Scientific Program

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Day 2 :

  • Childhood Obesity | Advances Treatment for Obesity | Obesity and Diabetes
Location: Dubai

Session Introduction

Imran Abbas

Dubai health Authority, Dubai

Title: Calculating the Difficulty of Laparoscopic Bariatric Surgery Preoperatively; Results of the qualitative Phase

Time : 09:00-09:25

Speaker
Biography:

Imran Abbas is a Consultant Laparoscopic Metabolic & Bariatric Surgeon Dubai health Authority, Dubai and Medical special Centre Dubai, Life Line Hospital Dubai, Iranian Hospital Dubai. He was a Consultant in Laparocopic Bariatirc & Metabolic surgery, Farmaniyeh Hospital, Tehran, Iran during 2014-2015. He has completed Doctor of Medicine in Qazvin University of Medical Sciences & Health Services, Iran (1994-2001) and Iranian Diplomat of Board of General Surgery, Tehran Medical University, Iran (2001-2005)

Abstract:

Background: Surgeons, specifically younger ones, and their team can prepare themselves from both aspects of psychic and facilitative by estimating difficulty of surgery preoperatively Results: Primary questionnaire was consist of these domains: factors related to surgeon, patient, devices and personnel. Final questionnaire has 31 questions consist of I. Factors related to surgeon: experience (four questions), and exposure (one question), II. Factors related to patient: anatomy (eleven questions), and comorbidities (two questions), patient’s position (one question), and others (one question), III. About instruments and operation room, quantity (two questions), and quality (one question), IV. Related to other personnel: anesthesia team (six questions), and other personnel (two questions). There are also two more questions we ask from main surgeon after the surgery to validate this primary questionnaire. Idea of other surgeons will also be gathered for checking the consistency. Conclusion: This primary questionnaire can be used after checking its validity and reliability using a pilot study on 200 cases.

Horia Mawlawi

Prince Sultan Military Medical City, Saudi Arabia

Title: Childhood Obesity

Time : 09:25-09:50

Speaker
Biography:

Dr Horia Mawlawi has bachelor Degree 1982-1983 from King Abdulaziz University, Jeddah, Saudi Arabia. Arab Board in Pediatric 1996 National Guard Hospital, Riyadh, KSA. Consultant paediatric endocrinology and Director of Fellowship training programme of endocrinology 2014-2017. She had published 3 pages for different causes of child obesity. 

Abstract:

Childhood obesity is a major public health crisis nationally and internationally. The prevalence of childhood obesity has increased over few years in all pediatric age group in both sex. Approximately 22 million children under 5 years of age over weight across the world. The number of overweight children and adolescents has doubled in last 2 to 3 decades in the world.
World Health Organization on childhood obesity find 41 million children under 5 years either obese or over weight as of 2014. However more than 90% of cases are idiopathic and less than 10% are associated with hormonal or genetic causes. The idiopathic mainly caused by imbalance between calorie intake and calories utilized. High calorie density and fat content of modern diet and lack of physical activity is associated with increased risk of obesity. Physical, psychological and social health problems are caused due to child health obesity.
Comorbidities Associated with obesity and overweight are similar in children as in adult population elevated blood pressure, dyslipidemia and high prevalence insulin resistance and type 2 diabetes appear as frequent complication in the overweight and obese pediatric population. Approaches in the prevention and treatment of childhood overweight and obesity are urgently required including first healthy diet and physical activity when lifestyle modification is insufficient to reach weight loss and complication of obesity affect child health pharmacotherapy is recommended if age more than 10 years Bariatric Surgery is reserved for carefully selected sub group of young children with obesity related co-morbid condition threaten the child health where lifestyle and medication have been evaluated but found not be effective.

Speaker
Biography:

Completed her Ph.D in Biochemistry from Aligarh Muslim University, India in 1998. Currently working as Associate Professor in Gulf Medical University, Ajman, UAE and has published 20 papers in reputed journals

Abstract:

Aim: To assess the prevalence and perception of risk factors of cardiovascular diseases (CVD) among the adults of United Arab Emirates (UAE). Method: A cross-sectional questionnaire based survey. Healthcare related population excluded. Data analyzed using SPSS version 21. Result: 1367 Arab and expatriate population with 700 being young adults (18-25 years) participated. Personal history reveals 47% overweight/obese, 25% current/Ex-users of tobacco, 60% perceive their life moderately or highly stressful and 74% do not follow the recommended physical-activity. 8.1% reported to have diabetes mellitus (DM), 11.8% hypercholesterolemia and 14.4% hypertension. Family history of DM (42.6%), Hypertension (30%) and heart attack (23.6%) was also reported. 55% of the population perceive that obese people and those with hypercholesterolemia are at high risk of developing CVD; 49% perceive Hypertension and 30% think Diabetes to be a risk factor. 59% recognized “more risk factors you have, greater is your chance of developing CVD”. “No smoking, regular exercise, healthy diet, control of diabetes and blood pressure may prevent the development of CVD?” 68% of younger age group and 80% of older acknowledged this fact. Few thought they are at risk of developing heart attack (21%) or stroke (16%) in next 10 years. 60% of younger and significantly higher number (73%) of older were planning to make changes in their lifestyle in near future. 80% feel people need more knowledge regarding CVD. Conclusion: There is a need for public health education to increase the level of correct perceptions regarding risk factors of CVD in this high-risk population. 

Speaker
Biography:

Dr. Hadil Subih, An assistant professor in Clinical Nutrition-Jordan University of Science and Technology. I'm also a Clinical Nutrition counselor in King Abdullah University Hospital (KAUH)/Jordan. She got her PhD from Texas Tech University (2014). She finished her MA from New Mexico State University. Her research interest is the study of obesity, diabetes and health biomarkers. 

Abstract:

Background: T2DM is considered as one of the most prevalent diseases in Jordan and worldwide in the last decades. Preventive strategies are needed urgently due to the chronic complications of diabetes such as cardiovascular diseases, stroke, blood vessels damage, nerves atrophy, kidney damage and blindness. Dietary modification, physical activity, medical care, body weight and abdominal obesity, and family support are crucial factors which may either improve or worsen glycemic control in diabetic patients. Objectives: The objectives of this study were to evaluate lifestyle and dietary practices/behaviors that may correlate with the glycemic status of diabetic patients in Jordan. Methods and Participants: One hundred sixteen subjects (51 male and 65 females: 27-75 years) who visited the dietitian clinic at King Hussain Hospital, Amman, based on the referral of the endocrinologist were recruited in the study and approved to sign a consent form. All subjects had a baseline serum HbA1c of ≥ 6.5 % and followed the standard regimen that included an individualized balanced diet based on the baseline anthropometric measurement and dietary assessment. Along comprehensive questionnaire was filled out at their first visit with the assistance of trained researcher. Body composition was also measured using a bioelectrical impedance analyzer (InBody 770). Results: Female subjects had poorer glycemic control (HbA1c >7) compared to males. BMI, waist circumference, body fat % and waist to hip ratio were significantly correlated with poor glycemic control (P≤0.05). Skipping breakfast and eating with others were also significantly associated with poor glycemic control while the speed of eating, sleeping right after eating were not associated with glycemic control. Conclusion: Lifestyle practices, body weight, abdominal obesity, body fat %, and dietary habits may correlate significantly with glycemic control in diabetic patients.

 

Abdul Kareem

Teaching Hospital, Basrah-Iraq

Title: Gall Stone after Sleeve Gastrectomy

Time : 11:10-11:35

Speaker
Biography:

Abdul Kareem is the head of surgical department, Teaching Hospital-Basrah-Iraq. He is an Arab Board Certified Surgeon. He is an international member of society of American Gastrointestinal and Endoscopic Surgeons. He worked as a Registrar in General Surgery at Teaching Hospital.

Abstract:

Gall stone commonly occur after bariatric surgery. This prospective study in Basrah for 2 years to compare between incidence of gall stone after sleeve gastrectomy in comparison to gastric bypass. Some authers said that gall stone after sleeve gasrectomy less than gastric bypass because no change in enteric endocrine reflex. Patient and Methods: Prospective study for patients underwnt SG and RyGBP for 2 years in Basrah between 2013 to 2015. Patients with previous cholecystectomy were excluded also with known history of gall stone. Result: Group A gastric sleeve470 patient 70 case were excluded (14.8%) Group B 89 case 17 excluded (19.1%) No significant difference in occurrence of gall stone between 2 groups (6.7% vs2.6% p=0.9)

Speaker
Biography:

Seham M. AlRaish is pursuing her PhD study at the age of 31 years in United Arab Emirates University after she completed her master in Enviromental Sc. with master thesis title " Nutritional status, dietary habits, practises and knowledge and their relationship with performance among young athletes in the united arab emirates"and BSc. In Dietitics .She has published two poster presentation papers in reputed conference. 

Abstract:

An appropriate diet is crucial for athletes. An insufficient nutrient intake can lead to health disorders.To describe the nutritional knowledge, Nutritional practices and dietary habits for athletic individual in the United Arab Emirates cross-sectional study was conducted. 59 male soccer players13 to18 years were recruited from Al Jazira Academic sports clubs. Nutrition Knowledge, Practices and Habits was evaluated by questionnaire, different components of the nutritional status, Socio-demographic data were collected. Both questionnaires were administered in groups under the supervision of a trained interviewer. The software SPSS version 23 was used .Food frequency consumption separated the frequency of consumption of different food per week. Food were separated into the six main food groups: Cereals (14.11±4.56), Dairy (10.00±3.32),Meat, Fish (5.93±2.28), Fruits and vegetables,(11.11±4.55),5) Snack (7.91±3.23) Beverages(8.25±2.55) .The significant relationship was found between Mothers education level and Milk Group (P-value<0.01), Snack group and Weight(kg) (P- value<0.03), and athletes consumed Snack group and Skin Fold Sub-scapular (P-value=0.04) . Knowledge score was (80.73±8.81), score for Self Efficiency (18.88±3.66) and Attitude (21.30±1.88).The majority of the adolescent Soccer players considered in this study fell into the normal weight category and all are of a normal height according to the anthropometric data. The implication of this finding is that the athletes are considered to have an excess of body fat stores and less Skin Fold then it is desirable. A quite good dietary knowledge but limited healthy dietary practices and ability to change were observed, also a significant influence of the family environment.

Speaker
Biography:

Roula Zougheibe is a Ph.D. student at Curtin University for Spatial Science Department. She holds Master degree in Geoinformation Systems from ITC institution, the Netherlands and BSc. in Geography from Damascus University, Syria. She has about 15 years of working experiences in Enterprise Geographic Information Systems solutions across several industry sectors.

Abstract:

The prevelance of overweightness and obesity among Australians has been steadily increasing for the past 30 years. A report from the Department of Health in Australia (2008) states that 25% of children are currently overweight or obese. Studies suggest that the overweight and obese are less active while others find that physical movement plays an important role in the prevention of becoming overweight and obese in childhood and adolescence. The State of Western Australia’s Children and Young People reported that less than one-half (48.9%) of 5 to 15 year-olds in WA met the recommended amount of physical activity in 2012. Ongoing research is conducting a variety of studies to find reasons and solutions. To effectively prevent and reduce childhood obesity it is helpful to understand children’s mobility behaviour in relation to the surrounding environment. Spatial Information has been recently used to show spatial movements for kids. However the evidence base on what might work to increase children’s mobility is still poor.  This paper aims to presents findings of relevant literature and outlines the roles of spatial technologies played in understanding child mobility behaviours in relation to their sourrounding environment. Also, assess the impact of behavoiural change on childrens weight. The research output will be a great opportunity to magnify our understanding of the contributions of spatial technologies in explaining individual children’s mobility and what may influence movement behaviours including spatial techonologies which may help promote new conversations on health measures.

  • Obesity in Real Life | Others

Session Introduction

Ashok Yadav

B.P.Koirala institute of health sciences, Nepal

Title: Assessment of Universal Precautions Norms Followed by Resident Doctors of Bpkihs at Eastern Nepal.

Time : 12:25-12:50

Speaker
Biography:

Dr Ashok Kumar Yadav has done graduate from Chittagong Medical College, Bangladesh and post graduate from BP Koirala Institute of Health Sciences, Nepal. He worked as medical officer in the department of forensic medicine and internal medicine. He has been working as associate professor in the department of General practice and Emergency medicine, BP Koirala Institute of Health Sciences (BPKIHS) from 2009.

Abstract:

Background: Universal precautions are designed to reduce the risk of transmission of microorganisms from both recognized and unrecognized sources to a susceptible host. The CDC guideline recommends Universal Precautions for the care of all patients, regardless of their diagnosis or presumed infection status. It is mandatory to treat all blood and other potentially infectious materials with appropriate precautions. Objectives: To assess components and the associated factors for not practicing the rules of universal precaution and also to assess the knowledge and practice regarding universal precaution among Resident doctors. Methods: it is cross-sectional survey, conducted in BPKIHS in tertiary hospital teaching hospital Dharan in 2016.A total of 275resident doctors were interviewed with the help of self-designed questionnaire. Result: Out of 275 resident doctors, 94% participants practiced hand washing if contacted different patients, 91% practiced hand washing after taking of gloves whereas 94% practice hand washing after contact with blood and body fluid. 93% agreed to wear gloves while   drawing of body fluid whereas 91 % participants agreed to changes gloves if contacted different patients. 63% used gloves always, 35% used gloves sometimes and 3% never used gloves. 52% participants used personal protective equipment, 26% resident doctors did not use personal protective equipment (PPE) due to lack of materials 14 % due to lack of awareness, 11% due to carelessness. 63 % participants faced needle stick injury, among whom 38% had one time injury, 22% had two times whereas 21 % had more than 3 times injury.37% faced needle stick during recapping syringe, 33% during securing IV cannulation, whereas 14% during suturing. 77% took prophylaxis vaccination whereas 23% have   not vaccinated. Conclusion: Careful adherence to universal precautions can protect both health personal and patients from infections through proper execution of norms of universal precaution. 

Speaker
Biography:

Dr. Masum poudel  completed Master degree in general practice and finished fellowship in Emergency medicine , working as additional professor in BPKIHS, Dharan, Nepal. She is involved in teaching, learning in undergraduate and postgraduate student and also involved in academic research.        

Abstract:

Background: The Rose Questionnaire (RAQ)was designed to assess the probability of underlying coronary artery disease in epidemiologic studies of population groups. Since then, the RAQ has been used in many countries to detect coronary heart disease  in epidemiological research as well  in Emergency department. Rose suggested that the sensitivity and specificity of the questionnaire may vary between countries. Objectives: To validate the Rose angina questionnaire to detect   Myocardial infarction (MI) by comparison with emergency diagnosis in Nepali population and to find out the sensitivity and specificity between Emergency diagnosis and diagnosis by RAQ   regarding MI. Methods:  A Hospital based Cross -sectional study from Jan 1st to March 30th  2017, conducted in the Emergency ward   among   patient  age 40-70 years  with chest pain.. All participating  were asked  detailed multi component questionnaire for possible myocardial infarction considering  53% sensitivity and 89% specificity according the study  by Rahma MA et al in Bangladesh . Results: Mean age of participants was 63.78 years (standard deviation ±11.60 years). Male were 66%. History of diabetics, hypertension and Dyslipidemia  secondary to obesity were   positive in 30, 41 and 3  patients respectively. Among MI Incidence by RAQ and MI Investigation    study showed that Sensitivity was92.59% Specificity was 89.47%. crohnback  alpha was found 0.78. Conclusion; The RAQ could be used as a useful screening tool to screen for Coronary heart disease  in an emergency department and  helps to identify the risk factor for coronary heart disease like hypertension, diabetes ,dyslipidemia secondary to obesity and also  reduce  the overcrowding of the patient at emergency  department by avoiding  reparative investigation and help to reduce the cost burden of the patient.

Muamer Dajdic

The Healthy Living, Canada

Title: The Truth Behind Weight Loss and Maintenance

Time : 14:15-14:40

Speaker
Biography:

Muamer Dajdic has completed his Business Admin. (Honours) from Humber College, Ontario, Canada. He has completed his Business Admin. Finance (Honours) from Guelph-Humber College, Ontario, Canada. He has completed his CSC (Canadian Securities Certificate) from Canadian Securities Institution, Ontario, Canada. He has won numerous entrepreneurship awards. He was also awarded JACK C. MONTGOMERY VA MEDICAL CENTER EXCELLENCE AWARD. He is a motivational educator of The Healthy Living. He has spoken across the North America at Global Obesity Conferences, Schools, Universities, Fitness Clubs, & many other organizations. He is the upcoming author of the book: The Healthy Living Process. One of his biggest awards is helping other lose over 1000 lbs!

            

Abstract:

The objective of this research and analysis was to identify the key success factors behind the weight loss and maintenance. With numerous failed attempts at lossing weight, earlier in my life even with the help of healthcare professionals, I was determined to identify the key success factors behind the weight loss and maintenance so that I could have fun, enjoy life, and achieve my full potential in life. I was almost 500 lbs when I was only 20 and I thought I was going to die young. I could barely move from the couch where I played video games and ate junk food. By the time I turned 22, I had lost OVER 300 lbs and continue to keep it off for over 5 years now! My mission in life is to prevent youth from becoming obese and going down the same path I've been on. It is such a waste of a young life. In addition to this, I help Global Healthcare Professionals improve their weight loss and maintenance processes so that together WE CAN help SAVE 100,000,000 lives from obesity across the world. I believe maintaining a healthy body (mental & physical) is the foundation for our health & life. We can do this by having fun and enjoying life, living well by eating well and being moderately active while achieving our dreams. I am here to present my findings in order to help you better understand people who are struggling with obesity. This presentation will provide you a better understanding of what obese individuals go through on a daily basis. As a result, you will be able to improve your patient's lives and help them achieve a healthier lifestyle while achieving their full potential in life.

 

Speaker
Biography:

As an ISAK Kinanthropometrist Dr Claire Mills research interests lies in body composition where she is actively involved with professional athletes, children and obese people. Her PhD developed anthropometric calibration models to estimate whole body density of professional football players and she delivers in schools on overweightness. Recent research into the use of bariatric weighted suits has provided an interesting twist on what it is like to be obese. Claire has published many academic papers on body composition and obesity and is an Editorial Reviewer for both the Obesity Research Open Journal and the Sports and Exercise Medicine Open Journal.

Abstract:

As researchers we are cognisant of the issues relating to the lack of physical activity associated with obesity. However, guidance given to the general population on physical activity levels fails to recognise the difficulties that obese people face to be physical active. Therefore, this study was designed to provide a phenomenological perspective in a practical context. n = 30 Undergraduate Sports Degree students (x ± s; age = 20.6 ± 2.1 years; body mass = 79.1 ± 8.5 kg and stretched stature = 179.8 ± 7.3 cm) were recruited. Participants performed in 5 standardized fitness testing parameters, Sit & Reach (SR), Vertical Jump (VJ), Illinois Agility Run (IAR), 10m sprint (10mS) and a 5 minute motorized walk (5MW) whilst monitoring heart rate (HR). Upon completion, participants wore a bariatric weighted suit (BWS) which provided an additional 20 lbs of padded weight and repeated the 5 testing parameters. Results indicated pre and post ranges of SR from 28.0 – -20.1 cm, VJ = 46.0 – 20.3 cm, IAR = 16.8 – 32.1 s, 10mS = 5.10 – 7.98 s and the 5MW found pre resting HR (x ± s) 62.0 ± 3.4 bpm compared to post HR (x ± s) 184.0 ± 3.5 bpm, indicating an significant increase (P < 0.05) of 122 bpm or 234%. Wearing the BWS caused physical stresses and constraints, suggesting that the BWS could be used with those who are at risk of becoming obese to demonstrate what could happen if they fail to take preventative action.