Day 2 :
- Bariatric Surgery | Nutrtion and Diet | Obesity in Women | Others
Location: Four Points by Sheraton
Session Introduction
Dave Letele
Buttabean Motivation, New Zealand
Title: How one man’s journey has resulted in a movement that has helped many Maori and Pacific regain their health and their lives
Biography:
Dave Letele, 4 years ago was a different man. He had returned from Australia in debt, broken, depressed and weighing 210kgs. Today Dave is a shadow of his former self having lost 110kgs but regained his self-esteem, self-belief.
Abstract:
Buttabean Motivation (BBM) is a health and wellbeing movement that was inspired by Dave Letele’s own health journey. Dave’s journey regaining his health back was not easy, nor is it very common amongst Maori and Pacific individuals who are part of the growing obesity statistics. New Zealand is currently ranked 3rd in terms of obesity rates with 1.5 million individuals being classed as obese. In 2017 the total Maori population was thought to be 734,200 whilst the Pacific population was thought to be 295,941 (Statistics New Zealand, 2017; Pasifika Futures, 2017) in that year it was found that 67% of Pacific and 47% of Maori adults were obese whilst 30% of Pacific and 17% of Maori children were obese. BBM started simply by training his father in-law’s friend and posting on social media where and when training would be for others interested. These spontaneous meet ups of individuals wanting to regain their health in a safe and supportive space, has resulted in an online Facebook community with over 10,000 individuals and now, 24 scheduled boot camps across West and South Auckland that are free. BBM has grown from just a bootcamp to a 12 week The BBM Ward programme is a 12-week health and lifestyle programe which Dave runs for 20 participants at a time. Individuals who are successful in their application for the BBM Ward are provided with: BBM nutritional guideline, pre and post health testing-body scans, blood pressure and insulin level checks, 12 week training-3 minimum coached training sessions a week and mentoring. All of this is free for the participants. From the first BBM ward the results showed that participants’ lipids panels were lowered into healthy ranges and 50% of the high risk individuals improved their fasting insulin scores. All four aspects of the mental health testing (anxiety, depression, Harvard happiness and Worksafe stress) improved. The greatest results were: Hip to waist ratio improved by 22% and the body fat percentage on average pre-program was 47.04% and post program the average was 39.58%. Participants in the first ward lost a combined weight of 420 kgs.
Hongkai Gao
Chinese PLA General Hospital, China
Title: The improvement of glucolipid metabolism after Roux-en-Y gastric bypass in Chinese obese patients with type-2 diabetes: A long term research
Biography:
Hongkai Gao has completed his MD from West China University of Medical Science and Postdoctorate at Mayo Clinic. He is the Associate Professor of Surgery and Vice Chief of General Surgery at 3rd Medical Center, General Hospital of CPeople Liberat Army in Beijing. He served as the Director of Beijing Diabetes Prevention Association.
Abstract:
Obesity is a major public health problem worldwide. Roux-en-Y Gastric Bypass (RYGB) is the most effective bariatric surgery approach that has been shown to induce considerable weight loss and improve metabolic parameters in obese patients. In view of the increasing adoption of metabolic surgery, post-surgical follow-ups are important to assess long-term effects and efficacy.Therefore, the aim of this study is to report on time changes on non-morbid patients in adiposity, insulin secretion and sensitivity, glucose homeostasis and improvement in diabetes after Roux-en-Y Gastric Bypass (RYGB) surgery in Chinese ethnicity. This prospective cohort study involved 177 patients who met the indications of bariatric surgery for obesity. Markers of adiposity, insulin secretion and sensitivity, glucose homeostasis and diabetes control were monitored from baseline to 12 months in all participants and up to five years in a subset of participants. Mixed-linear and logistic regression models were used for follow up. Mean BMI decreased by 15.5% from 30.31±5.21 kg/m2 at baseline to 25.33±2.57 kg/m2 at 12 months (p<0.001). Indices of insulin secretion and c-peptide improved during follow-up, translating into improved insulin sensitivity and glucose homeostasis. Improved diabetes control (HbA1c<6.5%) among those with diabetes was 64% at six months and 67.2% at 12 months, then the percentage of diabetes control dropped smoothly since three years (62.7%) after surgery to 5 years (60.5%). Findings were mostly similar in men and women. The favorable effects of RYGB over time on total adiposity in this population were paralleled by significant improvement in insulin secretion and sensitivity and glucose tolerance.
Naomi Davies
The University of Auckland, New Zealand
Title: Gut microbial predictive biomarkers of diabetes remission after bariatric surgery
Biography:
Naomi Davies is pursuing PhD at the University of Auckland Medical School. She has Bachelor's degree obtained in Nutrition and Molecular Biology. She has worked for the Royal New Zealand Ballet Company as a Sports Nutritionist and Nutrition Educator in Chicago, Illinois, USA.
Abstract:
Bariatric surgery, most commonly through the Roux-en-Y Gastric Bypass (RYGB) or the Sleeve Gastrectomy (SG), results in long-term weight reduction and high rates of Type-2 Diabetes (T2D) remission. Identifying those in whom T2D is unlikely to remit after such bariatric surgery can help in prioritisation and counselling of likely benefits. The aims of this study were to identify whether any baseline gut microbial taxa predicted T2D remission after bariatric surgery and to investigate whether these corresponded to other clinical predictive factors and outcomes after surgery. Body composition data and fecal samples were collected at baseline and one-year after surgery from 44 patients who were randomised to either RYGB or SG. Diabetes remission was attained in 68% of participants undergoing RYGB or SG. At one year, total weight loss was 35.9±10.3(SD) kg, with excess weight loss (defined using reference normal BMI of 24 kg/m2) of 74.8±26%. Using shotgun metagenomic analysis we identified higher abundance Eubacteriaceae (p=0.01) and Alistipes putredinis (p=0.009) in the pre-surgery fecal samples only among those who remitted from T2D at one year. These did not relate to baseline T2D duration or insulin treatment. However, after surgery, those who remitted from T2D had significantly more abundant Roseburia (p=0.005) and Lachnospiraceae (p=0.04). These bacterial taxa also did not correlate with EWL% or T2D duration in our cohort. Although it cannot be concluded that gut microbiota are causal to T2D remission after bariatric surgery, they may be useful predictive biomarkers of future T2D status.
Alana G
Conscious Parenting Retreat, Australia
Title: Conscious parenting and how to recognize generational patterns that aren’t serving you or your child?
Biography:
Alana has been in the wellness industry for over 15 years. She has been involved with many events to facilitate change. She began running retreats on parenting, which has now grown and developed into a collaboration of amazing parents who are embodying their own work and discussing all aspects as to what it takes to be a conscious parent. Alana had found her purpose and as a single mother herself she is proud to announce she is the founder of the first conscious parenting retreat for kids and parents in Australia to bring new tools and skills to our communities.
Abstract:
Helping parents to heal from their own past traumas and what happened to them as children so they can show up and do things differently with their own children. The tools we teach are all about deep respect and understanding the power of listening to our children's feelings, so they have a chance to express themselves fully and process the things they experience every day. We know that this literally builds the neurons in their brains and that we can impact the entire world by listening to our children and supporting them in a new way. Parents will leave empowered to do things differently and instead of using time outs and consequences or harsh punishments, getting caught in power struggles and difficult cycles that lead to disconnection, they will have a road map to tackle the hard things that arise with their children with love and compassion and learning how to set limits in new ways that foster mutual respect and deep listening and connection. Parenting is hard work and it can be so much easier when parents have new knowledge and awareness about what is really going on when our amazing children are having a hard time, and then the tools we all need to learned to do this in a new way. Total Paradigm shift for families which will ripple out into the world around us and into our communities. Health and education in the world begins at home.