Day 3 :
Keynote Forum
Amy Articolo
Vice President of Obesity Treatment Foundation USA
Keynote: Obesity and pharmacotherapy: Looking ahead for chronic weight management and weight regain prevention
Time : 09:00-09:40
Biography:
Dr. Amy Articolo earned her Bachelor of Arts degree from the University of Pennsylvania in 1993 where she was awarded cum laude honours upon graduation. She went on to earn her Doctorate of Osteopathy degree from Philadelphia College of Osteopathic Medicine in 1998. She then completed her internship and residency at The University of Medicine and Dentistry of NJ in Obstetrics and Gynaecology from 1998-2003, where she was elected Chief Intern and Chief Resident during her term. She was awarded the Ralph J. Onofrio Surgical Award upon graduation.
She entered private practice in Obstetrics and Gynaecology, where she worked closely with Dr. Mackey at Garden State OB/GYN Associates until she pursued her career at Salvéo Weight Management. Dr. Articolo was, and is, inspired by her patients. She wanted to pursue additional training and education in the field of Obesity Medicine in order to better guide and treat her patients who struggled with their weight.
Abstract:
Objectives:
Why use pharmacotherapy in obesity treatment?
Defining Long term strategies in managing obesity treatment
Understanding the significance of clinically significant weight loss and prevention of weight regain
Understanding the indications and usage of pharmacotherapy in chronic weight management
Obesity is a disease of epidemic proportions affecting individuals regardless of race, ethnicity, gender, or age. Obesity is associated with over 200 comorbidities and associated health conditions. Previous attempts at treating weight and its associated disease states have resulted in failure with diet and exercise alone.
We will review the indications, utilization, usage, and possible side effects of the different anti-obesity medications (AOM) currently available for treatment. We will also review the different pathways that pharmacotherapy can target for specific patient populations. We will also explore how to use combination therapies with diet, exercise, and possible pharmacotherapy and/or weight loss surgical options.
- pharmacology and Obesity, Athletic performance,Fitness nutrition,Exercise & Sports Science
Location: Mejestic III
Chair
Ramesh Ghimire
Atlanta Regional Commission,USA
Co-Chair
Angelia Holland
Augusta University, USA
Session Introduction
Rohit Kumar
International Modern Hospital, UAE
Title: Short term result of laparoscopic sleeve gastrectomy
Biography:
Rohit Kumar has a vast experience in the fields of bariatric, gastrointestinal and general surgery. He is currently working at International Modern Hospital Dubai, UAE. He has undergone training in Laparoscopic Bariatric Surgery at Sir Ganga Ram Hospital, Advanced Laparoscopic Training in Greece and has done a Fellowship in Hepatobiliary and Pancreatic Surgery in Japan. He has, amongst his patients, a host of dignitaries, leaders and foreign nationals. His areas of clinical interests include laparoscopic adjustable gastric banding, laparoscopic sleeve gastrectomy and laparoscopic Roux-en-Y gastric bypass, lap cholecystectomy, laparoscopic appendix, laparoscopic hiatus hernia, laparoscopic splenectomy, laparoscopic nephrectomy, laparoscopic colectomy, laparoscopic low anterior resection, laparoscopic gastrectomy, hepato-biliary and pancreatic surgery, laparoscopic inguinal hernia repaired and laparoscopic esophagectomy. His special interests lie in minimal access bariatric surgery and gastrointestinal surgery.
Abstract:
Laparoscopic sleeve gastrectomy (LSG) is gaining acceptance among bariatric surgeons as a viable option for treating morbidly obese patients. We describe results of a single surgeon’s experience with LSG, its intra-operative, early and late complications and their management. We retrospectively reviewed the data of patients who underwent LSG from 2006 to 2015. Patients underwent LSG as a primary procedure or as revisional bariatric surgery. The short-term morbidity and mortality were examined. All patients entering our practice, requesting bariatric surgery, were offered three procedure options: Laparoscopic gastric bypass, adjustable gastric banding and LSG. After a one-on-one consultation with the surgeon, the patients made an informed decision to undergo LSG and an informed consent was obtained. All patients were required to undergo a psychological screening, routine labs, electrocardiogram, upper gastrointestinal X-rays, pulmonary function studies and a medical evaluation. All patients were scheduled for LSG as a primary definitive procedure. All patients received intravenous antibiotics, subcutaneous unfractionated heparin and sequential compression devices preoperatively. One-stage LSG was performed. The major complications were late leakage after 4 weeks with hemorrhaging. Two patients required reoperation and one patient was treated conservatively. Furthermore, one patient had complete Dysphagia and was treated conservatively. Moreover, one patient who had an injury to the lower esophagus was re-operated, intra-operatively. One patient had mesenteric injury; another patient had an NG tube stapled, while a third patient’s GE junction blew up because the balloon was inflated while doing the leak test. In addition, the serosal layer of 10 patients came off while firing the first stapler. However, in spite of the presence of many such complications, only one case was aborted. In conclusion, LSG is a relatively safe surgical option for weight loss as a primary procedure.
Biography:
Christopher Fuzy, MS, RD, LD is the Founder and President of Lifestyle Nutrition Inc. and PhysicianWellnessProgram.com (for Doctors), AboutMyDiet.com (For Patients) has a Master’s Degree in Clinical & Sports Nutrition, undergraduate degrees in Dietetics and Chemistry from Florida State University and currently has private nutritional counseling offices in Ft. Lauderdale and Boca Raton, FL. Over the past 27 years, he has trained over 900 physicians nationwide in the implementation of his Lifestyle Nutrition Metabolic Counseling Program®. Mr. Fuzy was Chief Clinical Nutritionist at Plantation General Hospital before starting his company in 1990.
Abstract:
Statement of the Problem: Traditional approaches to nutritional counseling to instruct patients have typically incorporated generic pharmaceutical diet sheets and generic meal plans which can be overwhelming, too restrictive and have poor patient compliance. The prevalence of hyperlipidemias, insulin resistance, weight gain, obesity, pre- diabetes, fatigue, CAD arthritis and cancer are negatively impacted by a poor diet. 2 As practitioners we are faced with contradictory research, nutritional counseling is typically time consuming and it can be difficult to determine the best approach to instruct patients with long term effectiveness that incorporates lifestyle, metabolism 3, body composition, activity level, food preferences, behavior modification, and not just exclusively rely on medications, hormones, meal replacements and/or diet supplements. Methodology & Theoretical Orientation: A step by step approach to introducing or elevating a lifestyle nutrition metabolic counseling program for you community demographic fossing with healthy real food. This approach along with exercise has helped decrease insulin resistance, hyperlipidemias, fatigue and diabetes, cardiac and cancer risk factors and significantly decreases hunger, appetite, and fatigue. Patients are motivated to incorporate lifestyle modificatins, and respect a Non-dieting approach to weight loss and disease mangement and prevention. Clients are substantially more motivated and receptive to learn how to properly balance their blood sugars rather than just counting calories or dieting Conclusion & Significance: 4. Customizing a low glycemic nutritional program specific for your patients, food preferences, lifestyle and metabolism improves patient compliance, improved satiety, metabolism and decreases incidence for relapse and weight gain 5, 6. Lifestyle Nutrition Metabolic Counseling Programs, market well within communities and are less costly to patients and more profitable for their owners.
Biography:
Hulya Demir is a Chemical Engineer and has completed his PhD from Ataturk University and postdoctoral studies from Ohio State University. She is working as a Faculty of Health Science. She has published more than 20 papers in reputed journals.
Abstract:
The body mass index (BMI) of female patients between the ages of 18 and 65 who applied to a Nutrition and Diet Polyclinic of a Private Hospital, and the dietary quality of female patients between the ages of 25-30 and 30-40 were compared using the Healthy Eating Index-2010 version (HEI-2010). This study was conducted on a total of 80 patients, 39 patients with a BMI of 25-30 and 41 patients with a BMI of 30-40. Food intake was measured by a general questionnaire and 24-hour retrospective recall, and the diet was assessed by means of HEI averages. There was a positive correlation between grain composition and nutritional diversity and total HEI score. The HEI-2010 sustain several features of the 2005 version:(1) it has 12 components, including 9 adequacy and 3 moderation component; (2) it uses per 1000 calories or a percent of calories; (3) it make use of least-restrictive standarts.Changes to index include: (1)Greens and Beans replaces Dark Green and Orange Vegetables and Legumes;(2) Seafood and plant Proteins;(3) Fatty Acids, a ratio of poly-and mono-unsaturated to saturated fatty acids;(4) a moderation component, Refined Grains. There was a significant difference between the HEI groups according to their professions ( X2=30.012, p<0.05). 48.5% of the housewives were below 51 HEI, 51.5% were between 51-80 HEI; 66.7% of the public servants were under 51 HEI, 33.3% were between 51-80 HEI; 62.5% of the self-employed people were under 51 HEI, 37.5% were between 51-80 HEI; 40% of the retired people were under 51 HEI, 60% were between 51-80 HEI; 66.7% of the unemployed were between 51-80 HEI and 33.3% were over 80 HEI. 64.3% of the people with different professions participating in the study were under 51 HEI and 35% were between 51-80 HEI. When all of the professions were considered together, most of them, with 53.8%, were found to be below 51 HEI, 45% were between 51-80 HEI, and 1.3% were over 80 HEI.
Biography:
Dr. Ramesh Ghimire is an economist at Atlanta Regional Commission. He has a Ph.D. in Environmental and Natural Resource Economics from the University of Georgia, USA and a M.S. in Development and Natural Resource Economics from the University of Life Sciences, Norway. He has published nearly 20 research papers in highly respected international peer reviewed journals, such as Ecological Economics, Journal of Agricultural and Resource Economics, Environment and Development Economics, World Development, and Water Resources Research. Dr. Ghimire is interested in understanding how natural resources and amenities help improve public health, human well-being and overall quality of human life.
Abstract:
This paper analyzes the relationship between green space and body mass index (BMI) in the U.S. We find that accounting for the heterogeneity of green space matters: BMI is significantly lower in counties with larger forestland per-capita, but not in those more abundant in rangeland, pastureland or cropland. This is after controlling for state-specific heterogeneity, a range of environmental and natural amenities, including the presence of state parks, proximity to national parks, and outdoor recreation resources in the county, all of which have the expected negative correlation with BMI. Hence, the findings suggest that forests, public recreation lands, along with publicly available outdoor recreation resources can be valuable resources to help reduce obesity and associated public health problems.