Scientific Program

Conference Series Ltd invites all the participants across the globe to attend World Congress on Public Health and Nutrition Madrid, Spain.

Day 1 :

Keynote Forum

Ascension Marcos

Spanish National Research Council, Spain

Keynote: The interactions between lifestyle and immunological biomarkers. The HELENA study

Time : 09:00-09:35

OMICS International Public Health 2016 International Conference Keynote Speaker Ascension Marcos photo
Biography:

Prof. Ascensión Marcos is a Research Professor at the Spanish National Research Council (CSIC) and leading the Immunonutrition Research Group at CSIC since 1987. rnHer research is focused on Immunonutrition: 1.-Immunomodulation properties of nutrients, bioactive compounds and functional foods; 2.-Evaluation of the nutritional status of healthy subjects (children/adolescents, pregnant women, and elderly) and patients (eating disorders, obesity, celiac disease, intolerances, drug-addiction) within 83 research projects and 473 publications.rnPresident of International Society for Immunonutrition (ISIN) and Federation of Spanish Societies of Nutrition, Food and Dietetics (FESNAD), Vicepresident of Federation of European Nutrition Societies (FENS) and Spanish Society of Probiotics and Prebiotics (SEPyP).rn

Abstract:

Since the beginning of mankind, man has sought ways to promote and preserve health as well as to prevent disease. Adolescence is linked to key changes in lifestyle habits and psychological functioning. Physical activity (PA), sleep time, and body composition are key factors for enhancing human health, avoiding low-grade inflammation or reducing health problems, vascular, inflammatory diseases and influencing weight management; however, as in the case of drugs, dose, intensity, frequency, duration and precautions as well as age have to be evaluated and taken into account in order to get the maximum effectiveness and success of a therapy. Sleep patterns face important changes during adolescence and can have implications for the immune system, which is regulated by the sleep–wake cycle. Indeed, in the HELENA study a sleep duration of 8–8.9 h/night has been associated with a healthier immune profile in the European adolescents. In spite of the fact that inflammatory biomarkers are not usually detected until adulthood, atherosclerotic lesions may start to be developed during adolescence. Atherogenesis involves an inflammatory process that leads to plaque instability within the arterial wall, increasing blood levels of inflammatory acute-phase reactant proteins (e.g. CRP and complement factors) and cytokines (IL-6 and TNF-α), which provide useful markers of low-grade inflammation. In conclusion, we highlight that the evaluation of the interaction between lifestyle and immunological biomarkers in the adolescence is of a great interest in order to detect and tackle possible risks of developing inflammatory processes at an early stage.

Keynote Forum

Luis A. Moreno

GENUD Research Group, Universidad de Zaragoza, Spain

Keynote: Sedentary behaviors and obesity in adolescents: The HELENA study

Time : 09:35-10:10

OMICS International Public Health 2016 International Conference Keynote Speaker Luis A. Moreno photo
Biography:

Luis A. Moreno is Professor of Public Health at the University of Zaragoza (Spain). He is also Visiting Professor of Excellence at the University of Sao Paulo (Brazil). He did his training as Medical Doctor and his PhD thesis at the University of Zaragoza. He studied Human Nutrition and Public and Community Health at the University of Nancy (France). He has participated in several research projects supported by the Spanish Ministry of Health, and the European commission (HELENA, IDEFICS, EURRECCA, ENERGY, ToyBox, iFamily and Feel4Diabetes). He has published more than 450 papers in peer reviewed journals.

Abstract:

The HELENA study is a cross-sectional survey on a sample of more than 3000 European adolescents (12.5 to 17.5 years), from 10 cities in 9 European countries. Representative and centralized sampling, strict standardization of methods and central data analysis contribute to the high scientific quality of the study. The proportion of teens accumulating 60 minutes of moderate to vigorous physical activity per day was 58% in boys and 31% in girls. However, it is not only important to assess the lack of physical activity, but also to identify behaviors during sedentary time. The most deleterious behavior in terms of health indicators is excess TV watching. It is associated with obesity development in children and adolescents. The main determinant of excess TV watching is to have a TV set in the adolescent bedroom. A high percentage of adolescents have a TV set in their bedroom. An important public health measure to prevent obesity in adolescents would be to remove the TV set from the bedroom. It is also recommended not to spend more than 2 hours per day in front of a screen. To reduce sedentary time in adolescents should contribute to reduce overweight, obesity, and their metabolic complications.rnrnThe HELENA Study takes place with the financial support of the European Community Sixth RTD Framework Programme (Contract FOOD-CT-2005-007034). The content of this abstract reflects only the author’s views and the European Community is not liable for any use that may be made of the information contained therein.rn rn

Keynote Forum

Marcela González-Gross

Technical University of Madrid, Spain

Keynote: Vitamin status in European adolescents: Contribution of the HELENA study to Public Health

Time : 10:10-10:45

OMICS International Public Health 2016 International Conference Keynote Speaker Marcela González-Gross photo
Biography:

Marcela González Gross. Full Professor of Sports Nutrition and Exercise Physiology at the Faculty of Physical Activity and Sports Sciences of the Technical University of Madrid. Head of the Research Group on nutrition, exercise and healthy lifestyle (ImFINE) (http://imfine.es/). Vice-president of the Spanish Nutrition Society. Manager of Exercise is Medicine-Spain. Founding member of EXERNET (Research Network on Physical Activity and Health), www.spanishexernet.com and The European Plataform Active Ageing in Sport (EPAAS; www.isca-web.org). Member of Center for Biomedical Research Network on pathophysiology of obesity and nutrition (CIBERobn). Deputy coordinator in the HELENA study and responsible for the workpackage on blood biomarkers.

Abstract:

The main conclusions are the following:rn• For the first time, data on micronutrient status are presented using the same methodology in European adolescents, showing important associations with sex, age, physical activity, fitness and BMI. rn• More than 75% of the adolescents had sub-optimal vitamin D, 35% plasma folate, 20% vitamin B6 levels according to adults´ reference values. 71% of the females had RBC folate concentrations below 906 nmol/L, in relationship to folate-dependent Neural Tube Defects. Folate, vit D, E & C presented deficient intake.rn• Socioeconomic status has an influence on vitamin D, B12 and folate concentrations. rn• Sex should be considered when analyzing vitamin C, alfa-tocoferol, vitamin B12, vitamin B6 and tHcy concentrations.rn• Age should be considered when analyzing plasma folate, holo-TC, RBC folate and tHcy in males and beta-carotene, PF, Cbl and tHcy in females. Retinol in both.rn• A relationship between vitamin D concentrations and bone mineral content was observed in physically active adolescents.rn• Regarding cardiorespiratory fitness, retinol and vitamin C were associated in males and beta-carotene and vitamin D in females. Regarding muscular fitness, beta-carotene, retinol and alfa-tocoferol were associated in males and beta-carotene and vitamin D in females.rn• As some vitamin deficiencies have been observed, public health measures should be taken, as an adequate vitamin status is essential for optimal growth and development.rn

Break: Networking & Refreshment Break 10:50-11:10 @ Salamanca

Keynote Forum

Inge Huybrechts

International Agency for Research on Cancer, France

Keynote: Dietary intake patterns, determinants, influences and health consequences

Time : 11:10-11:45

OMICS International Public Health 2016 International Conference Keynote Speaker Inge Huybrechts photo
Biography:

Inge Huybrechts is a nutritional epidemiologist and methodologist and has more than 15 years of experience in nutrition research with an important focus on obesity prevention. She obtained a PhD in Medical Sciences from the Ghent University and has investigated lifestyle causes (diet, physical activity, sedentary behavior, sleep behavior and stress) and health, addressed by methods in clinical and general epidemiology. She is author in more than 200 peer-reviewed scientific papers, published in reputed journals within the fields of nutrition, epidemiology and obesity. She coordinated several projects in the field of epidemiology and public health in the past 10 years.

Abstract:

The Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) study aimed to investigate different lifestyle factors and health outcomes among European adolescents. Their dietary intake was assessed via different complementary methods. The aim of this presentation is to summarize the main dietary intake patterns derived from the HELENA study, as well as the most important determinants and health consequences of the adolescents’ dietary patterns. Adolescents’ breakfast consumption was associated with lower body fat content and healthier cardiovascular profile, though only half of the adolescents could be categorised as breakfast consumers. Their food intake results in comparison with the guidelines urge the need to improve their dietary habits. More in particular the consumption of fruits and vegetables should be promoted, while the consumption of meat, fats and sweets should decrease. Sugar sweetened beverages (SSB) are the most important energy contributor from all liquids consumed by European adolescents and was related with increased insulin resistance (HOMA-IR).rnAdolescents with better diet quality were less at risk for IR when having higher physical activity (PA) as well. The energy % from dietary fat intake was strongly linearly associated with total, truncal and abdominal adiposity independently of the PA level in adolescents. Adolescent’s total diet quality was positively correlated with both paternal & maternal educational level (more pronounced in northern Europe) and with parental occupational level. Public health initiatives should educate children & adolescents regarding balanced food choices and PA in order to prevent diseases in later life.rn

  • Public Health
    Nutritional Epidemiology
    Public Health Services
    Nutrition and Infectious Diseases
Speaker

Chair

Ascension Marcos

Spanish National Research Council, Spain

Speaker

Co-Chair

Marcela González-Gross

Technical University of Madrid, Spain

Session Introduction

Heba Alkarimi

King Fahad Armed Forces Hospital, Saudi Arabia

Title: Effect of dental treatment on children’s health related outcomes

Time : 11:45-12:10

Speaker
Biography:

Dr Alkarimi has completed her MSc and PhD in Dental Public Health, University Colage London (UCL). She is the director of Maternal and Child Oral Health (MCOH) Program at King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia. Her interests include effects of oral health on weight and height and oral health inequalities and social determinants.

Abstract:

Background/Introduction Dental caries is a significant public health problem in Arab countries. Weight gain in low weight children after dental treatment was reported by some studies from developed countries. Aims/Objectives To evaluate the effect of treatment of severe caries on children’s health related outcomes Method A randomised controlled trial of 86 children from military primary schools who satisfied the selection criteria was carries out. Dental and anthropometric examinations were performed using WHO standardised procedures. Dental treatment was provided to the test group and all selected outcomes were measured 6-month post-intervention for test and control groups. ANCOVA and regression modelling were used to analyse data. Results Children in test group reported to have significantly better health related outcomes than controls though height and weight showed insignificant improvements after treatment of caries. Discussion/Conclusion Although dental treatment did not significantly improve the mean weight and height, treated children had lower levels of dental pain, sepsis and dissatisfaction with teeth and smiling. Interestingly, a significant increase in appetite was identified in test group compared to controls.

Speaker
Biography:

Alberto has completed his PhD in Health Economics at University of Lausanne after finishing a master degree in Science of Economics also at the University of Lausanne and a Bachelor in Economics at the University of Guanajuato in Mexico. Previously working at Nestle Research Center, Alberto has collaborated as external consultant with the World Bank and the Food and Agriculture Organization. Additionally, Programme Officer in Global Alliance for Vaccination and Immunization (GAVI) and the Global Fund. Alberto is originally from Mexico and back there he has worked as a junior legislative advisor at the National Deputy Chamber.

Abstract:

Recent studies have highlighted the role of education in the fight against excessive weight gain. However the individual’s eating and other habits typically develop early in life, hence introducing education after these patterns are formulated limits its potential impact on weight gain. Changing people’s habits has proven to be much more difficult than creating good habits at first. Therefore, instead of considering the effect of education on adults, we focus on the association between mothers’ education, early feeding practices and children overweight controlling for wealth and other cofounders. We combined 45 nationally representative and standardized Demographic and Health Surveys (DHS) spanning the period 2006-2015 which include more than 100,000 children. We split the children population into 3 age groups: 6 to 35 months old; 3 to 5 years old and; 6 to 9 years old. For children under the age of 3 there is 24 hours food intake information which is also included in the association analysis. We ran multilevel regression models with country and year fixed-effects: a binary logistic regression on overweight and a linear regression of z-score weight for age. Preliminary results show that the strongest association between household wealth and child obesity rates is found in children from lower educated mothers. We failed to identify any early feeding type (from 6 to 35 months) which appears to provide a risk for overweight. These findings highlight the importance of education to break the cycle of developing unfavorable eating and health habits of children. Further work is in progress to test different econometric specifications.

Alla Mansour

Supreme Council for Family Affaires in Sharjah, UAE

Title: Eating disorders prevalence and determents in Sharjah high school among Emirati young females

Time : 12:35-13:00

Speaker
Biography:

Alla has completed her Master dgree in public health from Hamdan Bin Mohamed University in Dubai, UAE. She is currently working in Health Promotion Department in Supreme Council for Family Affaires in Sharjah. Her research interest are in nutrition and public health.

Abstract:

Objective: To assess the prevalence of Disordered Eating Attitude (DEA), and to investigate the cultural determinants of eating disorders in a representative sample of Emirati young females. Methods: A cross sectional study of a sample of 508 adolescent females were chosen through a stratified randomization technique; where one section from each of the grade 10, 11 and 12 was chosen from each public school (n-6) located in Sharjah in the UAE. All consenting students in the selected classes filled the Eating Attitudes Test (EAT-26) and Body Figure Rating Scale (BFR). From the latter, body dissatisfaction score was calculated. From the students who scored 20 or above on EAT 26 (cut off point for eating disorder) and high on body dissatisfaction, a small sample was selected (n=52) and were included into one to one interviews for further investigation on determinants of DEA. Results: From the study sample, 37.8% scored at least 20 on EAT-26, and 65.2% had body dissatisfaction. Significant relationships were seen between the following pairs: 1) EAT-26 and body dissatisfaction, 2) BMI and body dissatisfaction, 3) occurrence of vomiting and EAT-26. After the in-depth interviews, the following factors were noted as pre-detriments of eating disorders: 1) family has negatively influenced 76.9% of the adolescent by emphasizing on thinness, verbal insults, and non-satisfaction with girls shapes and appearances; 2) Media has negatively influenced 73.1% adolescents (western view of women, models, and celebrates); 3) bullying at either home or school, because of either shape or weight negatively influenced 71% of the participants. Conclusion: The study shows a high prevalence of eating disorder and body dissatisfaction among schools girls in Sharjah. Additionally, interviews showed that the major leading factors to these conditions are family, media, and bullying. Finally, future studies should start prioritizing educational campaigns in schools and within families targeting eating disorders to prevent further deterioration in health of the young generation in UAE.

Break: Lunch Break 13:00-13:40 @ Salamanca
Speaker
Biography:

Zada Pajalic received her PhD. in Medical Sciences from the Orebro University, Sweden. At present, she is Associate Professor at the Department of Health Sciences, Oslo and Akershus College of Applied Sciences Norway. She has co-authored over 20 papers, including review articles and textbook chapters. She is also a Reviewer/Co-reviewer of scientific papers in several international journals.

Abstract:

There is an urgent need to facilitate the development of more effective breastfeeding support strategies. The desired research will focus on knowledge-based service innovation that include intervention in form of computer-based training program aimed for training of health and care professionals involved in breastfeeding support. The intervention in the proposed study will contribute to more effective adoption of new knowledge in healthcare organisations. Further, the proposed project will be organised as an interdisciplinary and crosswise sectorial collaboration and will be customized at a national and international level, by involving decision-makers, researchers, health care professionals and care users. Ambition with this project is to contribute to increased breastfeeding frequency by increasing competence in professional support in related healthcare services and midwife education program. There is also an urgent need for evidence based technical solutions as a professional support for the professionals to more effectively implement new research in practice. This project will contribute health care with high quality and resource use. The overall aim for the project is to implement and evaluate new innovative solutions in order to improve long-term strategies for professional support and quality of care, related to knowledge-based breastfeeding support. The design method for the project is longitudinal randomized controlled intervention trial. The intervention will be computer-based training education program developed in collaboration with decision-makers, professionals and researchers. Data will be gained before and after intervention by using: Breastfeeding attitudes among counselling health professionals (An instrument based on WHO standards was developed to measure breastfeeding attitudes), Mother-to-infant Relation and Feelings (MIRF) scale and Mother-Perceived-Professional-Professional support (MoPPS) scale. For successful intervention, it is important that decision-makers are involved in the research process, so that suggested changes can be possible if they actively participate and encourage the project as well as the adoption of research results in practice. Involvement of stakeholders in the research demand facilitation of the research process. This can enable cooperation by using project management techniques as co-counselling and clinical reflection. The outcome of the project will be multiple may be placed in a regional, national, international or global context. Firstly, the project will contribute to development of knowledge-based professionals’ competence with focus on to support breastfeeding from first breastfeeding time, to minimise usage of infant formula during first week of life, longer exclusive- and predominant breastfeeding and stronger connection between mother and child. This topic will fit with theme Nutrition and Lactation. Key words: innovation, collaboration, breastfeeding, support, knowledge

Enbo Ma

University of Tsukuba , Japan

Title: Lifestyle-related factors and burden of cardiovascular diseases in Japan

Time : 14:05-14:30

Speaker
Biography:

Enbo Ma is a public health physician and has a PhD in Epidemiology. Currently he is Assistant Professor, Department of Clinical Trial and Clinical Epidemiology, University of Tsukuba Faculty of Medicine, Japan. He has published some papers on cancer and cardiovascular diseases in medical and public health journals.

Abstract:

The Global Burden of Disease Study showed that the years of life lost due to stroke and coronary heart disease were the highest in Japan in 2010. The high morbidity and mortality noted in the Japanese population were given significant cost to the society. Cardiovascular diseases share risk factors with other major non-communicable diseases, including tobacco smoking, unhealthy diet, physical inactivity, history of diabetes, metabolic factors (hypertension, high serum glucose, low high density lipid-cholesterol, hypertriglyceridemia and overweight). The Japan national health and nutrition surveys since 1945 have provided the prominent information for health promotion strategies issued by the health ministry. In Japan, most (63%) dietary sodium came from soy sauce (20%), commercially processed fish/seafood (15%), salted soups (15%), and preserved vegetables (13%). The national campaigns for reducing salt intake, together with other hypertension control programs, resulted in the great reduction of stroke mortality since 1960s. However, because of the westernization of lifestyles such as high-fat diets and sedentary work patterns associated with socioeconomic development, there has a possible increase in the incidence of and mortality from coronary heart disease in Japan. For instance, the mean BMI increased in Japanese men with an increment of 0.44 kg/m2 between 1976 and 1995. In 2009, the obesity was 31.7% in men and 21.8% in women aged 20 and above. The prevalence of high total cholesterol (≥220 mg/dL) increased from 15% to 27% for men and 19% to 35% for women.

Speaker
Biography:

Ploypun Narindrarangkura graduated from Phramongkutklao College of Medicine in 2013. Now she is the faculty of Military and Community Medicine Department, Phramongkutklao College of Medicine. Her previous study was on “Prevalence and Risk Factors of Obstructive Sleep Apnea (OSA) Using Modified Berlin Questionnaire in Thai Rural Community”. She used to present this research at APMMC conference when she was a medical student. She is fascinated with research in public health and infectious disease.

Abstract:

Influenza is a respiratory disease in which some subtypes have high virulence. In some particular setting such as military camp, the crowded environment is prone for an outbreak, rapid onset and difficult for controlling transmission. We investigated and characterized an operationally unique outbreak of H3 influenza A in 2nd year medical cadets at Phramongkutklao College of Medicine during October 2015. Case report form of respiratory infection was performed in both ILI and non-ILI cases. Nasopharyngeal swab was performed to idenfify influenza A/B. Positive cases for influenza A were further analyzed by real-time PCR (RT-PCR) method for H3 influenza A. Total of 103, 2nd year medical cadets were enrolled into the study. There were 40 (38.8%, 95% CI; 25.6 – 44.3) of them presented with ILI in which 28 cases (70 %) were positive for influenza A. Mean age was 19.6 years (SD=0.84). 2 cases (5%) later developed pneumonia and admitted to hospital. The factors asscocited with ILI were including occuplying in platoon 2 (OR=3.54, 95% CI; 1.25-10.03, p=0.017) and staying in the barrack within 2 weeks prior to the outbreak (OR=4.23, 95% CI; 1.14 – 15.79, p=0.031) medical cadets were immunized for influenza vaccine for 39 (37.9%) before commencing military training. Attack rate of ILI was significantly higher in unvaccinated cases (44.1%) than vaccinated cases (28.2%). We tested sampels of 10 positive cases of influenza A and found that all cases were A/H3 influenza by RT-PCR. We suggested that all military personnels should be vaccinated for influenza before recruitment. Military should seperate ILI case from others to prevent an outbreak.

Speaker
Biography:

Amani Aliwi Alrasheedi has completed her PhD at the age of 33 years from Girl's College for Home Economics and Art Education- King AbdulAziz University, Jeddah- Saudi Arabia and postdoctoral studies from Leeds University School of Food Science and Nutrition. She is the vice dean of high graduate studies in King Abdulaziz university. She has published more than 20 papers in reputed journals and a suppervisor for four master students.

Abstract:

Energy drinks consumers have increased worldwide. The aim of this study was to investigate the frequency of energy drink consumption among male and female intermediate, high school and university students in Jeddah city and to evaluate the reasons for drinking and knowledge level of students regarding energy drinks. Methods: A self-administrated questionnaire was used to collect data from 4355 students enrolled in the study. Results: (50%) of the students consumed energy drinks at for least one can per week and (37.9%) of the sample drank from 2-4 cans per week. Code Red is the most popular brand consumed (31.6%). Further, (39.0%) of the sample consumed energy drinks in the afternoon and (41.1%) drank it for its tasty flavor. Regarding the knowledge level of the students about the drinks, (37.0%) were fair and (28.4%) were good. Conclusion: Knowledge level of students regarding energy drinks is acceptable but their practices need to improve.

Zayde Ayvaz

Canakkale Onsekiz Mart University, Turkey

Title: Use of liquid smoke condensate in foods and its effect on health

Time : 15:20-15:45

Speaker
Biography:

Zayde Ayvaz completed her PhD in Ankara University, Turkey and additional postdoctoral study in The University of Auckland, New Zealand. She received Associate Professor degree at the age of 29. She has published more than 30 papers in peer-reviewed journals and has been serving as an editorial board member on more than 25 scientific journals. She currently works for Canakkale Onsekiz Mart University, Department of Marine Technology Eng. located in Turkey.

Abstract:

Traditional smoking application using the smoke produced by burning woods has been utilized as a preservation technique for centuries. However, wood smoke generates some unfavorable compounds such as Polycyclic Aromatic Hydrocarbons (PAHs) upon pyrolysis, which occurs between 180 and 350 °C. These PAHs are generally known to be carcinogenic even though some of the PAHs are not actually considered as carcinogenic themselves but believed to be served as precursors. Benzo(a)pyrene, one of the important compounds listed among the PAHs, has been shown to cause birth defects when its concentration in foods exceeds 300 ppm. This fact brought some restrictions to PAH presence in commercially available smoked products in some countries including the European Union countries and the United States. The strictest restriction is applied within the European Union with 0.002 ppm allowance. On the other hand, smoke condensates have been used in food industry over three decades. Once water and wood smoke evaporates and goes through some separation and filtration steps, so called “liquid smoke condensate” is obtained. The preparation steps used during the production of liquid smoke condensate help avoiding tar and unfavorable compounds like PAHs. Recent studies have elucidated that liquid smoke foods has either no or trace amount of Benzo(a)pyrene present. This study aims to review the importance of using liquid smoke condensates in food products from health perspective as a replacement to traditional smoking due to the negative health implications of PAH containing traditionally smoked foods.

Break: Networking & Refreshment Break 15:45-16:05 @ Salamanca
Speaker
Biography:

Phunlerd Piyaraj is a Lecturer at Department of Parasitology, Phramongkutklao College of Medicine. He is fascinated with researches in public health and infectious diseases and he hopes this study will attract all people and also the government to recognize the burden of HIV infection and methamphetamine use among men who have sex with men. In the near future, he plans to do further research of this topic by qualitative method to investigate main factors and causes which are key aspects of the HIV infection and methamphetamine use in these hard to reach population.

Abstract:

To examine the prevalence of methamphetamine use prior to sex and to investigate the risk factors associated with HIV prevalence including methamphetamine use to enhance sex pleasure among MSM participating in BMCS in Bangkok, Thailand. A cross-sectional study of 1,744 MSM participating in a cohort of MSM in Bangkok, Thailand between April 2006 and November 2010 was evaluated for HIV prevalence and associated risk factors. Men were tested for STI/HIV infection at baseline. Demographic and behavioral data were collected by audio-computer-assisted self-interview. Logistic regression analysis was used to investigate the risk factors associated with HIV prevalence. Baseline prevalence of methamphetamine use was 11.2% (195/1,744), respectively. The overall HIV prevalence was 21.3% (372/1,744). Reported methamphetamine use was not associated with HIV prevalence in multiple logistic regressions. After adjusting for potential confounders, risk factors for HIV prevalence were self-identified as homosexual/gay, practice dual role taking of anal intercourse, ever had forced sex, younger age when having first sex, ever diagnosed STI, practice anal douched, recruited sex partners from park, used poppers, clinical appearance of anal warts, and Treponema Pallidum (TP), hepatitis B surface antigen, anti-HSV-1 and anti-HSV-1 and 2 positivity. The inverse factors associated with lower HIV prevalence were being a student, a history of HIV testing, and ever paid for sex. Behavior of methamphetamine use to enhance sex was common and there is a high prevalence of HIV infection among these men. It underscores the need for innovative and increased efforts to prevent HIV infection in this population.

Speaker
Biography:

Nicole Neufingerl has completed her MSc in Nutrition & Health at Wageningen University in 2006. As nutrition & health scientist, she has been working at Unilever R&D for 10 years on a range of topics related to dietary intake and behaviour as well as out of home consumption, particularly in children and older adults. She conducts literature reviews, intervention and observational studies and surveys, which have been published in international peer reviewed scientific journals.

Abstract:

Overweight and obesity are global public-health problems and unhealthy restaurant meals have been identified as one contributing factor. Given the increase in restaurant meals and the number of restaurants throughout the world, programs that can help chefs and operators to produce healthy meals can have a large public health impact. Unilever Food Solutions has rolled out a Seductive NutritionTM programme to help chefs develop effective programs to provide healthier restaurant meals. However, to take this further, an understanding of diner’s desire for healthier menu items and the barriers faced in choosing healthier meals is required. As such we conducted an international study to identify these barriers and needs. A cohort of restaurant diners was recruited from ten countries: United Kingdom, United States of America, Germany, Poland, Turkey, Russia, Brazil, South Africa, Indonesia and China (n=5,000, aged 18-65 years). Participants completed a comprehensive questionnaire. Globally, 82% of diners were not completely satisfied with current healthy options. The top 3 small changes that these diners wanted to see included on restaurant menus to make them healthier included: steamed, baked or grilled instead of fried foods, fresh ingredients used, and served with plenty of vegetables. Taste, price and satiation were seen as key barriers to current healthy options. Diners had clear preferences for when they wanted to see healthy items on the menu in terms of time of day, time of the week and occasion. Nutritionists, dietitians, chefs and managers can leverage these insights to provide healthier and appealing meals.

Huseyin Ayvaz

Canakkale Onsekiz Mart University, Turkey

Title: Acrylamide in foods: A review and recent updates

Time : 16:55-17:20

Speaker
Biography:

Huseyin Ayvaz completed his master and PhD at the Ohio State University, Columbus, OH and he currently works for Canakkale Onsekiz Mart University, Department of Food Engineering, in Turkey. His research involves the use of infrared spectroscopy combined with chemometrics in food and agricultural products with emphasizes given on handheld and portable infrared spectrometers.

Abstract:

Acrylamide is a chemical compound naturally formed during processes such as frying, roasting and baking in a wide variety of foods including French fries, potato chips, cereal, bread and coffee and it has been reported to be a human neurotoxin, a rodent carcinogen and a “probable carcinogen to humans”. Maillard reaction between sugars and amino acids is considered to be the main mechanism for acrylamide formation, with asparagine and reducing sugars as the major reactants present in foods. It has been found to cause cancer in laboratory animals when consumed in excessive amounts (LD50 values are in the range of 107-203 mg/kg bw in rats). Acrylamide has the ability to be absorbed by the skin, inhaled by mucosa or by ingestion through the oral route. Upon consumption through the diet, acrylamide is quickly absorbed from gastrointestinal tract and distributed to the tissues. Acrylamide is metabolized to glycidamide in the liver and becomes more reactive towards DNA and proteins. Up to 50 % of the acrylamide obtained from diet in pregnant woman can be transferred to the fetus via blood through the placenta. As of now, the greatest risk from acrylamide seems to be the neurotoxic effects in humans due to the changes that occur in the central nervous system after exposure to high doses of acrylamide. This study aims to review the precursors of acrylamide, how it is formed in foods, possible mitigating strategies and analytical methods available for its measurement emphasizing some recent infrared-based methods developed for its measurement in our laboratory.

Korolija-Marinic D

Zagreb University Hospital Center, Croatia

Title: Management of waiting list at national level in Craotia: Reinventing the wheel

Time : 17:20-17:45

Speaker
Biography:

Korolija-Marinic D is affiliated from Zagreb University Hospital Center, Croatia

Abstract:

Introduction: Waiting lists are historically one of the biggest problems and challenges of Croatian healthcare system. In 2015, Ministry of Health and Croatian Health Insurance Fund have implemented certain policy interventions to increase availability of health care. Aim: To analyse effect of implemented health care interventions on waiting lists. Methods: Data was gathered by business intelligence system eWaiting lists of Croatian Health Insurance Fund. Data was analysed for period 11/2/2014 to 11/12/2015. Results: In 2015 reduction of 76,861 waiting lists orders was recorded. Beside decrease of orders, reduction of average waiting time and availability of earlier term for medical procedure was recorded. Discussion and conclusion: Policy interventions for reduction of waiting lists in Croatia are primarily focused on supply side of health care system. In future, simultaneously with interventions on demand side, policy interventions focused on demand side of health care system will have to be implemented.