Day 2 :
Time : 10:00-10:40
Mahmoud Abdullah Alkhateib is a Sports Dietitian at Aspetar, Qatar. He has completed his PhD at Port Said University, Egypt in 2012. He has been providing nutritional education for several years and has been a national and international speaker on countless topics such as healthy lifestyle, obesity, weight management, healthy eating and has delivered nutrition education courses for chefs, nurses and fitness coaches. He has been recently developed and teaching a nutrition curriculum for grade 7 & 8 students athletes at Aspire Sports Academy
Adolescence is a time of increased control over food choices and dietary practices. Results of several studies showed a low fruit and vegetable intake among adolescents, bad dietary habits, missing meals and high intake of junk foods. Participating in sports presents unique nutritional concerns and health risk and it has been well documented that adolescent athletes lack the knowledge to make good nutritional decisions to improve health, performance and growth. Implementing a nutrition education program in the schools has an important role in the lives of adolescent athletes; it provides the knowledge and skills necessary to make healthy food choices for success in school, general well-being and therefore an improvement in perceived sport performance. The Sports Nutrition Unit at Aspetar Orthopedic and Sports Medicine hospital have developed a well-designed nutrition curriculum for grade 7 & 8 students athletes at Aspire Sports Academy based on needs assessment from clinical data and a new screening tool. The curriculum aims to promote healthy eating among students athletes through a comprehensive school nutrition program and to provide nutrition education through developmentally appropriate, culturally relevant, fun, participatory activities that involve social learning strategies. At our conceptual framework we used a modified Tyler’s model with its five steps in which each step is then developed and applied to the topic of nutrition education through working continuously with the Aspire school curriculum committee.
United Arab Emirates University, UAE
Keynote: The effect of ginger powder on blood glycemia, blood lipidemia and body composition on adults at risk for cardiovascular diseases: A controlled, randomized, single blind and parallel-design study
Time : 10:40-11:20
Ayesha Salem Al Dhaheri is currently a Chairperson of the Nutrition and Health Department at the United Arab Emirates University. She is the Coordinator for MEFOODS and GULFOODS for FAO-Rome. She has also served as the Head of the World Health Organization (WHO) Collaborating Centre in Nutrition from 2012-2015. She has conducted significant research in nutrition and has experience as a Consultant in major research/projects in her field with national and international agencies such as MOH, HAAD, WHO, FAO and ICCIDD. She has been recognized by the World Health Organization as a Regional Facilitator for the introduction and dissemination of the WHO growth curves since February 2007
Recently 42% of the population in the United Arab Emirates (UAE) was diagnosed with metabolic syndrome (MetS), while the prevalence of the MetS in the Gulf Cooperation Council Countries (GCC) is 10-15% higher than in the most developed countries, with generally higher prevalence rates for women. Recent studies proved that ginger may have an effect in reducing the metabolic syndrome factors as well as the cardiovascular diseases risk factors. More studies proved the anti-lipidemic, anti-oxidative, anti-inflammatory and antitumor effects of ginger; therefore it could be used for the management and prevention of the MetS problems. Objectives were to measure the effect of ginger powder on fasting blood glucose (FBG), hemoglobin (Hb), hemoglobin A1c (HbA1c), triglycerides (TG), high density lipoprotein (HDL), low density lipoprotein (LDL), blood pressure (BP), waist circumference (WC) and body composition in participants at risk for cardiovascular diseases. The study is a controlled, randomized, single blind and parallel-design study. 60 participants who are at risk for cardiovascular diseases were randomly distributed into 2 treatment groups, the first group was the ginger powder group while the second group was a placebo-control (corn starch) group. 3 grams per day of each treatment was ingested by the participants for 12 weeks. 42 participants continued the study from both groups (22 Ginger, 22 Placebo); there was a significant improvement in Hb levels and WC (P-value<0.05). While it showed an improvement in HbA1c levels and diastolic blood pressure levels for the ginger group compared to the placebo group. Ginger powder has a significant effect on improving Hb and WC and it showed an improvement in HbA1c levels and diastolic blood pressure levels for individuals at risk for CVD
King Faisal Specialist Hospital & Research Center, KSA
Keynote: Role of nutrition management of chylous ascites post pediatric liver transplantation, single center experience
Time : 11:40-12:20
Sahar Madkhali is a Senior Clinical Dietitian, graduated in Community Health-Clinical Nutrition, King Saud University in Riyadh, Saudi Arabia in 2002. She has completed a Master’s degree in Sport Nutrition from Laughbrouh University, UK in 2006. She is working as a Clinical Dietitian in King Faisal Specialist Hospital & Research Center, Riyadh since 2003. She has specialized in Pediatric Surgery & Liver Transplant since 4 years, covered Metabolic Nutrition for 2 years and most of the adult/pediatrics specialty in the hospital
Introduction: Chylous ascites (CA) is defined as the accumulation of a milky or creamy, triglyceride-rich peritoneal fluid due to the presence of intestinal lymph in the abdominal cavity. The treatment of CA includes nutrition, pharmacological and seldom surgical therapies.
Aim: The aim of this review is to outline the resolution rate of CA post pediatric liver transplantation treated by dietary modification including low fat diet supplemented with medium-chain triglycerides (MCT) based formula.
Method: From January 2011to September 2015, 188 pediatric liver transplantation procedures have been performed in our centre. Out of these 19 cases were confirmed to have CA. The age ranged between 4 months to 11 years old (11 girls and 8 boys). CA in these 19 cases developed between day 4-5 post liver transplantation, which related to the time of oral intake. CA was suspected because of milky or creamy peritoneal fluid drainage that began after oral and it was diagnosed on the basis of the triglyceride, cholesterol, leukocyte and lymphocyte contents of the liquid. Nutritional treatment is done by following low fat diet and using MCT-based formula for 4-6 weeks, No TPN (Total Parenteral Nutrition) or pharmacotherapy treatment were required.
Results & Discussion: The nutrition treatment resulted in resolution of the CA in all of our cases (100%) within 1-2 weeks. Resolution was confirmed by measurement of the chyle output via a drainage (<2 ml/kg/day) and normalization of the TG level in fluid (0.7-0.5 mmol/l). The diet was kept for a total of 4-6 weeks in spite of resolution to avoid the recurrence due to early cessation of the diet.
Conclusion: Chylous ascites may appear due to injury of the lymphatic system in the periportal and retrohepatic areas during hepatic resection and inadequate ligation of injured lymphatic vessels. Application of MCT-based formulae with low fat diet alone was effective in 100% of the cases. More invasive treatments like TPN, pharmacological treatments or surgery should not be thought of as first option. After resolution of CA, low-fat diet and MCT-based formulae can be converted to regular diet and regular milk after 4-6 weeks and with no risk of relapse.