence of metabolically healthy obesity was 23.5% among the obese population and 7.2% overall. Waist circumference was the strongest independent predictor (OR 0.92 95% CI 0.89 – 0.94; P=<0.001). One in four obese adults is metabolically healthy and they are at a lower risk of diabetes. Identifying such healthy adults can help improve the tailor-made interventions to obese adults in Fiji.
- Childhood Obesity
Location: Khwaeng Silom
Session Introduction
Gaukhar Datkhabayeva
Kazakh Academy of Nutrition, Kazakhstan
Title: Signs of a delayed development of the frontal-thalamic system, which forms part of the brain substrate of executive functions, are observed more often in children aged 9-10 with obesity than in their lean counterparts
Biography:
Mrs. Gaukhar Datkhabayeva is a PhD in human physiology. Her PhD thesis was devoted to EEG-investigation of functional brain state self-regulation. Mrs. Datkhabayeva has worked at the Kazakh Academy of Nutrition as a senior researcher for a number of years, and has carried out investigations of food and behavioral factors contributing to childhood obesity, as well as the influence of obesity on children’s cognitive functions, as part of a program of prevention of pediatric obesity in school-age children in Kazakhstan. Mrs. Datkhabayeva’s interests cover popularization of healthy nutrition and elaboration of effective strategies for the promotion of healthy nutrition choices.
Abstract:
Obese children have reduced indices of certain cognitive functions from the executive domain (EF). R. Machinskaya assumed that the difficulties with attention in children with ADHD originate from immaturity or non-optimal functional state of the frontal-thalamic system (FTS), which manifests itself as bilaterally-synchronous groups of theta waves in the frontal and/or central leads (FCTW) in the rest-state EEG. MRT studies have detected structural deviations as well as delayed development, primarily in the frontal lobes of the brain of obese adolescents. We have analyzed the frequency of FCTW occurrences in the EEG of 52 children with obesity and 46 matching children with normal weight (NW) and evaluated attention, mental flexibility (MF) and response inhibition in FCTW- and Non-FCTW children with obesity and NW. Among children with obesity, FCTW-children were more common than among their lean counterparts (60% and 30%, respectively). Toward the end of the Letter Cancellation Test (LCT), the obese children exhausted their attention. No observable differences were found in the cognitive outcomes between the Non-FCTW children with obesity and NW, while the FCTW-children with obesity demonstrated poorer performance in MF and number of viewed letters in the LCT vis-à-vis their lean counterparts. FCTW presence in the EEG of children with obesity positively correlates with the reaction time in a response inhibition test. In the FCTW-children, BMI and MF correlate reversely. Thus, children with obesity have an increased probability of a delayed functional development of FTS. It seems that children with a delayed development (or non-optimal state) of FTS combined with obesity have lower cognitive outcomes due to the fact that obesity exacerbates delays in the development or non-optimal state of FTS.rn rn
Biography:
Katherine Callaghan is a fourth year medical student at Stony Brook University School of Medicine. Katherine obtained a B.S. from Cornell University and is currently persuing a career in Developmental and Behavioral Pediatrics. Michael Nevid is a fourth year medical student at Stony Brook University School of Medicine. Michael obtained a B.S. from Rochester University and is currently persuing a career in Pediatrics.
Abstract:
Case Presentation: Here we present 5 cases of pediatric and adolescent patients with PWS who exhibited episodic manic or hypomanic symptoms indicative of bipolarity. We subsequently discuss the individual treatment regimens of each patient. Literature Review: Prader-Willi Syndrome (PWS) is a genetic disorder caused by loss of function on chromosome 15 (q11-q13). Baseline behavioral probles such as preoccupation with food or skin picking can make psychiatric diagnoses difficult to recognize in this population,6,8. Obsessive-compulsive tendencies and aggression are well known psychiatric illnesses seen in younger PWS populations4-5,8. Autism spectrum diagnoses have been noted as well9. However, little has been reported on the pediatric and adolescent population regarding bipolarity. In regards to treatment of psychiatric comorbidity, SSRIs have had efficacy in limiting obsessive compulsive and aggressive symptoms in some patients4. For psychotic episodes, atypical antipsychotics have had some success, as well as lithium for cycloid psychosis in adults2. Regardless of diagnosis, psychiatric comorbidity is an atypical feature of PWS10. When it does occur, individualized treatment should be explored to address these issues for optimization of patient health. Clinical Significance: We have shown that bipolarity can be seen in pediatric and adolescent patients with PWS. The use of the antipsychotic Ziprasidone in these patients has helped to prevent further manic episodes. Ziprasidone, a weight neutral atypical, may be a better option than other atypicals when considering hyperphagia in PWS patients.