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World Nutrition 2018

W o r l d C o n g r e s s o n

J u n e 1 8 - 1 9 , 2 0 1 8 | P a r i s , F r a n c e

Nutrition and Dietetics

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World Nutrition 2018

Session ChairPiergiorgio Bolasco

Territorial Nephrology Department, Italy

Session Co-ChairMajid Hajifaraji

SBUMS / NNFTRI, I.R. Iran

Session Introduction

Day 1J u n e 1 8 , 2 0 1 8

S e s s i o n sRenal Nutrition & Metabolism | Food Science & Chemistry | Nutrition and Cancer | Clinical Nutrition | Holistic & Integrative Nutrition | Nutrition in Pregnancy and Lactation | Diet in Obesity and Underweight

Title: Whey protein based microencapsulation of bioactive compounds and probioticsMingruo Guo, The University of Vermont, USA

Title: Cancer preventive properties of an anthocyanin- enriched sweet potato in the APCMIN mouse modelKhalid Asadi, University of Auckland, New Zealand

Title: Obesity, appetite-regulation and how to maintain a healthy weight loss-the biological mechanisms behind healthy sustained weight loss in humansSigne Sorensen Torekov, University of Copenhagen, Denmark

Title: Whether probiotic supplementation is effective in prevention of the hyperglycemia induced maternal hypertension? Majid Hajifaraji, Shahid Beheshti University of Medical Sciences (SBUMS)/ National Nutrition & Food Technology Research Institute (NNFTRI), I.R. Iran

Title: Connected Health: A Revolution in Healthcare IndustryShikha Nehru Sharma, NutriWel Health (India) Pvt. Ltd, India

Title: Clinical foundations of nutrition support: An overview on Enternal NutritionFranz Josephine Ilustre Ferrer, Supreme Court of Phillipines Medical Services , Phillipines

Title: Vitamin A Intervention- Impact on Maternal and Infantile NutritureSylvia Subapriya M, Avinashilingam Institute for Home Science and Higher Education for Women, India

Title: The Importance of Moving from the Parental Home for Changing the Nutrition Behavior of Young Adults in a Gender PerspectiveAlexandra Sept, Technical University of Munich, Germany

Title: Physicochemical and rheological properties of whey protein microencapsulated 3,3′-diindolylmethane Abbas Khan, Jilin University, China

World Nutrition 2018

J u n e 1 8 - 1 9 , 2 0 1 8 P a r i s , F r a n c e

Page 23Journal of Clinical Nutrition & DieteticsISSN 2472-1921

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Ginsenosides is a group of the bioactive compounds in ginseng. Its application in functional dairy foods is limited due to the bitter taste and

yellowish color of ginsenosides. Using polymerized whey protein as the wall material to capsulate ginsenosides may effectively mask its bitter taste and improve the color. Probiotics are widely used in functional fermented foods. Polymerized whey protein based microencapsulation of probiotics might improve their survivability during digestion. The results showed that entrapment yield of the microencapsulated ginsenosides and Lactobacillus Acidophilus (L. Acidophilus) was 95.46±1.95% and 92.90±3.97%, respectively. The probiotic yogurt chemical composition, texture, syneresis, viscosity and sensory properties were analyzed and compared between the experimental sample and the control. There was no significant difference in moisture and ash content between the experimental and the control sample (p>0.05). The yoghurt with microencapsulated ginsenosides displayed the higher viscosity, gumminess, hardness and adhesiveness. The syneresis of experimental sample was significantly lower than that of the control (p<0.01). Sensory evaluation (score scale 1-5) showed that the acceptability score of the experimental yoghurt (3.7) was much higher than the control (1.6). The population the probiotic was above 106 CFU/ml in the yoghurt for the first six-week storage. Results showed that the microcapsules of L. Acidophilus were intact after treated by gastric juice but L. Acidophilus were released in the small intestine juice while the free cells had died out. The results indicated that the polymerized whey protein based microencapsulation might be an effective technique to mask bitter taste and improve the color of probiotic yoghurt containing ginsenosides. They could be released from the capsules in small intestine. And the polymerized whey protein based microencapsulation might protect L. Acidophilus from the acidic gastric juice.

Biography

Mingruo Guo is a Food Chemist and Full Professor in the Department of Nutrition and Food Sciences at the University of Vermont (UVM), USA. He received his BS and MS from the Northeast Agricultural University (NEAU), Harbin, China. He was awarded his PhD degree from the National University of Ireland in 1990. In 1993, he joined the Department of Animal and Food Sciences at UVM. He was recruited as Associate Professor in the Department of Nutrition and Food Sciences at UVM in 1999 and promoted to Full Professor in 2007. He teaches Functional Foods: Principles and Technology at UVM. His scholarly interests include the utilization of whey in creating environmentally safe products; functional foods development, pre- and probiotics; component interactions in infant formula and nutritional products; biochemistry and technology of fermented dairy products; He published the first textbook on functional foods in the US in 2007. He has published more than 150 research articles, book chapters and conference proceedings.

[email protected]

Whey protein based microencapsulation of bioactive compounds and probioticsMu Wang1 and Mingruo Guo1,21Northeast Agricultural University, China2The University of Vermont, USA

Mingruo Guo et al., J Clin Nutr Diet 2018 Volume: 4DOI: 10.4172/2472-1921-C1-002

World Nutrition 2018

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Page 24Journal of Clinical Nutrition & DieteticsISSN 2472-1921

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Anthocyanin-rich foods and preparations have been reported to reduce the risk of life-style related diseases, including cancer. SL222 sweet potato, a

purple-fleshed cultivar developed in New Zealand, accumulates high levels of anthocyanins in the storage-root. We have examined the chemopreventative properties of the SL222 sweet potato in the C57BL/6J-ApcMin/+Apc (APCMIN) mouse, a genetic model of colorectal cancer. APCMIN and C57BL/6J wild type mice (n=160) were divided into four feeding groups consuming diets incorporating 10% SL222 sweet potato flesh, 10% SL222 sweet potato skin or 0.12% ARE (Anthocyanin rich extract, prepared from SL222 sweet potato, at a concentration equivalent to the flesh supplemented diet) or a control diet (AIN-76A) for 18 weeks. At 120 days of age, mice were anaesthetised and blood samples were collected, before mice were sacrificed and the intestines were used for adenoma enumeration. The SL222 sweet potato supplemented-diets reduced the adenoma number in APCMIN mice. These data have significant implications for the use of this sweet potato variant in protection against colorectal cancer.

Biography

Khalid Asadi received his Medical Bachelor’s degree (MBChB) from University of Basrah, Iraq 1983. After obtaining his PhD from Auckland Cancer Society Research Centre, University of Auckland in 2007, he joined L.R. Ferguson’s Laboratories for his Postdoctoral studies in University of Auckland, School of Medicine. He is a Research Fellow in Auckland Cancer Society Research Centre working in his project Prevention of the colon Cancer.

[email protected]

Cancer preventive properties of an anthocyanin enriched sweet potato in the APCMIN mouse modelKhalid Asadi1, Lynnette R Ferguson1 and Martin Philpott21Auckland Cancer Society Research Centre, University of Auckland, New Zealand 2University of Oxford, UK

Khalid Asadi et al., J Clin Nutr Diet 2018 Volume: 4DOI: 10.4172/2472-1921-C1-002

World Nutrition 2018

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Obesity affects one billion people and impairs all aspects of health. Success rates for maintaining long-term weight loss are very low, thus there is

an acute need for more effective treatment strategies. The natural appetite inhibiting hormone glucagon-like-peptide-1 (GLP-1) is secreted from the intestine upon meal intake and reduces blood glucose and food intake. Obese people have low levels of GLP-1, but interestingly a sustained weight loss of 10 kg for one year induces a marked increase in GLP-1. Thus, high levels of GLP-1 seem to be part of successful weight loss maintenance. Treatment with GLP-1 analogues facilitates long term weight loss maintenance accompanied by substantial improvement in metabolic health, compared to similar weight loss obtained by conventional dietary-regimes. Furthermore, obese people can be grouped into high and low immuno-metabolic risk profiles by analyzing the full plasma proteomic profile, which opens up for more personalized treatment strategies. Finally, patients with the genetic heart disease Long QT Syndrome have exaggerated GLP-1 secretion and endocrine pancreatic dysfunction after sugar intake and thereby increased risk of serious hypoglycemia. Therefore, large amounts of sugar intake should be avoided. Conclusively, normalized GLP-1 levels are crucial for both body weight and glucose regulation in humans.

Obesity, appetite-regulation and how to maintain a healthy weight loss -the biological mechanisms behind healthy sustained weight loss in humansSigne Sorensen TorekovUniversity of Copenhagen, Denmark

Signe Sorensen Torekov, J Clin Nutr Diet 2018 Volume: 4DOI: 10.4172/2472-1921-C1-002

Biography

Signe Torekov is a human biologist with a strong background in clinical metabolic translational research combining basic metabolic genetics, physiology and treatment in humans. Her work has together with her research group already made seminal contributions to the understanding of human metabolism. Thus, the work has succeeded in showing the beneficial treatment potentials besides weight loss, for the appetite-inhibiting hormone GLP-1 in the alarming global epidemic of obesity. Furthermore, she has pinpointed the important link between Long QT Syndrome and risk of hypoglycemia thereby creating awareness of avoiding hypoglycemia by reducing sugar intake in these patients. Finally she has created a novel experimental approach for clinical translational metabolism in order to identify novel markers and predictors for human metabolic health. Signe Torekov´s research papers are currently being published in high-ranked international journals and she has obtained high-level funding for her research (more than €3.1 million during the last three years). In total, she has authored 44 peer-reviewed papers, much of this work has been published in high-ranking journals in the field (Cell Metabolism, Circulation, Diabetes, JCEM, Diabetologia, DOM, and Molecular Systems Biology with13 first and 16 last authorships), h-index of 16 and a total of 1022 citations (Web of Science, May 2017). Signe Torekov has received the prestigious Anders Jahre Young Medical Award of €26.000 as a personal award (also called “the young Nobel Prize in Medicine”) in 2017. The prize was awarded “in recognition of Dr Torekovs´s outstanding scientific work. Besides that she has received several Young Investigator Awards and in 2016, she received the prestigious Novo Nordisk Foundation Excellence Fellowship of €673.000 given to excellent young researchers within endocrinology in the Nordic Countries. In 2015, she formed an international alliance in immuno-metabolism with top researchers at Oxford and Karolinska University. Together they received €5.4 million from the Novo Nordisk Foundation to identify new markers and treatment in immuno-metabolism

[email protected]

World Nutrition 2018

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Despite achieved progress in the control and treatment of pregnant women with gestational diabetes mellitus (GDM), these patients are still at risk of disease complications. The aim of present study was to investigate the effect of probiotic supplement on systolic blood pressure (SBP) and diastolic blood pressure (DBP) among GDM pregnant women. In this randomized double-blind, placebo-controlled trial, 64 pregnant women with GDM were assigned into two groups and received probiotic capsule (n=32) or placebo (n=32) for 8 weeks. Blood pressures were measured at baseline, 2 weeks intervals and up to 8 weeks. 56 subjects were analyzed at the end of the study. After 8 weeks, SBP didn’t differ significantly in probiotic group at any time checkpoint but increased significantly in placebo group. DBP changes in a trend in probiotic group was obvious after 2 weeks and was reducing towards, however in placebo group, there was a tendency for higher DBP after week 6. There were significant differences between two groups of study after 6 weeks in the terms of SBP [104.828 (2.051) mmHg vs. 112.963 (2.126) mmHg, p=0.008 and 106.552(1.845) mmHg vs. 115.185 (1.912) mmHg, p=0.002, in week 6 and 8 respectively] and DBP [62.414 (1.353) mmHg vs. 70.741 (1.402) mmHg , p<0.001and 60.690 (1.540) mmHg vs. 71.296 (1.596) mmHg, p< 0.001, in weeks 6 and 8 respectively].

Conclusion: The results demonstrated that taking probiotic supplements for 8 weeks in patients with GDM prevented the increase of SBP and resulted in reduction of DBP after 2 weeks of consumption

Biography

Majid Hajifaraji is a Research Associate, Professor in Nutritional Sciences of the National Nutrition and Food Technology Research Institute (NNFTRI), and has served as Dean of Faculty of Nutritional Sciences and Food Technology (FNSFT) from 2010- 2015 and President of Iranian Nutrition Society (INS) from 2011-2015. He has a PhD in Clinical Nutrition program at Kings College, London University.

[email protected]

Whether probiotic supplementation is effective in prevention of the hyperglycemia induced maternal hypertension?Majid Hajifaraji1, Neda Dolatkhah2, Fatemeh Abbasalizadeh2 and Naser Aghamohammadzadeh21Shahid Beheshti University of Medical Sciences (SBUMS)/ National Nutrition & Food Technology Research Institute (NNFTRI), I.R. Iran2Tehran University of Medical Sciences, Iran

Majid Hajifaraji et al., J Clin Nutr Diet 2018 Volume: 4DOI: 10.4172/2472-1921-C1-002

Changes in the Systolic blood pressure over

the time points in each group

Changes in the Diastolic blood pressure over

the time points in each group

World Nutrition 2018

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India is known for its joint family culture, but with the passage of time, the joint family system has disintegrated, giving rise to the nuclear family system

where people do not have time to talk to each other. In recent studies, it has been shown that lack of connection and social support is associated with premature morbidity and mortality. To overcome this connected health has emerged as a boon to urban as well as the rural strata. Connected health, also known as technology-enabled care (TEC), involves the convergence of health technology, digital media and mobile devices. It enables patients, carers and healthcare professionals (HCPs) to access data and information more easily and improve the quality and outcomes of both health and social care. The healthcare system has become highly mobile in nature, involving, Telehealth (Telephone Medical and Nutrition Advisory), Healthcare Mobile Apps, and Tech-Savvy Gadgets etc. In this article 20 such articles are reviewed that utilize technology to enhance patient-provider connection. The articles were from the studies that took place in hospitals, clinics, technology-driven healthcare organisations and community settings. Technologies evaluated include telephone interventions, email, text messaging, interactive voice response (IVR), video blogs, mobile apps, connected gadgets (like glucometer, connected weighing scale) websites and social media. The functioning of few healthcare organisations like Healthmug.com and Shikha’s NutriHealth (a pioneer in providing healthcare remotely via mobile using technology) providing Telephone Nutrition Advisory has been reviewed in this article. These organisations use tech-savvy gadgets like smart scale (body fat analyzer), Glucometer and mobile app YuWoW which is connected to a software, patients can get connected anytime and from anywhere via chat or call. Findings from this review suggest that connected health is emerging successfully due to its convenience as technology could facilitate and promote the better connection between patients and healthcare providers.

Biography

Shikha Nehru Sharma is an MBBS doctor from Maulana Azad Medical College, Delhi (ranked in Top 3 Medical Colleges of India). While doing her Junior Residency in Department of Cardiology the desire to work in preventive healthcare took form. To follow this vision, NutriHealth Systems was set up to deliver preventive healthcare advisory programs. The use of tele-nutrition and personal health app is a pioneering concept introduced in the area of wellness with regular nutrition advice and counselling for clients. She has been a Wellness Advisor privately to Heads of Indian States and one Ex-Prime Minister of India. She is a fellow of the BMW Young Leaders and Aspen Global Leaders Fellowship. She has been honoured with awards like the Gr8 Indian Women, Service in Preventive Healthcare by the Honourable Union Health Minister of India. She has been written about in the book on entrepreneurship, Follow Every Rainbow by Rashmi Bansal.

[email protected]

Connected health: a revolution in healthcare industryShikha Nehru Sharma, Aastha and Swati MishraNutriWel Health (India) Pvt. Ltd, India

Shikha Nehru Sharma et al., J Clin Nutr Diet 2018 Volume: 4DOI: 10.4172/2472-1921-C1-002

World Nutrition 2018

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Malnutrition can be both over nutrition, in the form of obesity and non-communicable diseases, and under nutrition. This may be present inside

and outside the hospital set-up. Based on the World Health Organization’s Global status report on non-communicable diseases (NCD) 2010, NCD deaths are projected to increase by 15% globally between 2010 and 2020. These deaths are due principally to cardiovascular diseases, diabetes, cancer and chronic respiratory diseases. In the study done by Baker, et al on hospital malnutrition, the prevalence of malnutrition in the hospital acute setting has been widely documented in the literature to be between 20% and 50% depending on the patient population, definition and criteria used for diagnosis. With the increasing incidence of malnutrition, the importance of nutrition and lifestyle interventions are given priority to control these diseases; however a realization that these interventions are not only for those who are already diagnosed with NCDs and those that are hospitalized but rather nutrition and lifestyle modifications are also for healthy individuals as well. Prevention of NCDs and malnutrition through behavioural modifications are vital to alleviate the increasing risk of people developing these disease conditions and malnutrition. In the hospital set-up, screening is important to determine those who are at risk of malnutrition. The earlier the detection and diagnosis, the earlier the treatment plan is prescribed, therefore the chances of patient recovery increases. These patients at risk should be thoroughly assessed. Reviewing the anthropometric, biochemical, clinical and dietary assessment results would lead to the determination of the nutritional status of the patient, hence a proper nutrition prescription and medical nutrition therapy be made to fit the patient’s condition and needs. There are no more excuses for providing the patients the nutrition that they need. To still provide nutritional needs even if the oral access fails or seems impossible, enteral access may be used. It is vital that a Clinical Nutritionist-dieticians should be familiar with the benefits, indication and contraindication; the access and formula selection for enteral nutrition to be able to come-up with the proper enteral prescription that would fit to the patient’s diagnosis. Clinical nutritionist- dietician’s should familiarize themselves on the risks present for enteral nutrition and learn how to lessen those risks for proper patient care. Knowledge on how to administer and other considerations in the administration should be made clear. Monitoring and reassessment of patient’s condition is also a must, to help determine the progression of the feeding access and nutritional status of the patient. The management of nutrition is a team approach, be an active member and deliver nutrition the best way possible, to ensure that holistic management is provided for the patient.

Biography

Franz Josephine Ilustre Ferrer completed her Bachelor’s Degree in Nutrition and Dietetics from the University of Santos Tomas in 2008 and has taken up 36 units under the Master’s in Clinical Nutrition program of the Philippine Women’s University. She has been practicing as a licensed Nutritionist-Dietician in the Philippines for ten years and is currently the pioneer of nutrition and unit head of the Supreme Court of the Philippines Medical Services Nutrition Unit. She is also a trained Diabetes Educator who graduated as valedictorian of her batch in the 2015 Diabetes Educator’s Training Program of the Philippine Association of Diabetes Educators. Her other affiliations includes active membership in the Nutritionist-Dietician’s Association of the Philippines, Philippine Association of Diabetes Educators, and Philippine Society for Parenteral and Enteral Nutrition. Franz also spent two years as a Clinical dietician in the Nutrition Support team of Our Lady of Lourdes Hospital, Philippines and two years as a contributor writer for the nutrition section of the Philippine HealthCare Magazine.

[email protected]

Clinical foundations of Nutrition Support: An overview on Enteral NutritionFranz Josephine Ilustre Ferrer, RNDSupreme Court of the Philippines Medical Services, Philippines

Franz Josephine Ilustre Ferrer, J Clin Nutr Diet 2018 Volume: 4DOI: 10.4172/2472-1921-C1-002

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The magnitude of vitamin A deficiency (VAD) and iron deficiency anemia (IDA) among pregnant women in India needs systematic, region wise

planned studies in order to implement region specific solutions. Such studies will help to understand the problem better and plan programmers for the eradication of VAD in accordance with the global agreement on combating VAD. This study aims to develop such data base with the objectives, of assessing the prevalence of VAD and IDA among pregnant women in selected areas of Tamil Nadu, the outcomes of vitamin A supplementation on maternal and infantile nutrition during pregnancy, lactation, birth and infancy and the feasibility of nutrition education cum supplementation as strategies to alleviate VAD. 10,000 pregnant women were screened for symptoms of VAT from four representative regions of Tamil Nadu. Of 600 women with clinical and subclinical deficiency, 200 each were supplemented with dietary (E1) and synthetic (E2) supplements of vitamin A and the rest were placebo (P) and followed up for one year. The impact of nutrition education was assessed on the knowledge, attitude and practice (KAP) of 100 pregnant women. VAD was found to be a problem of public health significance in all the four regions. Parity was directly related to maternal body weight and inversely with serum retinol and blood hemoglobin. Micronutrient intakes increased significantly (p<0.01, 0.05) with supplementation. Maternal and breast milk volume was higher in E1 while retinol levels were higher in E2. Body weight and crown heel length of infants in E1 and E2 were significantly (p<0.01, 0.05) higher than in P group. Serum retinol and blood hemoglobin levels were higher (p<0.01, 0.05) among infants in E1 and E2 while serum total proteins were higher (p<0.01, 0.05) in the infants of mothers on dietary supplement (E1). KAP of mothers increased significantly after intervention.

Biography

M. Sylvia Subapriya is Professor in the Department of Food Science and Nutrition and Programme Coordinator, National Service Scheme, Youth Red Cross and Red Ribbon Club, Avinashilingam University for Women, Coimbatore. She has more than 59 publications at national and international level which includes chapters in International and books at national and international level, is on the editorial committee of two national and one international journal. Research areas- Vitamin A Nutrition, Oral Leukoplakia, Sports Nutrition, Tribal Nutrition and Nanotechnology in Food Packaging; Co-Principal Investigator for the UGC Sponsored Nation-wide online course for post graduates in Food Science and Nutrition, e-PG Pathshala and earlier, Principal Investigator of UNICEF SMART Survey under CMAM Initiative among < fives; undertaken collaborative research with Nilgiri Tribal Welfare Association, Christian Children’s Fund, Centre for Gandhian Studies, Agricultural Universities, UTAR, Malaysia and NFI, India; was the Mentor, for two scholars under the Pelatonia Student Exchange Programme, OSU. Invited Speaker/ Chair- International Conference in Sports Nutrition, Manav Rachna University, India; International Conference in Nutrition, Kulliyah of Nursing, Kuantan, Malaysia; International Conference on Bioprocess and Food Technology, Dubai, UAE. Received ICAR Junior Fellowship for PG Programme, CSIR Award, Care and Cover Organisation Award and Lawyer Kasinathan Award for research. As NSS Programme Coordinator of the University mobilised the upliftment of 26 adopted villages around Coimbatore through 26 programme officers and 2659 NSS volunteers. Received the Blood Donation Award from Ms. Archana Patnaik, District Collector, Coimbatore for record blood donation by NSS volunteers of the university; Prestigious Lead India 2020 recognition from Dr. APJ. Abdul Kalam, Former President of India for the NSS activity.

[email protected]

Vitamin A intervention: impact on maternal and infantile nutritureSylvia Subapriya M and Chandrasekhar UAvinashilingam Institute for Home Science and Higher Education for Women, India

Sylvia Subapriya M et al., J Clin Nutr Diet 2018 Volume: 4DOI: 10.4172/2472-1921-C1-002

World Nutrition 2018

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Young adults are faced with many challenges: in addition to finding the identity in the gender role and building up a system of moral, one's own future

perspectives must also be developed. The essential thing is the replacement of the parents, which is often obtained by moving out of the parental home and is associated with many changes for the adolescents. Moving to their own home is a step in their life, which often causes changes in the personal nutrition. With the move from the parental home, the self-sufficiency is on and an own lifestyle and nutritional style has to be developed and there are new freedoms and opportunities to try out. Because the move is a big step for young adults, the focus is not on the nutrition. The main criteria, the nutrition has to comply with are fast, easy, delicious and cheap. The consumption of fast food, for example, is particularly attractive for young people, as it is a distinction from the adult culture of eating, which is characterized mainly by rules such as eating with cutlery. Although food has the same function for all ages, the different meanings between the nutrition habits of adolescents and adults become clear. In addition to achieving autonomy, personality development is also a developmental task in youth. This also includes the nutritional style, which is developed through the (un-) conscious examination of the eating patterns of adults. Within the framework of the research cluster enable – Healthy food choices in all stages of life, two focus groups with young women and men between the age of 18 and 25 and guided narrative interviews describe the personally perceived changes in nutrition behavior and provide information on the criteria that determine these changes. In this work, the focus is on gender-specific concepts and the practice of nutritional behavior in adolescence and young adulthood.

Biography

Alexandra Sept studied Elementary and Family Pedadogy, Adult Education and Sociology in the Bachelor’s. She has completed her Master’s degree in Educational Sciences mainly focussed on Elementary and Family Pedagogy at the University of Bamberg in Germany. Now she is working at the Technical University of Munich at the Professorship of Gender in Science and Engineering. There she is pursuing her PhD in the research cluster enable that develops new strategies to promote healthier food choices in all stages of life. The research project is interdisciplinary with the focus on the interface of food science and nutrition technology with information and communication technology as well as social studies. Current presentations and publications were at the GLOCER- Conference in Las Vegas (April 2018) and in the ACM-Journal.

[email protected]

The importance of moving from the parental home for changing the nutrition behaviour of young adults in a gender perspectiveSept A and Ihsen STechnical University of Munich, Germany

Sept A et al., J Clin Nutr Diet 2018 Volume: 4DOI: 10.4172/2472-1921-C1-002

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Diindolylmethane (DIM) is a bioactive metabolite of indole-3-carbinol found in cruciferous vegetables and has anticancer potential. Stability and

sensitivity to the environment are the major challenges for the application of this compound. The objective of this study was to develop whey protein microencapsulated DIM using the combined heating-ultrasound method. Solutions with different ratios of DIM to whey protein (1:12, 1:6, 1:4, 1:3, w/w) with constant whey protein (12%, w/v) were heated at 85˚C for 30 min and then treated with ultrasound for 15 or 30 min, respectively. Zeta potential, particle size, and rheological property of the samples was studied. Samples after ultrasound treatment significantly reduced the particle size of 280-450 nm and shown narrowed size distribution (Polydispersity Index of ~0.47) compared with heated samples (P<0.05). A significant decrease in zeta potential (P<0.05) was seen when the heated samples (-28.54±54 mV for 1:4 samples) were ultrasound treated for 15 min (-33.36±0.85 mV) and 30 min (-31.13±1.02 mV). The viscosity of the ultrasound treated samples was significantly (P<0.05) decreased as compared to untreated samples. All samples exhibited shear thinning behavior (pseudoplastic, n<1) and fitted with Sisko model (R2>0.997). Consistency index (Ks) of the samples was increased by ultrasound treatment. Results indicated that whey protein-based nanoparticles may be used to protect 3,3'-diindolylmethane for food and pharmaceutical applications.

Biography

Abbas Khan has completed his B.Sc (Hons) and M.Sc (Hons) from the University of Agriculture, Peshawar, Pakistan. Currently he is pursuing PhD (2nd year ) from Jilin University,China. He worked as a Nutrition officer in the Health Department, Govt of Pakistan. He has 4 publication in reputed journals and one is under review.

[email protected]

Physicochemical and rheological properties of whey protein microencapsulated 3,3'-diindolylmethaneA Khan1, C N Wang2, L Li2, A Killpartrick3, A Humphrey3 and M R Guo21Jilin University, China2The University of Vermont, USA3FoodScience Corporation, USA

A Khan et al., J Clin Nutr Diet 2018 Volume: 4DOI: 10.4172/2472-1921-C1-002

World Nutrition 2018

World Nutrition 2018

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Page 33

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Allergic disease can be referred to as the new mastiga of the 21st century. Childhood asthma is the most common respiratory disorder worldwide associated with increased morbidity, sometimes early mortality and decreased quality of life, Even then, the advances in pharmacotherapy, asthma control in children is poor. Hence, there is an urgent need for an alternative therapy that reduces burden of this disease. There is growing interest in omega-3 fatty acids in this disease due to anti-inflammatory and immunomodulating properties. However, their efficacy in asthma is controversial. The purpose of this study was to investigate the impact of fatty fish consumption in asthmatic children.

Methods: This was a six-month parallel randomized controlled trial. We selected 72 children (54.2% boys; 45.8% girls), 5-12 years old with doctor-diagnosed ‘mild asthma’ from an asthma clinic in Athens, Greece. Participants were equally randomized to two groups: the intervention group consumed two fatty fish meals per week (≥ 150g fillet fatty fish/meal) as part of the Mediterranean dietary pattern and the control group, their usual diet. Pulmonary function was assessed using spirometry and exhaled Nitric Oxide analysis (eNO); asthma control and quality of life by questionnaires.

Results: At six months, we had 89% (64/72) participation rate. Multiple linear regression model showed a significant change in eNO for the intervention group (95% CI: -27.39, -0.91; beta=-14.15; p=0.037) after adjusting for confounders such as age, sex, regular physical activity and BMI. A unit increment in fatty fish consumption decreased lung inflammation by 14 ppb for the intervention group as compared to the control. No differences were observed for spirometry parameters, asthma control or quality of life scores.

Conclusion: The current study suggests that a healthy diet including two fatty fish meals per week should be included in asthma dietary guidelines.

Biography

Maria Papamichael is a Registered Dietician/Sports Nutritionist who has dedicated her life in educating people the importance of good nutrition and exercise in the prevention and management of disease as well as in improving health and well-being. Being an asthma sufferer since childhood, has motivated her to undertake a PhD research project at La Trobe University (Australia) to investigate the prophylactic potential of a Mediterranean diet enriched with fatty fish in the management of asthma in children.

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Fatty fish (Ω3): is a diet therapy for paediatric asthma?Papamichael Maria Michelle1, Κatsardis Charis2, Koutsilieris Michael2, Tsoukalas Dimitris3, Lambert Katrina1, Erbas Bircan1 and Itsiopoulos Catherine11La Trobe University, Australia2National & Kapodistrian University of Athens, Athens, Greece3European Institute of Nutritional Medicine, Rome, Italy

Papamichael Maria Michelle et al., J Clin Nutr Diet 2018 Volume: 4DOI: 10.4172/2472-1921-C1-002

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World Nutrition 2018

Session Introduction

Day 2J u n e 1 9 , 2 0 1 8

S e s s i o n sFood & Nutritional Immunology | Food Science & Chemistry | Nutraceuticals & Medicinal Foods | Holistic & Integrative Nutrition | Nutrition in Pregnancy and Lactation

Title: Challenges and lessons learned from the Implementation of Nutrition Specific program -an NGO perspectiveAmegovu Kiri Andrew, Andre Food Internationals, Uganda

Title: Selective bio-processing and its influence on the availability and status of bioactive components in minor milletsCharanjit Singh Riar, Sant Longowal Institute of Engineering and Technology, India

Title: Management of obesity by personalizing dietary and lifestyle recommendations: Evaluation of genetic profiling for weight loss in dietetic practiceCynthia Issa, Bern University of Applied Sciences, Switzerland

Title: Effects of bitter gourd supplemented muffins on satiety and glycemic responses before and after a meal in healthy young menMuhammad Umair Arshad, Government College University, Pakistan

Session ChairAmegovu Kiri Andrew

Andre Food Internationals, Uganda

World Nutrition 2018

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Karamoja region in Uganda is continuously affected by draught, cattle rustling and food insecurity resulting to high malnutrition rates over the

past 40 years. In response to the persistent and high malnutrition (Global Acute Malnutrition (GAM) of >10%) UN agencies/NGOS have focused on nutrition specific approaches to treat malnutrition. There has been very limited interaction between the nutrition specific and nutrition sensitive programs due to the difference in objectives and targets. As a result, most of the already cured cases from the nutrition specific programs end up relapsing. The result of which is unchanged or higher GAM levels. These current mode of nutrition interventions have not been designed to address the basic (Infrastructure, Education, Access to market), underlying (inadequate access to food, inadequate care for mother and child, insufficient health service and unhealthy environment) and Immediate (inadequate dietary intake and disease) causes of malnutrition (UNICEF 1991). This is reflected in the resource allocation where most of the resources have been allocated for treatment and management of malnutrition through nutrition specific interventions with very little resources allocated to nutrition sensitive interventions which target prevention of malnutrition. Nevertheless, malnutrition still continues to affect the population despite all these interventions. Results showed making nutrition program sensitive is a more sustainable way and where there is a gap in a program implementation mandate should not override. Also data review of the food security and nutrition assessment reports (FSNA) from 2009 to 2017, indicates that GAM rates have persistently been at serious levels (>10%) despite all the continued interventions. Similarly, stunting rates have plateaued above emergency levels (>40%). In order to address the continuously high malnutrition rates there is need of shift nutrition program paradigm from the current treatment based to a more nutrition sensitive approach

BiographyAndrew Amegovu is Founder and the Executive Director of two NGOS Andre Foods International (AFI) and Andre Foods South Sudan (AFSS) in Uganda and South Sudan which implements nutrition Specific programs for the UNWFP/UNICEF. He is an Associate Professor at University of Juba in South Sudan. He holds both PhD and Post-doctorate in Nutrition and Dietetics. He has vast field experience in implementation of community based supplementary and therapeutic feeding programs. He is a Researcher, Reviewer and has several publications in high impact journals in the fields of therapeutic foods, obesity, food safety and profiling of local foods for their nutrients. He has been a Speaker and has attended several nutrition and food safety conferences across the globe.

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Challenges and lessons learned from the implementation of nutrition specific program -an NGO perspectiveAndrew Amegovu1,2 and Timothy Chewere1,21University of Juba, South Sudan2Andre Foods International (AFI), Uganda

Andrew Amegovu et al., J Clin Nutr Diet 2018 Volume: 4DOI: 10.4172/2472-1921-C1-002

World Nutrition 2018

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The health beneficial factors of minor millets such as phenolics and polyphenolics are promising for reducing the risk of chronic diseases

related to oxidative stress. Optimization of germination process and effect of the processing parameter of selected raw material such as foxtail, barnyard and kodo millet grain (raw and germinated) to prepare flour has been carried in the present research. Under the optimal conditions for germination of foxtail, barnyard and kodo millets grains flour had high phenolic contents, flavonoid contents and antioxidant activities. As compared to the raw and optimized germinated millet, the free, bound and the total phenolics content increased significantly (p<0.05) ) from 9.79 to 21.75mg(GAE)/100g, 24.38 to 35.42mg(GAE)/100g and 34.17 to 35.42mg(GAE)/100g, respectively in foxtail millet; from 11.46 to 32.22 mg(GAE)/100g, 17.55 to 25.46 mg(GAE)/100g and 29.01 to 77.68mg(GAE)/100g, respectively in barnyard millet and from 16.46 to 44.45mg(GAE)/100g, 38.08 to 39.56mg(GAE)/100g and 54.54 to 84.01mg(GAE)/100g, respectively in kodo millet. Similarly the free, bound and total flavonoid contents of kodo millet increased after germination from 19.25 to 48.57mgRU/g, 34.34 to 38.96mgRU/g and 52.95 to 87.43mgRU/g, respectively, followed by barnyard millet from 9.48 to 45.57mgRU/g, 19.54 to 26.35mgRU/g and 29.02 to 71.92mgRU/g, respectively. The increase in concentration of some phenolic contents as well as synthesis of some new compounds analyzed by GC-MS was observed in flour after germination. The total antioxidant capacity increased after germination from 29.0 to 45.23mgAAE/g, 36.45 to 49.12mgAAE/g and 45.34 to 67.23mgAAE/g in foxtail, barnyard and kodo millet, respectively. The results presented in this study demonstrated that germination of foxtail, barnyard and kodo millet grains had a profound effect on, phenolic content as well as antioxidant properties and dietary fibre, lowered anti nutritional factors

BiographyCharanjit S Riar has done his Graduation and Post-graduation in Food Technology from Guru Nanak Dev University, Amritsar and PhD in Food Technology from Punjab Technical University, Jalandhar. He started his carrier as Lecturer in the Department of Food Technology, Sant Longowal Institute of Engineering and Technology, Longowal, Sangrur (Punjab) and presently working as Professor in the same Department. He has 20 years experience of Teaching and Research. He has published 65 research papers in reputed national and international journals having 820 citations and h-index of 14, i10 index 18. He has authored/edited 4 books, presented more than 40 papers in conferences/seminars, written 15 book chapters. He is reviewer of national/ international publishing houses such as Elsevier, Springer, SAGE, Taylor @ Franks etc. He is in the panel of experts of number of reputed national universities/institutions of India. He has guided 30 B Tech, 20 M Tech and 9 PhD scholars. His areas of research are Starch Modification, Biodegradable Film, Bioactive Compounds Extraction and Analysis, Seed Germination and Characteristics like, Pasting, Rheological, Thermal, Morphological, Molecular and Functional Characteristics of Food and their Products.

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Selective bio-processing and its influence on the availability and status of bioactive components in minor milletsCharanjit S Riar, Seema Sharma and D C SaxenaSant Longowal Institute of Engineering and Technology, India

Charanjit S Riar et al., J Clin Nutr Diet 2018 Volume: 4DOI: 10.4172/2472-1921-C1-002

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Background: Obesity is highly influenced by complex gene-environment interactions. New challenges in obesity research are currently focused on personalizing nutrition recommendations by better adapting them to the nutritional requirements and metabolism of the individual. To save both time and efforts for the individuals with overweight or obesity and dieticians, prescribing a once-for-all individually customized nutrition regime instead of a one-for-all population-based perspective would be a key approach. The concept of nutrigenomics in dietetic counselling is hypothesized in theory to help on deciding the most appropriate level of nutrition care through being based on the individual’s obesity genotype/phenotype. In this context, the aim of this pilot project was to evaluate the effectiveness of genetically tailored dietary and lifestyle recommendations in dietetic practice for optimizing weight loss outcomes.

Materials & Methods: Overweight-to-obese patients, with a history of unsuccessful weight loss attempts, were experimentally counselled based on a commercially available genetic test screening 8 single nucleotide polymorphisms (SNP) in 7 obesity-associated genes. Bioelectrical impedance analysis (BIA) was used to measure body weight and composition. The change in body weight and composition measurements between the beginning and end of the pilot was analysed. In addition, the effectiveness of the genetically tailored counselling approach was assessed.

Results: 15 out of 36 patients were found to be previously following the wrong matching diet according to their genetic profile screened; 11 of which achieved the highest weight loss outcomes. Those results reflected in a highly significant loss in body weight and subsequent BMI (p<0.001), where the Body Mass Index (BMI) mean decreased by more than one unit from 35.433 to 34.419 kg/m2 in a 3-month period. In addition, the mean decrease in fat mass, fat mass percentage, and visceral fat area was highly significant (p<0.001) and the mean of the waist-to-hip ratio also decreased significantly (p<0.05).

Conclusion: Management of obesity by personalizing dietary and lifestyle recommendations based on genetic profiles offers promise in practice as in theory.

BiographyCynthia Issa has completed her Bachelor’s degree in Nutrition and Dietetics at Beirut Arab University in Lebanon and became Lecturer of Clinical and Therapeutic nutrition for more than a year as a reward of graduating with a scientific excellence award. She completed her Master’s studies in Life sciences specialised in Nutrition and Health at Bern University of Applied Sciences in Switzerland, and worked for 6 months as an Intern in the Nutrition and Dietetics research team. Currently, she is applying for her Doctoral studies at the University of Zurich, Switzerland.

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Management of obesity by personalizing dietary and lifestyle recommendations: evaluation of genetic profiling for weight loss in dietetic practiceCynthia Issa and Helena JenzerBern University of Applied Sciences, Switzerland

Cynthia Issa et al., J Clin Nutr Diet 2018 Volume: 4DOI: 10.4172/2472-1921-C1-002

World Nutrition 2018

J u n e 1 8 - 1 9 , 2 0 1 8 P a r i s , F r a n c e

Page 42Journal of Clinical Nutrition & DieteticsISSN 2472-1921

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Bitter gourd (Momordica charantia) is a common vegetable praised for its role in glycemic control; however, the same role of food products

containing this valuable vegetable is not much explored. The present study examined the effects of muffins supplemented with different levels of bitter gourd aqueous extract (BGAE) on subjective appetite, blood glucose (BG) and insulin before and after a pizza meal consumed by healthy young men through a randomized, cross over, repeated measures experiment. Twenty-four healthy body-weight young males consumed two fixed servings (125g) of muffins without BGAE (control) or with added BGAE (5%), starch or with added BGAE (10%). An ad libitum pizza meal was served at 120min following treatments. Subjective appetite, glucose, insulin and food intake were measured at intervals from baseline to 170min. Post-treatment (0-120min) glucose, but not insulin, decreased more after muffins with both BGAE 5% and 10% compared to the control (P<0.0001). However, post meal glucose (140 min) was lower only after muffins with BGAE (10%) compared to the control. No differences were observed in subjective appetite and food intake among the treatments. In conclusion, baked foods supplemented with bitter gourd extract upto 10% carry the potential to regulate postprandial glycemic responses without disproportionate increase in insulin concentration, but not appetite.

BiographyMuhammad Umair Arshad is from University of Toronto, Canada.

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Effects of bitter gourd supplemented muffins on satiety and glycemic responses before and after a meal in healthy young menMuhammad Umair Arshad1, Ali Imran1, Akilen Rajadurai, Angela Wong3 and Shahzad Ali Shahid Chath11Government College University, Pakistan3University of Toronto, Canada

Muhammad Umair Arshad et al., J Clin Nutr Diet 2018 Volume: 4DOI: 10.4172/2472-1921-C1-002