COURSE GUIDE - International Association for the Study of Obesity

ContentsGeneral Information 5IASO Profile 9SCOPE / Accreditation 10Partners / Educational Grant 11Programme 12-14Speaker Biographies 15-18Speaker Presentation Summaries 19-27Delegate List 28Delegate Biographies 29-41Delegate Abstracts 42-54WelcomeDear friends,As “headmaster” of the SCOPE Summer School course, I would like to warmly welcome you to what we believewill be another exciting and stimulating experience for both the participants as well as for the faculty. This is the thirdSCOPE Summer School conducted by IASO and we welcome your feedback in developing this educational concepteven further. The first summer school in July 2009 and the second in September 2010 were great successes, andI believe that both students and faculty enjoyed them immensely. The academic atmosphere, the close contactbetween faculty and students, the relaxed but still intensive curriculum made these courses memorable events,which we hope to repeat and develop further. There is always a balance - how many students can we accept and stillpreserve a good atmosphere, where students and teachers recognise each other by face and name within a day.As before we have purposely tried to invite colleagues from different areas in obesity treatment. Will it work? Will lectures be too advancedor trivial? Are there areas that are missing and what is redundant? We hope however that by having a variety of health care professionalscome together we can create interesting discussions from which we can all learn. At the end of the course we will therefore not onlywelcome but urgently need your feedback.I would like to thank all the faculty members and IASO staff who have willingly set valuable time aside for these days and for all theconstructive discussions leading up to the programme that you are now part of. We all believe that by building strong global bridgesbetween the future obesity specialists of the world, we will be able to further foster knowledge about what we think is an immenselyimportant question for society. Obviously the need for such obesity specialists is ever increasing globally.Once again, a warm welcome to Cambridge. Do not be shy - make contact with your fellow students - although I admit that theprogramme is pretty much full allowing maximum use of the time allotted. Breaks are for interaction and not just for coffee, tea and biscuits.And remember that talking while punting on the Cam river is just as important as presenting posters or discussing scientific articles.Warm regards,Stephan Rössner3

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General InformationCAMBRIDGEVENUE – DOWNING COLLEGEScope Summer School 2011 will be held at Downing Collegewhich has a unique setting amidst 20 acres of lawns and trees andyet it is within half a mile of the historic centre of Cambridge.The buildings date back to the beginning of the 19th Centuryand are predominantly neo-classical in style conveying a senseof elegance and spaciousness.The city of Cambridge is a university town and theadministrative centre of the county of Cambridgeshire,England.Cambridge is well known as the home of the Universityof Cambridge. The university includes the renownedCavendish Laboratory, King’s College Chapel, and theCambridge University Library. The Cambridge skyline isdominated by the last two buildings, along with the chimneyof Addenbrooke’s Hospital in the far south of the city and StJohn’s College Chapel tower in the north.Cambridge is a small city and the best way to getaround is by foot or bicycle.Downing CollegeRegent StreetCambridgeCB2 1DQTelephone + 44(0)1223 334800Access to the College is via the main entrance onRegent Street.For security reasons, the pedestrian gate is closed at 11.00pm(sometimes earlier, depending on external activity). Access afterthis time is via the Porters’ Lodge, by ringing the bell.DOWNING COLLEGE map5

General InformationTRANSPORTHow to get to CambridgeFrom/to Heathrow AirportLondon’s busiest airport with a wide range of national, europeanand international flight services.Bus – There is a regular return service from Heathrow toCambridge from both Heathrow Terminal 4 and the CentralBus Station (which serves Terminals 1-3). The journey takesapproximately 2.5 to 3 hours, depending on traffic.Train – From Heathrow take the Heathrow Express train serviceto access the London Underground (the tube) at Paddington.From Paddington, the Circle Line (yellow line) will take youeastbound to King’s Cross mainline railway station, a journey ofabout 30 minutes. From King’s Cross Station there are frequenttrains to Cambridge. The journey time from King’s Cross toCambridge is about one hour.From/to Stansted AirportStansted Airport is the closest London airport to Cambridge andoffers flights mainly from Europe and the rest of the UK.Bus – There is a regular service from London Stansted toCambridge. The journey takes approximately one hour,depending on traffic.Train – There is a regular train service from London Stansted toCambridge and is usually quicker than the bus taking approximately30 minutes. This is a direct service and runs every hour.COURSE MEETING ROOMACCOMMODATIONDue to the high number of registered delegates,accommodation has been split between two Colleges:Downing College (course venue) and Clare College (15minutes walking distance).Upon arrival at the College, participants are required by law tocomplete a registration form providing their name, address andnationality. Non UK residents will also be required to providetheir passport details.Check in• Rooms at Downing College are available to guests from14.00 on their day of arrival.• Rooms at Clare College are available to guests from15.00 on their day of arrival.Check out• Rooms at Clare College must be vacated by 09.30 on theday of departure. A luggage room will be available. Pleaseask the Porters Lodge for access.• Rooms at Downing College must be vacated by 09.30on the day of departure. Luggage storage facilities will beavailable in the cloakroom located on the first floor andMeeting Room 1 on the Ground floor of the HowardBuilding. All room keys will be collected at theregistration desk in the Grace Howard room. A boxwill be provided for this.Breakfast• Breakfast at Downing College will take place in the CollegeDining Hall, situated on ‘A’ staircase off the College MainCourt. Breakfast time: 08.00 - 09.00• Breakfast at Clare College will take place in the Buttery,located in the Old Court. Breakfast time: 07.45 - 09.00Lost room keyThere is a £10 charge for failure to return your room key on timeat Downing College and £20 at Clare College.Any missing keys will be charged to the delegate directly.How to get from Clare College to Downing College (coursevenue) by footThe Course will take place within Downing College grounds.The Howard Theatre is where all the course sessions willtake place and the Registration Area will be situated inthe Grace Howard room, located in the same building. Youwill be able to collect your badge and pack from 12.30on Thursday 28th of July from the Registration area.Everything will be clearly signposted for your convenienceand any College staff member will also be able to assist.Distance Time Calories0.8 miles 11 mins (fast walk 82 Cal (fast)1.3 km 15 mins (med walk) 73 Cal (med)1815 steps 23 mins (slow walk) 70 Cal (slow)6

General Information1.From Clare College Memorial Court (part of the college whereyour accommodation is), cross the road at the traffic light andenter Old court Clare College (access is free with your Clarecollege conference delegate pass).2.Walk through and exit Old Court Clare College and turn leftonto Trinity Lane and then right into Senate House Passage.3.Walk to the end of the Passage and turn right into Trinity Street.Pass the church on the left and turn left into St Mary’s Street .4.Walk straight on until you reach the market. Keep walkingstraight and you will reach a pedestrianised walk called PettyCury. Look out for Optical Express on the left and Yo Sushion the right.5.Walk straight on, passing Halifax on your left and Clarks onyour right, until you reach the end and see Lloyds TSB bank(Foster bank).6.Turn right into Sidney Street and shortly after right into StAndrews Street.7.You now need to walk straight ahead for 500 metres to reachthe Regent St entrance of Downing College.8.Landmarks to look out for along the way are John Lewis andthe Cambridge Building Society. After you pass these lookout for Pizza Hut on the left. The Downing College entrance isdirectly opposite Pizza Hut and just after Pizza Express.Drinks reception• Friday: 19.15 – 19.45• Drinks reception for all registered delegates will take placeoutside in the Fellow’s garden.Delegate Gala Dinner• Friday: 19.45 – 22.30• The gala dinner for all registered delegates will take place inthe Dining Hall. The dress attire is smart casual.If you have any dietary requirements for the dinner,please inform a staff member on Thursday 28th in theregistration area.ENTERTAINMENTPROGRAMME COMMITTEENick Finer (Chair of Educational Management Task Force, IASO)Philip James (President of IASO)Anthony Leeds (Medical Director of Cambridge Weight Plan)Stephan Rössner (Chair of Educational ManagementTask Force, IASO)SPEAKERSSpeaker Preview is located inside the Howard Theatre. Allspeakers are requested to submit their presentations at least30 minutes before their session is due to start.CATERINGCatering is provided as shown below:Coffee breaks• Thursday: 16.00 – 16.30 Grace Howard room• Friday: 10.30 – 11.00 Grace Howard room• Friday: 15.05 – 15.35 Grace Howard room• Saturday: 10.30 – 11.00 Grace Howard room• Saturday: 15.30 – 16.00 Grace Howard room• Sunday: 10.30 – 11.00 Grace Howard roomLunches• Thursday: 12.30 – 14.00 Grace Howard room• Friday: 12.00 – 13.00 Grace Howard room• Saturday: 13.00 – 14.00 Grace Howard roomThe organisers cordially invite you to a string quartet recital,performed by the Harris Quartet, in the Howard Theatreon Friday evening from 18.30 to 19.15. The recital willbe followed by a drinks reception and Gala dinner.About Harris QuartetFormed by Undergraduates at the University of Cambridge in2004, the Harris Quartet is fast becoming recognised as anensemble of rare distinction. As a Quartet, they have studiedand participated in masterclasses with the Endellion, Dante,Maggini and Medici Quartets, and all the members have sincegone on to pursue careers as professional musicians at thehighest level. They have performed throughout Europe andthe UK, and are currently performing with Southbank Sinfoniaand the Royal Opera House in Stravinsky’s The Firebird.Recital programmeMozart: Divertimento No.2Bach: Double Violin ConcertoRogers: My Funny ValentineMozart: Divertimento No.3Dudley: Jeeves and Wooster7

General InformationREGISTRATIONRegistration desk opening hoursThursday 28th 12.30 – 15.00 hrsThe registration desk is located in the Grace Howard room.Early Rate Standard RatePayment Paymentreceived receivedby 15 April 2011 8 July 2011Delegate Rate £650 £800Registration inclusions:• Admission to the course sessions• String Quartet entertainment• Drinks reception• Delegate Gala Dinner• Scheduled lunches and coffee breaks• Three nights accommodation• Programme book and materials• Certificate of attendance• Scope pointsCertificate of AttendanceCertificates can be collected only on the last day of thecourse, Sunday 31st July 2011, during the morning coffeebreak in the registration area (the Grace Howard room).The following certificates will be delivered:• SCOPE Certificate of Attendance(for all registered delegates for the three day course)• RCN Certificates (for all registered delegates)• IASO/Howard Foundation Scholarship Certificates(for the 15 successful candidates only)• SCOPE Sponsored Day Certificate(for UK commissioners only)Note: For the UK Commissioners who are attending only theSCOPE Sponsored day on Friday 29th July 2011, you will beable to collect your SCOPE sponsored day certificate duringthe afternoon coffee break on Friday in the registration area(the Grace Howard room).MISCELLANEOUSInternet Access• At Downing College, wired internet access is provided in allbedrooms. Wi-Fi is available in the Grace Howard room.For the password, please ask a member of the IASO staff atthe registration desk.BankingBanks in Cambridge are open from 9.00 to 17.00 Monday toFriday and closed on Sundays. Cash machines can be foundthroughout the city and accept all major cards.The currency in United Kingdom is the Pound Sterling (GBP)Approximate exchange rates:• 1 EUR is 0.88 GBP• 1 USD is 0.62 GBPNames BadgesAll participants must clearly wear their delegate badge. Entranceto the course will not be permitted without it. For general security,you should not openly wear your delegate badge around the city.Smoking PolicySmoking is banned in public spaces in the UK.The College does not allow smoking on its premises except forthe following designated smoking areas:• The area to the rear of the West Lodge.• The area to the rear of the Wilkins Room.• The terrace area outside the SCR.• The portico to the south of the Howard Building.Time ZoneCambridge is in Greenwich Mean Time (GMT).LanguageThe official language of the course is English – Interpretationfacilities will not be provided.Photography and Mobiles PhonesFlash photography is strictly forbidden during the coursesessions. Delegates are kindly requested to keep their mobilephones switched off in the Howard Theatre during sessions.Dialing codesCountry codeTo call the UK, the following dial code is required: +44 to dial in(00 44 from UK)International access codeTo call from the UK, the following dial code is required: 00 codeto dial out (00 33 for France)TaxVAT in UK is 20%Travel and Health InsuranceWe recommend that you take out insurance policies to cover medicaland travel expenses. If necessary, consult your travel agent.DisclaimerThe course organiser reserves the right to amend the CourseProgramme at any time without notice. Please note that thisProgramme is correct at time of printing.• At Clare College, wired internet access is provided in allbedrooms. Please pick up a password at the Porters Lodge.8

IASO ProfileThe International Association for the Study of ObesityWe are the International Association for the Study ofObesity, a not-for-profit organisation founded in 1986. Werepresent 56 countries, linking over 50 regional and nationalobesity associations, with more than 10,000 professionalmembers engaged in scientific, medical and research work.Our purpose is to improve global health by advancing,through scientific research and dialogue, the understandingof obesity and weight-related diseases, whilst promotingeffective policies for their prevention and management.We act as a global centre for obesity data and a majorresource for obesity professionals, international policymakers,governments, academics and the media. Our workhas underpinned many government initiatives and has amajor influence on international, governmental and publicattitudes to obesity.• Argentina• Australia• Austria• Belgium• Brazil• Bulgaria• Canada• Chile• Chinese Taipei• Colombia• Croatia• Cuba• Czech Republic• Denmark• Egypt• El-Salvador• Finland• France• GermanyOur global membership56 countries & territories• Greece• Hong Kong• Hungary• Iceland• India• Indonesia• Ireland• Israel• Italy• Japan• Korea• Macedonia• Malaysia• Mexico• Netherlands• New Zealand• Norway• Pakistan• Panama• Paraguay• Peru• Philippines• Poland• Portugal• Romania• Serbia• Singapore• Slovenia• South Africa• Spain• Sweden• Switzerland• Turkey• United Kingdom• Uruguay• United States• VenezuelaJOIN NOW!Access The International Obesity Community via your National AssociationMembership• 53 member associations• Representing 56 countries• Discounted publications• Discounted event registration• Access to prevalence data and research support• Discounted registration for Specialist Certificate of ObesityProfessional Education (SCOPE)• Briefing papersVisit: www.iaso.org/membership/International Congresses & Meetings• International Congress on Obesity (ICO2014) Kuala Lumpur,Malaysia from 17th -20th March 2014• Hot Topic Conferences• STOCK ConferencesVisit: www.iaso.org/events/Specialist Certificate of Obesity andProfessional Education (SCOPE)• Internationally acclaimed high-quality education programme aimedat improving the treatment of obese and overweight patients• Open to all health professionals• Take a course in our new e-learning environment• Bite-sized modules, expert lectures and interactiveassessments• Earn CPD and CME points• Keep up to date as SCOPE ISRELAUNCHING in 2011!!Visit: www.iaso.org/scope/Relaunching2011International Obesity Taskforce• Research-based think tank of international obesity experts• Aims to catalyse evidence informed policy actions for effectiveprevention of obesity at national, regional and global levelsVisit: www.iaso.org/iotf/Journals & Publications• Clinical Obesity launched in April 2011!!• Obesity Reviews• Pediatric Obesity• International Journal of Obesity• Reduced subscription fees are available for IASO members!!Visit: www.iaso.org/publications/Research and Projects• Global centre compiling the latest statistics on obesity prevalenceCurrent Projects:• STANMARK - Marketing to children• ENERGY - Energy balance related behaviours in children• TOYBOX - Obesity related behaviours in 4-6 year old childrenVisit: www.iaso.org/policy/WWW.IASO.ORG9

SCOPE / AccreditationAbout SCOPEAccreditationThe Specialist Certification of Obesity ProfessionalEducation (SCOPE) is IASO’s official educational programme,designed for all health professionals.Key objectives:• To improve the treatment of the obese and overweightpatients• To provide an internationally acclaimed high quality obesityeducation programme• To recognise obesity experts and leaders through SCOPECertification and SCOPE FellowshipScope Certification offers a combination of live ande-learning courses for all healthcare professionals,to promote and acknowledge excellence in obesityprevention and management. Registration in the CertificationScheme includes:• Access to new & improved e-learning environment• CPD & CME points to earn• Access to global network of obesity experts• Notification of SCOPE accredited learning coursesthroughout the World• Discounted SCOPE Summer School & ICO registrationSCOPE Certification• Earn 4 points from SCOPE required e-learning modules• Earn 8 points from any combination of the following:• SCOPE Summer School (by attending ScopeSchool 2011 you have earned 4 points)• SCOPE supplementary e-learning modules• Series of SCOPE accredited instructor led courses• Evidence of 6 months practical experience relatedto your fieldSCOPE e-learningSCOPE will launch a new e-learning environment to improvethe online experience for our users and reflect updated content,featuring:• Bite-sized modules designed to fit into your busy schedule• Series of expert lectures on a range of topics that complementtraditional learning & practical guidelines• Interactive assessments• Important & relevant articles selected by experts• Personal dashboard to monitor your learning progress• CPD & CME points to earn• SCOPE points to earn for SCOPE certificationFREE TRIAL!2 free e-learning modulesvisit: www.iaso.org/scope/e-learningScope Summer School 2011 is part of the IASO educationalprogramme and is a SCOPE accredited course.At the end of SCOPE Summer School, you will have earned 4SCOPE points. These SCOPE points count towards SCOPECertification.Find out more about SCOPE Certification atwww.iaso.org/scope Email: scope@iaso.orgScope Summer School 2011 has been endorsed for CPDby the British Dietetic Association (BDA).The BDA Centre for Education and Development (CED) providesquality assured education and continuing professional developmentprogrammes for dietitians and dietetic support workers.BDA endorsement applies only to the educational content ofthe learning activity.Find out more about BDA at www.bda.uk.comScope Summer School 2011 has been accredited by theRoyal College of Nursing Accreditation Unit (RCN).RCN accreditation ensures that the educational content has beenrigorously assessed, meets the RCN’s quality standards, promotesbest practice and provides effective education outcomes.Find out more about RCN atwww.rcn.org.uk/development/learning10

Partners / Educational GrantIndustry PartnerIASO is pleased to welcome Cambridge Weight Plan asco-sponsor of the SCOPE Summer School 2011.Not-for-profit partnerIASO would like to thank The Howard Foundation for itseducational grant to support SCOPE Summer School 2011.The Cambridge Weight Plan, which provides a range ofdietary energy intakes based on formula food products, nowhas a programme of research designed to obtain high qualityevidence for efficacy and therapeutic benefit. Randomisedcontrolled clinical trials are followed by weight maintenancestudies to provide much needed evidence to determine howbest to achieve long term benefit. Data has been collectedduring clinical trials to build up a safety profile. Other importantquestions (body composition changes and nutritional statusimprovement during weight loss) have been addressed. In theUK, trained independent Cambridge consultants can workwith health care professionals in partnership to deliver effectiveweight loss and maintenance.Stephan Rössner, recognised world-wide as an authority onobesity management, said ‘The Cambridge Weight Plan, whichhas been available for twenty-five years has been based ona series of scientific studies from the very beginning. In thelast few years the revitalisation of the research programmehas placed Cambridge Weight Plan on the world stage as asignificant contributor to effective, dietary approaches to weightmanagement and for minimising the hazards of obesity.’The Howard Foundation was established by Professor AlanHoward, the Cambridge-based nutritionist and biochemist, asa Registered Charity in 1982 to fund biomedical research andsupport the City and University of Cambridge. It has supportedmany clinical trials of low calorie diets, and associatedpublications and conferences, and likewise nutricieuticalscontaining creatine, carotenoids, and polyphenols since itsinception. In Cambridge it has funded three buildings at DowningCollege, currently comprising the Howard Conference Centre,which the IASO Summer School will be using, in particular thenewly completed Theatre officially opened in March 2010.Find out more about The Howard Foundation atwww.howard-foundation.comFind out more about Cambridge Weight Plan atwww.cambridgeweightplan.comEducational GrantThe International Association for the Study of Obesity(IASO) received an educational grant from The HowardFoundation to support SCOPE Summer School 2011.The interest in the Summer School course and thescholarship itself was very high and IASO received arecord number of 70 applications.The SCOPE Committee assessed all the applicationsclosely before making a final decision. In their assessment,they noted that the applications were of a very high qualityand all worthy of a grant.Therefore, they deemed it important to consider the needfor a balance in terms of nationality, discipline and senioritywhen they made their decision.IASO is pleased to announce the 15 successfulcandidates listed below:1. As’ad, Suryani - Indonesia2. Babjakova, Jana - Slovakia3. Elian, Viviana-lulia - Romania4. Frolova, Elena - Russia5. MacNaughton, Sheila - UK6. Malhotra, Anita - India7. Moghrabi, Mona - Oman8. Mohd Yusof, Nisak - Malaysia9. Neyestani, Tirang - Iran10. Nikolov, Asparuh - Bulgaria11. Panduru, Nicolae - Romania12. Rezazadeh, Arezoo - Iran13. Sirbu, Anca - Romania14. Vikram, Naval - India15. Wassef, Jacqueline - Lebanon11

Programme OverviewThursday 28th July 2011 Friday 29th July 2011 Saturday 30th July 2011 Sunday 31st July 2011Welcome and introduction(09.00 - 09.10)Diagnosing obesity.Grade obesity based on simple criteriaobtained from medical history, physicalexamination and standard diagnostic tests(9.00 - 10.00)Pregnancy and obesity(09.00 - 09.30)Pregnancy and obesity: Case studies(09.30 - 10.00)Commissioning obesity care and weightmanagement services(09.10 - 09.30)How do you judge the quality of evidence?(09.30 - 09.50)Diagnosing obesity:Case studies(10.00 - 10.30)Paediatric and adolescent obesity(10.00 - 10.30)Weight reduction in osteoarthritis:Evidence from trials – Body compositionchanges and clinical outcomes(09.50 - 10.10)Morning Coffee Break(10.30 - 11.00)Diet and lifestyle approaches:What is new?(11.00 - 11.30)Morning Coffee Break(10.30 - 11.00)Biomechanics of weight loss:Walking quality and functional implications(10.10 - 10.30)Diet and lifestyle approaches:Case studies(11.30 - 12.00)Paediatric and adolescent obesity:Case studies(11.00 - 11.30)Morning Coffee Break(10.30 - 11.00)Case presentations: Osteoarthritis(11.00 - 11.20)Weight management in diabetes(11.20 - 11.50)Surgical management of obesity:What is new?(12.00 - 12.30)Surgical management of obesity:Case studies(12.30 - 13.00)Summary Session(11.30 - 12.30)Registration and Welcome Buffet Lunch(12.30 - 14.00)Lunch(12.00 - 13.00)Lunch(13.00 - 14.00)SCOPE SUMMER SCHOOLCLOSE AT 12.30Obesity 2011 - Where are we today?(14.00 - 14.30)Sleep apnoea:Health implications and management(13.00 - 13.30)Diabetes, sleep apnoea and obesity(13.30 - 13.50)The effect of weight loss in diabetics:The Look AHEAD Trial(14.00-14.30)Epidemiology and prevalence of obesity(14.30 - 15.00)Case presentations: Sleep apnoea(13.50 - 14.10)When is surgical treatment forobesity appropriate?(14.10 - 14.30)The Gut and obesity(14.30-15.00)Collecting data on obesity for public health:Experiences from the National ObesityObservatory(15.00 - 15.30)Genetics of obesity(15.30 - 16.00)Case presentations:Weight loss before bariatric surgery(14.30-14.45)The challenges of weight managementin primary care practice(14.45 - 15.05)Afternoon Coffee Break(15.05 - 15.35)The Gut and obesity:Case studies(15.00-15.30)Afternoon Coffee Break(15.30 - 16.00)Afternoon Coffee Break(16.00 - 16.30)Round table discussionChair: Arya Sharma(15.35 - 15.40)Body composition changesand adverse effects(15.40 - 15.55)Eating disorders:What, how many and why?(16.00 - 16.30)Obesity related disease(16.30 - 17.00)Health economics of weight loss(15.55 - 16.10)Energy balance and body composition(17.00 - 17.30)Changes in lean body mass and bone massafter weight loss(16.10 - 16.25)Closing RemarksHow will healthcare providers deliver highquality obesity care in the next five to ten years?(16.25 - 16.55)Eating disorders:What can be done?(16.30 - 17.00)Aetiological approach to the assessmentof obesity(17.30 - 18.00)String Quartet Performance(18.30 - 19.15)Drinks reception(19.15 - 19.45)Delegate Gala Dinner(19.45 - 22.30)12

ProgrammeThursday 28th July 2011Location:Howard Theatre12.30 – 14.00: Registration and welcome buffet lunch14.00 – 14.30: Obesity 2011 - Where are we today?Stephan Rössner (Sweden)14.30 – 15.00: Epidemiology and the prevalence of obesityPhilip James (UK)15.00 – 15.30: Collecting data on obesity for public health:Experiences from the National Obesity ObservatoryHarry Rutter (UK)15.30 – 16.00: Genetics of obesitySadaf Farooqi (UK)16.00 – 16.30: Afternoon Coffee Break16.30 – 17.00: Obesity related diseaseStephan Rössner, Philip James, Nick Finer17.00 – 17.30: Energy balance and body compositionPhilip James (UK)17.30 – 18.00: Aetiological approach to the assessment of obesityArya Sharma (Canada)Friday 29th July 2011Location:Howard Theatre09.00 – 09.10: Welcome and IntroductionArne Astrup (Denmark)09.10 – 09.30: Commissioning obesity care and weightmanagement servicesDavid Haslam (UK)09.30 – 09.50: How do you judge the quality of evidence?Robin Harbour (UK)09.50 – 10.10: Weight reduction in osteoarthritis: Evidence from trials– Body composition changes and clinical outcomesHenning Bliddal (Denmark)10.10 – 10.30: Biomechanics of weight loss: Walking quality andfunctional implicationsMarius Henriksen (Denmark)10.30 – 11.00: Morning Coffee Break11.00 – 11.20: Case presentations: OsteoarthritisPia Christensen (Denmark)11.20 – 11.50: Weight management in diabetesMike Lean (UK)12.00 – 13.00: LunchChair: Henning Bliddal (Denmark)13.00 – 13.30: Sleep apnoea: Health implications and managementJohn Shneerson (UK)13.30 – 13.50: Diabetes, sleep apnoea and obesityStephan Rössner (Sweden)13.50 – 14.10: Case presentations: Sleep apnoeaKari Johansson (Sweden)14.10 – 14.30: When is surgical treatment for obesity appropriate?Arya Sharma (Canada)14.30 – 14.45: Case presentations: Weight loss before bariatric surgeryLucy Jones (UK)14.45 – 15.05: The challenges of weight management in primarycare practiceCharles Capper (UK)15.05 – 15.35: Afternoon Coffee BreakRound table DiscussionAstrup/Rössner/Sharma/Bliddal15.35 – 15.40: Chair - Arya Sharma (Canada)15.40 – 15.55: Body composition changes and adverse effectsPia Christensen (Denmark)15.55 – 16.10: Health economics of weight lossTo be announced16.10 – 16.25: Changes in lean body mass and bone mass afterweight lossLucy Jones (UK)Closing remarks16.25 – 16.55: How will health care providers deliver high qualityobesity care in the next five to ten years?Carel Le Roux (UK)18.30 – 22.30: Evening Entertainment18.30 – 19.15: Musical performance in the Howard TheatreThe Harris Quartet from Cambridge19.15 – 19.45: Drinks reception19.45 – 22.30: Delegate gala dinner including speech from GeorgeBray - Advances in understanding human obesity:The past 50 years13

ProgrammeSaturday 30th July 2011Sunday 31st July 2011Location:Howard TheatreLocation:Howard Theatre09.00 – 10.00: Diagnosing Obesity: Grade obesity based on simplecriteria obtained from medical history, physicalexamination and standard diagnostic testsArya Sharma (Canada)10.00 – 10.30: Diagnosing Obesity: Case studiesArya Sharma (Canada)10.30 – 11.00: Morning Coffee Break11.00 – 11.30: Diet and lifestyle approaches: What is new?Stephan Rössner, Nick Finer11.30 – 12.00: Diet and lifestyle approaches: Case studiesStephan Rössner, Nick Finer12.00 – 12.30: Surgical management of obesity: What is new?Stephan Rössner, Nick Finer09.00 – 09.30: Pregnancy and obesityLisa Webber (UK)09.30 – 10.00: Pregnancy and obesity: Case studiesLisa Webber (UK)10.00 – 10.30: Paediatric and adolescent obesityBilly White (UK)10.30 – 11.00: Morning Coffee Break11.00 – 11.30: Paediatric and adolescent obesity: Case studiesBilly White (UK)11.30 – 12.30: Summary SessionSUMMER SCHOOL CLOSE12.30 – 13.00: Surgical management of obesity: Case studiesStephan Rössner, Nick Finer13.00 – 14.00: Lunch14.00 – 14.30: The effect of weight loss in diabetics:The Look AHEAD TrialGeorge Bray (USA)14.30 – 15.00: The gut and obesityCarel Le Roux (UK)15.00 – 15.30: The gut and obesity: Case studiesCarel Le Roux (UK)15.30 – 16.00: Afternoon Coffee Break16.00 – 16.30: Eating disorders: What, how many and why?Paul Robinson (UK)16.30 – 17.00: Eating disorders: What can be done?Paul Robinson (UK)14

Speaker BiographiesArne AstrupArne Astrup was awarded a degree in medicine from the Universityof Copenhagen in 1981, and a Doctorate of Medical Sciencein 1986. He is Head of The Department of Human Nutrition atThe Faculty of Life Sciences (LIFE), University of Copenhagen,Denmark, where he was awarded the Chair in Nutrition in 1990,and Director of the Nordea Foundation funded OPUS researchcentre 2009-13. He is currently Associate Editor of AmericanJournal of Clinical Nutrition.Main research areas: physiology and pathophysiology of energyand substrate metabolism, with focus on the etiology and treatmentof obesity. Major research collaborations include participation in theEU multicenter studies EUROSTARCH, CARMEN, NUGENOB,DIABESITY, DIOGENES, EMOB, and HEALTHGRAIN.Honours: Knight of the Order of Dannebrog 1999. Servier’sAward for Outstanding Obesity Research 1990; IASO AndréMayer Award 1994; Danone Chair in Nutrition at The Universityof Antwerp 2002; LIFE Communication Prize 2007; InternationalAssociation of Business Communicators’ EME Excel Merit Awardfor Communication Leadership 2009; LIFE Innovations Award 2010;Nutrition & Santé Weight Management Award (France) 2010.Consultant or member of advisory boards for European AlmondAdvisory Board; Communications and Scientific Advisory Board ofThe Global Dairy Platform, USA; 7TM Pharma, DK; NovoNordisk,DK; NeuroSearch, DK; Basic Research, USA; Kraft FoodsWorldwide Health & Wellness Advisory Council; Jennie Craig,USA. Recipient of honoraria as speaker for a wide range of Danishand international concerns.Henning BliddalHenning Bliddal, MD, DMSci, Professor of RheumatologyHenning Bliddal is a specialist in rheumatology. Since 1997 he hasbeen Leader and Professor of Research at the Parker Institute,a clinical research unit in rheumatology, University Hospital atFrederiksberg, Copenhagen.In addition to having initiated a substantial number of researchprojects, Henning Bliddal supervises numerous medical studentsand physicians, including 20 PhD students. He has extensiveteaching experience and is a regular contributor and guest speakerat national and international congresses.Henning Bliddal has contributed to textbooks, and has publishedmore than 200 papers (April 2011) in international medical journalscovering many different aspects of rheumatology. For detailsplease refer to PubMed and Embase. His main research focusis clinical including diagnostics, imaging, medical therapy, andrehabilitation. He is also a frequent reviewer for scientific andmedical journals.Henning Bliddal has been especially involved in projects ofosteoarthritis with focus on non-surgical treatment, especiallydietary intervention with systematic weight loss programs for theobese. The Parker program has been developed over these yearsand has a very significant impact on the knee osteoarthritis withincrease function. Studies are continuing to evaluated the possiblechanges in the joint.George BrayAfter completing his undergraduate work at Brown University inProvidence Rhode Island where he graduated summa cum laudein 1953, Dr. Bray entered Harvard Medical School where hegraduated Magna cum Laude in 1957. His internship on the OslerService of The Johns Hopkins Hospital in Baltimore, MD wasfollowed by a Research Associateship at NIH. After completinghis training in internal medicine and endocrinology residency at theUniversity of Rochester Strong Memorial Hospital in Rochester,NY, Dr. Bray spent a year at the National Institute for MedicalResearch in London followed by further training in endocrinologyat the Tufts-New England Medical Center in Boston. In 1970,after 8 years in Boston, Dr. Bray accepted a position as Director ofthe Clinical Research Center at the Harbor UCLA Medical Center.He organized the First Fogarty International Center Conference onObesity in 1972 and Chaired the Second International Congresson Obesity held in Washington DC in 1977.In 1989 Dr. Bray became the first Executive Director of thePennington Biomedical Research Center in Baton Rouge,Louisiana. He oversaw the growth of the facility from 25 employeesand a million dollar budget to a flourishing research center withover 70 scientists, 350 employees and an annual budget of nearly$ 20 million.Dr. Bray is now a Boyd (University) Professor at the PenningtonBiomedical Research Center of Louisiana State University in BatonRouge, Louisiana, and Professor of Medicine at the LouisianaState University Medical Center in New Orleans. He is PrincipalInvestigator for the Diabetes Prevention Program OutcomesStudy and the Look AHEAD study, 2 multi-center NIH-fundedclinical trials. He is a Master in the American College of Physiciansand the American College of Endocrinology. He is a member ofnumerous professional societies including the American MedicalAssociation, The Obesity Society, The Endocrine Society, theAmerican Diabetes Association, the American Association ofClinical Endocrinologists, the American Physiological Society. In1982 he founded the North American Association for the Studyof Obesity (NAASO now The Obesity Society), and he was thefounding editor of Obesity Research, as well as co-founder ofthe International Journal of Obesity and the founding editor ofEndocrine Practice.Charles CapperCharles Capper is currently a practicing GP partner in a mediumsized practice in North London at which he is the obesity lead. Hequalified as a solicitor in 1986 and practiced as such for 10 yearsbefore retraining in medicine. He has been practicing medicinesince 2001 and became interested in obesity and has attendedconferences organised by EASO and NOF. Charles Capper isinvolved in medical student and GP registrar training and activelypromotes understanding of obesity management in this rolevia lectures and tutorials. He regularly audits and reviews themanagement of obesity within his practice.15

Speaker BiographiesPia ChristensenPia Christensen is a clinical dietitian, MSc and Ph.D student at TheParker Institute, Copenhagen University Hospital, Frederiksberg,Denmark. She is the head of the Dietary Unit at The Parker Instituteand has been responsible for the dietary programs used in weightloss studies for osteoarthritis patients. She is an experienced dietitianand has previously been working in hospitals taking care of patientswith various diagnosis including diabetes, cancer and cardiovasculardisease. Previously Pia Christensen has also taught dietetics at ateacher’s college and has been coordinating a randomized trial at theSteno Diabetes Center. Pia Christensen’s interests are efficacy andsafety of weight loss programs both short term and long term. Thefocus of her research has been on formula diets, loss of lean bodymass and bone during weight loss, changes in micronutrient statusand changes in biomarkers related to cardiovascular disease.Sadaf FarooqiSadaf Farooqi is a Wellcome Trust Senior Clinical Fellow workingin the Institute of Metabolic Science at Cambridge. Sadaf’s teamstudy genetic approaches that can be applied to understand themolecular and physiological mechanisms involved in humanobesity. Sadaf’s programme of research is based on a uniquecohort of well-phenotyped patients with severe, early-onsetobesity, the Genetics of Obesity Study (GOOS), and capitaliseson the local expertise of close collaborators who are at the leadingedge of technology development and application in both humangenetics and experimental medicine.Nick FinerProf. Finer is Consultant in Endocrinology within the Departmentof Bariatric Medicine and Surgery, at University College Hospital,London and honorary Professor in the Department of Medicineat University College London. He is affiliated with the VascularPhysiology Unit (Prof. J Deanfield) at Great Ormond Street Hospitalfor Sick Children. His main clinical and research interests addressobesity treatments (lifestyle, pharmacological and surgery).Prof. Finer trained at UCLH, St George’s and Guy’s Hospital,London becoming consultant Endocrinologist at Luton & DunstableHospital in 1988 where with colleagues he established a medicaland surgical bariatric service. From 2002 until 2009 he was SeniorClinical Research Associate at Cambridge University and AffiliatedInvestigator at the Institute of Metabolic Science MetabolicResearch Laboratories, Clinical Director of the Wellcome TrustClinical Research Facility where he remains a Visiting Specialistat Cambridge University Hospitals NHS Trust.Prof. Finer is a founding fellow of SCOPE, co-chair of the InternationalAssociation for the Study of Obesity’s Education and ManagementTask Force, and a member of the EASO Obesity ManagementTask. He chairs the English Experts in Severe and Complex Obesity(ESCO) group. He was Chairman of the UK Association for the Studyof Obesity from 1993-1996 and a past member of the Royal Collegeof Physician’s Standing Committee on Nutrition and a co-optedmember of several NICE appraisals; he was Programme Director forEndocrinology Training in the Eastern region of England from 2006-8.Prof. Finer’s editorial responsibilities include editor of Clinical Obesity,editorial board member of the International Journal of Obesity,British Journal of Diabetes and Vascular Medicine, and associateeditor Obesity Research and Clinical Practice. He has publishedmore than 120 peer-reviewed articles in journals including BritishMedical Journal, Lancet, International Journal of Obesity, ClinicalEndocrinology, Obesity (Research), and Diabetalogia.Robin HarbourRobin Harbour is the Quality & Information Director of SIGN. Alibrarian by training and background, he has worked on evidencebasedmedicine for the last 15 years, 14 of these working for SIGN.His responsibilities include the systematic review process used bySIGN and the development of evidence appraisal and the gradingof evidence for guidelines. He was one of the lead developers ofthe SIGN grading system which was introduced in 2001, and hasbeen a long term member of the GRADE group. He has a personalinterest in patient involvement in evidence-based medicine, and iscurrently joint leader of a work package on this topic as part of theDECIDE project under the EU 7th Framework Programme. Robin isa member of the Guidelines International Network (GIN) EvidenceTables Working Group, which is seeking to develop standardevidence tables for use by guideline developers worldwide. He is acontributing author to two Cochrane Reviews on osteoporosis.David HaslamProfessor David Haslam is a GP with a special interest in obesityand cardiometabolic disease, Bariatric Physician in ObesityMedicine at the Centre for Obesity Research at Luton & DunstableHospital, and Chair of the National Obesity Forum (NOF) in the UK.He is a Visiting Professor, Robert Gordon University Aberdeen,and a Visiting Professor at Chester University.David took charge of formulating the guidelines for adult obesitymanagement in primary care and produced the first Primary Careguidelines for management of childhood obesity with the RoyalCollege of Paediatrics and Child Health. He is a Board Member ofESCO (Experts in Severe and Complex Obesity), and a memberof the Counterweight Board.David has articles widely published in journals and papers andspeaks internationally on obesity and related diseases. His booksinclude ‘The Obesity Epidemic and its Management’ with TerryMaguire, and ‘Fat, Gluttony and Sloth, Obesity in Art, Literatureand Medicine’ a cultural history of obesity, published in 2009.”Marius HenriksenMarius Henriksen graduated as a physiotherapist from theCopenhagen School of Physiotherapy in 2001and as a Master ofScience from the University of Lund, Sweden, in 2003.His scientific work is in the field of biomechanics, concentratingon gait-analysis in patients with osteoarthritis and knee-pain. Thushis PhD thesis was entitled “The significance of pain in knee jointloading during walking”. The thesis was defended in April 2007.Marius Henriksen will proceed with his investigations on therelation between pain and walking, now as the leader of the ParkerInstitute’s newly established laboratory for movement analysis.16

Speaker BiographiesPhilip JamesProfessor James currently chairs the SCOUT trial on weightmanagement with sibutramine in high risk cardiovascular patients.He also led the first clinical trial on orlistat and the STORM studyon sibutramine. Previously he was the Assistant Director of theMRC Dunn Nutrition Unit in Cambridge, UK where he establisheda major obesity and clinical nutrition group. Then he becameDirector of the Rowett Research Institute, in Aberdeen, UK, one ofthe world’s largest nutrition research institutes.Professor James has written numerous high profile reportsincluding; the London Royal College report on obesity (1983),the first report on Diet and Health of Scotland (1994), the firstUK government report on the prevention of obesity (1995), thefirst SIGN guidelines on obesity management (1996), the UNMillennium Commission’s report on global issues relating tonutrition up to 2020, the 1997 proposals on behalf of the UK PrimeMinister for the UK Food Standards Agency and those for a newEU Food and Health Authority (2000), the first integrated reportson nutritional aspects of health for WHO Europe (1986) and thenglobally (the WHO 797 report) in 1990.In 1996, Philip established the International Obesity Task Forceand is the current President of IASO. Philip is also on the newWHO Global Advisory Board tackling the global epidemic ofchronic diseases. Philip along with the Founding Fathers initiatedthe educational course ‘SCOPE’ to help promote a coherentapproach to obesity management within the professionalhealthcare community.Kari JohanssonKari Johansson is a PhD-student with a MSc in nutrition, witha planned thesis defence in May 2012. Her research concernstreatment of obesity through VLCD. She started her PhD doingmeta-analyses where different pharmacotherapy treatments forobesity were compared. During the last two years, she has carriedout and analysed data from a study where she has investigatedthe effect of weight loss on sleep apnoea in obese men.Lucy JonesLucy studied BSC Hons Human Nutrition and Dietetics at LondonMetropolitan University. During her degree, she worked as adietetic assistant at Chelsea and Westminster hospital, London.Upon graduating, she continued at Chelsea and Westminster asa band 5 general dietitian covering a wide range of specialtiesand having access to a variety of rotational insights, increasingher specialist knowledge areas. In 2008, she began specialisingin Obesity and bariatric surgery as a band 6 at Chelsea andWestminster Hospital and then held a further specialist bariatricpost at Homerton Hospital. Within these roles, she worked witha large number of patients, both pre- and post- operatively. In2009, she transferred to her current post at the WhittingtonHospital as lead specialist bariatric dietitian. Lucy also works asa specialist obesity and bariatric surgery dietitian in the privatesector, based at Spire Bushey Hospital. She undertakes a varietyof research projects and has recently published an internationalreview paper.Mike LeanProfessor Lean holds the Chair of Human Nutrition at the Universityof Glasgow and Consultant Physician at Glasgow Royal Infirmary.He trained in medicine at the University of Cambridge and StBartholomew’s Hospital subsequently specialising in generalmedicine, diabetes and endocrinology. His postgraduate researchtraining was mostly at Cambridge and Aberdeen.His early clinical training was mainly in Aberdeen, but hereturned to Cambridge to join the Medical Research Council andUniversity of Cambridge Dunn Nutrition Unit. There he embarkedon a research career in nutrition, specialising in diabetes, and inobesity and energy balance, which included writing a thesis onbrown adipose tissue in humans. In 1990, he was appointed to hispresent position, to lead and develop a new university departmentof Human Nutrition, teaching and directing research into humannutrition and its impact on many different aspects of health andmedical practice, with an increasing team of research colleagues.His research has had high impact, with H-score 50 and over 57citations for 322 published papers.Professor Lean has increasingly become involved in publichealth and health promotion measures to prevent disease, andto promote good health through healthy eating, including writing aweekly column for the Sunday Herald in 2001-2002. From 1995to 2003, he was a non-executive director of the Health EducationBoard for Scotland. He has published over 200 peer-reviewedoriginal papers and similar numbers of academic reviews andclinical guidelines for evidence-based practice. He was centralto the Scottish Diet Working Group and a co-author/advisor ofthe Diet Action Plan and SIGN guidelines on Obesity publishedin 1996 and 2010. From 2002 to 2007, he was Chairman of theAdvisory Committee on Research of the Food Standards Agency(London) and he was on the expert advisory panel of the JointHealth Claims Initiative, which evaluated the Health Claims madeby the food industry for foods.He was a founder of Counterweight, the national primary careweight management programme and has a major role in its researchoutputs, and completed a 6-month Leverhulme fellowship in Denver,Colorado, to develop approaches for preventing obesity and itsclinical consequences, and engaging both government and industrypartners. This work is seeing fruitful progress in New Zealand,through his founding involvement in the Centre for TranslationalResearch in Chronic Diseases at the University of Otago.Carel Le RouxDr Carel le Roux graduated from the University of Pretoria. Heobtained the Membership of the Royal College of Physicians andthe Membership of the Royal College of Pathologists in the UK.Following his Wellcome Clinical Research Fellowship his PhD onappetite control resulted in him being awarded a Clinician ScientistAward by the Department of Health to further his research careeras a Reader at Imperial College London. His continued researchfocuses on appetite control by using human and animal modelsof weight loss such as bariatric surgery. His work exploresmechanisms involved in the gut brain axis.17

Speaker BiographiesStephan RossnerProfessor Stephan Rössner was previously the Director of theObesity Unit at the Karolinska University Hospital, Huddinge inStockholm. Professor Rössner created a new Obesity Unit at theKarolinska Hospital in 1982 and in 1990 he became Professor ofHealth Behaviour Research. He graduated in medicine from theKarolinska Institute, Stockholm in 1968 and completed his clinicaltraining at the Karolinska Hospital.Professor Rössner’s research has focused on the development oflong term weight loss maintenance programmes. He has written over600 scientific papers on lipid metabolism, cardiovascular medicine,obesity therapy related matters and health behaviour research.He has served on the editorial boards of several scientific journalsincluding the International Journal of Obesity and several textbookeditorial committees and as an expert in numerous internationalscientific advisory boards. In addition to Professor Rössner’sscientific work, he has been highly involved in public disseminationof obesity issues. In this respect he has written more than 30 booksand published over 1000 articles in the lay press.Professor Rössner co-founded the Swedish Society for the Studyof Obesity, in which he served as President from 1990 to 1998.From 1998 to 2002 Professor Rössner was the President of TheInternational Association for the Study of Obesity (IASO), havingbeen the Secretary and President-elect since 1990. He was aFounding Father of the International Obesity TaskForce (IOTF),and is the current Chair Emeritus of IASO’s Educational andManagement Taskforce that oversees the ‘SCOPE’ programme.Harry RutterHarry Rutter is a public health physician based in Oxford, England.He is the founder director of the National Obesity Observatory forEngland, and an honorary senior clinical lecturer at the Universityof Oxford where he teaches on both climate change and childhoodobesity. He led the development of the National Child MeasurementProgramme childhood obesity surveillance system, is a memberof the Department of Health Expert Panel on obesity and of thecurrent NICE review group on preventing obesity; he also sat onthe management group of the Foresight Obesities project.Arya SharmaProfessor Arya M Sharma is Professor of Medicine and Chair ofObesity Research and Management at the University of Alberta,Canada. He is also the Medical Director of the Capital HealthRegional Weight Wise Program and the Scientific Director of thefederally funded Canadian Obesity Network. Past appointmentsinclude Canada Research Chair (Tier1) in Cardiovascular ObesityResearch and Management and Professor of Medicine at theMichael G DeGroote School of Medicine at McMaster University,Hamilton, Ontario, Canada, and Director of the Centre forCardiovascular Obesity Research and Management at HamiltonGeneral Hospital. Until 2002, he was Professor of Medicine,Department of Nephrology and Hypertension, at the Franz-Volhard-Klinik–Charité in Berlin, Germany. His research focuses on theenvironmental and biological causes of obesity and an evidencebasedapproach to managing obese patients. Professor Sharmais on the editorial boards of several journals and has authored orco-authored more than 250 scientific articles. He has also lecturedwidely on the aetiology and management of hypertension, obesityand related cardiovascular disorders. Professor Sharma graduatedfrom the Free University Berlin, Germany, and holds postdoctoraldegrees in internal medicine and nephrology. ProfessorSharma maintains a widely-read blog where he regularly postshis ideas and thoughts on obesity prevention and management:/www.drsharma.ca/John ShneersonDr John Shneerson has been the Director of the RespiratorySupport and Sleep Centre at Papworth Hospital, Cambridge from1980 until 2011. This is the largest sleep centre in the UK andtreats patients with all types of sleep disorders including those withobstructive sleep apnoeas and obesity hypoventilation. He has aspecial interest in the causes and treatment of excessive daytimesleepiness, respiratory disorders during sleep and abnormalactivities during sleep.He has written four medical text books including Sleep Medicine –A Guide to Sleep and its Disorders, and around 400 other medicalpublications.He is President of the British Sleep Society and a past President ofthe Sleep Section of The Royal Society of Medicine.Lisa WebberLisa Webber has been a Consultant Gynaecologist and Specialistin Reproductive Medicine at St Mary’s Hospital, Imperial CollegeHealthcare NHS Trust in London since 2007. Her particularinterests are conditions of ovarian dysfunction. This followed herPhD thesis on preantral follicle development in the normal andpolycystic ovary which led to her clinical interest in all aspects ofpolycystic ovary syndrome (PCOS). Weight management is animportant part of the care of women with PCOS as well as forwomen wishing to conceive in general. As a result of this, Lisabecame a member of ESCO. Lisa has published in The Lancet,Journal for Clinical Endocrinology & Metabolism and Journal ofEndocrinology. She has also lectured nationally and internationallyon related subjects.Billy WhiteBilly White is a clinical research fellow at UCL Institute of ChildHealth and University College London Hospital (UCLH) wherehe specialises in Adolescent Health. His main research andclinical interest is adolescent obesity management within themedical setting. He is currently trialling a brief adolescent weightmanagement program at UCLH, using tools from motivationalinterviewing and solution focussed therapy, and undertaking aqualitative study exploring young people’s experiences of antiobesitydrugs. He is also the medical fellow in the adolescentbariatric surgery research programme at UCLH, part of a NIHRfundedobesity programme grant led by Dr Russell Viner.18

Speaker Presentation SummariesTHURSDAY 28TH JULY 2011Stephan RössnerObesity 2011 – Where are we today?There is an old story about a scientist who happily submitted hispaper to a journal and got a letter back from the Editor. It read:Thank you for your manuscript. It was both new and interesting.The problem is that what was new was not interesting and whatwas interesting was not new.Clearly the information explosion concerning all aspects ofobesity has increased - but what is really new and interesting?The explosion is witnessed by the fact that we now have severalscientific journals, focusing on various aspects of obesity andmore to come. When the second journal OBESITY was launchedby NAASO in the 1980ies there was severe concern that the Int JObesity would be killed by the competitor- which certainly did nothappen. Today about half a dozen journals flourish…Although some experts have argued that the obesity epidemichas come to a halt, others disagree. On the other hand, itis obvious that we have never had so many obese children,adolescents and adults in the world as today. Journalists oftencannot distinguish between incidence and prevalence.It is appropriate that focus has recently been concentrated onprevention and particularly on prevention in the young and inadolescents. Clearly it is necessary to start early in life, sincethe prevention studies which have been carried out in adulthoodhave not been encouraging.A few years ago the health ministers of Europe unanimouslydecided to sign a Charter in Istanbul giving priority to an antiobesity‘war’. In reality most of these commitments have notbeen implemented and only a few countries have a strategic orcoherent approach to fight the uphill battle.Obesity is the end result of a powerful game and interactionbetween genes which are essentially unchanged from the StoneAge to the ‘toxic environment’ in which we live today. However, nosingle gene explains more than a minute fraction of the variation.Taken together it could be argued that we can explain about 50%of obesity by genetic factors. Clearly some people who happento be genetically well equipped by chance will never get obesewhatever lifestyle habits they exhibit, whereas others will fight alife long uphill battle.In most therapeutic fields an increased number of effective drugsbecome available with time and development. In this respectanti-obesity pharmacotherapy is in a unique setting. Around themillennium we had three well-established drugs available in manyparts of the world, although no means by all. When rimonabant waswithdrawn numerous drug companies immediately dropped theircannabinoid receptor blocker programmes and when sibutramineleft the stage in European countries only orlistat, the oldest drug withmodest weight loss effects, remained on the market, bringing boththerapists and patients back to square one. Numerous compoundswith various moods of action are in the drug company pipelines,but there is no obvious winner in sight. Hence companies look forold compounds, where safety has since long been established andcombine them. A few of these may reach the market within a year.They have reasonable weight loss effects and seem to be safe.Very low calorie (VLCD) or VLED (energy) diets are beginning tobe used in a more systematic fashion and a number of clinicalindications where rapid initial weight loss has positive long termconsequences have been identified.It is easy for politicians to demonstrate activity by setting resourcesaside for bariatric surgery. The techniques have improveddramatically and consequently postoperative mortality is almostdown to zero. However, repeat operations are common and eventhough many post-obese patients are very happy with the effects oftheir weight loss, there still remains several key problems. One ofthe most important issues to address for the future is who has theresponsibility for long-term follow-up of these patients. Obviouslysurgeons should do what they are expertly trained for, namely tooperate. They should not use their precious time for long-termfollow-up of patients. However, they have indeed the responsibilityto make sure that others do take care of this follow-up and givepatients consistent support. There is still uncertainty about thevery long-term consequences of bariatric surgery. At the outsetsurgeons, dieticians, physiotherapists and nurses have assumedresponsibility, but we have little information about what will happenten or twenty years in the future. Hence it is important that thosewho perform bariatric surgery today make sure that their patientsare carefully monitored throughout their lives.The obesity problem is escalating and what may force moreconcerted action is the ensuing explosion of Type 2 diabetes.Obesity may be ridiculed as self-inflicted and a disease causedby lack of willpower, but nobody disputes that Type 2 diabetes isa disease we need to address with the utmost importance, notleast for its financial implications. More detailed studies about thehealth economic consequences may result in the fact that theministry of finance rather than that of health takes action!In the meantime the depressing fact is that whatever miracle curepatients and therapists eagerly await, the old tools diet, exerciseand behaviour modification remain cornerstones. Well executedthey still remain quite effective tools and are definitely safe.Philip JamesEpidemiology and prevalence of obesityMeasuring weight for height is taken as an index of body fatnessdespite it being recognised for decades that the proportion ofbody fat differs between individuals, the sexes and with age.Pre-Second World War insurance statistics showed that heavieradults had a shorter life expectancy and the BMI was routinelyused from the late 1970s with an upper limit of 25 taken as thecrude – cut-off point on the basis of mortality. The BMI 30 waschosen as traditionally a 20% increase above normal was takento specify obesity. The lower limit of 18.5 was selected on thebasis of global analyses of physical capacity for heavy workwith BMI

Speaker Presentation SummariesAsia, with China deriving its own value of BMI 24 and 28.Abdominal obesity has often been found to predict greater illhealth with waist/hip ration giving modestly better predictions ofcardiovascular disease and diabetes particularly when very differentpopulations are being considered with evidence suggesting that fatdeposition on the hip and subcutaneously is not so harmful. Howeverrecent meta-analyses of cardiovascular risk failed to show in crudeterms the value of focusing on abdominal obesity although moredetailed clinical studies suggest considerable value this analysis.Children’s obesity measurements are currently handicapped byconfusion of over which “normal” references to use with the WorldHealth Organisation having introduced a standard for the

Speaker Presentation SummariesPhilip JamesEnergy balance and body compositionEnergy balance is understood by few as it implies that the multiplefactors affecting energy intake in some way balance all the differentcomponents of energy expenditure. Energy balance for simplicityis considered on a daily basis but the evidence suggest that weall oscillate from day to day, month to month in our net energystorage but traditionally over a year the body mass of energy didnot change. Physiological storage of energy occurs during growth,pregnancy, recovery from illness and more energy flows throughthe body in lactating mothers. Now in modern times adults tend toput on weight by about 0.5- 1.0kg per year which corresponds to 3,850 to 7,700kcal in total. If an adult eats 2,5000kcal /d on averagethis means the average rate of accumulation is 10-20 kcal/day. Thisis impossible to measure either in terms of intake or expenditureparticularly as in young premenstrual women there is a cycling offood intake and basal metabolism throughout the menstrual cycleamounting to a 10-20% variation.Energy requirements have to be assessed by estimating energyexpenditure as these are crudely more readily estimated by ourunderstanding of energy expenditure. Most food intake measurementsare very unreliable. The basal metabolic rate is estimated fromequations based on a global data base and the cost of eating foodand processing it puts up metabolism by 10-20% with some evidencethat this is adaptable to the state of energy balance. We now estimatelevels of minute by minute physical activity as a ratio of BMR, knownas METS by the sports physiologists but the overall physical activitylevel (PAL) on a daily basis is now taken as the gold standard forassessing the overall demand of the body for food.Measurements of body composition used to rely on underwaterweighting, skin-fold measurements, K 40 measurements or bydifferent scanning techniques which can either assess lean tissuemass, bone mass, or individual organs. Basal metabolic rate dependson the mass of lean tissues and the relative proportions of moreactive visceral tissue but also the much lower activity (at rest) muscle.Women put on more fat and gave less lean tissue and proportionatelyless muscle after puberty and are usually shorter than men. Thereforewomen have an energy requirement which is about 80% of men’s.There is a very complex system for controlling energy intake but recentlyit has become apparent that spontaneous (unconscious) movementand activity is individually very variable in response to changes inenergy balance with a probable genetic variation if the degree to whichwe adjust our spontaneous movement to changes in food intake. Thisseems to be an important explanation for why carefully overfed adultsdiffer remarkable in the degree of consequent weight gain.Slimming immediately induces a TSH induced fall of as much as15% in BMR starting within 48hrs (before significant weight loss) andreaches the maximum per Kg fat free mass(FFM ) within 2 weeks.Thereafter the decline in BMR is proportional to lean FFM loss sothat when weight destabilizes say 10kg lower the body’s energyneeds are permanently less unless physical activity is permanentlyincreased. The difference is estimated to amount to 200-300kcal/d.This accounts for the stabilisation of weight and the impossibility ofremaining at a lower weight unless permanent reduction sin foodintake or increases in physical activity are induced.Arya SharmaAetiological approach to the assessment of obesityObesity is characterized by the accumulation of excess bodyfat and can be conceptualized as the physical manifestationof chronic energy excess. Using the analogy of oedema, theconsequence of positive fluid balance or fluid retention, obesitycan be seen as the consequence of positive energy balance orcalorie ‘retention’. Just as the assessment of oedema requires acomprehensive assessment of factors related to fluid balance,the assessment of obesity requires a systematic assessmentof factors potentially affecting energy intake, metabolism andexpenditure. Rather than just identifying and describing abehaviour (‘this patient eats too much’), clinicians should seek toidentify the determinants of this behaviour (‘why, does this patienteat too much?’). This presentation will discuss an aetiologicalframework for the systematic assessment of the socio-cultural,biomedical, psychological and iatrogenic factors that influenceenergy input, metabolism and expenditure. The frameworkconsiders factors that affect metabolism (age, sex, genetics,neuroendocrine factors, sarcopenia, metabolically active fat,medications, prior weight loss), energy intake (socio-culturalfactors, mindless eating, physical hunger, emotional eating, mentalhealth, medications) and activity (socio-cultural factors, physicaland emotional barriers, medications). The clinical application ofthis framework can help clinicians systematically assess, identifyand thereby address the aetiological determinants of positiveenergy balance resulting in more effective obesity preventionand management.FRIDAY 29TH JULY 2011David HaslamCommissioning obesity care and weight managementservicesThe commissioning of services for obese and overweightindividuals is shrouded in controversy and misperceptions.Management of the obese individuals is not merely confined tocounting the number of Kg lost, but a recognition that identificationand screening has occurred, co-morbid diseases have beenrecognised and successfully managed. The cost-effectiveness ofobesity management, upon which commissioning centres, shouldtake these aspects more into account, enabling bariatric surgeryas a case in point, but also nutrition and lifestyle interventions, tobe much more broadly available to those who need them most.Robin HarbourHow do you judge the quality of evidenceThe basis on which evidence-based recommendations are relatedto evidence is changing, and the process of relating evidence torecommendations is becoming more sophisticated. This sessionwill outline the Grading of Recommendations Assessment,21

Speaker Presentation SummariesDevelopment and Evaluation (GRADE) process now being widelyadopted worldwide. It will also look briefly at how the CochraneCollaboration now rates the quality of evidence in its reviews.Finally, the presenter will argue that those working on advice orguidance must take account of the importance of the topic beingaddressed, as well as the quality of the underlying evidence.Henning BliddalWeight reduction in osteoarthritis: Evidence from trials– Body composition changes and clinical outcomesWhen a person consults their GP to request help in losing weight,it can reasonably be assumed that they have considered thesimple and straightforward options of combining less intake withlarger expenditure, i.e. ‘going on a diet’ with a simultaneous planof ‘joining a gym and get some exercise’.This may very well be the solution to many obese, however, incase of knee pain and loss of the natural gait potential increasingactivity may prove impossible.In the population among age group 55+, about 10% havesignificant knee osteoarthritis demanding therapy. About half ofthese persons are at the same time obese, which means that thecombined problem bad knees heavy load strikes some 5% of theaged populationSeveral studies of weight loss have been conducted on theimprovement of symptoms in obese persons with osteoarthritisof the knee.A weight loss of 10% will give two out of three participants a verysignificant increase in function and decrease in pain. A recentfollow-up study indicates that a course of three months with aweight loss in this range will give a benefit lasting at least oneyear.The method for obtaining this weight loss may differ, however,in one study at the Parker Institute, Cph, Denmark, participantsshowed very good adherence to the program, a little less in asubgroup asked to participate in prolonged training after thethree month intervention.By dietary intervention using formula diet and instructionparticipants will loose fat mass rather than lean body mass andwill provide participants with sufficient micronutritients and leadto a better health status – on top of the weight loss.The Parker program has very few adverse effects and iseconomically sound.It is concluded that dietary intervention leads to relief ofsymptoms from knee osteoarthritis and a better health status forthe participants.Marius HenriksenBiomechanics of weight loss: Walking quality andfunctional implicationsEvidence strongly support that obesity is related with physicalimpairment and joint pain, particularly in the knee joints as aconsequence of overload. As the prevalence of obesity rises, sodo the rates of musculoskeletal pain and physical impairment.Functional tasks that involve supporting or transferring bodyweight are typically painful and difficult to perform amongobese individuals. Of most concern is that some of these tasksmay be impossible depending on the severity of obesity andcoexisting pain. As a consequence, the individual’s quality oflife and participation in activities suffers. To restore functionalindependence and optimize functional gains over the long term,a combination of treatments for the obese patient with joint painmay be effective. Weight loss coupled with exercise is a rationaloption for reduction of pain, joint loads, and improvement inphysical function. In fact, weight loss significantly improves jointpain, joint loads, and functional mobility.Pia ChristensenCase presentations: OsteoarthritisA 60-year-old obese woman with osteoarthritis of the knee. Acase report.A case is presented of a 60-year-old woman with concomitantobesity and knee osteoarthritis. The bad knees preventedthe patient from exercising; however, with a focused dietaryintervention employing food supplements for the first period of8 weeks, an ordinary low-energy diet for another 8 weeks, thepatient lost 17.3 kg; and a further weight loss was achieved during1-year follow-up totalling 30.6 kg. Lean body mass only changedslightly, 96.8% of the weight loss being fat mass. Along with thisher metabolic syndrome decreased and her gait improved. It issuggested that a major weight loss is the treatment of choice inpatients with this combination of diseases.Mike LeanWeight management in diabetesProfessor of Human Nutrition, University of GlasgowThere is growing recognition that, within the global epidemicof obesity, medical services cannot treat every obese personequally, and that care must be directed in order to achieve thegreatest benefit for medical effort and expenditure. Increasingly,that means focussing on the severely, and medically complicated,obese. As a general principle, the benefits of interventions forweight control generate the greatest individual benefit for thosewith the most severe, and reversible or correctable, obesityrelateddisease. Rationing care towards those with extreme andend-stage obesity is inappropriate, even if short-term benefitcan be achieved, and the greatest potential long-term healthgain is in younger people with progressive obesity-dependentcomorbidities. The weight management community has identifiedthe young obese patient with T2DM as the group where thegreatest health and economic gain can result from effectiveweight management.It has been known for many years that T2DM rarely occursin ‘ideal’ weight people (ie BMI 21-22). It is provoked by quitemodest weight gain and aging: half of all T2DM develops withBMI

Speaker Presentation Summarieswith different intensity and duration, on obstructive sleep apnoea.Below two cases from our study are presented. In our study weinvestigated the effect of a very low energy diet (VLED) for nineweeks 3 followed by a weight maintenance programme for a totalduration of one year in obese men with moderate to severeobstructive sleep apnoea.Case 1 The first case was a 43y old man with a body weight of126 kg and a BMI of 38.8 kg/m 2 . During the VLED phase thepatient lost 30 kg, BMI was reduced to 29.5 kg/m 2 and AHI wasreduced from 37 to 12 events/h. Over the one year treatmentprogramme he lost 26% of his initial weight, AHI was improvedby 60% and he went from severe (AHI >30) to mild (AHI 5-15)sleep apnoea and no longer needed treatment with CPAP.Case 2 The second case was a 54y old man with a weight of 87kg and BMI of 32.1 kg/m 2 . During the VLED phase the patient lost14 kg, BMI was reduced to 26.9 kg/m 2 and AHI was reduced from56 to 21 events/h. Over the one year treatment programme he lost10% of his initial weight. His AHI improved by 66% and he wentfrom severe (AHI >30) to moderate (AHI 15-30) sleep apnoea.References1. Tuomilehto HP, Seppa JM, Partinen MM, Peltonen M, GyllingH, Tuomilehto JO, et al. Lifestyle intervention with weightreduction: first-line treatment in mild obstructive sleep apnea.Am J Respir Crit Care Med 2009;179(4):320-7.2. Foster GD, Borradaile KE, Sanders MH, Millman R, Zammit G,Newman AB, et al. A randomized study on the effect of weightloss on obstructive sleep apnea among obese patients withtype 2 diabetes: the Sleep AHEAD study. Arch Intern Med2009;169(17):1619-26.3. Johansson K, Neovius M, Lagerros YT, Harlid R, Rossner S,Granath F, et al. Effect of a very low energy diet on moderateand severe obstructive sleep apnoea in obese men: arandomised controlled trial. BMJ 2009;339:b4609.Arya SharmaWhen is surgical treatment for obesity appropriateBariatric surgery should be considered for obese patients at highrisk of morbidity and mortality who have not achieved adequateweight loss with lifestyle and medical management and who aresuffering from the complications of obesity. Bariatric surgerycan result in substantial weight loss, resolution of comorbidconditions, and improved quality of life. The patient’s weightlosshistory; his or her personal accountability, responsibility, andcomprehension; and the acceptable level of risk must be takeninto account. Complications include technical failure, bleeding,abdominal pain, nausea or vomiting, excess loose skin, bowelobstruction, ulcers, and anastomotic stricture. Success withbariatric surgery is more likely when multidisciplinary careproviders, in conjunction with primary care providers, assess,treat, monitor, and evaluate patients before and after surgery.Lifelong monitoring by a multidisciplinary team is essential.Family physicians will play a critical role in counselling patientsabout bariatric surgery and will need to develop skills in managingthese patients in the long-term.Lucy JonesCase studies: Weight loss before surgeryHere, we discuss 2 examples of where weight loss prior tobariatric surgery has been able to improve the treatmentpathway or patient outcome. Weight loss before surgery canimprove insulin sensitivity, cardio respiratory fitness, mobility,blood pressure and reduce dosages of various medications. Thisshould ensure that seriously challenged obese and super-obesepatient’s experience of surgery is less hazardous.Charles CapperThe challenges of weight management in primary carepracticeObesity in adults rose from 15% in 1993 to 24.5% in 2008. If itcontinues at this rate is predicted to rise to 50% by 2050.The challenges to prevention and treatment of obesity include:• Understanding the causes of the present epidemic such asabundance of calorie dense foods, poor food labelling, attractionof sedentary pursuits at the expense of activity, chaotic eatingpatterns and loss of nuclear family life.• Treating adult obesity with interventions that fit with pressuresof modern living.• Identifying and treating childhood obesity since it is now wellaccepted that obese children become obese adults.• Awareness of the need to refer children earlier than at present.• Role of schools.• Understanding of the respective roles of aerobic and resistanceexercise and changing perceptions on exercise versus caloriecontrol.• Overcoming health professionals’ reluctance to prescriberegimens to create weight loss in children for fear of negativeimpact on growth.• Addressing parental perceptions.• Improved local support services and role of government actionand public health measures.• Recognition by health professional of obesity as a treatabledisease and overcoming perceived impotence in treating it.• Greater awareness of the role of very low calorie diets andbariatric surgery.• Greater emphasis on obesity in the medical school curriculumI hope to expand on the above, consider how primary carepractice can address these challenges and encourage discussionwith regard to recent evidence in these areas.Pia ChristensenBody composition changes and adverse effectsThere has been concern about the loss of lean body massduring Very Low Energy Diet (VLED) and Low Energy Diet (LED)treatments. Several studies have shown that with the use of LED’s,the lean body mass: fat-mass ratio of the lost mass is approximately25:75. The loss of lean body mass, in the osteoarthritis and weight24

Speaker Presentation Summariesloss study at the Parker Institute, was 17% and 11% of total weightloss in the VLED and LED groups, respectively.Participants answered a questionnaire with some suggestiveleading questions, assessing adverse effects in a genericframework using options based on osteoarthritis standards aswell as typical adverse effects and complications of LED/VLED.The most frequent adverse effects reported after eight weeks inVLED and LED were: bad breath (anticipated because of ketosis:34 [35%] and 21 [22%], respectively, P = 0.038), intolerance tocold (39 [41%] and 17 [18%], P = 0.0005) and flatulence (43[44.8%] and 28 [29.2%], P = 0.025). There were trends that dryskin and hair loss were reported more frequently in the VLEDgroup than in the LED group at week 8. After week 16 the onlystatistically significant side effect reported in the VLED vs. LEDgroup was epigastric pain (12 [12.5%] and 4 [4.2%], P = 0.037).There was also a trend towards bad breath being more commonin the VLED than in the LED group at week 16.Lucy JonesChanges in lean body mass and bone mass afterweight lossIt is suggested that people can lose up to 40% of lean body massduring dramatic weight loss, either through conservative measuresor surgery – here we discuss the evidence and the potential impacton weight loss and function. Loss of bone mass after bariatricsurgery is well documented but what are the real estimates of longterm metabolic bone disease? How does bone loss after surgerycompare with that of conventional weight loss?George BrayAdvances in Understanding Human Obesity: The Past50 yearsThe pace of scientific discovery has increased steadily for 500years, but the impact on obesity has been evident over thepast 200 years, and particularly the past 50 years. Among thekey discoveries during this time period have been leptin, themeasurement of energy expenditure with doubly-labeled water,the detrimental effects of visceral as compared to total adiposity,continuing differentiation in the types of obesity with the Prader-Willi syndrome being a prime example, the introduction ofbehavioral therapy for obesity, the examination of the Paleolithicfood intake as a guide to modern diets, the epidemic of obesity,and the introduction of gastric surgical operations to treat obesity.This presentation will examine a few of these key developmentsin the context of treating the overweight patient.SATURDAY 30TH JULY 2011Arya SharmaDiagnosing obesity: Grade obesity based on simplecriteria obtained from medical history, physicalexamination and standard diagnostic testsCurrent classifications of obesity based on body mass index, waistcircumference and other anthropometric measures, although usefulfor population studies, have important limitations when applied toindividuals in clinical practice. Thus, these measures do not provideinformation on presence or extent of comorbidities or functionallimitations that would guide decision making in individuals. Thispresentation reviews historical and current classification systems forobesity and proposes a new simple clinical and functional stagingsystem (the Edmonton Obesity Staging System) that allows cliniciansto describe the morbidity and functional limitations associated withexcess weight. It is anticipated that this system, when used togetherwith the present anthropometric classification, will provide a simpleframework to aid decision making in clinical practice.Stephan Rössner, Nick FinerDiet and lifestyle approachesThe cornerstone of weight management is helping patients achievechanges in behaviour that will lead to long-lasting reductions in energyintake and sedentary behaviours, together with increased energyexpenditure from exercise and activity. The recent UK NationalInstitute for Health Research Health Technology Assessment reportconcluded that ‘Long-term multicomponent weight managementinterventions were generally shown to promote weight loss inoverweight or obese adults. Weight changes were small howeverand weight regain was common’. 1 A recent systematic review 2concluded that intervention effectiveness was increased by engagingsocial support, targeting both diet and physical activity, and usingwell-defined/established behaviour change techniques. Increasedeffectiveness was also associated with increased contact frequencyand using a specific cluster of “self-regulatory” behaviour changetechniques (e.g. goal-setting, self-monitoring). Internet interventionshave gained popularity but do not have a robust evidence base tocritically evaluate them although some studies suggest that those thatuse tailored feedback on self-monitoring of weight, eating and activityover education only internet-based interventions. 3 Similar cautionabout the quality of evidence for the use of electronic interventionsin young people were cited in another systematic review. 4 Findingpredictors of successful outcome would allow individualizing oftreatment and improve both outcomes as well as cost-efficacy, butthe search has been elusive and pre-treatment parameters at bestaccount for 20-30% of the variance of outcomes. 51Loveman et al. Health Technol Assess 2011;15(2).2Greaves et al. BMC Public Health 2011, 11:1193Manzoni et al. Clinical Practice & Epidemiology in MentalHealth, 2011, 7, 19-284Nguyen et al. Obesity Reviews 2011, 12: e298–e3145Stubbs et al. Obesity Reviews 2011. Epub.25

Speaker Presentation SummariesStephan Rössner, Nick FinerSurgical management of obesityThe growth in bariatric surgery reflects the recognition of itssuperior efficacy for producing durable weight loss, health andquality of life improvement compared to non-surgical techniques.Against this enthusiasm is however a shortage of Grade 1 evidencefrom randomised trials, initial costs of developing and providingsurgery, small but significant risks of surgery, and uncertaintyabout long-term effects. Furthermore it is inherently unlikely thatthe current prevalent obesity can be managed surgically. Thus theauthors of a recent systematic review concluded ‘Contemporarybariatric surgery appears to result in sustained weight reductionwith acceptable costs but rigorous, longer-term (≥5 year) dataare needed and a paucity of RCT data on mortality and obesityrelated comorbidity is evident. Procedure-specific variations inefficacy and risks exist and require further study to clarify thespecific indications for and advantages of different procedures. 1Weight losses are greatest with diversionary procedures,intermediate with diversionary/restrictive procedures, and lowestwith those that are purely restrictive. Compared with Roux-en-Ygastric bypass, adjustable gastric banding has lower weightloss efficacy, but also leads to fewer serious adverse effects. 2,3The recognition that some types of bariatric surgery have directbeneficial metabolic effects independent of weight loss has led toenthusiasm to rebadge bariatric surgery as ‘metabolic surgery’.Certainly the search for the mechanisms behind such profoundeffects (80% of patients with type 2 diabetes have remission aftergastric bypass in that they normalize blood glucose and can comeof all diabetes medication) is highlighting hitherto unrecognizedfacets of gastrointestinal physiology including the role of anincreasing number of gut peptide hormones 4 , and the role ofbile acids 5 and gut microbiota. 6 Numerous endoluminal devicesdesigned to mimic some aspects of surgery are in developmentbut remains ‘an emerging concept’. 71Padwal et al. J Gen Intern Med. 2011 epub.2Padwal et al. Obesity Reviews 2011 epub.3Tice et al. Am J Med 2008, 121: 885-934Karra et al. Trends in Endocrinology and Metabolism 2010,21:337-44.5Patti et al. Obesity 2009, 17:1671-76Furet et al. Diabetes 2010, 59:3049-577Tsesmeli & Coumaros. Endoscopy 2010, 425:155-62George BrayThe effect of weight loss in diabetics:The Look AHEAD TrialThe Look AHEAD trial was designed to ask the question ofwhether moderate weight loss in diabetic patients could reducethe risk of cardiovascular disease and mortality using a compositeend-point. Included in this end-point are cardiovascular death,non-fatal MI, non-fatal stroke, and hospitalization for anginapectoris. This trial will last 13.5 years. In addition to the primaryoutcome, the trial will assess costs and cost-effectiveness ofthe intervention, the control of diabetes and its complications,the general health and frequency of hospitalizations in theparticipants and their quality of life. The 5145 participants wererandomized into a lifestyle intervention and a diabetes supportand education control group. The retention has been extremelygood with more than 90% of each group still in follow-up after 4years. Weight loss during the first year was 8.6 kg in the lifestylegroup and 0.7 kg in the control group. After 4 years the loss was4.7 kg in the lifestyle and 1.1 kg in the control group. Fitness wasimproved in the lifestyle group, as was hemoglobin A1C, systolicand diastolic blood pressure, HDL-cholesterol and triglycerides.Use of insulin decreased.Carel Le RouxThe gut and obesityA good model to investigate appetite reduction in humans androdents with associated major weight loss is bariatric surgery.Gastric bypass, but not gastric banding caused increasedpostprandial PYY and GLP-1 favouring enhanced satiety. An earlyand exaggerated insulin response mediated improved glycaemiccontrol. The rodent model of bypass showed elevated PYY,GLP-1 and gut hypertrophy compared with sham-operated rats.Moreover, exogenous PYY reduced food intake while blockade ofendogenous PYY increased food intake. A prospective follow-uphuman study of gastric bypass showed progressively increasingPYY, enteroglucagon, and GLP-1 responses associated withenhanced satiety. Blocking these responses in animal andhuman models lead to increased food intake. Thus, followinggastric bypass, a pleiotrophic endocrine response may contributeto improved glycaemic control, appetite reduction, and long-termlowering of body weight.Energy expenditure in gastric bypass rats is also increased aftergastric bypass surgery with major contributions coming fromenhanced basal metabolic rate and diet induced thermogenesis,while no changes were noted in physical activity, bodytemperature or activity of brown adipose tissue. The sustainednature of these changes may be explained by gut adaptation andchronic hormone elevation.Paul RobinsonEating disordersEating disorders: What, how many and why?Eating disorders occur in clinical practice in many places., fromthe severely underweight patient with anorexia nervosa, throughthe secretive normal weight patient with bulimia nervosa, to thegrossly overweight patient with binge eating disorder, with manypartial and intermediate forms. In this seminar we will examinethe clinical features, epidemiology and aetiology of thesedisorders and see a recorded interview with a patient.Eating disorders: What can be done?In this seminar we will look at treatment of eating disorders,from outpatient therapy to day and inpatient treatment and the26

Speaker Presentation Summariesoccasional case of involuntary treatment and management ona medical ward. We will mention bariatric surgery, severe andenduring eating disorders and see a recording of the parents of apatient with anorexia nervosa.SUNDAY 31ST JULY 2011Lisa WebberPregnancy and obesityObesity has significant effects on reproduction from conception,through pregnancy and delivery, and for the offspring.Spontaneous conception rates per ovulation for obese womenare reduced. Assisted conception treatments are less successful,the required drug doses are higher (therefore treatment is moreexpensive) and risk of complications is increased. In addition,frequency of ovulation is reduced in women with PCOS (thecause of over 80% of anovulatory infertility) and ovulationinduction treatments are less likely to be successful.Once pregnant, miscarriages are more common in obese womenand obstetric complications are more likely to occur; in particular,gestational diabetes, pre-eclampsia, caesarean section, postpartumhaemorrhage, congenital abnormalites and macrosomia. The riskof stillbirth, neonatal death and maternal death are all increased.For all these reasons, access to NHS funding for fertility treatmentis limited to women with a BMI of under 30kg/m 2 .Fertility declines with age and with it the success of fertilitytreatments, independent of obesity. As a result, obese womenmay be faced with the prospect of having to lose unrealisticamounts of weight over impossibly short periods of time.Obesity cannot be treated in pregnancy as excessive weight lossis believed to be detrimental to the fetus, although expectantmothers can be advised to gain no more than 12.5kg over thecourse of their pregnancy, the statistically optimum weight gain.The limited evidence available suggests that pregnancy outcomesare all improved by weight loss prior to conception. This includesfor pregnancies that have occurred after metabolic surgery.Billy WhitePaediatric and adolescent obesity• Epidemiology of child and adolescent obesity in the UK• Defining obesity in the child• Medical assessment of the obese child and adolescent: is thisany different from adults?• Community treatment programmes and their evidence base• The role of bariatric surgery in the paediatric and adolescentsetting• Do Child Protection Plans work in obesity?• Case studies will illustrate key points learning points in theclinical setting27

Delegate ListAustraliaMary FreemanBelarusTatsiana RamanouskayaBulgariaAsparuh NikolovDenmarkLena Kirchner LarssonSanne Kellebjerg PoulsenBrigitte SlothFinlandJuhani SavolainenFranceNicolas DrouetIsabelle JarzacGermanyMostafa RafatGreeceOlga DretakisMaria HorianopoulouIndiaBrij MakkarAnita MalhortaManjiri PatankarPallavi PatankarNaval VikramIndonesiaSuryani As’adIranTirang NeyestaniArezoo RezazadehIsraelKamal Abu-jabalOrit YogevItalyPaolo AccorneroArianna BanderaliMariangela Di LilloSabrina MarchiLatviaLaila MeijaLebanonNancy HobeikaKrystel OueijanRoula RechmaniAlda SalemMira TueniCarla VartanianJacqueline WassefLuxemburgDominique Perin CalvaoMalaysiaNisak Modh YusofNetherlandsMaya HuijbertsNorwayHira AftabIngrid FøllingRandi Størdal LundHilde RisstadMagnus StrømmenOmanMona MoghrabiPolandAgnieszka BrandtMichal BrzezinskiAgnieszka JankowskaMarek JankowskiAnna Kaczkowska-SmigieraPortugalTeresa BrancoAlbino MaiaSandra MartinsMiguel Angelo RegoRomaniaViviana-lulia ElianLidia GraurLaura MihalacheNicolae Mircea PanduruAnca SirbuLuliana Alina SpineanRussiaElena FrolovaLidia IonovaMayra KadyrovaAnna KiryushkinaAlexey VereshchakaSlovakiaJana BabjakovaTina SentocnikSwedenMia ForrestSwitzerlandWerner KniselTurkeyEsra TuncerUKSoud AlganemDeepti De AraujoLizzie BishopLynn BranniganRichard CassidyAmanda CheesleyLing ChuahTeresa CollierAoife DeaneKatriona DulleaNoemi GilMaha HamdanAlan HowardJörg HuberCarly HughesAnthony LeedsSadiq LulaSheila MacNaughtonIan McLean BairdJilly MartinMairead McClintockHelen MercerSiobhan MonaghanClive NortonMandy OrtonBharatkumar PatelRebecca RobinsonLuis RodriguezMaura RoyEileen SkinnerLouise SmithJeanie SuvanUSALucas BenoDeborah Horn28

Delegate BiographiesKamal Abu JabalKamal Abu Jabal’s current work positions include Head of BariatricSurgery Clinic, Ziv Medical Center, Safed, Israel, (from 2010);Senior physician, Internal Medicine Dept. A, Ziv Medical Center,Safed, Israel (from 2008); Intern, Internal Medicine Dept. A, ZivMedical Center, Safed, Israel, (from 2003); Rambam MedicalCenter Haifa, Israel, (from 2002). He has academic degrees fromthe Faculty of Medicine, Government University of Damascus,Syria, (MD Degree, 1993-2000); and from Ziv Hospital, Safed,Israel (internal medicine physician, 2003-2007).Kamal’s medical research includes the effect of insulin sensitizers(rosiglitazone and metformin), ezetimibe and valsartan (each aloneor in combinations) on plasma paraoxonase activity and mRNAexpression in experimental MCDD rat fatty liver, (Unpuplished);Uric Acid and Fatty Liver in Morbid Obesity, (Ongoing); HDL Effluxin patients after Bariatric Surgery, (Ongoing).Paolo AccorneroPaolo Accornero graduated in medicine at Università Statale diMilano in 1981 and specialised in geriatric medicine and cardiology.He worked in a cardiology department of a hospital until 1995.He then went to the US and practiced in anti-age medicine andnutrition at the Cenegenics Clinic in Las Vegas. On his return toItaly he started a private practice mainly concerning nutrition.From 1996 to present he has attended several courses on nutritionand anti-age medicine all over Europe and the US. In 2006 hereceived his diploma in nutrition from WOSAAM, the worldwidesociety of anti-age medicine.His main interest is focused on the modification of our hormonalbalance due to bad nutrition.Hira AftabHira Aftab is currently a medical student and is studying at theUniversity of Oslo - Oslo university hospital. She is involved in theMedical Student Research programme (MSR) which is an optionalprogramme for medical students at the University of Oslo who wishto develop a research project during their medical studies.Currently, Hira is working as a researcher at the department of gastricsurgery and obesity at Oslo university hospital. She is conducting aprospective study on 5 year results after gastric bypass surgery andshe is particularly interested in weight change, comorbidity and QoLbefore and after a gastric bypass. In addition to this, Hira is also takingpart in the VARG study, which is a randomised controlled trial of twodifferent surgery methods; gastric bypass and distal gastric bypass.Soud AlganemSoud Alganem is currently a PhD student at Sheffield Universitywith a background in health psychology. Topics of interest obesitymanagement include eating behaviours and how to change them.Deepti De AraujoDeepti De Araujo received her Masters in Foods, Nutrition, andDietetics from India in 2007. She is a Registered Dietitian and amember with the Health Professions Council (HPC), the BritishDietetic Association (BDA), and the Nutrition Society of India.She worked with a Contract Research Organization (CRO) and aprivate weight management company before joining St. Richard’sHospital in Chichester where she is a Specialist Dietician (Strokeand Bariatric) and is on the panel for Streamline Surgical.She has led weight management groups both abroad and in theUK and is trained in behaviour change skills and counsellingtechniques. She is keenly interested in dietary management ofthose undergoing weight loss surgeries.Suryani As’ad ✪ Scholarship WinnerSuryani As’ad is a Professor of Clinical Nutrition, HasanuddinUniversity Hospital Makassar and Coordinator of PostgraduatePhD Program, Faculty of Medicine Hasanuddin UniversityMakassar, Indonesia. She is also Head of the Ethical Committee,Health and Medical Research and Secretary of the IndonesianSociety for Clinical Nutrition (2007-2011)Her educational background includes an MD in 1986; Diploma InApplied Nutrition SEAMEO in 1988; Master of Science in AppliedNutrition, SEAMEO in 1991; PhD in Medical Nutrition in 2001; andClinical Nutrition Specialist in 2004.Her responsibilities have included a major clinical role in Nutritionand metabolic disease (obesity, diabetes mellitus, cardiovascular,metabolic syndrome); Sport nutrition; Nutrition and reproductivehealth; Nutrition related to human growth and development; andFood safety and Nutrition Support in hospital.Prof.Suryani has a major commitment to research and postgraduatemedical education. Since 2006 she has successfully supervised12 doctoral and 6 master thesis completed by her research staff;and is currently Supervising or Co Supervising 6 further studentsworking toward a higher degree. Her publications mostly relate toa major clinical roles.Jana Babjakova ✪ Scholarship WinnerJana Babjakova completed her degree in General medicineat Comenius University, Bratislava in 1995. She subsequentlypracticed Internal Medicine and Clinical Pharmacology. After 10years of clinical practice she changed from curative to preventativemedicine. For the last few years she has been mostly involvedin research and completed her PhD in February 2010. Sheis attached to the international project OBELIX - OBesogenicEndocrine disrupting chemicals: LInking prenatal eXposure to thedevelopment of obesity later in life. Jana also teaches studentsfrom the Faculty of Public Health on different subjects and now inher third year she is studying for her MPH.Arianna BanderaliArianna Banderali is a physician specialist in clinical nutrition andpsychotherapy at the department of Nutritionale Rehabilitation inObesity, Eating and Weight Disorder, Villa Garda Hospital, Garda(VR) under chief physician Professor Riccardo Dalle Grave.Arianna graduated in Medicine and Surgery at the Unit of MetabolicDiseases and Clinical Dietetics, Univesity of study of Milan, under29

Delegate Biographieschief physician Professor Michele Carruba. She completed postgraduatestudies at the School of Food Science and clinicalnutrition, University of study of Milan under Chief physicianProfessor Guido Tettamanti; post-graduate studies at the Schoolof psychotherapy under Chief Professor Franco Baldini and amaster course - first certificate of professional training in eatingdisorders and obesity in Verona. Her main topic of interest inobesity management is cognitive behavioral therapy of obesity.Lucas BenoLucas J Beno, MD is a graduate of New York Medical Collegeand completed a residency in Paediatrics at Cincinnati Childrens’Hospital. For the past 13 years, he has worked with KaiserPermanente in Atlanta, Ga, USA, as a pediatrician; designing,implementing and researching pediatric obesity interventions; andtraining his colleagues in obesity management. He has publishedseveral articles related to his work, most recently related to his novelintervention “Operation Zero”, for use with overweight adolescents.Dr. Beno is currently seeking to become a Certified Obesity MedicalPhysician (COMP) through the American Obesity Society.Lizzie BishopLizzie Bishop is a Weight Management dietitian working inNorth Solihull community. She graduated from the University ofNottingham with a Master of Nutrition. Since graduating 3 yearsago she has worked as a community dietitian specialising inDiabetes and more recently Weight Management. A key part ofher role is developing group sessions to support clients to loseweight. A continuing interest in Obesity is the motivations behindindividuals’ food choices and effective strategies to alter thesefood choices or behaviours.Teresa BrancoTeresa Branco is currently the Manager of Metabólica, a weightmanagement clinic in Lisbon. She has a background in exercisephysiology and a master in weight management physiology andis currently waiting for public approval of her PHD thesis in weightmanagement physiology.Her topics of interest in Obesity management are hormonalpredictors of obesity; how behavior influences hormonal statusand how hormonal status influences behavior.Agnieszka BrandtAgnieszka Brandt graduated from Medical University of Gdansk.After graduating from medical school she started her specializationin the field of pediatrics in the Department of Pediatrics, Hematology,Oncology and Endocrinology and Ph.D. studies at the MedicalUniversity of Gdansk.She is author and co-author of several works presented at conferencesand published in medical journals. Her research interests are related tothe obesity, lipid disorders, prediabetes and diabetes. She is memberof Polish Pediatric Association, Polish Diabetological Association andEuropean Association for the Study of Diabetes. In addition to herscientific work she works as a doctor with young patients and in April2011 she completed her PhD thesis.Michal BrzezinskiMichal Brzezinski’s current work positions include Resident atthe Department of Paediatrics, Paediatric Gastroenterology,Hepatology and Nutrition at the Medical University of Gdansk;Coordinator of “6-10-14 for health” a health program for preventionand early detection of non-communicable diseases in children andadolescents 2011-2013 and; Member of the Board of the PolishSociety for Health Programs.Michal has a background as a Medical Doctor at the MedicalUniversity of Gdansk, Poland, he did postgraduate studies in“Management and Finances in Health Care” at Gdansk Schoolof Banking.He is also a member of the Polish Society for Health Programssince June 2007.His topics of interest are Public health approach to obesitymanagement; Evidence based interventions in obesity preventionand treatment and the Role of education and law in obesitymanagement.Richard CassidyRichard Cassidy joined LighterLife UK Ltd as Clinical PartnershipManager in February 2009.His responsibilities include; corporate understanding of NHSevolution, internal training with regard to NHS liaison and LighterLifepartnership development with both the NHS and commercialhealthcare sectors. Richard has an interest in obesity serviceredesign and the delivery of integrated obesity care pathways inpartnership with provider bodies.His previous roles include positions in training, coachingand partnership development within the pharmaceutical andhealthcare sectors.Amanda CheesleyAmanda Cheesley is the Long Term Conditions Advisor at the RoyalCollege of Nursing covering Diabetes, Continence, Rheumatology,Neurology, Dermatology, Palliative care.She trained as a District Nurse and worked for many years inrehabilitation, most recently as a senior NHS service manager forCommunity RehabilitationShe is particularly interested in Chronic Disease prevention andthe management of lifestyle to improve quality of life and themotivational aspects of supporting people to live healthier lives toimprove disease management in order that they have better accessto employment, education, leisure and social participation.Ling ChuahLing Chuah is a clinical fellow at Imperial Weight Centre, CharingCross Hospital, London. Ling was a Specialist Registrar in Diabetesand Endocrinology at London Deanery. She is on out of programmeto gain clinical and research experience in bariatric surgery. She30

Delegate Biographiesplans to complete her MD research within these two years. Lingis interested in clinical research and her research interest is oneffect of bariatric surgery on complications of diabetes; and themechanisms of which bariatric surgery improves type 2 diabetes.Aoife DeaneAoife Deane is a dietitian with PronoKal UK in Harley StreetLondon. It is an international weight loss company that trainsand supports doctors as they prescribe a weight loss regimen fortheir patients. Our team consists of dietitians, life coaches andpersonal trainers. Aoife qualified from Queen Margaret University,Edinburgh with a Bsc Hons Degree in Human Nutrition andDietetics. He previously worked with the NHS in East Sussex andrecently qualified as an NLP practitioner. He intends on building onthis and other qualifications in order to effectively treat obesity. Histopics of interest are VLCDs and Public Health Promotion.Mariangela Di LilloMariangela Di Lillo, M.D. is currently a Consultant at the EmergencyRoom Department of the Ospedale Santa Croce, Fano, Italy.A specialist in Internal Medicine, she has also completed a MasterDegree in Health Services Management and Administration andshe actually attending a Master program in Clinical Governance.Dr. Di Lillo is an active member of FADOI (Italian Foundation of InternalMedicine Physicians) and FADOI Young Doctors Commission. She isalso a member of CON (Canadian Obesity Network).A Visiting Research Fellow (2006-2008) at Thomas JeffersonUniversity, Department of OB/GYN, Division of Maternal and FetalMedicine, she studied the effect of previous bariatric surgery onpregnancy outcomes. She has been involved in the development ofcounseling guidelines and follow-up for pregnant bariatric patients.Nicolas DrouetNicolas Drouet is a consultant anaesthetist in a private practicein France. His areas of interest in obesity management include;continuing to improve his obesity outpatient clinic, involving morestaff (nurses, dieticians, psychologists, physical activity trainers);strengthening links between his obesity clinic and the localmultidisciplinary networks for the management of overweight orobese adult patients “Mieux Vivre son Poids”, as well as with thepaediatric obesity network “REPPOP 38”(Réseau de Préventionet dePrise en charge de l’Obésité Pédiatrique en Isère), and themultidisciplinary group for the surgical management of morbidobesity “Groupe d’Etude et de Recherche sur l’Obésité Morbide”(Grenoble Teaching Hospital); setting-up a multidisciplinaryconcerted discussion group within the network, where treatmentsfor individual patients can be discussed. Nicolas’ backgroundincludes basic medical training in Cambridge and Anaesthetictraining in Nancy, France.Katriona DulleaKatriona Dullea is a weight Management Dietitian at GalwayPCCC & Galway University Hospital. Her current role involvesthe delivery of Dietetic care to a specialist Bariatric Medicine clinicand a Bariatric surgery service in Galway University Hospital. Asa PCCC Dietitian, her role also includes service development ofcommunity obesity services in HSE West.She graduated from University of Ulster in 2005 taking up herfirst post in Portiuncula hospital. In 2007 she took up a role as acardiology Dietitian in Midlands Regional Hospital Tullamore andher current role in 2009.Her Topics of Interest are weight management in Diabetes;Bariatric surgery and Paediatric obesity.Viviana Elian ✪ Scholarship WinnerViviana Elian is a graduate of University of Medicine and PharmacyCarol Davila in Bucharest. Since January 2007 she is working asan intern at the N. Paulescu Institute – specializing in Diabetes,Nutrition and Metabolic Diseases.She began her PhD studies in 2008, taking interest in the researchon nutritional intervention impact on under-clinical atherosclerosisof obese subjects.Dr. Elian is participating in several research projects related toatherosclerosis progression and vascular complications of diabeticand obese subjects. She is also working with obese patients,guiding the patients’ weight loss and designing special diets forvarious obesity-related diseases.Ingrid FøllingIngrid Følling is a project manager and research coordinator at theCentre for Obesity, St. Olavs University Hospital. She completeda M.Sc in Health Science in 2009 from the Norwegian Universityfor Science and Technology. In her master thesis she did aprevalence study on overweight, obesity and related diagnosesin a Norwegian Hospital population. She has since 2008 workedwith a project which is developing and generating knowledge onlifestyle interventions in primary health care.Her topics of interest in obesity management include low gradeinterventions to prevent obesity, public health related structures inthe prevention of obesity, epidemiological aspects and motivationfor lifestyle interventions.Mia ForrestMia Forrest is currently a PhD Candidate at the department ofSocial Anthropology, Stockholm University.Background: Bachelors degree in Gender studies and SocialAnthropology from Södertörn Univeristy Collage, Masters degreeSocial Anthropology, Stockholm University. Graduated with thethesis “Swedish Obesity Specialists: Obesity as a Medical site inSweden” in 2009. She began the PhD-programme in 2010 andis now continuing the study of obesity as medical condition inSweden. Her topics of interest in Obesity Management include:Medical treatment for obesity, lifestyle alteration, treatment aimedat adolescents with obesity, bariatric surgery.31

Delegate BiographiesElena Frolova ✪ Scholarship WinnerElena Frolova is currently working as a professor of Familymedicine Department of St-Petersburg medical academy forpostgraduate study. She has worked as a teacher for residents,retrained physicians and as a physician in this department formore than 10 years and she sees patients with obesity issues.She graduated as a medical doctor in 1974. In 1989 she completedher PhD thesis and in 2003 her doctoral thesis. From 1999 shehas been interested in prevalence, the nature of obesity and itsimpact on cardiovascular diseases in Russia.Her topics of interest in Obesity management are psychology andbehavior changes in obese individuals, genetics of obesity, obesityin the elderly, frailty and sarcopenic obesity.Noemi GilNoemi Gil is a qualified Dietician (Vic University, Spain) and has aTeaching Degree in Physical Education (granted by INEF, Spain).Always interested in the relationship between the emotions andbody weight, she studied a Master in Life Coaching and NLP(neuro-linguistic programming) with intention of helping patients tochange their behavioral patterns in relation to food.Now, she is currently working for PronoKal International. ThePronoKal Method involves dieticians, personal trainer and a lifecoach. Knowing that obesity is a chronic disease, she is particularlyinterested in weight maintenance (i.e How many grams of proteinper kg of body weight is ideal for maintenance?).Lidia GraurLidia Graur is a junior teaching assistant at “Gr. T. Popa” Universityof Medicine and Pharmacy Iaşi, Romania, and medical residentin the fourth year of training on Diabetes, Nutrition and MetabolicDiseases. Lidia has started the research for her PhD thesis inCardiology entitled “Cardiovascular risk factors in the overweightpopulation” and completed a master in Communication andNegociation. Lidia’s interest in obesity management is targetedon the development of a new approach of obesity, a holistic one,involving especially patient education, medical nutrition therapyusing communication skills and motivational interviewing.Nancy HobeikaNancy Hobeika is a Licensed Nutritionist and Clinical Dietitianwho maintains a private practice in Beirut, Lebanon. She earnedtwo Bachelor of Science Degrees, the first one in Biology andPhysiology from the Lebanese University and the second oneIn Nutrition and Dietetics from the American University of Beirut.She also holds a Master’s Degree in Biology and Physiology fromthe Lebanese University. In 2008, she wrote and published herfirst Diet Cookbook entitled “Mawsouaat Al Tabekh El Sohi” whichwas a success and sold more than 4000 copies. Currently, she’spreparing for the second edited edition.In 2009, she founded “Centimeal Organic Diet and Nutrition Center”,where she provides healthy low fat meals to her clients based ontheir nutritional and health assessment. Miss Hobeika specializesin weight management, medical nutrition therapy, prevention andtreatment of chronic diseases, such as heart disease and diabetes,vegetarianism, food allergies, menu planning, restaurant eatingand healthy cooking. Her dedication and expertise exceededthe Lebanese borders, she has also been appointed as a SeniorConsultant for different Diet Centers in the Gulf Area. She is hostedby different TV Channels on regular basis and counseled and cateredfor a Real Tv Program. She also presents her own weekly program“Sohi Maa Nancy” on “Lebanon Radio Station”. She collaborateswith many publications and writes her own articles in the monthly“Mom’s &To Be” magazine. She’s also a professional lecturer onvarious nutritional issues in conferences and universities.Maria HorianopoulouMaria Horianopoulou studied chemistry at the University ofAthens from 1983 to 1998 followed by a medical degree from1989 to 1995. She completed her PhD in 2008. Her specialty isinternal medicine and currently works at the Laiko Hospital of theAthens University.Deborah HornDeborah Horn is a Physician, Exercise Physiologist, and PublicHealth Advocate. Board Certified in Family Medicine, PreventiveMedicine, and Obesity Medicine. Executive Committee memberfor the American Society of Bariatric Physicians. Most recently,Assistant Professor at the Duke Diet and Fitness Center, DukeUniversity. Dr. Horn’s enjoys both clinical work and translationalresearch. Physical Activity and its relationship to obesity and otherchronic diseases is a special area of focus. Current researchprojects include 1) The effects of Indirect Calorimetry and BodyComposition measurement on weight and weight related comorbidities,and 2) Physical Activity and Bariatric Surgery:Optimizing Post-Surgical Care.Jörg HuberJörg Huber is currently working as a Principal Lecturer in HealthPsychology, Department of Life Sciences, Roehampton UniversityAs per his background, he is a psychologist with interests inexperimental and health psychology. Much of his work appliespsychology to medical and health issues. Recent research onmental health and resilience has a focus on the mechanismsby which resilience helps to maintain wellbeing both in healthyindividuals and diabetes patients. The close link between diabetesand weight problems leads naturally to an extension of this workto overweight and obese individuals. Links to a centre focusingon metabolic surgery have created opportunities to study patientsundergoing gastric banding and bypass operations. I am alsoactively involved with patient support groups and public healthissues, and manage an MSc on Obesity Risks and Prevention.His main reason for attending this course is to obtain a bettergrounding in the non-psychological issues around obesity. Thisincludes the physiological and neurobiological aspects of obesityand weight management. His other main interests are the practicalissues around the obesity and weight management programmesas part of health services.32

Delegate BiographiesCarly HughesCarly Hughes is a GP Principal in Norfolk with an interest in Obesityand Research. He has been running a weight management schemefor the past 2 years which won the NoF award 2010 for excellencein practice. We are expanding the scheme to take referrals fromNorth Norfolk, and learning from the RIO model in Rotherham.His topic of interest is primary care weight management adults.Maya HuijbertsMaya Huijberts studied Medicine at Maastricht University inthe Netherlands. After her PhD study “Vascular Dysfunction inExperimental Diabetes” she trained in Internal Medicine andEndocrinology at the University Hospital Maastricht In 2000 shewas a research fellow at INSERM Unit 541 of the LariboisiereHospital in Paris. From 2002 until 2008 her clinical work andresearch was focused on lower extremitiy complications ofdiabetes, among others she was involved in the EC fundedEurodiale project. In recent years she decided to start working inthe field of (female) obesity, with a specific interest in hormonedependent forms of lipohypertrophy.Lidia IonovaLidia Ionova is a registered dietician, GP, NLP master, and acognitive psychotherapist. She is the owner of the Russianmedical nutritional centre “Doctor Ionova Clinic”. It is specializingin providing professional dietary advice and promoting locallythe results of the latest international studies in the area of weightmanagement and healthy eating.After graduating as a GP and clinical cardiologist from the MoscowState Medical and Dental University, Lidiya Ionova attended anutrition faculty of the Russian Medical Academy. Her postgraduateeducation also includes neuro-linguistic programming, as well aspsychotherapy of eating disorders.Author of 10 scientific publications, Lidiya Ionova has beenparticipating in the international nutrition and obesity congressessince 2003. Lidiya has also followed various SCOPE Coursessince 2004, becoming the first Russian dietitian participating withcolleagues in the 1st SCOPE Summer school, Cambridge (2009).Agnieszka JankowskaAgnieszka Jankowska is 33 years old and works as a doctor andas a university teacher. She has been working at the Departmentof Pediatrics, Gastroenterology, Hepatology and Nutrition, MedicalUniversity of Gdańsk, Poland, since 2004. Most of her patientsare children with eating disorders and inflammatory boweldiseases as well as liver diseases. she works as a doctor andas an university teacher. In 2010, she completed her PhD andspecialised in pediatrics.Agnieszka’s topics of interest in obesity management are obesityin pediatrics, patient motivation for therapy and endocrinologicaldisorders in obesity.Marek JankowskiMarek Jankowski is director of the Health Promotion Centre forChildren in Gdansk and a member of the scientific council forboth the Polish Society for Health Programs and the Program6-10-14 for Health. He is also a research consultant for e-HealthPromotion Company.His academic background includes an MA of Physiotherapy fromthe Academy of Physical Education and Sport in Gdansk as well asPostgraduate studies in Health Promotion (Jagiellonian UniversityMedical College, Krakow), Human Resources (Technical University,Gdansk) and Health Care Management (University of Gdansk)Marek’s topics of interest in obesity management includeinterdisciplinary approaches to health prevention programmesof overweight and obesity, the role of physical activity for obesitymanagement and behavioral medicine in the prevention andtreatment of lifestyle disease.Isabelle JarzacIsabelle Jarzac is a theatre nurse at a private hospital as wellas technical nurse in a private obesity clinic. Her backgroundincludes basic training in clinical psychology and has experience inpsychiatric nursing with teenage obese patients. Isabelle’s areasof interest in obesity management includes the psychological andpsychiatric aspects of obesity management especially ADHD andeating disorders; the social effects of obesity and their managementand the medical causes of obesityAnna Kaczkowska-SmigieraAnna Kaczkowska-Smigiera earned her graduate degree in 2000at Medical University of Warsaw, Poland, completed residencyprograms at Military Institute of Medicine in Warsaw, and achievedspecialist degree of internal diseases in 2007. In 2010 achievedspecialist degree of diabetology at Medical University of Warsaw,Poland. This year she completes postgraduate studies of dieteticsat Warsaw University of Life Sciences. She is a member of PolishDiabetic Society and Polish Cardiac Society.Nowadays, after 10-years of clinical experiences in mainWarsaw hospitals, she provides her own specialist practicein diabetology, intern and obesity treatment, practicing alsoin some out-patient clinics. Her medical interests are metabolicdiseases, especially diabetes and its connections with cardiologyand weight disorders.Mayra KadyrovaMayra Kadyrova was born in 1981 and graduated from Saratov StateMedical University, Therapeutic faculty in 2004. She did an Internship(residency) at the Department of Endocrinology, Saratov State MedicalUniversity. She is employed by a private medical center in Moscow -The clinic of Dr.Ionova as an endocrinologist and a dietitian.Her professional interests are nutritional counseling overweightpeople and people with obesity and eating disorders, obesitymanagement, treatment of patients with diabetes type 2 and otherendocrine diseases.33

Delegate BiographiesLena Kirchner LarssonLena Kirchner Larsson holds a Master of Science in ClinicalNutrition from the University of Copenhagen and has sinceJanuary 2011 been a PhD student at the Department of HumanNutrition, Faculty of Life Sciences, University of Copenhagen.Her PhD project holds several aspects of obesity researchincluding nutritional interventions, genetic analysis, microbiomeanalysis, anthropometric and biochemical measurements andcharacterization. She was previously employed at the Departmentof Clinical Nutrition, Copenhagen University Hospital Gentofte for3½ years, where she worked with dietary treatment of obesity andits comorbid conditions.Anna KiryushkinaAnna Kiryushkina is a dietologist at Dr. Ionova’s Clinic. She hasworked as dietologist for the past four years and enjoys her workbecause noticeable results can be seen very fast. Besides weightloss, she observes changes taking place with her patients: findingthe confidence, the choice of decent work, the device personal life,change of image, activity, and mood.Anna studied at the Ivanovo State Medical Academy and isambitious and bright and enjoys learning from the seminars,courses, congresses she attends including the World CancerCongress (Geneva, 2008) and the 11th International Congress onObesity (Stockholm, 2010). Her hobbies include making healthyfood, often cooking strictly on prescription, and attending differentfitness classes such as aerobics, Pilates, kalanetika, and yoga).Werner KniselWerner Knisel is currently head of endocrinology and diabetology atobesity center of Clinic Lindberg Winterthur, Switzerland. Prior to this,from 2003 until 2011, he was head of department for Internal Medicine/ Metabolic Diseases at clinic Saale of Rehabilitation Center BadKissingen / Germany, which specialized as a clinic for endocrinology,diabetes mellitus, cardiovascular diseases, and extreme obesity for152 inpatients and; certified institution for type 1 and type 2 diabetespatients according to quality criteria of German Diabetes Association.His Scientific activities include:• main topics are lipidology, diabetes mellitus, nutrition with a totalof over 100 publications• fellowship in national and international scientific societies• board member of several national scientific organisations• current scientific projects: continuous glucose monitoring, longtermeffects of weight reduction programs, use of Japanese foodproducts for nutrition therapy of severe obesity in Germany incooperation with University of Kobe / JapanAnthony LeedsAnthony Leeds is a Visiting Senior Fellow in the Faculty of Healthand Medical Sciences at the University of Surrey and was recentlyappointed as visiting Professor in the Faculty of Life Sciences atthe University of Copenhagen. He practices part-time in the NHSat the Central Middlesex Hospital in the department of Diabetesand Endocrinology and is a member of the multidisciplinary teamof the North London Obesity Surgery Service at The WhittingtonHospital. He was Senior Lecturer and Principal Investigator inthe Division of Nutrition Sciences at King’s College London untilSeptember 2007 and is now Medical Director of the CambridgeWeight Plan.Sadiq LulaSadiq Lula joined LighterLife UK Ltd as a Data Analyst in May2011. His responsibilities include to undertake analyses of medicalor programme data relating to weight loss and health improvementwith a view to publication or for PR use and to liaise with externalresearch collaborators on specific projects,Sadiq completed his undergraduate degree in Pharmaceuticaland Chemical Sciences in 2005. His previous roles includeclinical research and development within the nutrition andpharmaceutical sectors.Sadiq’s research interests include the impact of nutrition onhealth and well-being and the roles of CBT and TA in the effectivetreatment of obesity.Randi Størdal LundRandi Størdal Lund until 2006 has been mainly within occupationalhealth service. His interest for obesity started when he noticed thatthe employees got more and more obese over the years.He has now worked as a consultant at the Morbid Obesity Centre,Vestfold Hospital Trust in Tønsberg for five years.His topics of interest in obesity management are lifestyleintervention, motivation, quality of life, employment among manyothers. He has published two abstracts (ECO Amterdam 2009 andADA San Fransisco 2008) and has one original article in press inObesity surgery this spring.Sheila MacNaughton✪ Scholarship WinnerSheila MacNaughton is an Advanced Obesity Dietitian and a TeamLeader in the Glasgow and Clyde Weight Management Servicewhich is a multidisciplinary team serving a population of 1.2million in the West of Scotland. It is a Level 3 service dealing withpatients with a BMI over 30 , with co-morbidities and BMI 35 andover without co-morbidities.The service offers behaviour changebased group work over an 18month period. Individual therapy isoffered to patients with special needs.Patients will have access topsychologists, physiotherapists and senior dietitians.Registered as dietitian for many years, her career was focused intodifferent specialities:Renal for 7 years, University lecturer for 10years (nutrition and dietetics), Neurological and physical disabilityfor 10years and back to obesity management in the past 3 years.She is currently involved in the development of pictorial portionsfor use in an energy deficit diet.(a National resource)Her topics of interests are the effect of weight loss on diabeticcontrol, hypoglycaemic agent use and quality of life in diabetics inthe service; the use of VLCDs before commencing our structuredweight loss programme and its affect on weight loss outcomes;Obesity and pregnancy.34

Delegate BiographiesAlbino MaiaDr. Albino Maia is currently a Resident at the Department ofPsychiatry and Mental Health of ‘Centro Hospitalar LisboaOcidental’ and also Clinical Research Fellow at the ChampalimaudNeuroscience Program. In 2002 he graduated in Medicine at theUniversity of Porto and in 2008 completed a PhD in Neuroscienceunder the supervision of Miguel Nicolelis at Duke University,where he also worked as postdoctoral fellow. His research wasdevoted to the postingestive mechanisms modulating food rewardand his current interests are the behavioural factors underlyingobesity development and treatment, and the obesogenic effectsof psychiatric medication.Brij MakkarDr. Brij Mohan Makkar is a Sr Diabetologist & Obesity specialistpracticing in West Delhi, India. He completed his graduation andpost graduation(MD) in Internal Medicine from Maulana AzadMedical College, New Delhi, India.His area of interest is Diabetes,Obesity & Metabolic syndrome.Dr. Makkar is widely travelled and has been faculty to manynational & international conferences. He has a number ofpublications to his credit including the recent Indian obesityconsensus statement published in Feb 2009 issue of Journal ofAssociation of Physicians of India.Dr. Makkar is actively involved in a number of academic programs.He is Indian Course Director for the “Advanced Certificate Course inDiabetes”, and “Practical Diabetology” programmes in collaborationwith Cleveland Clinic, Ohio, USA. He is a certified trainer for StagedDiabetes Management Program from International Diabetes Centre,Minneapolis and regional faculty for the Public Health Foundation ofIndia certificate course in Diabetes.He is also involved with all the major professional organizations inIndia and is Honorary Secretary of RSSDI (Research Society forthe Study of Diabetes in India) Delhi Chapter, Treasurer of RSSDInational body, a member of the executive board of DiabetesIndia, and member national executive of AARO(Association forAdvancing Research in Obesity).Dr. Makkar is a member by “special invitation” to AmericanDiabetes Association, member of AACE and Canadian obesityresearch network. Presently he is practicing as Sr. Diabetologist& Obesity specialist at Diabetes & Obesity Centre, and Sri BalajIAction Medical Institute in West Delhi, India.Anita Malhotra ✪ Scholarship WinnerDr. Anita Malhotra is an Associate Professor in the Department ofFood Technology at Lakshmibai College (University of Delhi) with27 years of teaching experience. She holds a doctorate degree inNutrition from the University of Delhi and has presented papersin India, Malaysia, Thailand, USA, China, UK and Japan. Herpublications include a book, seminar proceedings, many researchpapers, articles and newsletters. She is a member of severalscientific bodies, has been a panelist for adolescent obesity onTV and has organized many symposia, workshops and seminarson issues relating to nutrition, health, media and consumerawareness. Her topics of interest in Obesity Management includeeating disorders, child and adolescent obesity, body compositionchanges, obesity related disease, biomechanics of weight lossand lifestyle approaches.Sabrina MarchiSabrina Marchi is a psychologist and psychotherapist in Cognitivebehavioral therapy and specialist in clinical nutrition in departmentof Nutritionale rehabilitation in Obesity, Eating and Weight Disorder,Villa Garda Hospital, Garda (VR) - Chief physician ProfessorRiccardo Dalle Grave.Her background includes: Graduated in Psychology, Univesityof study of Padua, Italy. Chief Professor Ezio Sanavio; Postgraduatestudies in School of psychotherapy (AIAMC), Padua.Chief Professor Ezio Sanavio; Master course - First certificateof professional training in eating disorders and obesity –. Verona-Italy. Her topics of interest in obesity manegment - Cognitivebehavioral therapy of obesity.Jilly MartinJilly Martin is a Health Psychologist with a strong interest in healthinequalities, public health and young peoples’ health-relatedissues. Her research expertise lies in the prediction and selfregulationof health behaviour; and designing behaviour changeinterventions to help young people make positive changes to theirhealth-related behaviour. She is currently involved in designing andconducting behaviour change interventions to manage childhoodobesity; exploring the types of techniques that families, parentsand children can use to help change behaviour patterns that leadto obesity and adopt new, healthier patterns around eating andexercise. She is also interested in the assessment and ‘diagnosis’of childhood obesity by health care professionals.Sandra MartinsDr. Martins S. is an Invited Professor at the Universidade Lusófonade Humanidades e Tecnologias, Faculty of Physical Education andSport, in Lisbon, Portugal. She has an academic background onPhysical Education and Sport (BSc), Exercise and Health (MSc)degrees, and is waiting to defend her thesis on Physical Fitness andHealth (PhD), all from the Faculty of Human Movement, TechnicalUniversity of Lisbon. At Universidade Lusófona she is Coordinatorof the Internship in Exercise and Well-being of the BSc, since 2008,and the Responsible academic staff member of the curricular unit ofExercise and Health, since 2005. She is also a weight managementPhysiologist, responsible for weight management consults andCoordinator of weight management programs at private institutions.Body composition, physical activity, and physical fitnessassociations with health indicators in obesity treatment are hermajor interests of research. Now she is narrowing her focus tothe role of the associations between those variables, with specialemphasis on metabolic changes in weight loss interventions,including in bariatric surgery patients. She presents her workregularly at NAASO/The Obesity Society, at SAHM, and inExercise and Health conferences. She has won two nationalprizes, namely the 2nd place of the Portuguese Society of35

Delegate BiographiesEndocrinology, Diabetes and Metabolism as co-responsible foran obesity treatment intervention in obese adolescents, and theIgnácio Salcedo award for an oral presentation at the 8th scientificmeeting of the Portuguese Society for the Study of Obesity.She was a member of NAASO/The Obesity Society (since 2003),and of the Society of Adolescent Health and Medicine (since2010), as well as several Portuguese associations related withthe study of obesity and health. She has been in the organizingcommittee of several international and national conferences in thefield of exercise, obesity and well-being.Mairead McClintockMairead McClintock is currently employed as an in-patientDiabetes Specialist Nurse in the Erne Hospital, an acute hospitalin Enniskillen, Co. Fermanagh, N.Ireland.She has been working as a DSN for the past 6 years. Since takingup the post of DSN, she, along with her multi-professional teamcolleagues, has been responsible for developing diabetes servicesacross primary and secondary care sectors.Examples of service development include: Structured educationprogrammes provided in primary & secondary care for Type 1 & Type2 diabetes. Insulin pump therapy, DSN-led clinics in GP practices,specialist diabetes care for housebound people with diabetes. Morerecently we have developed an obesity and metabolic syndrome clinicwhich is why we have chosen to do this course, and hope that it willhelp ensure that we are delivering clinically effective, high quality careto our patients with diabetes and shape future service development.Laila MeijaLaila Meija is currently working at Pauls Stradins UniversityHospital as a dietary physician (responsible for hospital food,working out hospital diets, patient consultations, coordination ofclinical nutrition in the hospital), as an outpatient clinic (obesitymanagement, consultant in nutrition, dietetic) and as a lecturer inRiga Stradins University, University of Latvia.She has a medical background (internist), her speciality is nutritionand dietetic, therefore her work in obesity management is acombination of specific skills - medical examination and treatment,cooperation with other medical professionals.Her topics of interest in obesity management are individualapproach in dietary management, eating disorders, paediatricobesity, surgical management, dealing with specific problems.Helen MercerHelen Mercer is currently working as a Specialist Dietitian for PublicHealth Nutrition and Weight Management for Solihull community.She has previously worked in acute and community dietetics,specialising in weight management during the last 5 years.Her current areas of interest include:• Provision of clinical input and management of adult level 3, multidisciplinaryspecialist weight management clinic.• Development of multidisciplinary approach to include input frompsychology and physiotherapy.• Provision of management and support to Public Health Nutritionand weight management teams.• Advisory capacity for provision for childhood obesity interventions.• Service development, in particular exploring additional avenuesfor the provision of on going support.Laura MihalacheBorn in November 1975 in Romania, Laura Mihalache is currentlya teaching assistant for Diabetes, Nutrition and Metabolic Diseases,“Gr. T. Popa” University of Medicine and Pharmacy Iaşi in Romania.In 2000, she graduated from Medical Faculty, “Gr. T. Popa” Universityof Medicine and Pharmacy Iaşi, Romania. Her PhD thesis is in thefield of metabolic diseases, regarding especially the overweight andobesity. Obesity is an area of particular interest to the medical worldbecause of the vast morbidity and mortality that it implies. There aremany novel therapeutic methods, both surgical and non-surgical, andit is important to her to keep up to date with everything they imply.Mona Moghrabi ✪ Scholarship WinnerMona Moghrabi is currently working as a Clinical Dietitian & Foodservice Dietitian. Born to Lebanese parents she immigrated withher parents to Colorado, USA and acquired US Nationality. In 1993acquired a BS in Human Nutrition & Dietetics from Colorado StateUniversity and went on to get a full scholarship to do a DieteticInternship which she completed in 1995 and a Master’s coursesin West Virginia, USA. After higher studies were completed shemoved back to the Middle East to work in Kuwait, Saudi Arabia,Lebanon and presently in The Sultanate of Oman. Her topics ofInterest in Obesity Management are Childhood Obesity; TeenageObesity; Adult Obesity.Nisak Mohd Yusof ✪ Scholarship WinnerNisak is a dietitian and senior lecturer in Universiti Putra Malaysia.She obtained a Ph.D in Dietetics from National University of Malaysia.She teaches medical nutrition therapy and precepts dietetic studentsfor their clinical training. She is also teaches general practitionersand primary care specialists on obesity management. In additionto her commitment to teaching, she is also working with patients inthe Weight Management clinic. Her interest is to identify the bestbehavioral strategies and skills to support patients to achieve andmaintain their realistic target of weight loss. She has publishedseveral papers in peer-reviewed journals and is currently an editorfor Journal of Endocrinology and Metabolism.Siobhan MonaghanSiobhan Monaghan has worked as a Dietitian since 1998. In 2002,she co-wrote and delivered a 6-week programme for Obesityentitled ‘Fit Food’, developed further recently. Her main interestsare in the application of Sport to Diabetes and also to Obesity. Thishas been fostered by the fact that she is a keen sportswoman, albeitand amateur and also has Type 1 Diabetes. In 200, she becamea Diabetes Specialist Dietitian – secondary and primary care.Obesity is also an area of growing concern and our Diabetologistis keen to set up a Diabesity service (multidisciplinary).36

Delegate BiographiesTirang Neyestani ✪ Scholarship WinnerTirang Neyestani has a Ph.D. in nutrition and minors in immunology andbiochemistry. He used to be assistant professor at the Department ofNutrition and Biochemistry, Faculty of Medicine, Hamedan Universityof Medical Sciences, for over 9 years. For the time being, he is anassociate professor and head of the Laboratory of Nutrition Research,National Nutrition and Food Technology Research Institute (NNFTRI).Meanwhile, he works as a clinical nutritionist in his private office andin a private hospital too. His favorite areas in obesity management arebehavioral therapy, diet therapy and pharmacotherapy.Asparuh Nikolov ✪ Scholarship WinnerAsparuh Nikolov has been working as Assistant Professor,Department of Propedeutics of the Internal diseases, MedicalUniversity, Pleven, Bulgaria since November 2009. His main clinicaltask is the management of people with internal diseases. In his clinic,the most frequently seen patients are people with type 2 diabetesmellitus, essential hypertension, ishaemic heart disease anddyslipidemia. More than 80% of them are overweight or obese.He is a Member of the European Association for the Study ofDiabetes (EASD); a Member of the American Diabetes Association(ADA) (Temporary Certificate of Membership); a Member of theEuropean Atherosclerosis Society (EAS) and a Member of the YoungInvestigators United (YIU), section of the European Association forthe Study of Obesity (EASO).He also nominated for the Award “Mini Nobel Laureate in Medicine”annually given by the Swedish Embassy in Sofia, Bulgaria.Asparuh’s topics of interest in obesity management include: Skillswith major theoretical and practical aspects of obesity management,better dealing with obese and overweight patients, understandingand solving their problems, more effective treatment.Krystel OuaijanKrystel Ouaijian is the coordinator of the dietetic internship at theSaint George University Hospital in Beirut with responsibility foraccreditation of the program abiding the standards for coordinatedprogram in dietetics (CP) by the American Dietetic Association. Shealso serves as a dietitian specialized in nutrition support in the intensivecare unit. She has also been teaching two undergraduate courses“Therapeutic Nutrition” in the University of Balamand. Prior joiningSaint George University Hospital, she followed the Masters in Nutritionat the American University of Beirut and worked there as graduateassistant. Her thesis was entitled “The association between body fatand indicators of metabolic syndrome in overweight preadolescentfemale children in Lebanon”. Working on this project has raised herinterest in the future metabolic risks of obesity in children especiallythat the prevalence is raising tremendously in her country. Therefore,she aimed introducing community projects, especially in schools andrural areas, on prevention of obesity as part of the internship.Nicolae Panduru ✪ Scholarship WinnerNicolae Mircea Panduru was a student of Craiova University ofMedicine and Pharmacy and graduated in 2003. Between 2004 –2006 he was resident doctor in neonatology and in 2006 he startedthe training as a resident doctor in Diabetes Nutrition and MetabolicDiseases. In the year 2006 he graduated the master in Generalgenetics at Genetics Institute of Biology Faculty from BucharestUniversity. In September 2009 he defended his PhD thesis inCellular and Molecular Biology, with the title “Genetic susceptibilityfor diabetic nephropathy in type 1 diabetes”. In march 2011 hefinished his clinical training as a diabetologist at “N.C. Paulescu”National Institute for Diabetes Nutrition and Metabolic Diseases.Starting with the year 2006 he was had two small research projectsin the field of diabetes as a member of the team and two researchprojects as project director. He published 20 papers and manyabstracts in the field of diabetes complications genetics. In the lasttwo years his clinical and research interest expanded in the fieldof obesity, metabolic syndrome, type 2 diabetes and especiallyimmunogenetics of obesity and metabolism.From 2009 he is Assistant Professor at “Carol Davila” Universityof Medicine and Pharmacy from Bucharest in the PathopsysiologyDepartment. In 2011 he was the youngest Romanian doctorincluded in “Who’s Who in Science and Engineering 2011-2012”(11th Edition) –and the only Romanian doctor listed during hisresidency training.Manjiri PatankarManjiri Patankar is founder and & director of INSTA SCUL’PT – achain of obesity & cosmetic clinics in India, Dubai & Kuwait. A rankholder & topper in SSC in state of Maharashtra (India), awardeesof national scholarships, she has done M.B.B.S. & M.D. fromG.S. Medical College, KEM hospital Mumbai. She further gainedexperience in non surgery treatment of Obesity & cosmetologyfrom France, Poland, Spain, Germany & Singapore.Her topics of interest include diet & exercise in Obesity managementand Non– Invasive procedure like lipolysis in reduction of resistancefat from specific body areas.Pallavi PatankarDr Pallavi Patankar is a yoga therapist from Bombay University. Sheis a practising Clinician since 1984 and Bariatric Physician since1994 in Vile Parle (E) Mumbai, India. She is also the director of“ Pams Health Nutrition Fitness Yoga and Weight ManagementClinic” in Mumbai.The “restoration of sound health and the prevention of diseases”are the key concepts of Ayurveda which drove her interesttowards healthy lifestyle modifications through correct nutritionaland diet patterns, exercise regimes and concepts of yoga forpsychosomatic disorders.Pallavi qualified with distinction in Advance Diploma in Yoga fromMumbai University in 2005. She is a Founder Member of AIAARO (All India – Association for Advancing Research in Obesity),secretary of the organization from 2000 to 2004 and currently theVice President of AI AARO.She has attended obesity training courses in India and abroad.Participated in awareness programmes in the Hazards of Obesitythrough camps, lectures and seminars. Organised conferences on anational and international level, including the organising secretariatfor the AOCO Congress in February 2009 in Mumbai. She has also37

Delegate Biographiesdone research study on the benefits of ‘MNT and Physical Activity’alone on Insulin Resistance at the Swami Prakash Anand ResearchCentre, Mumbai.Her topics of interest in obesity include weight managementprogrammes for women over 40, a holistic approach for obesitymanagement and ‘Prevent Weight Cycling’ and maintenance.Dominique Perin CalvaoA Medical Doctor specialized in Nutrition and Hydrology, Dominiquehas always favored a preventive point of view of human health. Heis also a graduate in psychology and sociology, which allowed him toaddress the complex problem of obesity in a comprehensive manner.Member of the Societé des Médecins Nutritionnistes d’Alsace– Lorraine, of the Société Française de Nutrition, IASO SCOPEmember, he works at all levels for the just recognition of the specificityof Medical Nutrition. Dominique has a private practice in Nutrition inNancy (Eastern part of France). Dominique is also medical managerfor Protein System / Eurodiet Luxembourg and consultant for MedicalCommunication Agencies and Food Industry Companies.Sanne Kellebjerg PoulsenSanne Kellebjerg Poulsen has a master degree in Human Nutritionfrom the University of Copenhagen, obtained June 2009. FromAugust 2009, she has been employed as a PhD student at theDepartment of Human Nutrition, Faculty of Life Science, Universityof Copenhagen. Currently she works as a daily project managerat a large dietary intervention study comparing two different diets.Her main interest is the composition of diets both regarding macronutrients and food groups and how different diets can be usedin the obesity management. Besides, the interaction betweendiets, obesity and type 2 diabetes including different diets effecton insulin sensitivity.medicine, cognitive – behavioural psychotherapy and binge eatingdisorder. She is the post-graduate student of chair «Psychiatryand medical psychology» at MSMU, a theme of dissertationalwork: «The Kliniko-psychological estimation of the factors definingefficiency cognitive – behavioural therapy of the women sufferingbinge eating disorder». For more than 10 years she has worked asa doctor - the psychotherapist in a clinical hospital (psychosomaticbranch). Her other professional interests also include transpersonaland behavioural therapy at work with eating addictive and obesity.Roula RechmaniRoula Rechmani currently manages IN-BALANCE, her privatelyowneddiet and health clinic in Beirut, Lebanon. The vision of IN-BALANCE is to enable people to lead healthier life-styles regardlessof their age, sex, &/or socio-economic status. She strives hard toachieve this by tailoring diets according to each and every patient’sneeds. Every session starts with a health check, followed by a detailedunderstanding of the patient’s current life-style and what she/he aimsto achieve from the diet. There is close follow up with each patientindividually to ensure that together the desired results are achieved.Roula graduated in 2002 with a Baccalaureate degree from GrandLycee Franco Libanais focusing on General Sciences (Mathematics& Physics). In 2005, she graduated from the American University ofBeirut (AUB) with a Bachelor’s degree of Science (BS) majoring inNutrition & Dietetics. She then pursued her Masters Degree (MS)at AUB focusing on Community Nutrition which she completedsuccessfully in 2010 after publishing her thesis.Roula’s topics of Interest In Obesity Management include; how to helppeople suffering from diabetes lose weight without subjecting themto hypo/hyper insulinemia; how to help people who were previouslyunder yo-yo diets to lose weight, maintain it and at the same time leada healthy life-style; to what extent Antidepressants affect people’sweight and how to avoid their negative effects (if any).Mostafa RafatMostafa Rafat is a specialist for internal medicine and diabetology.He works in a diabetologically focussed practice in Germany and thepractice team includes physicians, diabetes nurses and dietitians.During medical school he discovered his interest in cardiovascularrisk factors and selected according to that the subject of hisdoctoral thesis. He has researched the apolipoprotein A-IV as aputative central satiety factor and investigated its influence on lipidmetabolism and coronary heart disease.Currently he is trying to create a network with the bariatricsurgeons and the rehabilitation clinic in his city for better care ofobese patients.His topics of interest in obesity management include medicalnutrition aspects, weight loss programs, bariatric surgery, pre andpost operative care of obese patients.Tatsiana RamanouskayaTatsiana is a doctor-psychiatrist and psychotherapist. She completedher education in the Minsk State Medical University (MSMU), workingon a specialty since 1998. She works in the field of psychosomaticMiguel Ângelo RegoMiguel Ângelo Rego completed a degree in Food Science andNutrition in 1998 from Food Science and Nutrition Faculty, PortoUniversity. In 2010 he completed a MSc in Public Health from PublicHealth National School, Lisbon University. Currently he is a PhDstudent, focusing his research on Physical Activity and Health, namelyon the role of primary care physicians and nurses on the promotionof healthy food habits and regular exercise to prevent NCD’s. He is aClinical & Community Nutritionist in a Primary Care Centre. The mainfocus of his work is on Weight Management and Nutrition Counselling,the Development and Management of Healthy Eating and PhysicalActivity Promotion Projects in Schools, and the Research on PediatricObesity and Fruit and Vegetable Intake Promotion.Arezoo Rezazadeh ✪ Scholarship WinnerArezoo Rezazadeh is a PhD student of nutrition at the Faculty ofNutrition Sciences and Food Technology, National Nutrition and FoodTechnology Research Institute, Shahid Beheshti University of MedicalSciences, Tehran, Iran. She is strongly interested in working in thefield of obesity. Her Msc thesis was about the relation between dietary38

Delegate Biographiespatterns of Iranian women and obesity and lifestyle. She also wishesto continue her research about obesity as a PhD thesis (polymorphismof genes involving in obesity in different Iranian ethnicities). Her topicsof interest in obesity management are childhood and adolescentobesity management, obesity management of Bulimia, and obesitymanagement in low income stratum.Hilde RisstadHilde Risstad currently works at the Aker Obesity Center, OsloUniversity Hospital, Norway. Residency: Internal medicine. Theclinical part of her work is to examine obese patients admitted tothe center and to assess individual treatment. She does follow upsof patients treated with bariatric surgery. About half of the time sheis working as a researcher. We are now doing a study to examinetrends and effects of surgical treatment on health related quality oflife in the severely obese over a 5 year period.Luis RodriguezAfter obtaining a Teaching Degree in Physical Education (grantedby ISEF, Uruguay), he moved to Holland and got a Masters inLeisure Studies (awarded by the CHN). Always interested in healthand wellbeing, he took on job opportunities in South Africa, Spainand currently in London. He is a member of the management teamof PronoKal. He is particularly interested in two topics: 1. Ways ofminimizing loss of lean mass while undergoing a weight loss protocol,and 2. Ways of optimizing weight maintenance after a weight loss.Maura RoyNutritionist is the professional title conferred to Maura Roy in hercountry of origin, Brazil. Since August 2006, the year that she earnedher Bachelor of Science in Nutrition, she was registered and receivedher Federal and Regional Council of Nutritionists Professional License,which entitled her to practice in that country. At that time, she decidedto take leave to start a family and consequently, she did not have theopportunity to practice her profession. In September 2006, she wasadmitted to the Postgraduate Course of Clinical Nutrition at GANEP– Human Nutrition Group, in São Paulo, Brazil, where she completedher internship in Clinical Nutrition at Hospital Beneficência Portuguesain February 2007. In May 2007, her husband was relocated to Londonand she had to request temporary membership cancelation within theRegional Council of Nutritionists in Brazil. Now, she wishes to comeback to her profession in United Kingdom. She holds both Brazilianand French citizenships and she is in process of applying to an MScin Clinical Nutrition, at Roehampton University, London. Her aim isto update her knowledge in clinical nutrition and develop key skillsin understanding the factors playing a role in the development ofobesity and strategies to tackle it, gaining an opportunity to enhanceemployment opportunities within health promotion. She has particularinterest in the fields of preventable cancers related to obesity.Alda SalemAlda Salem is a Lebanese therapeutic and clinical Nutritionist-Dietitian at the American University of Beirut. She started workas a summer health farm dietitian at a hotel of high standardsfor almost 11 years and has also been the head of nutrition anddietetic department at HNDL Hospital since 1989. Alda also runs aprivate clinical practice in 2 other medical centres.Her topics of interest vary from energy balance, body composition,gut, eating disorders, pediatric, childhood and pregnancy obesityto genetics and pharmacotherapy.Juhani SavolainenJuhani Savolainen was graduated from Medical School ofUniversity of Oulu in 1977. Since then he has been working as ageneral practitioner mainly in the public health service, since 1979in Kuopio health center in Eastern Finland, where his work hascomprised patient consultations and home care services for theelderly.During several years he has participated in several internationalconferences on preventive health care and also in planningpreventive health services for the population in my home town.His topics of interest in Obesity management are long-termmaintenance of weight loss, the influence of psychosocial stresson weight control and practical tools for the management of obesityin the primary health care.Because of his impaired health (heart condition), he is now shiftingto a half time job and will have more time to concentrate onpreventive work.Tina SentocnikAfter completing the specialization in Internal Medicine at theUniversity Clinic Centre in Ljubljana, Slovenia, she founded thefirst private Medical Obesity Clinic in her country in 1989, andhas been its Head ever since. As a pioneer in the field of obesitytreatment, which was not considered a disease but rather a riskfactor for other diseases, she conceived the treatment programthat has evolved from using diet alone to an integrative approachin obesity management and long term weight maintenance.Considering obesity a complex somatic disease with psychologicalbackground, we have employed a team approach since 1997 totreating the whole person, not just the disease.The main topics of her interest are visceral obesity and metabolicsyndrome in connection with genetic predisposition andneurobiopsychological basis of eating disorders ED-BED/ED-NOS and food addiction.Anca Sirbu ✪ Scholarship WinnerAnca Sirbu is a Romanian endocrinologist with a strong interest inobesity management. She works as assistant professor at “CarolDavila” University of Medicine and Pharmacy” in Bucharest,Romania. Her PhD studies involve the relation between serumlevels of adipokines cardiovascular and metabolic prognosisin obese patients. She is a participant in two ongoing nationalresearch projects regarding obesity and since 2007 she is amember of ENDOBEZ – informal network for collecting dataconcerning children and adolescent’s obesity and metabolicsyndrome, integrated in HOPE project.39

Delegate BiographiesBrigitte SlothBrigitte Sloth is currently working as Clinical PharmacologyScientist in Novo Nordisk, with clinical trials with GLP-1 and insulinanalogs for treatment of obesity and diabetes.She hold a MSc degree in Human Nutrition and a PhD degree withinappetite regulation and obesity. Focus of her work in recent yearshas primarily been within appetite and gut hormones, whereas myprevious work also included effects of glycemic index.Her focus for this course is to get a broader knowledge withinchildhood obesity, genetics and eating disorders.Louise SmithLouise Smith is a dietitian and a dieting veteran; in fact it washer experience of the latter that led to the former. Over the yearsof battling the bulge she developed a deep interest in all thingsweight loss related, particularly the psychological aspects, to thepoint where she thought she would try and make a career out of it.She is pleased to report that this story had a happy ending as nowshe works in the Solihull Community Weight Management Servicedoing clinics and group work with a fantastic team of passionateand innovative professionals.Iuliana Alina SpineanIuliana Alina Spinean graduated from “Carol Davila” University ofGeneral Medicine in Bucharest in 2009. She is currently a MedicalResident Doctor in Diabetes, Nutrition, and Metabolic Diseases atthe Paulescu Institute of Bucharest and a PhD student in Medicine,at the University of Medicine and Pharmacy in Bucharest. Sheis the author and co-author of three presentations at DiabetesCongresses. Her interests include Diabetes, Nutrition and theinterrelation between them, as well as the impact and treatmentof obesity. Since 2009 she has been issued with the followingcertificates: Attendee, International Congress of RomanianFederation of Diabetes; Attendee, National Congress of RomanianSociety of Diabetes 2010; Attendee National Course of NutritionApril 2011; 2nd EASD Postgraduate Course - current conceptsin the treatment of diabetes and its complications May 2011;Attendee, National Congress of Romanian Society of Diabetes2011. The Scope Summer School is of great interest to her andconsiders her future studies in Nutrition and Obesity as a keyaspect of her career progression.Magnus StrømmenMagnus Strømmen is a PhD-student at the Norwegian Universityfor Science and Technology, and Centre for Obesity, St. OlavsUniversity Hospital. He is also leader of the Clinical ResearchFacility, St. Olavs University Hospital. His educational backgroundis RN, MSc in Health Science, PhD-student in Clinical Medicine.Magnus’ topics of interest include Psychosocial aspects of obesity- patient motivation, psychosocial burdens (attitudes, stigma),psychological profiling; Improving patient selection criteria fordifferent treatments (bariatric surgery, diet, lifestyle interventions);The bariatric team and multidisciplinary interaction in practice and;International research collaboration.Jean SuvanJean Suvan is currently a part-time PhD student and ClinicalResearch Coordinator at UCL, Eastman Dental Institute.Qualifications include Dental Hygiene, Master of Science inEvidence Based Healthcare, certification as a clinical researchassociate certification and higher level teaching certification. Pastresearch activities have centred around the interface betweenperiodontal diseases and systemic health, including diabetesand cardiovascular disease with a clinical focus on motivatingpatients to make positive health behaviour change. Currentresearch focuses on the association between oral health/diseaseand obesity. Strong interest lies in furthering obesity managementknowledge in the field of dentistry with focus on treating dentaldiseases in the obese, increasing patient awareness of obesity,and facilitating obesity management as part of interdisciplinaryhealth teams.Mira TueniMira Tueni is a fresh graduate student (2010) in Nutrition andDietetics at Saint Joseph University in Lebanon. Following herdegree, she started a 10 months internship program at SaintGeorge Hospital, University Medical Center in Beirut. All throughher clinical rotations, Mira has increased her interest in therapeuticnutrition and has enhanced her counseling skills, especially intreating obese children.Esra TuncerEsra Tuncer from Ankara, Turkey is a M.A student at HacettepeUniversity and is interested in ‘exogen obesity’, especiallyadolesecent obesity where she submitted an oral presentationat the Fourth National Biological Anthropology Sypmposium inNovember, 2010. Esra also has a B.A. in anthropology graduatingin 2010.Carla VartanianCarla Vartanian completed her Bachelor of Science in Nutritionand Dietetics at the American University of Beirut-Lebanon in2001, followed by a Masters of Science in Clinical Nutrition in2006. Last year she completed a European Espen Diploma inClinical Nutrition & Metabolism in Nice, France. She has beena consultant of Clinical Nutrition, Dietetics & Metabolism for 10years and has had a number of positions in the past includingHead of Nutrition/Dietetics Department & Internship Programmeat Serhal Hospital from 2001 to 2009. From 2005 to 2010 shewas a nutrition instructor at the Global University & Notre DameUniversity and from 2009 to 2010 she was the senior coordinatorof the Nutrition/Dietetics Department at Global University,Lebanon. Carla is the presenter of a weekly nutrition TV showin Lebanon and is involved in writing nutrition, healthy eatingand health awareness articles in Lebanese & Middle Easternjournals/magazines. She has spoken at a number of internationalnutrition/dietetics conferences & workshops.40

Delegate BiographiesAlexey VereshchakaAlexey Vereshchaka studied as a Clinical psychologist and tookadditional education on psychology methods: psychodrama,hypnosis, psychosomatic, NLP, gestalt therapy, physiologyand psychology of food behavior. He has worked as a clinicalpsychologist since 1998. During the past five years, he hasworked in the field of weight reduction (eating disorders, behavioraltherapy of adiposity). He is an employee of the leading Russiansystem of weight reduction (Doctor Gavrilov’ Center). The method,in which he works, unites the medical and psychological approachto the problem of obesity. He works in Moscow (Russia) andMinsk (Belarus). His topics of interests include the relationship ofclients to themselves, to their body, “jamming” of heavy emotionalsituations, dissociation of the client and their excess weight,effective statement of the purposes of symmetry («what symmetryis necessary to me?»). An important problem is also the changeof behavioral models and behavior templates of food intake. Thegiven work is spent in constant cooperation with such medicalexperts, as endocrinologist, the dietician, the physiatrist and anumber of other experts.Orit YogevOrit Yogev has her own private clinic and is a senior advisor tohospitals and health care services on obesity: psychotherapy,preparing for adjustable gastric band procedures, individualand family support after bariatric surgeries, dealing withdiabetic teenagers encountering treatment difficulties. She hasalso worked in closed psychiatric wards. Eleven years ago, inan endocrinology clinic, Orit encountered obesity in children/teenagers. Few people in Israel specialised in this area whichforced her to deal with terrible stigmas and inefficient and harmfultherapeutic techniques. She established an emotional distresshot line for obesity in children/teenagers and support groups forparents.Her main interest is the treatment of obesity through psychologicaltechniques and family intervention.Naval Vikram ✪ Scholarship WinnerDr. Naval K. Vikram underwent his graduate and postgraduatemedical training at the prestigious All India Institute of MedicalSciences, New Delhi, India. Currently he is working as AssociateProfessor in the Department of Medicine at the same institute.His research interests include obesity, metabolic syndrome, type2 diabetes mellitus and body composition and NAFLD. Some ofhis noted research contributions include studies highlighting theissues in definition and correlates of obesity, metabolic syndromeand insulin resistance in Asian Indian adolescents and adults. Heis part of the core group which has proposed recent guidelinesfor Asian Indians with regards to diagnosis and management ofobesity, diet and physical activity.Jacqueline Wassef ✪ Scholarship WinnerJacqueline Wassef is a Lebanese dietitian and public healthconsultant with almost 20 years experience in Nutrition andDietetics. She was one of the first graduates of the AmericanUniversity of Beirut in the early 90s who entered the domain in thepost war Lebanon and set the standards for the profession. Herextensive experience runs from private practice to managing thedietary services in one of the largest and most modern universityhospitals in Lebanon where she is credited for overseeingextensive dietetic training programs. Jacqueline has been veryactive in the public sector, participating and leading various publicand social projects while contributing to policy making. She isalso member in the National Committee on dietary supplementsat the Lebanese Ministry of Public health. She has an interestin the recent advances in obesity management, effectivenessof different types of interventions as well as their implication onhealth policy.41

Delegate AbstractsHira AftabComorbidity, weight changes and QoL after gastricbypass: A 5 year prospective study.Hira Aftab 1 , Hilde Risstad 11University of Oslo.BackgroundObesity is associated with increased mortality and comorbiditiessuch as diabetes, hypertension, sleep apnea, depression, andjoint pain. The comorbidities are often improved after bariatricsurgery. Several studies have reported outome following gastricbypass but long term results need to be substantiated. A primaryoutcome variable following bariatric surgery is weight loss butresolution or improvement of comorbidities are equally importantas are long term complicationsMethodsA 5- year follow-up evaluation of patients operated with gastricbypass in the period 2005/2006 is planned, based on a prospectivepatient register. Follow up consist of regular out patient visitsat 6 months, 1,2,3 and 5 years after surgery . Quality of life isevaluated using the SF-36 and OP-scale forms.ResultsWeight development will be reported as will changes in obesityrelated comorbidities including cardiovascular risk profile. Qolof life 5 year after surgery will be evaluated including adverseevents during follow up. Potential effects of weight regain will bestudied. Other indicators of “successful outcome” than weight willbe explored.The study will hopefully add to current long-term knowledgeregarding outcome following gastric bypass with a high rate offollow up (> 75 %).Suryani As’ad ✪ Scholarship WinnerThe existence of obesity in IndonesiaSuryani As’adFaculty of Medicine Hasanuddin University, Makassar,IndonesiaIndonesia as the world’s fourth most populous country whereobesity and undernutrition are coexist. Malnutrition remainsthe most devastating problem facing the majority of the poor.Half of that population is iron-deficient and one-third is at risk ofiodine deficiency disorders. Vitamin A deficiency disorders stillaffect children.In contrast, unbalanced food intakes that cause excessiveconsumption in association with changes in lifestyle that willeffect to a range of non-communicable diseases also shouldbe considered as emerging significant public health problem forIndonesia. The evidence of increasing mortality because of noncommunicablediseases. Obesity is a complex disease and multideterminant factors. Some studies have been done from basicresearch to clinical hospital and community based.Strategies for obesity management in developing countriesespecially in Indonesia:1. Understand the fundamental biological principles of obesity inorder to have a proper diagnosis and the most effective waysof preventing and managing excess weight.2. Have specialist skills and knowledge on clinical managementand treatment of obesity and health impact of obesity (metabolic diseases/ health issues).3. Have comprehensive competency in decicion making ofobesity program intervention especially in Indonesia whereobesity often coexist with undernutrition.4. Concern about environmental, socioeconomic and culturalcontributing factors of development of obesity.5. Awareness that the intervention of obesity is not only at theindividual level, but should be in the family and community level.To overcome the problem and to prevent obesity, we needadequate knowledge and skills, and working together ascollaborative team and supported by information technology bothin the community and hospital level. Modifications in diet andlife-styles including increasing physical activities and reducingcigarette smoking can be expected to reduce the incidence ofthese diseases.We have to consider 4 aspects in combating obesity in Indonesia.1) Education: A key strategic objective in controling and reducingobesity2) Research: Important as evidence based medicine on obesitymanagement3) Health services4) Policy makingJana Babjakova ✪ Scholarship WinnerOverweight and obesity among pre-school aged childrenfrom Bratislava region.Babjakova, J, Wimmerova S, Sovcikova ESlovak Medical University, Bratislava, SlovakiaThe Aim of study was to evaluate basic antropometric parametersand to determine the prevalence of obesity and overweight inselected groups of 5 and 6-years old children from Bratislavaand its surroundings.MethodologyWe evaluated data from Slovak part of the European LongitudinalStudy of Pregnancy and Childhood (ELSPAC). This study includesvarious types of questionnaires (general- given for parents,clinical- given for clinicians). In statistical analysis we compareddata from chosen questionnaires (n = 1108 children) with datapublished in the last (6th) Slovak Nation-Wide AntropometricSurvey (n = 2111 children) (CAP, 2001).ResultsIn ELSPAC group the number of overweight and obese childrenin 5-year-olds was 8,1% vs. 1,2%, retrospectively; in 6-year-olds8,0% compared to 2,5%. The overweight or obesity occurred in112 children. Also we did not find statistically significant differencebetween girls and boys in the average values of height and weight.In 5 and 6-year old children overweight (>90 percentile) was morefrequent in girls (8,3%) than in boys (7,7%); similarly in obesity (>9742

Delegate Abstractspercentile) - 2,8% in girls and 1,3% in boys; with the difference beingof statistical significance (p=0,012). We did not find any significantdifference when comparing the average BMI values in 5 and 6-yearolds children from the ELSPAC with those from the CAP.ConclusionThe number of overweight and obese children according to ournational standards was not so high as to compare with prevalencein other countries.There is not conflict of interest.Findings - the original evaluation of ELSPAC data.Arianna Banderalia and Sabrina Marchi(joint abstract)The characteristics of the CBT treatment of obesityBanderali A. Marchi S.Villa Garda Hospital. Department of Eating and Weight Disorder.Garda (VR), ItalyMy topic of interest related to obesity management is lifestylemodification based on cognitive behavioural theory. The team whereI work has a particular research interest in the cognitive processesthat are responsible for attrition and weight regain (followingintentional weight loss). We also evaluate the effectiveness ofintensive lifestyle modification (three weeks of inpatient treatment,followed by 40 weeks of outpatient therapy) both in Class II andIII obesity, and in obesity associated with eating disorders (bingeeating disorder and night eating syndrome). We are also interestedin the management with lifestyle modification of some medicalconditions associated with obesity (e.g., metabolic syndrome, type2 diabetes, and NAFLD). Recently, we have also expanded ourclinical interest to the combination of bariatric surgery, in particularadjustable gastric banding, with lifestyle modification.Conflict of interest: Non disclosed.Funding: No fundingAoife DeaneThe PronoKal Method (Protein Diet) vs. A balanced, Low-Calorie Diet (LCD) for weight loss in obese patients. (1stissue of preliminary results at 60 days)Monero, B, 11Gregorio Marañón General University Hospital, Madrid, SpainObjectivesTo compare changes in weight, waist circumference, bloodparameters and body composition between the PronoKal method(protein diet) and a Low Calorie Diet (balanced diet with an intakeof 10% less than patient’s Basal Metabolic Rate).Study population80 patients between 18 and 65 years old with a BMI >30.Study design2 year open, controlled, randomized, prospective, single centre trial.Results at 60 days (study ongoing)PronoKal patients reduced waist circumference by an average of11.59cm compared to 5.43cm in LCD patients. PronoKal patientslost an average of 13.48kg compared to 4.31kg in LCD patients.An average of 6.75 % (0.91kg) of weight lost by PronoKalpatients was muscle compared to 56.61% (2.44kg) in LCDpatients (assessed by DEXA scan). PronoKal patients reducedtotal cholesterol by 22% (8.8mmol/l) compared to a reduction of9% (9.4mmol/l) in LCD patients.Conclusions60 days after commencing the study results were reviewed. Threetimes more weight was lost by patients following the PronoKalmethod when compared to the LCD. The PronoKal methodsignificantly reduces abdominal circumference. The PronoKalmethod group had a lower percentage of fat mass and a higherpercentage of lean mass than the LCD group. The PronoKalmethod results in a significant reduction in lab test parameters suchas fasting blood glucose, total cholesterol, LDL-C, HDL-C, andGGT. This study will continue for 22 months, at this stage patientswill be in the maintenance phase of the PronoKal programme.Nicolas Drouet and Isabelle Jarzac(joint abstract)Setting up a private obesity clinic in Voiron (France)Drouet, N 1 , Jarzac, I 1 , Grasta, S 11Obesity clinic, Voiron, France,Introduction40% of the French population is overweight, with about onethird of these being obese. However, the treatment of obesity is,overall, poorly organized in France. An obesity clinic was set upwith the aim of offering locally the necessary care.MethodsPatients are referred by family practitioners, workplace physicians,or specialists (anaesthetists, surgeons, endocrinologists). The clinicis, for the moment, only open part-time. It is staffed by a SCOPEtrained physician, a technical nurse, and a medical secretary.Patients are referred, as required, to other healthcare workers andspecialists (dieticians, psychologists, physiotherapists, psychiatrists,pneumologists). The treatment plan is based on a two-year basicprotocol of training in “healthy living” and very regular follow-ups.ResultsAfter one year since opening, 30 patients, aged 12 to 73 years, havebeen included, with 1 to 6 appointments per patient. There were24 females. Three patients were referred for weight loss beforeknee surgery. Most patients have serious psychological problems(depression, attention deficit hyperactivity disorder, unresolvedgrief, sexual assault, alimentary compulsions) associated with destructuredand unbalanced nutrition. Unfortunately, many patientsdo not complete the treatment programme by lack of motivation.ConclusionIt is essential all obese patients have access to appropriate treatment.Even patients who do not complete the treatment programmebenefit from the clinic: they know it exists, and they can come backif and when they feel they have the necessary motivation.1. Conflict of Interest: None disclosed2. Funding: No funding43

Delegate AbstractsViviana Elian ✪ Scholarship WinnerEvaluation of the arterial stiffness and correlations withthe metabolic syndrome components in obese subjectsViviana Elian 1,2 , Cristian Panaite 2 , Dan Cheta 1,21INDNBM N. Paulescu, Bucuresti, Romania;2Universitatea de Medicină şi Farmacie Carol Davila, Bucuresti,Romania.IntroductionThe metabolic syndrome (MetS) and obesity are among theproven causes for the development of vascular disease. Thecardio-ankle vascular index (CAVI) was developed as a mean toassess arterial stiffness, independent of blood pressure. The aimof the study was to establish the influence of MetS componentson vascular stiffness.Materials and Methods177 obese patients enrolling in a weight-loss intervention studywere investigated (134 women, 43 men) with mean age 40±13.6years. Average weight was 98.6±14.8 kg and BMI of 35.7±4kg/m2. Age and BMI values distribution was symmetrical andmesokurtic. The components of the metabolic syndrome (IDFdefinition) and inflammatory markers were determined. CAVIwas measured using VaSera VS 1000 and body compositionwas assessed by bio-impedance.ResultsAbdominal circumference 109.1±8.5 cm, lipid profile (totalcholesterol 206.7±45.2 mg/dl, triglycerides 123.9.5±66.0 mg/dl and HDL-cholesterol 42.7±9.6mg/dl), systolic/diastolic BP137.6±88.2 mmHg / 77.3±11.4 mmHg. 79% of the subjects metthe criteria for metabolic syndrome. Average of left and right CAVIwas 7.17±1.24. CAVI values were significantly higher in patientswith MetS. Increased arterial stiffness (CAVI adjusted for age) wasstrongly inversely correlated with HDL cholesterol (p=0.001). Otherassociations with CAVI were observed for glycemia (p=0.010),total body fat, BMI and smoking (p

Delegate Abstractsfor a calorie deficit following the morning fast and/or an anticipatorystrategy to decrease hunger the subsequent morning.ConclusionsThe findings do not support the idea that breakfasters have lowerBMIs than non-breakfasters because morning food consumptioncauses increased physical activity and energy expenditure orbecause morning fasters over-compensate through increasedcalorie intake later in the day. It is recommended that this studybe replicated in diabetes patients.Carly HughesA Primary care Weight management service using a‘hub’ and ‘spoke’ modelHughes C AFakenham Medical PracticeIntroductionA successful weight management scheme has been runningat a General Practice in Norfolk for 2 years, with around 200patients recruited during that time. A pilot has been funded byNHS Norfolk, the North Norfolk Healthcare Practice basedCommissioning group and the East of England Innovation fundto develop this into a level 3 service using a ‘hub’ and ‘spoke’model to deliver the service in primary care.MethodsThe project is based on NICE Guidelines and the National ObesityForum Toolkit, and NOO guidelines and uses a multidisciplinaryteam with a GP with a special interest in Obesity, ObesitySpecialist Nurses, Dietician, Psychologist, and Health trainers. Itinvolves individual tailored advice on diet and exercise deliveredby an Obesity Specialist Nurse, with appropriate referrals withinthe MDT. Drug therapy and exercise referral are available. Theproject builds on the Rotherham Institute of Obesity primary careled Obesity service, but with adaptations to suit a rural population.It includes the development of a local Obesity pathway, andeducational events. There is a high degree of patient participationin the design and running of the project. It will be evaluated usingthe NOO Standard Evaluation Framework with help from theUniversity of East Anglia and the Norfolk Public Health Team. Theproject is due to start in July 2011, so no results are available yet.Randi Størdal LundUnemployment, but not comorbidity is associated withimpaired quality of life in morbid obesity.Randi Størdal Lund 1 , Tor-Ivar Karlsen 2 , Dag Hofsø 1 , Jan MagnusFredheim 1 , Rune Sandbu 1 , Jøran Hjelmesæth 11Morbid Obesity Centre, Vestfold Hospital Trust, Tønsberg, Norway2Evjeklinikken, Evje, NorwayIntroductionWe aimed to assess whether unemployment is associated withimpaired health related quality of life (HRQOL) among morbidlyobese patients.MethodsA total of 146 morbidly obese patients completed the MedicalOutcome Study 36 – Item Short Form Health Survey (SF-36;Physical and Mental Component Scale), the Obesity and WeightlossQuality of life (OWLQOL) and the Weight Related SymptomsMeasurement (WRSM) questionnaires.ResultsMean (SD) age, BMI and waist-hip ratio (WHR) were 43 (11)years, 45 (6) kg/m2 and 0.98 (0.09), respectively, and 72% werefemales. 47% of the patients were unemployed, 22% had highereducation (> 12 years) 42% had a history of anxiety or depression,66% arthralgia, 38% hypertension, 29% obstructive sleep apneasyndrome (OSA) and 28% had type 2 diabetes (T2DM).Multiple linear regression included gender, age, occupationalstatus, education, anxiety/depression, arthralgia, T2DM,hypertension, OSA and BMI as independents and the variousmeasures of HRQOL as dependents. First, the regression modelsrevealed that both unemployment and anxiety/depression wereindependent predictors of impaired physical and mental functioning(SF-36), symptom bothersomeness and symptom count. Second,female gender and anxiety/depression, but not unemployment,were independently associated with poor obesity specific QOL.Unemployment explained most of the variation in the physical19%) and mental scales 9% used in the study. Gender explained20% of the variation in the obesity specific QOL-scale.ConclusionUnemployment is associated with impaired HR QOL, but not withpoor obesity-specific QOL, in morbidly obese subjects.Conflict of InterestNone disclosed.FundingStørdal Lund R. has received an educational grant from VestfoldHospital Trust.Hofsø D. has received educational grants from Novo NordiskA/S, Health Region South-East and Vestfold Hospital Trust.Anita Malhotra ✪ Scholarship WinnerDietary habits, physical activity and body mass index ofaffluent adolescents in a day boarding school in Delhi.Malhotra A 1 and Garg A 21Lakshmibai College, Delhi, India;2G.B. Pant Hospital, Delhi, IndiaIntroductionThis investigation studied the contribution of dietary habits andphysical activity to body mass index (BMI) of affluent schoolgoingadolescents in Delhi.MethodsFrom a purposively identified day-boarding school in north Delhi,277 students of grades VI, VII and VIII were randomly selected;their height and weight were measured; and ‘BMI for age’ wascomputed. A sub-sample of 96 subjects was selected randomlyto gather data relating to dietary practices and physical activitythrough a questionnaire. Multivariate regression was employedfor analysis.45

Delegate AbstractsResultsPrevalence of overweight among the boys and girls (aged 11-14years) was 11.9% and 14.9% respectively while 17.6% and 21.1%were found to be obese. Eating out was common (33%) and foodchoices were influenced by marketing gimmicks - advertisements(82%) and attractive scheme offers (61%). Two-third (67%) of thesubjects reportedly pestered their parents to buy them junk food;14% of them had aerated drinks and chips daily. Besides, 75%of the subjects spent 1-2 hours daily on computer or TV and hadsnacks in front of TV (54%); dinner formed their major meal of theday (91%). Fruits and vegetables were consumed on daily basis byonly half of the subjects. Multivariate regression analysis revealedthat heredity, dietary practices and physical activity contributed tothree fourth of variation in BMI (R2=0.76, p=

Delegate AbstractsLaila MeijaBody mass index, vitamin D and PSA level in aged men.Meija, L¹, Kalnins, I¹, Lietuvietis, V 2,3 ,Lejnieks, A 2,31Riga Stradins University, Latvia,2Pauls Stradins Clinical University Hospital, Riga, Latvia3Riga Eastern Clinical University Hospital, Riga, LatviaIntroductionThe prevalence of both obesity and prostate cancer (PC) areincreasing in western countries and in Latvia. Recent studiessuggest that higher body mass index (BMI) is associated withlower serum prostate-specific antigen (PSA) and vitamin Dserum concentrations.ObjectiveTo examine the relation between BMI, vitamin D serumconcentrations and serum PSA concentrations in men at risk ofPC and without findings of PC.MethodsThe study included 133 men of age 45 till 79, PSA 1.0-10.0 µg/L, noPC family history, no vitamin D supplement use. Men with prostatebiopsy detected PC were excluded from the study. The BMI ofmen was determined. Serum concentration of 25-hydroxyvitaminD (25(OH)D) and PSA were measured. Descriptive statistics andappropriate parametric and nonparametric tests were used forthe data analysis.Results29% of men were obese and 49% overweight. The mean data:age 58.8 years, BMI 28.1 kg/m², serum 25(OH)D 15.7 ng/mL,total PSA 2.2 µg/L. No significant association was found betweenBMI at either vitamin D, or PSA level (p>0.05).ConclusionOur findings do not show inverse association between BMI andPSA and vitamin D concentrations. Further studies are neededto better define the complex relationship between BMI, vitamin Dand PSA in different body mass and PSA subgroups.Helen Mercer/Lizzie Bishop/Louise Smith (joint abstract)Development of GP commissioned community weightmanagement interventions.Mercer H, Burman R, Bishop E, Marsden S, Martin K, Smith L,Stenhouse L, Williams RHeart of England NHS Foundation Trust, Birmingham, UK(provider), North Solihull General Practitioner Consortium,Solihull, UK (commissioner)IntroductionWithin Solihull community, a range of adult weight managementinterventions have been developed aiming at achieving 4 – 6%weight reduction over a 3 or 6 month period, with associated healthand cost benefit. GP consortium funding has enabled expandedprovision for both adults and children since April 2010.MethodsAdults are offered a 12 week nutrition and exercise groupprogramme or 6 monthly dietetic appointments. Psychology orphysiotherapy support is also available. Following completion ofthe intervention, dietetic drop in support is available. Outcomesare measured at 3 months, 6 months and by questionnaire 6months following completion.ResultsFor 700 adult patients:Mean weight loss at 3 months = 4.2%Mean weight los at 6 months = 6%Data not yet available for 6 months following completion of theclinical intervention.ConclusionTarget weight loss outcomes are achieved at 3 and 6 months.Few patients (around 5%) currently access drop in support.Focus groups are planned to discuss options for improved ongoingsupport, enabling continued weight loss/weight maintenancetogether with additional collection of outcome measures postintervention.Conflict of interest: There is no known conflict of interest.Funding: No funding was provided by IASO or SCOPEMona Moghrabi ✪ Scholarship WinnerObesity in the Omani Population is ProminentMoghrabi, MMuscat Private Hospital, Sultanate of OmanIntroductionFew studies have been done to see how prominent Obesity is in theOmani population. Omanis have special customs and practicesfor cooking their food. So it is the role of the Dietitian to be awareof cultural differences when counseling this population.MethodsOver a period of one annual year 99 Omanis were followed asthey visited the Nutrition Clinic at Muscat Private Hospital. Theages of the patients ranged from 20-65 years old and their BMIranged from 31-54 kg/m 2 . Their BMI (Body Mass Index) wasdocumented in their medical file. Omani patients came from allareas of the Sultanate. Some patients had a college educationwhile others were not college educated. All patients had not beenpreviously counseled by a Dietitian.ResultsOut of 99 Omani Nationals 24 patients had a BMI above 30. Theaverage BMI was 36.8. Therefore, 24% of the Omani populationseen in the Diet Clinic at Muscat Private Hospital during the year2010 was Obese and/or Morbidly Obese. Counseling was givento the patients, with follow-up as needed.ConclusionThorough counseling was done to change old eating habitswithin the cultural customs. Most of the patients had no idea theywere Obese. Portion sizes and cooking methods were changedin order for the patients to lose weight. All of the patients wereable to lose weight and still maintain their special customs. Asa Dietitian, it is important to be able to counsel people according47

Delegate Abstractsto their cultural background for optimal success. Obesity ison the rise in Oman due to the conveniences of modern daysociety and the sedentary lifestyle so many Omanis are having.Diet and physical activity together played a role in decreasingObesity among the Omani population. On-going education ofthe population is important in changing the rise in Obesity.Nisak Mohd Yusof ✪ Scholarship WinnerA Low Glycemic Index Diet in the Management of ObesePatients with Type 2 Diabetes: Does It Matter?Nisak BMY 1 , Ruzita AT 2 , Norimah AK 2 & Nor AK 21Universiti Putra Malaysia, Selangor, Malaysia2Universiti Kebangsaan Malaysia, Kuala Lumpur MalaysiaIt has been postulated that low glycemic index (GI) diets may resultin greater weight loss compared to conventional weight reductiondiets. This randomised controlled trial was conducted to comparethe effect of a low GI against carbohydrate exchange (CE) diets onglycemic control and anthropometric measurements in overweightand obese patients with type 2 diabetes over a 3-month period.Patients with type 2 diabetes whose BMI > 25kgm-2 (n=61) wererandomly assigned to receive a low GI or CE diets for a 3-monthperiod. At week 4, the GI had significantly lower fructosamine levelthan the CE group (p< 0.05; ∆GI= -16.3 + 3.4; ∆CE= -5.9 + 3.1umol/L). HbA1c did not differ significantly between groups but themagnitude of reduction within the GI (∆:-0.45% + 0.1%; p= 0.001)was significantly greater than the CE group (∆: 0.25 + 0.2%; p=0.10). Although there was no significant difference between the twogroups in terms of weight loss, the reduction in waist circumferencewas significantly greater in the GI than the CE group at week 4(∆GI=-2.2+0.60; ∆CE=-0.40+0.4 cm, p

Delegate Abstractsobese children with normal blood pressure (n=32), mean age11.3±3.1 years (Group 2); and control group of healthy children(n=38), mean age 11.8±2.8 years (Group 3).Blood pressure (BP) was measured with a random zerosphygmomanometer in the sitting position after at least 5 minrest. Serum total cholesterol, triglycerides and HDL-C weredetermined enzymatically. The sandwich version of an enzymelinkedimmunosorbent assay (ELISA) for detection of EDP wasused.ResultsChildren with obesity and AH (Group 1) showed statisticallysignificantly higher levels of EDP (102±18 ng/ml) in comparisonwith Group 2 (75±31 ng/ml) and controls (60±22 ng/ml) (p0,05). Twenty-three percent of childrenfrom Group 1 were positive for EDP. The concentrations of totalcholesterol and LDL were significantly higher in both groups ofobese children in comparison with the control group (p

Delegate AbstractsResultsNATIONALITY AVERAGE LOSS in Cm AVERAGE Reductionat waist line per session in total body fat %ARABIC 1.50 1.00%AMERICAN 2.80 1.25%CANADIAN 2.00 0.80%EGYPTIAN 2.00 1.50%FRENCH 2.30 1.00%INDIAN 2.00 0.80%ITALIAN 1.90 1.00%LEBANESE 2.00 0.90%PAKISTANI 2.80 2.00%SYRIAN 2.00 1.60%SPANISH 1.30 1.10TUNICIAN 1.75 0.35It was observed that average reduction in the waist circumferenceafter one session of lipolysis was 2.029 cm and reduction in the totalbody fat percentage was 1.1375 %ConclusionA combination of non-invasive fat loss treatments of High FocalizedIntensity Ultrasound (HIFU), Endermology, Mesotherapy and laserresulted in reduction of resistant fat which does not go away withcurrent treatment modalities of diet, exercise and pharmacotherapy,and it also reduced percentage of body fat.LimitationsRelation between reduction of waist circumference with non- invasivesubcutaneous fat loss and reduced health risk was not studied.3rd month introduction of Surya Namaskar ( Sun Salutation) whichincludes 12 postures and massage therapy once a week.4th 5thand 6th month the same module was practiced and intensityincreased gradually.ResultsOut of 100 clients 18 were drop outs, 52 showed excellentresults and are yet maintaining. 30 were a little below the desiredresults.ConclusionElderly and over weight are not the right candidates to runon a tread mill, work out on a stepper or use cross trainers tostay fit except a few exceptional cases. It could do more harmto health than benefit .Yoga abhyas , simple exercises , sunsalutation , breathing techniques , meditation , helps brings abouthomoeostasis physiologically, mentally , and intellectually in thebody and the mind. Attitude change and behavioral modificationhelps in long term weight maintenance.Conflict of Interest: NoneFunding: No Funding.Tatsiana RamanouskayaThe Kliniko-psychological estimation of the factorsdefining efficiency cognitive – behavioural therapy of thewomen suffering binge eating disorder.Ramanouskaya T 1 , Vereshchaka A 2 ,1Belorussian state medical university, Minsk, Belarus2Doctor Gavrilov’s Medical Centre, Moscow, RussiaPallavi PatankarAlternative Therapies to help loss weight and preventweight cycling in women above 40Patankar, PPams Health - Nutrition - Fitness - Yoga & Weight ManagementClinic.IntroductionUnexplained weight gain at the age of 40 and around menopausegenerally ends up in a lot of health related complications beit physical or metabolic. Physical training – Yoga – Musclestrengthening exercises – Shuddi kriyas (Cleansing process) –Pranayaam ( Breathing techniques) – Meditation ( for Behavioralmodification) – Massage help a long way in weight loss andmaintain the acquired weight.MethodsSix month weight management programme was given to 100women in the age group of 40 to 72 years. After going throughindividual dietary recall and medical history a simple diet of 800 to1200 kcal was advised. In the 1st month after doing anthropometry,fitness evaluation scores simple yogic asanas to increasestretchibility, flexibility and muscle strengthening exercises weregiven. 2nd month introduction of floor exercises, calisthenics,(with the help of physical trainers and physiotherapist) shuddhikriyas and pranayam and meditative techniques.Researches were spent among women at the age of 18-45 yearsaddressing for the help concerning treatment of excess weight.Among the given patients of 25-30 % marked symptoms of bingeeating disorder. With the given patients was spent group cognitive– behavioural therapy.The purpose of scientific research was to reveal the factorsinfluencing efficiency of spent psychotherapy. After the terminationof therapy patients were observed within a year, all 250 womenhave been surveyed, in research were used valid questionnaires,allowing to estimate the personal features, accompanyingpsychosomatic semiology, features of infringements of food behavioretc. It has been according to preliminary data revealed that one ofthe factors defining renewal of semiology binge eating disorderare accompanying addictive displays (alcohol intake, emotionalimmaturity, imperfect copping strategies, high level of alarm and thedepression, the lowered self-appraisal – discontent with self andthe body). The further researches are spent concerning studying ofcorrelation of level alexithimia and binge eating disorder.Roula RechmaniFood Consumption Patterns and Dietary Exposure toOrganophosphorous Pesticide Residues in an adult Semi-Rural Population in LebanonRechmani, R¹1American University of Beirut, Beirut, Lebanon50

Delegate AbstractsIntroductionThe objective of the present study is to investigate and assessfood consumption patterns of the adult population living in a semiruralarea of Lebanon (Kesserwen), and to evaluate the dietaryexposure of this population to two organophosphorous pesticideresidues: Dimethoate and Chlorpyrifos by means of the Total DietStudy approach.MethodsA cross-sectional food consumption survey was conductedon a random sample of 200 adults aged 25-54 years. Dietaryhabits were assessed by means of a quantitative food-frequencyquestionnaire.ResultsAverage energy intake was estimated at 2738 Kcal /person/dayof which 14.62%, 45.66% and 39.72% were supplied by proteins,carbohydrates and fats respectively. Although the mean intakeof fresh fruits and vegetables (591.28g/person/day) was foundto exceed the FAO/WHO minimum recommended value of400g daily, 37.5% of the study subjects consumed less than thisrecommended amount. Similarly, while the average consumptionof fish exceeded the recommended level of 2 servings per week(40.2g), 41.5% of the study subjects were found to consume lessthan the recommended amount. Cereals provided 30% of dailyenergy intake. The mean consumption value for meat and poultrywas 125.32g/day and provided 11.38% of daily energy intake.Animal-based products had the highest contribution to totalfat intake (18%). Younger men (25-34) consumed significantlyless fruits and vegetables and younger women (25-34 years)consumed significantly less fish, vegetables and bread comparedto the older age groups.ConclusionThe high consumption of meat and poultry and the lower consumptionof fruits and vegetables and fish among the younger age group pointstowards the adoption of certain aspects of westernized diet in thispopulation. Mean intakes of Chlorpyrifos and Dimethoate were foundto represent 3.26% and 15.11% of the respective ADIs (AcceptableDaily Intake), thus showing that the dietary exposure to these pesticideresidues does not exceed the toxicological reference values.Arezoo Rezazadeh ✪ Scholarship WinnerThe Association of General and Central Obesity with MajorDietary Patterns of Adult Women Living in Tehran, Iran.Rezazadeh, A 1, 2 , Rashidkhani, B 11National Nutrition & Food technology Research Institute, ShahidBeheshti University of Medical Sciences and Health Services,Tehran, Iran.2Students` Research Committee , Shahid Beheshti University ofMedical Sciences and Health Services, Tehran, Iran.IntroductionUsing dietary pattern analysis method could provide moreinformation about nutritional etiology of chronic disease suchas obesity. The aim of this study is to determine the associationbetween major dietary patterns and general and central obesityamong adult women living in Tehran.MethodsA cross-sectional study was conducted in Tehran, Iran, with 460women aged 20-50 y. Dietary intake in last year was collected by asemi-quantitative food frequency questionnaire. Weight, height andwaist circumstance (WC) were measured with standard methodsand body mass index (BMI) was calculated. General obesity wasdefined as BMI ≥30 kg/m2 and central obesity as WC ≥ 88 cm.Factor analysis was used for identifying major dietary patterns.The association between major dietary patterns and general andcentral obesity were assessed by logistic regression analysis.ResultsTwo major dietary patterns were extracted: “Healthy” and“Unhealthy” dietary pattern. After adjusting for confounders,individuals in the highest quartile of the unhealthy dietary patternscore were more likely to have general (OR=7.33, 95% CI:2.39-22.51) and central obesity (OR=4.99, 95% CI: 2.08-11.94);whereas, those in the upper quartile of healthy dietary patternwere less likely to have general (OR=0.38, 95% CI: 0.15- 0.98)and central obesity (OR=0.33, 95% CI: 0.16- 0.71).ConclusionOur data suggest that a dietary pattern rich in fruit, vegetables, lowfat dairy products and poultry might be negatively associated withobesity. Furthermore our data showed that dietary pattern high inprocessed meats, soft drinks, sweets, refined grains, snacks andindustrial juice might be positively associated with obesity amongwomen aged 20-50 years.1. The authors have no conflicts of interest.2. Research relating to this abstract was funded by National Nutritionand Food Technology Research Institute and by the combinedsupport of the School of Nutrition and Food Science, ShaheedBeheshti University of Medical Sciences.Anca Sirbu ✪ Scholarship WinnerPlasma total IGF1 levels negatively correlate with visceraland ectopic adiposity and markers of inflammationSirbu A 1,2 , Olaru R 2 , Barbu C 1,2 , Arbanas T 1,2 , Florea S 2 , Fica S 1,21Carol Davila University of Medicine and Pharmacy, Bucharest,Romania2Elias University Hospital, Bucharest, RomaniaIntroductionObesity is associated with blunted GH- IGF1 secretion. The aimof our study was to examine the relationship between plasmalevels of IGF1 and various parameters indicating the presence ofvisceral and ectopic adiposity, but also to investigate the possiblerelation between IGF1 and markers of inflammation, in a group ofseverely obese women.Methods144 severely obese women (mean age =39.5y, mean BMI = 44.61 kg/m2) were clinically (BMI, waist circumference) and biologically (IGF1,CRP, TNFα levels) evaluated. The degree of hepatic steatosis andliver right lobe diameter were measured by abdominal ultrasound.ResultsAfter adjusting for age, we found a significant negative correlationbetween IGF1 levels and waist circumference (r=-.225, p=0.013),51

Delegate AbstractsBMI (r=-.193, p=0.034), as well as liver right lobe diameter, amarker of ectopic disposition of adiposity (r=-.182, p=0.039). Therelation between IGF1 and waist circumference was independentof BMI. Obese women with severe steatosis had lower IGF1 valuescompared to those with apparently normal structure or lesserdegrees of steatosis (121.02 ± 47.37 vs 142.05 ± 75.16 ng/ml,p

Delegate Abstractsbigger samples and research for saying exact results.Conflict of Interest: None DisclosedFunding: No FundingCarla VartanianPrevalence of obesity among schoolchildren living inbeirut.Carla Vartanian 1 , Marwa Faour 21,2Global University, Beirut, LebanonIntroductionThe prevalence of childhood obesity has increased dramaticallythrough the last decade in developing countries. Childrens’ eatinghabits are mainly affected by many factors including family andmedia influence, in addition to adopted lifestyle habits. Strategictargeting of children in a variety of settings and most commonly inschools, remains the most effective ways to fight obesity.MethodsCross-sectional survey of a sample size of 200 (94 males, 106females), randomly selected 6-11 years old schoolchildren, wererecruited from private schools in Beirut. Variables accountedfor included: Anthropometric measurements and age, gender,lifestyle, dietary habits and physical activity related questionnairesaddressed to both, these children and their parents.ResultsThe BMI values across age and gender were normally distributed.Results showed that 40% of all students (53% boys and 47%girls) were classified as overweight, 2% as obese and 56% werewithin the normal weight range. Whereas, corresponding values foroverweight among boys and girls were 56 and 44% respectively,thus showing a greater percentage of overweight boys than girls.ConclusionOur results showed an increased need of awareness and successfulintervention strategies related to nutrition education, physical activitypromotion, school-based programs and individual counseling directedtowards the children and their families to ensure the adaptationof healthy eating habits in both, in school and at home and mostimportantly, assure a good health for the future generation.Funding: NoneAlexey VereshchakaCombination psychological, psychotherapeutic andmedical approaching, as effective strategy of the help toclients with eating disorders.Vereshchaka A 1 , Ramanouskaya T 21Doctor Gavrilov’s Medical Centre, Moscow, Russia;2Belorussian state medical university, Minsk, BelarusAs is known from therapeutic practice, in the course of the help to theclients, suffering Obesity, the therapist faces as medical problems(infringement of exchange processes, hormonal and endocrinalinfringements, metabolic syndrome etc.), and with problems ofbehavioural and psychological character. To behavioural problemsusually carry improper feeding and way of life problems (rare foodintakes, excessive quantity of consumed food, imbalance of a food,a wrong mode of consumption of liquids, low physical activity etc.),and to psychological – a low self-appraisal, propensity to “jamming”of emotions, internal negative installations etc.Experience shows that only effective study of all factors set forthabove in a combination to the long supporting program allows notonly to achieve essential weight reduction in rather short terms, butalso to support the received result during the long period of time.Especial value has pilot survey of the client, as from the medicalpoint of view, and by means of various psychological tests. Pilotsurvey allows both to develop effective strategy of therapy.Methods of group therapy with use the technician of variousdirections of psychology show the greatest efficiency. In theabsence of contra-indications can also holotropic breath and otherspecial respiratory technicians is effective be applied. The individualpsychotherapy can be applied, as addition to group psychotherapy,especially – at a stage of support of the client.Naval Vikram ✪ Scholarship WinnerStudy of Nonalcoholic fatty liver disease andatherosclerosis in Asian IndiansVikram NK 1 , Thakur ML 1 , Sharma S 2 , Kumar A 2 , Prakash S 1 , LuthraK 3 , Guleria R 1 , Pandey RM 4Departments of1Medicine,2Radiodiagnosis,3Biochemistry and4Biostatistics, All India Institute of Medical Sciences, New Delhi, India.IntroductionNonalcoholic fatty liver disease (NAFLD) is closely associated withthe metabolic syndrome and increased cardiovascular risk. Weexamined the association of subclinical atherosclerosis with NAFLDin Asian Indians.MethodsThis study included 40 non-diabetic patients with NAFLD and40 apparently healthy controls without NAFLD with similar age,gender and body mass index. All the subjects were free ofsymptoms of cardiovascular disease. Measurements includedanthropometric parameters, oral glucose tolerance test, fastingand 2hr insulin, lipid profile, C-reactive protein and carotid intimamediathickness (CIMT).ResultsFasting as well as 2hr insulin values were higher in NAFLDpatients than controls. The prevalence of the metabolic syndromewas also higher in NAFLD patients than controls (52.5% vs. 30%,p=0.04). Patients with NAFLD had higher average and maximumCIMT (0.6±0.12 and 0.684±0.16 mm, respectively) than controls(0.489±0.1mm and 0.523±0.1, respectively; p

Delegate Abstractsfor overall adiposity, abdominal adiposity and lipid parameters.ConclusionNAFLD is significantly associated with subclinical atherosclerosisin Asian Indians and its presence should warrant search for othercardiovascular risk factors.Conflict of interest: NoneFunding: Nonea national policy addressing strategies and interventions tomanage NCDs and particularly obesity is needed.Conflict of Interest: None DisclosedFunding: No FundingOrit YogevLet me be – a different approach to obesity.Jacqueline Wassef ✪ Scholarship WinnerDesigning a Weight Management and Clinical NutritionServices Clinic at Rafik Hariri University Hospital1, 2, 3Wassef J1Rafik Hariri University Hospital, Beirut, Lebanon2American University of Beirut, Beirut, Lebanon3Lebanese University, Greater Beirut, LebanonIntroductionThe prevalence of Non Communicable Diseases, NCDs in theEastern Mediterranean Region is expected to reach 60% by theyear 2020 (EMRO, 2009). Lebanon is one of the Middle Easterncountries where overweight and obesity are highly prevalent. 53%of adults are overweight whereas 17% are obese (Sibai et al,2003). It has been well established that primary health care settinginterventions involving at least one encounter with a health careprofessional with subsequent follow up are effective at reducing riskfactors of NCDs (WHO, 2009). In Lebanon, the Ministry of PublicHealth, MoPH has established NCD clinics in primary health carecenters. Accordingly, the opening of a weight management andclinical nutrition services clinic at Rafik Hariri University Hospital,the largest Governmental Hospital was proposed.MethodsThe process started with an assessment of needs followedby selecting location and layout along with a proposal forthe services the Clinic shall provide. A feasibility study wascompleted pinpointing to the cost/benefit involved andhighlighting the staffing structure needs based on the projectedvolume of work. Additionally, patient assessment/educationalmaterials were developed along with classification of clients intwo distinct categories: private and outpatient dispensary. Theproject received the regulatory approvals from the MoPH and theMinistry of Finance.ResultsThe Clinic introduced a new facility to the previously existing hospitalstructure with all the fundamental resources needed for its operationwhile providing vital health services to outpatients. Eventually, andthrough the availability and accessibility of clinical nutrition servicesto the hospital community and its surroundings, the Clinic willenhance the role of the MoPH in its fight against NCDs.ConclusionThe Clinic provided accessibility to clinical nutrition services aswell as the needed structure for the management of NCDs, butnot the needed evidence as a successful intervention to treatNCDs. Accordingly, outcome focused indicators can be used atthe policy level to encourage establishment of similar clinics in allLebanese hospitals starting with governmental ones. Ultimately,Yogev, OIntroduction2010 – published my book “Let me be”, which includes eightstories (based on real life patients) and some theories. Itspurpose - to cause readers “never again look at an obese childin the same manner”. The stories depict sudden/continuous lifetraumas and complex environments which I feel, are the maincause of extreme obesity.Methods and resultsThe book lashes out against popular treatments for obesity -diets and sport activities that do not deal with the root of theproblem, are destructive - leaving the child to deal alone with lackof control regarding food, create frustration and rage in family/environment of the child who does not respond to efforts madeon his behalf, causing the same feeling of failure, over and overagain, due to an unfathomable reason.The book also addresses advertising: “the Western worldmakes cynical use of food, enticing everyone to visit Hansel andGretel’s wonderful and colorful candy house. In reality, many ofthe “ensnared” children are those suffering terrible hardshipsand little support. Through food they seek security, love andcalm, only to find themselves cooking on a fierce and deathlyfire, no less than the one intended for Hansel and Gretel – afire of lack of understanding, of condemnation, of rejection andhumiliation. Sometimes, the consuming branding hidden in aprogram intended to “cure them” sows the next seeds of failureand condemnation.ConclusionObesity is a symptom of a social and cultural disease, of familyand/or personal distress, and mental sensitivity.WIN A one year scope e-learningsubscription!A chance to win a one year SCOPE e-learning subscriptionby completing the online questionaire that will besent by email after the course.IASO values your feedback!54