Day 1 :
Keynote Forum
Chaya P Mishra
Consultant Nutritionist & Clinical Dietitian, India
Keynote: Challenges in combating obesity and importance of counseling for good dietary compliance among patients
Biography:
Chaya P Mishra, BSC Medical Technology in Radio diagnosis with distinction from Bangalore University , MSc Dietetics & Nutritional Sciences with distinction from Allahabad University, NET qualified for Assistant Professor in 2013.Formerly served in scientific posts for Indian Council of Agriculture Research- Nainital and Bhabha Atomic research centre Hospital- Mumbai. Presently Consultant Nutritionist and Clinical Dietitian at Allahabad, India.
Abstract:
A successful case study of transformation of a morbidly obese(BMI-53kg/m2) to obesity Gr-III (BMI-37kg/m2) with total reduction of 43kg (94.6lbs) achieved in a span of 10 months with dietary approach and minimal activity (5 to 40 minutes of walk) in ten months, thus majorly attributable to diet therapy and successful counseling. An individual male aged 27 yrs, height-170cms, weight-149.7kg (329.3lbs) BMI 53 kg/m2,abdominal girth 142 cms with hypertension (on medication since two years Telmesarten 80) with a history of several episodes of yo-yo effect of weight loss and poor self esteem. He was explained about diet therapy and the time required for achieving weight reduction of 80 kg (176 lbs) with emphasis on regular follow ups. In each follow up different types of 10 days menu plans were prescribed (high protein-low fat-adequate CHO, complex CHO adequate protein and high fiber diets) according to the likings of the patient for better compliance. With each follow up body weight and abdominal girth were measured which showed a reducing trend motivating him further to adhere to the diet. With every follow up challenges like, over enthusiasm to shed more weight, urge to work out more, inadequate compliance to diet, social and emotional binging, greedy diet, lack of interest due to unsatisfactory weight reduction were all dealt with appropriate counseling and involving the family and friends for support. By the end of eight months his hypertensive drugs were totally withdrawn by the consultant physician after tapering and the parameters like VLDL and Triglycerides were well within normal limits with satisfactory general well being.
Keynote Forum
Beatrice N. Kiage-Mokua
Jomokenyatta University of Agriculture and Technology, Kenya
Keynote: Hypolipidemic and cardioprotective effects of Tabebuia impetiginosa (Lapacho Tea) extract in Wistar rats fed a High Fat and Fructose Diet
Biography:
Dr. Beatrice Nyanchama Kiage Mokua has completed her PhD at the age of 37 years from Christian Albrechts University (CAU), Kiel, German. She is a lecturer at Jomokenyatta University of Agriculture and Technology at the Department of Food science and Technology. She has papers in reputed journals.
Abstract:
In earlier studies Tabebuia impetiginosa extract inhibited lipase and slowed the increase of postprandial triglycerides in rats given a fat load. Therefore we investigated its triglyceride lowering and cardioprotective effects in Wistar rats fed a high fat and fructose diet (HFFD). In a dose-effect trial three groups of 21 rats each were fed for 74 days only HFFD (controls), or HFFD , to which either 0.3 (HFFD+lowL) or 0.6 mg dry Tabebuia impetiginosa extract per kg food (HFFD+highL) was added. Fasting blood samples were drawn before and at the end of intervention. Tabebuia impetiginosa extract lowered dose-dependently and significantly (p<0.05) plasma triglycerides (TG), total cholesterol (TC), atherogenic index (AI), cardiovascular risk index (CRI) and liver TG, as well as fasting blood glucose (FBG) and glycated hemoglobin (HbA1c), with correlation coefficients (R) between ±0.288 and ±0.519 (General Linear Model (GLM) procedure). Fat malassimilation was not observed. In conclusion, Tabebuia impetiginosa extract might be a promising adjunct in the management of hypertriglyceridemia and other risk factors of cardiovascular disease, common in obesity and diabetes.
