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Obes Facts 2012;5(suppl 1):1–280Abstracts 55

T1:PS1 - BUILT AND SOCIAL ENVIRONMENT (URBAN ECOLOGY)

T1 - ENVIRONMENT ANDPREVENTION

T1:PS1 - Built and Social Environment(Urban Ecology)

180 accepted poster

ASSOCIATION BETWEEN INDIVIDUAL FACTORS, BUILT ANDSOCIAL ENVIRONMENT AND OVERWEIGHT/OBESITY AMONGADULTS FROM BELO HORIZONTE, BRAZILL. Mendes1, M. M. Ferrão2, D. Malta1, H. Nogueira3, C. Padez4, G.Velásquez-Melendez1

1 ESCOLA DE ENFERMAGEM - UNIVERSIDADE FEDERAL DE MINASGERAIS, Departamento de Enfermagem Materno-infantil em SaúdePública. Universidade Federal de Minas Gerais2 RESEARCH CENTER FOR ANTHROPOLOGY AND HEALTH, Departmentof Life Sciences - University of Coimbra, Coimbra, Portugal3 RESEARCH CENTER FOR ANTHROPOLOGY AND HEALTH (CIAS),Department of Geography, University of Coimbra, Coimbra, Portugal4 RESEARCH CENTER FOR ANTHROPOLOGY AND HEALTH (CIAS),Department of Life Sciences - University of Coimbra, Coimbra, Portugal

Abstract Text: Built and Social Environments play a significant rolein health. Globally, obesity is a serious social and public healthproblem. That’s why is so crucial to understand how environmentalfactors can stimulate behaviors that promote overweight and obesity.Across-sectional study was carried out in a sample of 3405 adults (49,8%men and 50,2% women, mean age 39,7 years) in the urban area ofBelo Horizonte (BH). Information from the Surveillance System forChronic Diseases of Brazilian Ministry of Health was used and individualfactors were collected by telephone interviews (VIGITEL, 2008/09).Geo-referenced variables from the built and social environment werealso used. In this sample 32,9% of the participants were overweight(BMI>= 25Kg/m2) and 12,7% were obese (BMI>=30Kg/m2). MultilevelPoisson regression was used to create the final model adjusted for ageand gender. The variables that were independently associated withadult overweight/obesity were: watching TV every day of the week (PR=1,179), low self-reported health status (PR= 1,370), high population den-sity (PR= 0,837) and the highest health vulnerability index category (PR=1,313). In the urban area of BH the prevalence of overweight/obesitywas associated with sedentary lifestyle, poor/regular self-reportedhealth status, high population density and with environments consideredvulnerable to health.Conflict of Interest: None Disclosed.Each author has seen andapproved the contents of the submitted abstract.Funding: This study was supported by the Brazilian Ministry of Healthand National Counsel of Technological and Scientific Development(CNPQ)

181 accepted poster

ASSOCIATION BETWEEN PARENTAL PERCEPTION OF RESI-DENTIAL NEIGHBORHOOD ENVIRONMENT AND CHILDHOODOBESITY IN OPORTO, PORTUGALM. M. Ferrão1, L. Mendes2, A. Gama3, I. Mourão4, H. Nogueira5, V.Rosado6, G. Velásquez-Melendez2, C. Padez1

1 RESEARCH CENTER FOR ANTHROPOLOGY AND HEALTH (CIAS),Department of Life Sciences - University of Coimbra, Coimbra, Portugal2 ESCOLA DE ENFERMAGEM - UNIVERSIDADE FEDERAL DE MINASGERAIS, Departamento de Enfermagem Materno-infantil em SaúdePública. Universidade Federal de Minas Gerais3 RESEARCH CENTER FOR ANTHROPOLOGY AND HEALTH (CIAS),Department of Animal Biology, Faculty of Sciences, University of Lisbon,Coimbra, Portugal4 RESEARCH CENTER FOR ANTHROPOLOGY AND HEALTH (CIAS),Department of Sports, University of Trás-os-Montes e Alto Douro, VilaReal, Coimbra, Portugal5 RESEARCH CENTER FOR ANTHROPOLOGY AND HEALTH (CIAS),Department of Geography, University of Coimbra, Coimbra, Portugal6 RESEARCH CENTRE FOR ANTHROPOLOGY AND HEALTH (CIAS),Center of Anthropobiology, Tropical Research Institute, Lisbon, Coimbra,Portugal

Abstract Text: Nowadays environment has been thought to havecontributed to the current epidemic of obesity and parental perceptions ofthe residential environment may potentially be an important influence onchildren’s weight status. Anthropometric measures of height and weightwere taken on 2641 children in preschools and elementary schools inOporto. BMI was calculated and the IOTF cut-offs were used. Parentsfilled out the "Environmental Module" standard questionnaire of theInternational Physical Activity Prevalence Study (IPS, 2002). For dataanalysis were used Chi Square test and the Logistic regression modeladjusted for age, gender, maternal education and school clusters. In

Abstracts Book Page 59


T1 - ENVIRONMENT ANDPREVENTION

T1:PS1 - Built and Social Environment(Urban Ecology)

180 accepted poster

ASSOCIATION BETWEEN INDIVIDUAL FACTORS, BUILT ANDSOCIAL ENVIRONMENT AND OVERWEIGHT/OBESITY AMONGADULTS FROM BELO HORIZONTE, BRAZILL. Mendes1, M. M. Ferrão2, D. Malta1, H. Nogueira3, C. Padez4, G.Velásquez-Melendez1

1 ESCOLA DE ENFERMAGEM - UNIVERSIDADE FEDERAL DE MINASGERAIS, Departamento de Enfermagem Materno-infantil em SaúdePública. Universidade Federal de Minas Gerais2 RESEARCH CENTER FOR ANTHROPOLOGY AND HEALTH, Departmentof Life Sciences - University of Coimbra, Coimbra, Portugal3 RESEARCH CENTER FOR ANTHROPOLOGY AND HEALTH (CIAS),Department of Geography, University of Coimbra, Coimbra, Portugal4 RESEARCH CENTER FOR ANTHROPOLOGY AND HEALTH (CIAS),Department of Life Sciences - University of Coimbra, Coimbra, Portugal

Abstract Text: Built and Social Environments play a significant rolein health. Globally, obesity is a serious social and public healthproblem. That’s why is so crucial to understand how environmentalfactors can stimulate behaviors that promote overweight and obesity.Across-sectional study was carried out in a sample of 3405 adults (49,8%men and 50,2% women, mean age 39,7 years) in the urban area ofBelo Horizonte (BH). Information from the Surveillance System forChronic Diseases of Brazilian Ministry of Health was used and individualfactors were collected by telephone interviews (VIGITEL, 2008/09).Geo-referenced variables from the built and social environment werealso used. In this sample 32,9% of the participants were overweight(BMI>= 25Kg/m2) and 12,7% were obese (BMI>=30Kg/m2). MultilevelPoisson regression was used to create the final model adjusted for ageand gender. The variables that were independently associated withadult overweight/obesity were: watching TV every day of the week (PR=1,179), low self-reported health status (PR= 1,370), high population den-sity (PR= 0,837) and the highest health vulnerability index category (PR=1,313). In the urban area of BH the prevalence of overweight/obesitywas associated with sedentary lifestyle, poor/regular self-reportedhealth status, high population density and with environments consideredvulnerable to health.Conflict of Interest: None Disclosed.Each author has seen andapproved the contents of the submitted abstract.Funding: This study was supported by the Brazilian Ministry of Healthand National Counsel of Technological and Scientific Development(CNPQ)

181 accepted poster

ASSOCIATION BETWEEN PARENTAL PERCEPTION OF RESI-DENTIAL NEIGHBORHOOD ENVIRONMENT AND CHILDHOODOBESITY IN OPORTO, PORTUGALM. M. Ferrão1, L. Mendes2, A. Gama3, I. Mourão4, H. Nogueira5, V.Rosado6, G. Velásquez-Melendez2, C. Padez1

1 RESEARCH CENTER FOR ANTHROPOLOGY AND HEALTH (CIAS),Department of Life Sciences - University of Coimbra, Coimbra, Portugal2 ESCOLA DE ENFERMAGEM - UNIVERSIDADE FEDERAL DE MINASGERAIS, Departamento de Enfermagem Materno-infantil em SaúdePública. Universidade Federal de Minas Gerais3 RESEARCH CENTER FOR ANTHROPOLOGY AND HEALTH (CIAS),Department of Animal Biology, Faculty of Sciences, University of Lisbon,Coimbra, Portugal4 RESEARCH CENTER FOR ANTHROPOLOGY AND HEALTH (CIAS),Department of Sports, University of Trás-os-Montes e Alto Douro, VilaReal, Coimbra, Portugal5 RESEARCH CENTER FOR ANTHROPOLOGY AND HEALTH (CIAS),Department of Geography, University of Coimbra, Coimbra, Portugal6 RESEARCH CENTRE FOR ANTHROPOLOGY AND HEALTH (CIAS),Center of Anthropobiology, Tropical Research Institute, Lisbon, Coimbra,Portugal

Abstract Text: Nowadays environment has been thought to havecontributed to the current epidemic of obesity and parental perceptions ofthe residential environment may potentially be an important influence onchildren’s weight status. Anthropometric measures of height and weightwere taken on 2641 children in preschools and elementary schools inOporto. BMI was calculated and the IOTF cut-offs were used. Parentsfilled out the "Environmental Module" standard questionnaire of theInternational Physical Activity Prevalence Study (IPS, 2002). For dataanalysis were used Chi Square test and the Logistic regression modeladjusted for age, gender, maternal education and school clusters. In


Posters

T1:PS1 – BUILT AND SOCIAL ENVIRONMENT (URBAN ECOLOGY)

56 Obes Facts 2012;5(suppl 1):1–280 Abstracts


this sample 31,9% of the children were overweight (including obese),14,7% boys and 17,2% girls (p<0,001). Significant associations werefound. The odds of children being overweight/obese were lower iftheir parents believe that is safe (low/no crime rates) to walk/cycleduring the night (OR= 0,65 95% Cl= 0,54-0,79) and during the day(OR=0,70 95% Cl=0,55-0,86); that is safe and pleasant to walk in theirneighborhoods, low traffic rates (OR=0,73 95% Cl=0,58-0,90); and whenlocal sidewalks are well maintained and not obstructed (OR=1,18 95%Cl=1,01-1,40).Parental perceptions of the neighborhood’s safety andthe quality and absence of barriers in local sidewalks are significantlyassociated with the body mass of their children.Conflict of Interest: None Disclosed.Each author has seen andapproved the contents of the submitted abstract.Funding: This study was supported by a grant of the Funda para a Ciiae Tecnologia FCOMP-01-0124-FEDER-007483.

182 accepted poster

CHILDREN’S COMMUTING BEHAVIORS IN CUENCA, SPAIN: AQUALITATIVE STUDY.V. Martínez Vizcaíno1, G. Zornoza1, M. Andrés1, G. López1, R. Martín1,T. Niño1

1 UNIVERSITY OF CASTILLA-LA MANCHA, Social and Health CareResearch Center, Cuenca, Spain

Abstract Text: Introduction: Obesity is a growing public health problemin Spanish children. Built environment characteristics such as theavailability of infrastructures for leisure time, urban transport planning,and especially accessibility to workplaces and leisure facilities cansignificantly affect the practice of regular physical activity of children, andas consequence the obesity incidence. This study analyze the perceptionof schoolchildren in relation to their usual commuting behavior. Methods:We used a qualitative design combining two methods: analysis ofindividual drawings of neighborhood environment of participants,and seven focus groups including 4-5 participants from a theoreticalsample of schoolchildren aged 9-to-11 years from the Cuenca province,Spain.Results: - Schoolchildren usually moved walking or by car, not byother means of transport.- Schoolchildren almost always moved with anadult, which influenced the way of commuting and the time lasting for it.-Participants only commute walking when did not last more than 10 min.-There are relevant significant differences between the rural and urbanareas in the children’s perception about distances and safety duringcommuting. Conclusions: Built environment characteristics and safetyof the commuting influence the routinely behavior for physical activity ofschoolchildrenConflict of Interest: None DisclosedFunding: This study was funded by PII1I09-POII10 0259-9898 and0208-5325, the Ministry of Education and Science of the Junta deComunidades de Castilla-La Mancha, and with the help FIS PI081297.It has obtained additional funding from the Research Network onPreventative Activities and Health Promotion (RD06/0018/0038).

183 accepted poster

PARENTS’ PERCEPTIONS OF RESIDENTIAL NEIGHBORHOOD,CHILDREN’S SEDENTARY BEHAVIORS, AND OUTDOOR PLAYIN SCHOOL CHILDRENC. Padez1, M. M. Ferrão2, A. Gama1, I. Mourão1, H. Nogueira3, V.Rosado3

1 RESEARCH CENTRE FOR ANTHROPOLOGY AND HEALTH, COIMBRA,Portugal2 CIAS - RESEARCH CENTRE FOR ANTHROPOLOGY AND HEALTH,Coimbra, Portugal3 RESEARCH CENTRE FOR ANTHROPOLOGY AND HEALTH (CIAS),Coimbra, Portugal

Abstract Text: BackgroundSome studies report that parent’s perceptionof neighborhood safety might result in reduced outdoor play and increas-ing sedentary time (TV viewing, computer use and electronic games).ObjectivesTo analyze the association between sedentary behaviors,children’s outdoor play and parents’ perceptions of some characteristicsof the built environment. MethodA cross-sectional study was done in asample of 1384 Portuguese children, aged 6.0-10.0 y. Parents filled outthe "Environmental Module" standard questionnaire of the InternationalPhysical Activity Prevalence Study (IPS, 2002) as well as a questionnaireconcerning family characteristic and children TV viewing, computeruse and time spent in electronic games. Environmental characteristicswere combined into two neighborhood dimensions, which were usedas predictors in logistic regression models. A Multinomial RegressionAnalysis to evaluate the association between child TV viewing, computeruse, time spent in electronic games and outdoor play and each attribute

of the perceived environment was done. ResultsTV viewing, computeruse and time spent with electronic games were positively associated witha negative perception of social and safety environment (OR= 1.664, p<0.01; OR=2.176, p< 0.001; OR=2.973). On the other hand, play out wasassociated with the built environment (OR=1.538, p<0.01).ConclusionAnegative perception of the social and safety environment is associatedwith more time in sedentary behaviors and less time in active play. Theseare important questions that should be considered to revert and controlthe prevalence of childhood obesity via environmental interventionsaddressing the built environment as well as the social environment,especially, safety.Conflict of Interest: None disclosedFunding:

184 accepted poster

PHYSICAL ACTIVITY BEHAVIOUR AND SATISFACTION WITHCHARACTERISTICS OF THE RESIDENTIAL ENVIRONMENT INAN AUSTRIAN CITYW. Stronegger1, S. Titze2, P. Oja3

1 MEDICAL UNIVERSITY OF GRAZ, Institute of Social Medicine andEpidemiology, Graz , Austria2 UNIVERSITY GRAZ, Institute of Sport Sciences, Graz, Austria3 THE UKK INSTITUTE FOR HEALTH PROMOTION RESEARCH

Abstract Text: Introduction:Neighbourhood characteristics have beenshown to be associated with health-promoting behaviour. The aim ofour study was to identify perceptions of the residential environment andtheir association with physical activity for specific purposes and sport.Methods:A representative survey of inhabitants of Graz (a mid-sizedAustrian city) aged 1560 years was conducted. Participants (n=997)completed structured interviews. The questions concerning the neigh-bourhood were factor-analyzed in order to generate primary measuresof perceived neighbourhood characteristics. Results:We found that aperceived high socio-economic quality of the residential environment isassociated with higher levels of leisure time physical activity. Satisfactionwith the individual’s local infrastructure may urge the residents to engagein higher levels of physical activity for transportation, whereas thepreferred mode of transportation may be gender-specific. Both sportand satisfaction with environmental quality are independently linked withself-rated health. We found no clear relationship between satisfactionwith the individual’s social cohesion in his quarter and his/her physicalactivity. Conclusion:Our results suggest that high levels of satisfactionwith different dimensions of the residential environment are associatedwith higher levels of sport and of physical activity for specific purposes.References: Stronegger WJ, Titze S, Oja P. Perceived characteristics ofthe neighborhood and its association with physical activity behavior andself-rated health. Health & Place. 2010 Jul;16(4):736-43.Conflict of Interest: noneFunding: Funding for this study was provided by the Austrian HealthPromotionFoundation and by the city council of Graz (Traffic Planningand Culture).

185 accepted poster

THE IMPACT OF PLACE OF RESIDENCE ON CHILDHOODOBESITY: AN EXPLORATORY ANALYSIS IN AVEIROA. Lourenço1, A. Gama2, V. Rosado3, I. Mourão4, H. Nogueira5, C.Padez6

1 DEPARTMENT OF GEOGRAPHY, Department of Geography, Universityof Coimbra, coimbra, Portugal2 CIAS - RESEARCH CENTRE FOR ANTHROPOLOGY AND HEALTH,Department of Animal Biology, Faculty of Sciences, University of Lisbon,Coimbra, Portugal3 CIAS - RESEARCH CENTRE FOR ANTHROPOLOGY AND HEALTH,Center of Anthropobiology, Tropical Research Institute, Lisbon, Coimbra,Portugal4 CIAS - RESEARCH CENTRE FOR ANTHROPOLOGY AND HEALTH,Department of Sports, University of Trás-os-Montes e Alto Douro, VilaReal, Coimbra, Portugal5 CIAS - RESEARCH CENTRE FOR ANTHROPOLOGY AND HEALTH,Department of Geography, University of Coimbra, Coimbra, Portugal6 CIAS - RESEARCH CENTRE FOR ANTHROPOLOGY AND HEALTH,Department of Life Sciences - University of Coimbra, Coimbra, Portugal

Abstract Text: Introduction: Obesity is a health problem with increasingprevalence in Portugal. Previous studies showed the effect of theenvironmental perceived factors on obesity. This cross-sectional studyexamines the influence of neighbourhood perceived attributes onchildhood obesity.Methods: Data were collected from 1117 children aged3-9 years old in kindergartens and elementary schools in Aveiro’s district,


T1:PS1 – BUILT AND SOCIAL ENVIRONMENT (URBAN ECOLOGY)


T1:PS2 - HUMAN APPETITE AND NUTRITION

Portugal. Overweight and obesity definitions were based on cut-offspoints published by Cole et al. (2000).Parental perceptions of the resi-dential environment were assessed through the Environmental Module ofthe International Physical Activity Prevalence Study questionnaire. Thelogistic regression analyses were used to examine associations betweenenvironmental characteristics and body mass index. Results: Theprevalence of obesity (including overweight) in our sample was 29,0%.We found that girls have higher values for obesity than boys (17,3%and 11,7%). Logistic regression analysis showed that children whoseparents agreed that the crime rate in their neighbourhood allow walkingin safety during the day were less likely to be obese and overweight(OR=0,63; 95% CI 0, 41-0,96).Conclusion: Our results suggest thatliving in a neighbourhood perceived as safe decreased the risk of obesityamong children, suggesting that the promotion of a high-quality socialenvironment may be a possible way to prevent obesity in children.Conflict of Interest: None DisclosedFunding: This study was supported by a grant of the Funda para a Ciiae Tecnologia FCOMP-01-0124-FEDER-007483

T1:PS2 - Human Appetite and Nutrition

186 accepted poster

A COMBINATION OF FIBRE AND PROTEIN IN A BISCUIT AP-PEARED TO LOWER APPETITE WITH NO EFFECT ON ENERGYINTAKEA. Lesdema1, G. Fromentin1, A. Arlotti2, S. Vinoy2, A. Gheorghe1, R.Benamouzig1, D. Tome1, A. Marsset-Baglieri11 AGROPARISTECH, INRA, CNRH-IDF,, UMR914 Nutrition Physiologyand Ingestive Behavior, Paris, France2 KRAFT FOODS EUROPE R&D, SACLAY, FRANCE, Nutrition andResearch, Saclay, France

Abstract Text: Introduction: The objective of this study was to evaluatethe single and potential combined effects of proteins and fibres inbiscuits. Methods: In a crossover randomised design, 56 subjectsattended the laboratory on 4 days and test one different biscuit eachday at breakfast time: control biscuit (C), fibre-enriched biscuit (F),protein-enriched biscuit (P), fibre and protein-enriched biscuit (FP).Energy intake was evaluated daily by measuring food consumptionduring ad libitum standard lunch, afternoon snack and dinner. They alsohad to fill VAS at regular time interval in order to evaluate their appetite.Among the 56 volunteers, 16 attended the laboratory on the next dayso that different parameters of satiety such as gastric emptying andgastrointestinal hormones were measured. Results: The first results on52 volunteers showed no significant effect of the enriched biscuits onfood intake at the next ad libitum meal served 3h after breakfast and fordaily energy intake, compared to the control biscuit. Concerning appetitesensations, preliminary results revealed lower prospective consumption,pleasure to eat and appetite after FP compared to P biscuit. F and FPappeared to slow gastric emptying whereas no effect on gastric emptyingwas observed for P biscuit (n=9). Conclusion: Fibres and proteins whencombined in a biscuit seemed to have stronger effect than single proteinenriched biscuit. Further analysis should help to confirm our results.Conflict of Interest: None disclosedFunding: Research relating to this abstract was funded by AgenceNationale de la Recherche (ANR) in the framework of BISENS projectwith AgroParisTech, INRA, Kraft Foods Europe-R&D Biscuit, andPolytech Paris-UMPC.

187 accepted poster

COMPARISON OF SUGGESTED FOOD PORTION SIZES ANDREPORTED INTAKE IN THE UK FOR FOODS HIGH IN FAT,SUGAR OR SALT.H. Lewis1, S. Jebb1

1 MRC HUMAN NUTRITION RESEARCH, Cambridge, United Kingdom

Abstract Text: Introduction: Portion sizes of foods high in fat, sugar orsalt (HFSS) are of concern for the development of obesity and relateddiseases. Little is known of the relationship between suggested portionsizes and food portions consumed.Methods: Suggested portion sizeschemes intended for adults in the UK were reviewed and 3 wereselected from a retailer, non-governmental organisation (NGO), andhealthcare professionals (HCP) body. Reported portion sizes of specificHFSS foods were determined using weighed food diaries from theNational Diet and Nutrition Survey (NDNS) 2000/2001 in adults (19-64years). One sample t-tests were performed and percentage differencescalculated to compare suggested portion sizes with mean reportedportion sizes.Results: Reported portion sizes of HFSS foods differedsignificantly from suggested portion sizes for all schemes (p<0.01) andwere generally larger (with the retailer oil portion a notable exception).The magnitude of the difference was generally smaller for the retailerschemes. % difference of reported intake compared to suggested portionsize in each scheme Food Retailer NGO HCP Cheese 16 16 16 Oil -6577 77 Butter 4 108 108 Fat spreads 22 144 144 Biscuits 57 167 167Ice cream 66 Crisps/Savoury snacks 18 Chocolate 58 Conclusion:Efforts to reduce portion size must recognise these discrepancies, whichpresent a significant barrier to effective communication of a healthy diet.Conflict of Interest: 1. Conflict of Interest: Susan Jebb is theindependent chair of the UK Responsibility Deal Food Network.Funding: 2. Funding: This study was funded by the Medical ResearchCouncil (U105960389).


T1:PS2 – HUMAN APPETITE AND NUTRITION



188 accepted poster

COMPENSATORY HUNGER RESPONSES TO PROLONGEDEXERCISE IN OBESE MEN AND WOMEN ARE MEDIATED BYGHRELINC. Gibbons1, P. Caudwell2, G. Finlayson2, M. Hopkins2, E. Naslund3, D.L. Webb4, N. King5, J. Blundell21 UNIVERSITY OF LEEDS, Leeds, United Kingdom2 UNIVERSITY OF LEEDS, School of Psychology, Leeds, United Kingdom3 KAROLINSKA INSTITUTET, Department of Clinical Sciences, Stockholm,Sweden4 UPPSALA UNIVERSITY, Gastroenterology5 QUEENSLAND UNIVERSITY OF TECHNOLOGY, Department of HumanMovement Sciences

Abstract Text: INTRODUCTION: Exercise as a method of weightloss for obesity often results in less than expected weight loss. Theimpact of exercise training on appetite paradoxically involves increasedfasting hunger and increased satiety after meals. Ghrelin, a hormoneassociated with the drive to eat, is paradoxically suppressed in obesecompared to lean individuals. We investigated the role of ghrelin in theeffect of exercise on changes in appetite in obese adults.METHODS:49 overweight/obese individuals (Age: 43yrs; BMI: 31kg/m2) completeda 12-week supervised exercise intervention, individually prescribed toexpend 2500kcal/week. Body composition, fasting ghrelin and subjectiveappetite ratings were objectively measured pre and post-intervention.RESULTS: During the intervention, parameters of body weight andfat decreased (BMI, BM, %BF, FM and WC, all p<0.001) and leanmass increased (FFM, p<0.05). Fasting ghrelin and hunger increased(p<0.05), whilst the post-meal satiety increased (p<0.05). Changes inghrelin were negatively associated with changes in BMI, %BF and FM(r=-0.365 to -0.374) and positively associated with hunger (r=0.409, allp<0.05). CONCLUSIONS: Reduced body fat during exercise training wasassociated with an increase (normalisation) of fasting ghrelin. The risein ghrelin was also associated with a compensatory increase in hunger.The absence of an effect on food intake was explained by a dual actionincrease in post-meal satiety. Appetite response to exercise seems toinvolve an increase in hunger mediated by an increase in ghrelin.Conflict of Interest:Funding: FUNDING: Biotechnology and Biological Sciences ResearchCouncil (Grant #BB/G005524/1).

189 accepted poster

CONSUMPTION OF FIBRE-ENRICHED BEVERAGES OVER 14DAYS DOES NOT DECREASE ENERGY INTAKE AT A SUBSE-QUENT AD-LIBITUM TEST MEALJ. Halford1, G. Hughes1, E. Boyland1, N. Williams1, J. Boza2, S. Park2,K. Cunningham3, D. Epely4, J. Blundell5, G. Finlayson5, J. Harrold1

1 UNIVERSITY OF LIVERPOOL, Experimental Psychology, Liverpool,United Kingdom2 THE COCA-COLA COMPANY, Atlanta, USA3 COCA-COLA EUROPEAN UNION GROUP4 COCOA-COLA SERVICES N.V.5 UNIVERSITY OF LEEDS, Institute of Psychological Sciences

Abstract Text: AimTo investigate the effects of fibre (20g dextrin fibre)on appetite and food and energy intake (gram/kcal) after 14 days dosingwhen incorporated into a 500ml flavoured water-based drink against aniso-caloric control. MethodsFifty four slightly overweight women (age39 (SD11.86), BMI 26.26 (SD2.25) kg/m2) completed a double-blind,randomised, within-subjects study consuming one 500ml beverage dailyfor two 14-day periods (separated by a 14-day washout). Beverageswere consumed for 13 days in a free -living situation, and on Day14 participants attended to measure appetite and food intake whileconsuming a fixed load breakfast, mid-morning beverage and ad-libitumlunch. ResultsOn Day 14 no significant effect of intake in grams wasfound at the test meal. Paradoxically an increase in energy intake (10%)was observed in the fibre condition compared to control (p=0.019). Thisremained evident even when excluding the calories in the beveragesfrom the analysis (p=0.05). A significant effect of condition on foodchoice was observed, due to increased consumption of high fat savouryitems in the fibre condition, which might have caused increased energyintake at Day 14 in fibre condition without increasing food intake ingrams. No significant differences in appetite ratings across the study daywere seen, apart from an increase in satisfaction in the fibre condition(p=0.023).ConclusionThese findings suggest that a 500ml beveragecontaining 20g dextrin fibre did not affect appetite as compared to aniso-caloric control after repeated dosing over two weeks in overweightwomen.Conflict of Interest: Payment received from Coca Cola PLCFunding: Research related to this abstract was funded by Coca ColaPLC.

190 accepted poster

CROSS-SECTIONAL AND LONGITUDINAL ASSOCIATIONS OFAPPETITIVE TRAITS WITH CHILDREN’S WEIGHT AND FRUIT,SNACK AND SUGAR-SWEETENED BEVERAGE INTAKEG. Rodenburg12, S. Kremers3, A. Oenema3, D. Van de Mheen12

1 IVO ADDICTION RESEARCH INSTITUTE, Rotterdam, Netherlands2 ERASMUS MC, Rotterdam, Netherlands3 MAASTRICHT UNIVERSITY, Department of Health Promotion, Maas-tricht, Netherlands

Abstract Text: IntroductionThis study examined cross-sectional andlongitudinal associations (one-year follow-up) of children’s appetitivetraits with BMI z-scores and fruit, snack and sugar-sweetened beverage(SSB) intake. MethodsData were used from 1,275 children participatingin the INPACT study in 2009 and 2010, with a mean age of 9 years in2009. Their height and weight were measured to calculate their BMI.Parents completed a questionnaire to measure children’s appetitivetraits, fruit, snack and SSB intake. Appetitive traits were measured usinga validated Dutch translation of the Children’s Eating Behaviour Ques-tionnaire (CEBQ). Child BMI z-scores, fruit, snack and SSB intake wereregressed on CEBQ subscales using cross-sectional and longitudinaldata. ResultsRegression analyses revealed that ’food approaching’CEBQ subscales (food responsiveness, enjoyment of food, emotionalovereating, desire to drink) were positively, and ’food avoidant’ subscales(satiety responsiveness, slowness in eating, emotional undereating,food fussiness) were negatively related to child BMI z-scores in 2010.Child fruit intake was positively associated with two food approachingsubscales (food responsiveness and enjoyment of food) and negativelywith all food avoidant subscales. There were no or less consistentassociations with snack and SSB intake. None of the subscales predictedchanges in child BMI z-scores and intake behaviours between 2009 and2010. ConclusionsFood approaching appetitive traits were positively,while food avoidant appetitive traits were negatively associated withchild weight and fruit intake. Early assessment of appetitive traits couldbe used to identify children at risk for overweight and target them forpreventive interventions.Conflict of Interest: The authors declare no conflict of interest.Funding: Financial support for the INPACT study was providedby ZonMw, the Netherlands Organisation for Health Research andDevelopment (grant ID no. 121010011). All research by G. Rodenburgis financed by IVO Addiction Research Institute Rotterdam and by theDepartment of Public Health, Erasmus Medical Center Rotterdam.None of the funding sources had any influence on the data analyses,interpretation and presentation.

191 accepted poster

EFFECT OF A BEVERAGE CONTAINING PARTIALLY HY-DROLYZED GUAR GUM ON SATIETY AND ENERGY INTAKE INHEALTHY VOLUNTEERSS. Park1, J. Boza1, M. LaSalle1, D. Striegel1, S. Hull2, R. Re2

1 THE COCA-COLA COMPANY, RD Center, Atlanta, USA2 LEATHERHEAD FOOD RESEARCH, Nutrition

Abstract Text: Introduction: To assess satiety effects of a beveragecontaining partially hydrolyzed guar gum (PHGG; 3.72 g/330 ml; 7.44g/d) against an isocaloric, PHGG free beverage (Placebo) and a NoBeverage Control (NBC). Methods: Thirty two healthy volunteers (meanage: 43 years, BMI: 25.1 kg/m2) successfully completed a randomized,controlled, crossover study consuming two beverages daily for a 2-wkadaptation (separated by 2-wk washout). Satiety was measured byVisual Analogue Scale (VAS) every 15 min for a 4-h test period andad libitum energy intake at the next meal in an acute test day beforeand after the 2-wk adaptation. Subjects consumed the 1st servingwith the breakfast and the 2nd as a mid-morning snack drink. Energyintake data were analyzed via paired T-test and VAS scores usinganalysis of variance (ANOVA), modelfit via F-test and stepwise multipleregression. Subjects did not consume test beverage during NBC phase.Results: Consuming a beverage containing 3.72 g PHGG/serving, 2servings/d significantly increased satiety feelings compared to Placeboand NBC and reduced energy intake from the next meal by 101 kcalbefore (p=0.046) and 71 kcal after (p>0.05) the 2-wk adaptation ascompared to NBC. When excluding calories in the PHGG beverage, theintake reduction against NBC was no longer significant. PHGG loweredenergy intake non-significantly by 52 kcal before and 40 after the 2-wkadaptation compared to isocaloric Placebo.Conclusion: Ingesting 2servings of beverage with 3.72 g PHGG/serving significantly increasedsatiety and non-significantly reduced next meal energy intake in healthyvolunteers.



188 accepted poster

COMPENSATORY HUNGER RESPONSES TO PROLONGEDEXERCISE IN OBESE MEN AND WOMEN ARE MEDIATED BYGHRELINC. Gibbons1, P. Caudwell2, G. Finlayson2, M. Hopkins2, E. Naslund3, D.L. Webb4, N. King5, J. Blundell21 UNIVERSITY OF LEEDS, Leeds, United Kingdom2 UNIVERSITY OF LEEDS, School of Psychology, Leeds, United Kingdom3 KAROLINSKA INSTITUTET, Department of Clinical Sciences, Stockholm,Sweden4 UPPSALA UNIVERSITY, Gastroenterology5 QUEENSLAND UNIVERSITY OF TECHNOLOGY, Department of HumanMovement Sciences

Abstract Text: INTRODUCTION: Exercise as a method of weightloss for obesity often results in less than expected weight loss. Theimpact of exercise training on appetite paradoxically involves increasedfasting hunger and increased satiety after meals. Ghrelin, a hormoneassociated with the drive to eat, is paradoxically suppressed in obesecompared to lean individuals. We investigated the role of ghrelin in theeffect of exercise on changes in appetite in obese adults.METHODS:49 overweight/obese individuals (Age: 43yrs; BMI: 31kg/m2) completeda 12-week supervised exercise intervention, individually prescribed toexpend 2500kcal/week. Body composition, fasting ghrelin and subjectiveappetite ratings were objectively measured pre and post-intervention.RESULTS: During the intervention, parameters of body weight andfat decreased (BMI, BM, %BF, FM and WC, all p<0.001) and leanmass increased (FFM, p<0.05). Fasting ghrelin and hunger increased(p<0.05), whilst the post-meal satiety increased (p<0.05). Changes inghrelin were negatively associated with changes in BMI, %BF and FM(r=-0.365 to -0.374) and positively associated with hunger (r=0.409, allp<0.05). CONCLUSIONS: Reduced body fat during exercise training wasassociated with an increase (normalisation) of fasting ghrelin. The risein ghrelin was also associated with a compensatory increase in hunger.The absence of an effect on food intake was explained by a dual actionincrease in post-meal satiety. Appetite response to exercise seems toinvolve an increase in hunger mediated by an increase in ghrelin.Conflict of Interest:Funding: FUNDING: Biotechnology and Biological Sciences ResearchCouncil (Grant #BB/G005524/1).

189 accepted poster

CONSUMPTION OF FIBRE-ENRICHED BEVERAGES OVER 14DAYS DOES NOT DECREASE ENERGY INTAKE AT A SUBSE-QUENT AD-LIBITUM TEST MEALJ. Halford1, G. Hughes1, E. Boyland1, N. Williams1, J. Boza2, S. Park2,K. Cunningham3, D. Epely4, J. Blundell5, G. Finlayson5, J. Harrold1

1 UNIVERSITY OF LIVERPOOL, Experimental Psychology, Liverpool,United Kingdom2 THE COCA-COLA COMPANY, Atlanta, USA3 COCA-COLA EUROPEAN UNION GROUP4 COCOA-COLA SERVICES N.V.5 UNIVERSITY OF LEEDS, Institute of Psychological Sciences

Abstract Text: AimTo investigate the effects of fibre (20g dextrin fibre)on appetite and food and energy intake (gram/kcal) after 14 days dosingwhen incorporated into a 500ml flavoured water-based drink against aniso-caloric control. MethodsFifty four slightly overweight women (age39 (SD11.86), BMI 26.26 (SD2.25) kg/m2) completed a double-blind,randomised, within-subjects study consuming one 500ml beverage dailyfor two 14-day periods (separated by a 14-day washout). Beverageswere consumed for 13 days in a free -living situation, and on Day14 participants attended to measure appetite and food intake whileconsuming a fixed load breakfast, mid-morning beverage and ad-libitumlunch. ResultsOn Day 14 no significant effect of intake in grams wasfound at the test meal. Paradoxically an increase in energy intake (10%)was observed in the fibre condition compared to control (p=0.019). Thisremained evident even when excluding the calories in the beveragesfrom the analysis (p=0.05). A significant effect of condition on foodchoice was observed, due to increased consumption of high fat savouryitems in the fibre condition, which might have caused increased energyintake at Day 14 in fibre condition without increasing food intake ingrams. No significant differences in appetite ratings across the study daywere seen, apart from an increase in satisfaction in the fibre condition(p=0.023).ConclusionThese findings suggest that a 500ml beveragecontaining 20g dextrin fibre did not affect appetite as compared to aniso-caloric control after repeated dosing over two weeks in overweightwomen.Conflict of Interest: Payment received from Coca Cola PLCFunding: Research related to this abstract was funded by Coca ColaPLC.

190 accepted poster

CROSS-SECTIONAL AND LONGITUDINAL ASSOCIATIONS OFAPPETITIVE TRAITS WITH CHILDREN’S WEIGHT AND FRUIT,SNACK AND SUGAR-SWEETENED BEVERAGE INTAKEG. Rodenburg12, S. Kremers3, A. Oenema3, D. Van de Mheen12

1 IVO ADDICTION RESEARCH INSTITUTE, Rotterdam, Netherlands2 ERASMUS MC, Rotterdam, Netherlands3 MAASTRICHT UNIVERSITY, Department of Health Promotion, Maas-tricht, Netherlands

Abstract Text: IntroductionThis study examined cross-sectional andlongitudinal associations (one-year follow-up) of children’s appetitivetraits with BMI z-scores and fruit, snack and sugar-sweetened beverage(SSB) intake. MethodsData were used from 1,275 children participatingin the INPACT study in 2009 and 2010, with a mean age of 9 years in2009. Their height and weight were measured to calculate their BMI.Parents completed a questionnaire to measure children’s appetitivetraits, fruit, snack and SSB intake. Appetitive traits were measured usinga validated Dutch translation of the Children’s Eating Behaviour Ques-tionnaire (CEBQ). Child BMI z-scores, fruit, snack and SSB intake wereregressed on CEBQ subscales using cross-sectional and longitudinaldata. ResultsRegression analyses revealed that ’food approaching’CEBQ subscales (food responsiveness, enjoyment of food, emotionalovereating, desire to drink) were positively, and ’food avoidant’ subscales(satiety responsiveness, slowness in eating, emotional undereating,food fussiness) were negatively related to child BMI z-scores in 2010.Child fruit intake was positively associated with two food approachingsubscales (food responsiveness and enjoyment of food) and negativelywith all food avoidant subscales. There were no or less consistentassociations with snack and SSB intake. None of the subscales predictedchanges in child BMI z-scores and intake behaviours between 2009 and2010. ConclusionsFood approaching appetitive traits were positively,while food avoidant appetitive traits were negatively associated withchild weight and fruit intake. Early assessment of appetitive traits couldbe used to identify children at risk for overweight and target them forpreventive interventions.Conflict of Interest: The authors declare no conflict of interest.Funding: Financial support for the INPACT study was providedby ZonMw, the Netherlands Organisation for Health Research andDevelopment (grant ID no. 121010011). All research by G. Rodenburgis financed by IVO Addiction Research Institute Rotterdam and by theDepartment of Public Health, Erasmus Medical Center Rotterdam.None of the funding sources had any influence on the data analyses,interpretation and presentation.

191 accepted poster

EFFECT OF A BEVERAGE CONTAINING PARTIALLY HY-DROLYZED GUAR GUM ON SATIETY AND ENERGY INTAKE INHEALTHY VOLUNTEERSS. Park1, J. Boza1, M. LaSalle1, D. Striegel1, S. Hull2, R. Re2

1 THE COCA-COLA COMPANY, RD Center, Atlanta, USA2 LEATHERHEAD FOOD RESEARCH, Nutrition

Abstract Text: Introduction: To assess satiety effects of a beveragecontaining partially hydrolyzed guar gum (PHGG; 3.72 g/330 ml; 7.44g/d) against an isocaloric, PHGG free beverage (Placebo) and a NoBeverage Control (NBC). Methods: Thirty two healthy volunteers (meanage: 43 years, BMI: 25.1 kg/m2) successfully completed a randomized,controlled, crossover study consuming two beverages daily for a 2-wkadaptation (separated by 2-wk washout). Satiety was measured byVisual Analogue Scale (VAS) every 15 min for a 4-h test period andad libitum energy intake at the next meal in an acute test day beforeand after the 2-wk adaptation. Subjects consumed the 1st servingwith the breakfast and the 2nd as a mid-morning snack drink. Energyintake data were analyzed via paired T-test and VAS scores usinganalysis of variance (ANOVA), modelfit via F-test and stepwise multipleregression. Subjects did not consume test beverage during NBC phase.Results: Consuming a beverage containing 3.72 g PHGG/serving, 2servings/d significantly increased satiety feelings compared to Placeboand NBC and reduced energy intake from the next meal by 101 kcalbefore (p=0.046) and 71 kcal after (p>0.05) the 2-wk adaptation ascompared to NBC. When excluding calories in the PHGG beverage, theintake reduction against NBC was no longer significant. PHGG loweredenergy intake non-significantly by 52 kcal before and 40 after the 2-wkadaptation compared to isocaloric Placebo.Conclusion: Ingesting 2servings of beverage with 3.72 g PHGG/serving significantly increasedsatiety and non-significantly reduced next meal energy intake in healthyvolunteers.





Conflict of Interest: Sonhee Park, Julio Boza, Mark LaSalle, and DonStriegel are full-time employees of The Coca-Cola CompanyFunding: Research related to this abstract was funded by The Coca-Cola Company

193 accepted poster

EFFECTS OF 8 WEEKS OLIGOFRUCTOSE SUPPLEMENTATIONON GASTROINTESTINAL HORMONES AND BODY WEIGHT INOVERWEIGHT AND OBESE ADULTSN. Mat Daud1, N. Ismail1, A. Goldstone2, E. Thomas2, J. Bell2, P.Bech1, A. Hogben1, M. Ghatei1, C. Pedersen1, G. Frost11 IMPERIAL COLLEGE LONDON, Division of Diabetes, Endocrinology andMetabolism, London, United Kingdom2 IMPERIAL COLLEGE LONDON, Metabolic and Molecular Imaging Group,MRC Clinical Sciences Centre, London, United Kingdom

Abstract Text: Introduction: Oligofructose, a fermentable carbohydrate,has been shown to stimulate the release of peptide YY (PYY) andglucagon-like-peptide 1 (GLP-1) in rodents (Cani et al. 2004, Delzenneet al. 2005). This study investigated the effects of oligofructose onsubjective appetite, gastrointestinal hormones, energy intake (EI) andbody weight (BW) following 8 weeks supplementation in overweight andobese adults.Methods:22 healthy subjects (mean age 30±8 years andBMI 31.1±3.4 kg/m2) completed a randomised, double-blinded, parallelstudy comprised of a 2 week run-in and 30 g/day supplementation ofeither oligofructose (n=12) or cellulose (n=10) for 6 weeks. On day 0(baseline) and day 56 (post-supplementation), a standardised breakfastand lunch were served and EI assessment was evaluated during thead libitum evening meal. Appetite ratings, breath hydrogen, bloodsamples for PYY, GLP-1, insulin levels and BW were assessed onboth study days.Results: Oligofructose supplementation significantlyincreased PYY levels (p=0.037) and reduced EI (p=0.007) compared tobaseline, but was not different (p=0.186, p=0.776) compared to cellulose.Increased PYY secretion was associated with significantly increasedbreath hydrogen production (p=0.005). However, GLP-1 (p=0.192) andinsulin secretion (p=0.534) were not affected by oligofructose treatment.8 weeks supplementation with oligofructose although significantlydecreased subjective hunger (p=0.032), showed no significant effecton BW compared with cellulose (p=0.374).Conclusion: Oligofructoseshowed a short term effect on modulating plasma PYY which wasassociated with increased colonic fermentation. However, the PYY levelsdemonstrated in this study were possibly insufficient to affect EI and longterm energy balance.Conflict of Interest:Funding: This work was funded by Imperial College London Trust.Oligofructose and cellulose were kindly provided by Orafti (Tienen,Belgium). The following authors, Norlida Mat Daud is awarded a PhDstudentship from the Ministry of Higher Education Malaysia and NationalUniversity of Malaysia, Nurhafzan Ismail is awarded a PhD studentshipfrom The Ministry of Rural and Regional Development Malaysia (MARA)and Camilla Pedersen was awarded a PhD studentship from NuSISCO,EU 6th Framework Programme. The Section is also funded by grantsfrom the MRC, BBSRC, NIHR, an Integrative Mammalian Biology (IMB),Capacity Building Award, an FP7-HEALTH- 2009- 241592 EuroCHIPgrant and is supported by the NIHR Imperial Biomedical ResearchCentre Funding Scheme.

194 accepted poster

EVALUATION OF SENIOR SECONDARY SCHOOL STUDENTS’DIETARY HABITST. Deliens1, B. Deforche1, P. Clarys1

1 VRIJE UNIVERSITEIT BRUSSEL, Faculty of Physical Education andPhysiotherapy, Department of Human Biometry and Biomechanics,Brussel, Belgium

Abstract Text: Introduction: The transition from secondary school touniversity may be a critical period regarding weight gain. Therefore thepurpose of this study is to identify changes in nutritional habits throughoutthe freshman year. As being the first of a series of measurements,baseline body mass index (BMI) and last year’s dietary habits have beenevaluated. Methods: A retrospective self-reported questionnaire wasused to assess dietary habits in the last year of secondary school in275 first year university students (18.2±0.7yrs) with an average BMIof 21.2(±2.8)kg/m. Results: Only 68.7% of the participants reportedeating breakfast every day and 35.3% ate their warm meal for one ormore days per week outdoors. 24.0% of the students reported eatingsnacks every day less than 2h before bedtime. Only 18.6% consumed 2or more portions of fruit per day and 70.6% had less than 2 portions ofvegetables per day. Respectively 48.4% and 31.6% of the participants

ate French fries and fast food at least once a week. 26.9% consumeddaily sweet beverages such as sodas and 31.6% reported drinking everyweek at least 1 alcohol containing drink. Conclusion: Senior secondaryschool students already seem to have some shortcomings in their eatingpattern. Transition from secondary school to university may even worsendietary habits in students. Therefore follow-up measurements throughout4 years of university will be conducted to track these changes in order todesign an intervention programme. First follow-up measurements after 5months of university will be conducted in 2 months.Conflict of Interest:Funding:

195 accepted poster

EVALUATION OF THE RELATIONSHIP BETWEEN THE FASTINGGHRELIN LEVELS AND THE CONTENT OF BASIC NUTRIENTSIN EVERY-DAY DIET IN OBESE AND NORMAL WEIGHT SUB-JECTS.L. Ostrowska1, K. MALISZEWSKA2, E. Adamska3, M. Waszczeniuk1, J.Goscik2, A. Citko2, A. Nikołajuk2, A. Kretowski2, M. Górska2

1 MEDICAL UNIVERSITY, Department of Dietetics and Clinical Nutrition,Białystok, Poland2 MEDICAL UNIVERSITY, Department of Endocrinology, Diabetology andInternal Medicine, Białystok, Poland3 MEDICAL UNIVERSITY, Department of Endocrinology, Diabetologyand Internal Medicine, Department of Dietetics and Clinical Nutrition,Białystok, Poland

Abstract Text: Introduction: There is growing evidence that gutpeptides play important role in the regulation of food intake and thatfasting level of ghrelin reflects deficit/ excess of energy status of body.Objective: The objective of the study was to evaluate an associationbetween the acylated/total ghrelin levels and content of basic nutrientsin every-day diet in obese and normal weight subjects. Methods: In 74volunteers, including 42 obese/overweight and 32 normal weight adultsenergy value and content of carbohydrates, fat, proteins were estimatedusing nutritional report for 3 days before the fasting total/acylatedghrelin levels, BMI and body composition were measured. Results:We observed a negative correlation between the ghrelin levels and BMIor the body fat content in women (p=0,003; p=0,000, respectively).The correlation of the level of fasting total ghrelin concentration withmacronutrient composition depended on the obesity/weight excess:ghrelin levels negatively correlated with the content of carbohydrates indiet in the obese women (p=0,029), but positively correlated with contentof fat in diet in women with normal weigh (p=0,032). Moreover we founda negative correlation between level of acylated ghrelin and body fatpercentage (p=0,02) and positive correlation with energetic value andenergetic density of diet (p=0,028, p=0,20, respectively) in women withnormal weight. Conclusions: Our study suggests that fasting levelof acylated and total ghrelin may correlate with percentage content ofcarbohydrates and fat in diet depending on the current energy state ofthe body.Conflict of Interest:Funding: Acknowledgement: The study was supported by the MNiSzWgrant (4774/B/P01/2009/37).

196 accepted poster

EXERCISE CREATES SIMILAR POSITIVE CHANGES IN HEALTHMARKERS INDEPENDENT OF EXERCISE INDUCED WEIGHTLOSS IN OBESE MEN AND WOMEN.M. Hopkins1, P. Caudwell1, C. Gibbons1, N. King2, G. Finlayson1, J. E.Blundell11 UNIVERSITY OF LEEDS, Institute of Psychological Sciences, Leeds,United Kingdom2 QUEENSLAND UNIVERSITY OF TECHNOLOGY

Abstract Text: Introduction: Exercise is a commonly prescribed meansof promoting weight loss, but the independent health benefits of exerciseare not typically emphasized. Methods: 107 overweight and obese adults(men =35, women =72; BMI 31.4±4.2kg/m2) completed a supervised 12week exercise program expending 2500kcal/wk at 70% of their maximumheart rate. Body composition, blood pressure (BP), cardiovascularfitness (VO2max) and resting heart rate (RHR) were measured at weeks0 and 12. Results: While there was a significant mean reduction inbody weight (-3.2±3.2kg, p<0.0001), large individual variability in bodyweight change was seen (range: -14.7 to +3.7kg) and some individuals(n = 59) failed to change body composition as predicted (-0.8±2.1kgbody mass and -1.3±2.1kg fat mass). Despite this lower than predictedweight loss, these individuals still demonstrated significant increasesin cardiovascular fitness (+5.6±7.2ml.kg.min-1; p<0.0001) and fat-free





mass (+0.56±1.3kg, p=0.002). Furthermore, there were significantreductions in RHR (-3.7±7.5bpm), diastolic BP (-2.4±6.6mmHg,p=0.008), waist circumference (-3.2±2.7cm, p<0.00001) and percentagebody fat (-1.4±1.8, p<0.0001). The reductions in BP were even moremarked in those classified as hypertensive at week 0 (≥135/90mmHg),with a -13.0±10.1mmHg and -8.3±5.9mmHg reduction seen in systolicand diastolic BP, respectively. Again, these changes were independentof weight loss. Conclusions: These data demonstrate that significantand meaningful health benefits can be achieved independent of weightchange. Therefore, the current public health focus on weight loss shouldbe reduced and more attention focussed on improving general health.Conflict of Interest:Funding: Funding: Biotechnology and Biological Sciences ResearchCouncil (BB51/B/05079 and BB/G005524/1).

197 accepted poster

MODERATE AMOUNTS OF FRUCTOSE IMPAIR INSULINSENSITIVITY IN HEALTHY YOUNG MEN – A RANDOMIZEDCONTROLLED TRIALI. Aeberli12, M. Hochuli1, P. A. Gerber1, L. Sze1, S. B. Murer2, G. A.Spinas1, K. Berneis1

1 UNIVERSITY HOSPITAL ZURICH, Zurich, Switzerland2 ETH ZURICH, Zurich, Switzerland

Abstract Text: Introduction Overfeeding trials with high fructose dietshave shown adverse effects on insulin sensitivity and lipids in humansubjects. The effects of moderate amounts of fructose in isocaloricdiets, however, have not been well studied. The aim of this studywas therefore to assess the effect of moderate amounts of fructoseand sucrose compared to glucose on glucose metabolism and lipidprofiles.Methods Four interventions were assigned to each of 9 healthy,normal weight subject in this randomized, cross-over trial: mediumfructose (MF, 40 g/day), high fructose (HF), glucose (HG) and sucrose(HS) (each 80 g/day), all provided as 600 ml sweetened beverages perday. Euglycemic-hyperinsulinemic clamps with 6,6 2H2 glucose labelingwere used at the end of each intervention to measure endogenousglucose production. Lipid profile as well as fasting glucose and insulinwere measured in fasting samples. Dietary intake was assessed usingweighted food records at baseline and after each intervention.ResultsEndogenous glucose production in the liver was significantly higher afterHF compared to HG (ratio clamp/baseline: 0.41 ± 0.11 vs. 0.30 ± 0.10,p=0.009). Compared to HG, both LDL cholesterol and total cholesterolwere significantly higher after MF, HF and HS (p<0.05). Free fatty acidywere further increased after MF compared to HG (p=0.033), while nodifferences were seen between the interventions for HDL cholesterolor triglycerides.Conclusion This study clearly shows the adverse effectalready of moderate amounts of fructose and sucrose on hepatic insulinsensitivity and lipid metabolism compared to similar amounts of glucose.Conflict of Interest: None of the authors have any conflict of interestwith regard to this study.Funding: This study was funded by the Swiss National ScienceFoundation and the Vontobel Foundation.

198 accepted poster

MYCOPROTEIN REDUCES ENERGY INTAKE IN COMPARISONTO CHICKEN IN HEALTHY OVERWEIGHT ADULTSJ. Bottin1, E. Cropp1, T. Finnigan2, G. Frost11 IMPERIAL COLLEGE LONDON, Medicine, London, United Kingdom2 MARLOW FOODS, Innovation

Abstract Text: Introduction: Mycoprotein is a food ingredient derivedfrom a filamentous fungus Fusarium venenatum. Previous data showedthat the consumption of mycoprotein reduces energy intake compared toother sources of protein (Burley et al., 1993; Turnbull et al., 1993). Theaim of the present study was to assess for the first time which dose ofmycoprotein would be sufficient to decrease energy intake at a subse-quent meal in healthy overweight adults.Methods:35 healthy overweightvolunteers attended the research unit on 7 separate occasions. Followingan overnight fast, participants were asked to consume an isocaloric testmeal containing either mycoprotein or chicken at a low (21g), medium(27g) or high (32g) protein level in a randomised order. Fasting and post-prandial blood samples were collected at regular intervals over 3 hours.Feelings of appetite were recorded using visual analogue scores. An ad-libitum lunch was served at the end of the study day from which energyintake was calculated.Results:The energy intake at lunch was lower fol-lowing the consumption of mycoprotein at each level of protein. How-ever only the highest dose of mycoprotein significantly decreased en-ergy intake (chicken 701kcal ± 58kcal, mycoprotein 648kcal ± 57kcal,p=0.006). Mycoprotein increased fullness at the highest level (p=0.06).

Conclusions:High levels of mycoprotein significantly reduce energy intakein healthy overweight adults. Mycoprotein might be useful in the dieteticprevention of body weight gain. Further research is needed to investigatethe effect of mycoprotein supplementation on body weight.

Conflict of Interest:Funding: The Section is funded by grants from the MRC, BBSRC, NIHR,an Integrative Mammalian Biology (IMB) Capacity Building Award, anFP7-HEALTH-2009-241592 EuroCHIP grant and is supported by theNIHR Imperial Biomedical Research Centre Funding Scheme. This studywas supported by Marlow Foods, Stokesley, UK.

199 accepted poster

NUTRITIONAL INTAKE OF VITAMINS IN OBESTYE. Halmy1, L. Halmy1, A. Paksy1

1 HUNGARIAN SOCIETY FOR THE STUDY OF OBESITY, Budapest,Hungary

Abstract Text: Introduction: A general presumption is that food intakeof obese is characterized by high energy intake. The quality of the nu-trition is important from the point of view of the co-morbidities associ-ated with obesity.Aim: to examine the vitamin intakes of overweight andobeseMaterial and method: The dietary questionnaire was made on 462persons by Nutricomp 3.0. The underreporting (<1.1) and over reportingcases (>2.7) were rejected with Mifflin St Jeor method. Finally we statis-tically analysed 287 (62%) normal overweight obese and morbid obesepatients.Results: Fat and water soluble vitamin intake in overweight andobese people is below the international recommendations. Our resultswere compared to the 2010 US Dietary Guideline. The recommendedvalues were not reached in 100% in the obese group in the case of vita-min D and folic acid. The ratios of intake of the recommended values areshown in the table.

Vitamin intake by bodyweight kg decreased significantly (ANOVA p<0,01-0,001) by the increase of BMI. Similar results were found inboth gender. The morbid obese group showed lowest values in bothgender.Conclusion: Low vitamin intake calls attention to the importanceof dietary change and supplementation.Conflict of Interest: None disclosedFunding: None

200 accepted poster

OBESE MEN AND WOMEN SHOW SIMILAR WEIGHT LOSS ANDCOMPENSATORY APPETITE DURING A 12 WEEK SUPERVISEDEXERCISE PROGRAMMEP. Caudwell1, C. Gibbons2, M. Hopkins1, E. Naslund3, N. King4, G.Finlayson1, J. Blundell11 UNIVERSITY OF LEEDS, INSTITUTE OF PSYCHOLOGICAL SCIENCES2 UNIVERSITY OF LEEDS, Leeds, United Kingdom3 KAROLINSKA INSTITUTE, Department of Clinical Sciences, Stockholm,Sweden4 QUEENSLAND UNIVERSITY OF TECHNOLOGY, Department of HumanMovement Sciences, Kelvin Grove, Australia

Abstract Text: Background: In obese adults exercise alone oftenproduces little or moderate weight loss and females are reported to loseless weight than males. Changes in body composition in response to





exercise training may also differ according to gender. This study com-pared changes in weight and body composition in response to a 12-weekexercise intervention in obese males and females. Differences in com-pensatory appetite and food intake were examined.Methods: 35 maleand 72 female obese adults (BMI: 31.4±4.2kg/m2; Age: 40.9±9.2years)completed a supervised 12-week exercise program (2500kcal/wk;70%HRmax). Anthropometric, physiological and behavioural variableswere measured at weeks 0 and 12. Total-day energy intake was mea-sured objectively using a test meal design.Results: In males and femalesthere were reductions in body mass (M:-3.03±3.4; F:-2.28±3.1kg),fat mass (M:-3.14±3.7; F:-3.01±3.0kg) and %body fat (M:-2.45±3.3;F:-2.45±2.2%) (all p<0.0001). Changes in body mass and fat mass didnot differ between males and females (p=.26-.89). After the intervention,fasting hunger levels had increased (p<0.0001) but this effect was similarin both genders (p=.52) and not matched by an increase in energy intake(p=.45). Observed variance within each gender was far greater than thesmall differences between males and females. Conclusions: Males andfemales responded to 12-weeks exercise training in a similar mannerwith equivalent fat loss. There were also similar compensatory appetiteresponses after the exercise intervention. Gender differences in weightloss and appetite do not occur when exercise training is mandatory,supervised and energy expenditure is fixed.Conflict of Interest:Funding: Funding: BBSRC (BB51/B/05079 and BB/G005524/1).

201 accepted poster

OVERWEIGHT CHILDREN DISPLAY ENHANCED REWARDRESPONSES TO FOOD-RELATED PICTURES AND ODOURST. JIANG1, B. Schaal2, V. Boulanger2, R. Soussignan2

1 CENTRE DE RECHERCHE EN NEUROSCIENCES DE LYON, CNRS (UMR5292), UNIVERSITÉ CLAUDE BERNARD LYON 1-INSERM 1028, Lyon,France2 DEVELOPMENTAL ETHOLOGY AND COGNITIVE GROUP, CENTRE DESSCIENCES DU GOÛT ET DE L’ALIMENTATION, CNRS (UMR 6265),UNIVERSITÉ DE BOURGOGNE

Abstract Text: Introduction: One current hypothesis presumes thatthe over-activity of the reward system plays a critical role in the develop-mental trajectory towards overweight/obesity. Thus, behavioral reactivityto food cues may be relevant not only to better understand how rewardprocesses regulate food intake, but also to explore potential risk factorsleading to develop overweight and obesity. Methods: Using olfactory andvisual stimuli representing either food or non-food objects, we comparedconvergent measures of food reward (orofacial reactivity, self-ratedliking/wanting when exposed to visually/olfactorily-cued foods, generalfood preferences) and cognition (food/non-food odor categorization,nutritional knowledge) in 20 overweight (OW) and 20 normal-weight (NW)children (aged 6-11 years) before and after they ate lunch. Results:It came out that: 1) Increased orofacial reactivity was associated withhigher liking and wanting of sensorily-cued foods. 2) Lip sucking emergedas the most discriminative measure between OW and NW children,with significantly more lip sucking for high-energy food stimuli in OWchildren. 3) OW children categorized more frequently non-food odorantsas food items in the pre-prandial than in post-prandial state. Finally, 4)Nutritional knowledge was not correlated with any of the reward-relatedmeasures. Conclusion: The over-activity of reward system in OWchildren is evidenced by one of its implicit behavioral components, lipsucking. In addition, the cognitive bias noted in OW children might favorhigher acceptance of foods. Orofacial responsiveness is suggested asan index of anticipatory liking, which can be considered as a correlate ofthe development of overweight/obesity in children.Conflict of Interest: None DisclosedFunding: Regional Council of Burgundy (PARI 2010)

202 accepted poster

OVERWEIGHT IMPAIRS EFFICACY OF IRON SUPPLEMEN-TATION IN IRON DEFICIENT SOUTH AFRICAN CHILDREN: ARANDOMIZED CONTROLLED INTERVENTIONJ. Baumgartner12, C. M. Smuts2, I. Aeberli1, L. Malan2, H. Tjalsma3, M.B. Zimmermann1

1 ETH ZURICH, Zurich, Switzerland2 NORTH-WEST UNIVERSITY3 RADBOUD UNIVERSITY NIJMEGEN MEDICAL CENTRE

Abstract Text: Introduction: Many countries in the nutrition transitionhave high rates of iron deficiency (ID) and overweight (OW). ID ismore common in OW children; this may be due to adiposity-relatedinflammation reducing iron absorption. Our objective was therefore todetermine if weight status predicts response to oral iron supplementation

in iron deficient South African children.Methods: A placebo-controlledtrial of oral iron supplements (50 mg, 4 x wk for 8.5 mo) was done iniron deficient 6-10 y-old children (n = 321); 28% were OW or obese.BMI-for-age z-scores (BAZ), hepcidin, hemoglobin, serum ferritin (SF),transferrin receptor (TfR), zinc protoporphyrin (ZPP) and C-reactiveprotein (CRP) were measured; body iron was calculated from the SF toTfR ratio.Results: At comparable levels of SF or body iron, children withhigher BAZ had higher hepcidin concentrations (BAZ*hepcidin interactionfor SF, P=0.038; for body iron, P=0.023). Higher BAZ predicted higherTfR (β=0.232, P<0.001) and lower body iron (β=-0.090, P=0.016)at endpoint, and increased the odds ratio (OR) for remaining ID atendpoint in both the iron and placebo groups (iron: OR 2.31, 95% CI:1.13-4.73; placebo: OR 1.78, 95% CI: 1.09-2.91).Conclusion: SouthAfrican children with high BAZ have a two-fold higher risk of remainingiron deficient after iron supplementation. This may be due to their higherhepcidin concentrations at a given level of body iron stores reducingnative and supplemental iron absorption. Thus, the current surge in OWin rapidly developing countries may undercut efforts to control anemia invulnerable groups.Conflict of Interest: None of the authors have any conflict of interestwith regard to this study.Funding: Supported by Unilever Research and Development, Vlaardin-gen, the Netherlands. Paul Lohmann GmbH (Lomapharm, Emmertal,Germany) provided the iron supplements.

203 accepted poster

SNACKS OF PRUNES AND RAISINS REDUCE ENERGY INTAKEAT AD-LIBITUM MEALS COMPARED TO EQUI-CALORIC CON-TROLJ. Harrold1, G. Hughes1, E. Boyland2, N. Williams1, J. Blundell3, G.Finlayson4, J. Higgs5, J. Harland6, J. Halford1

1 UNIVERSITY OF LIVERPOOL, Experimental Psychology, Liverpool,United Kingdom2 UNIVERSITY OF LIVERPOOL, Experimental Psycholoyg, Liverpool,United Kingdom3 UNIVERSITY OF LEEDS, Institute of Psychological Sciences4 UNIVERSITY OF LEEDS, INSTITUTE OF PSYCHOLOGICAL SCIENCES5 FOOD TO FIT6 HARLANDHALL ASSOCIATES

Abstract Text: AimTo assess the effects of prune and raisin snackson appetite and food intake compared to control at three ad-libitumeating occasions during the day. Methods40 overweight women (age34(SD14.7) y), BMI 28.3 (SD0.7) kg/m2) completed a single-blind,randomised, within-subjects study. The snacks were given in bothan energy-matched (equi-caloric) and a weight-matched condition toa control with similar sensory and nutritional characteristics includingcarbohydrate content. ResultsBoth the equi-caloric prune (pr) andequi-caloric raisin (rs) snack reduced energy intake at dinner (pr:p=0.004, rs: p=0.003), lunch and dinner combined (pr: p=0.004, rs:p=0.016); and lunch, dinner, evening snack box and snacks combined(pr: p=0.011, rs: p=0.028) compared to control. Subjective ratings ofhunger, fullness, and desire to eat post-dose to pre-meal show clearbetween-condition trends for the afternoon dose only suggesting theseeffects became apparent later in the day. Additionally a significantoverall increase in fullness was seen in the equi-caloric prune condition.Some differences in gastrointestinal effects were observed betweenconditions, reflective of recruitment of participants with low habitualfibre consumption, but these effects did not result in adverse events,differences in test product liking or difficulties in study participation.Conclusion This study provides strong evidence that the consumption ofprunes and raisins can reduce daily energy intake when used to replacesnacks containing more rapidly digestible carbohydrate. These findingsare consistent with smaller single test meal studies for prunes. Forraisins this study provides the first substantive evidence of their effect onfood intake and appetite expression.Conflict of Interest: Payment received from the California Prune BoardFunding: Research related to this abstract was funded by the CaliforniaPrune Board

204 accepted poster

THE EFFECT OF MEALS WITH DIFFERENT CONTENT OF CAR-BOHYDRATES ON SECRETION OF HORMONES REGULATINGFOOD INTAKE.L. Ostrowska1, E. Adamska2, M. Waszczeniuk1, J. Goscik3, A.Nikołajuk4, A. Kretowski4, M. Górska4

1 MEDICAL UNIVERSITY, Department of Dietetics and Clinical Nutrition,Białystok, Poland2 MEDICAL UNIVERSITY, Department of Endocrinology, Diabetologyand Internal Medicine, Department of Dietetics and Clinical Nutrition,




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Białystok, Poland3 MEDICAL UNIVERSITY, Department of Endocrinology, Diabetology andInternal Medicine, Center of Experimental Medicine , Białystok, Poland4 MEDICAL UNIVERSITY, Department of Endocrinology, Diabetology andInternal Medicine, Białystok, Poland

Abstract Text: Background and aim: There is some evidence thatdiets with different macronutrient composition have different effect onsecretion of hormones regulating food intake, glucose metabolismand fat accumulation. The aim of the study was to evaluate plasmaleptin and total ghrelin levels after meals with different carbohydratescontent. Methods and materials: Twenty (10 normal weight and 10overweight/obese) subjects received two standardized (450kcal) meals:89% of energy from carbohydrate, 11% from protein and 45% of energyfrom carbohydrate, 30% from protein, 25% from fat. Leptin and totalghrelin levels were measured in plasma at 0’, 30’, 60’, 120’, 180’ and240’ min after meals. The area under the curve (AUC) and relativechange in hormones levels were calculated. Results:Postprandialplasma leptin concentrations were significantly higher after the mealcontaining 45% of energy from carbohydrates when compared to themeal containing 89% of energy from carbohydrates (p=0,01). Increasedleptin levels were observed at 60 min of test and maintained for thenext 3 hours. Moreover we observed tendency to different secretionof ghrelin (p=0,12). After the meal containing 45% of energy fromcarbohydrates ghrelin levels decreased significantly within 60 min of test,whereas after the meal with higher carbohydrates content any significanteffect on ghrelin concentration during the first 120 min of test were notnoted. Conclusions: The results obtained clearly indicate that the mealwith lower percentage of carbohydrates creates the hormonal balancefavouring reduction of appetite.Conflict of Interest:Funding: Acknowledgement: The study was supported by the MNiSzWgrant (4774/B/P01/2009/37).

205 accepted poster

THE RELATIONSHIP BETWEEN APPETITE SCORES AND FOODINTAKE: AN ANALYSIS BASED ON 25 STUDIESB. Sadoul1, E. Schuring2, D. Mela3, H. Peters3

1 UNILEVER R&D VLAARDINGEN, Vlaardingen, Netherlands2 UNILEVER R&D VLAARDINGEN, Statistics, Vlaardingen, Netherlands3 UNILEVER R&D VLAARDINGEN, Nutrition Health, Vlaardingen,Netherlands

Abstract Text: Introduction: Several studies have assessed relationshipsof self-reported appetite (eating motivations, mainly by Visual AnalogueScales, VAS) with subsequent food intake (FI), though usually in smalldata sets with limited power. We therefore used a large data set toassess relationships of FI and VAS, and estimated the quantitativedifferences in VAS corresponding to consistent, significant differences inFI.Methods: Data came from 25 studies involving 549 volunteers, testingthe effects of various food ingredients in meal replacers or mini-drinks.In all studies VAS were recorded for periods ranging from 0.5-5 hourspost-meal, when FI was assessed by ad libitum intake. Relationshipsbetween pre-meal VAS scores and FI were examined by correlation andlinear mixed models (including subject characteristics).Results: VAScorrelations with FI were statistically significant, but of low magnitude(up to r=0.22; P<0.001). A model including hunger, age, gender, studysite and estimated basal metabolic rate explained 89% of the variance inFI. By looking at the smallest differences in VAS that corresponded tosignificant decreases in FI, it appears a change of about 15 mm on a 100mm scale was needed before consistent and significant changes in FIare observed.Conclusions: VAS and FI are correlated, but the magnitudeof the association is modest. Differences of about 15 mm on a 100 mmVAS would be the minimum effect size expected to result in consistent,significant differences in subsequent FI.Conflict of Interest: no Conflict of InterestFunding: Research was funded by Unilever

206 accepted poster

WHICH PLACE FOR DAIRY PRODUCTS IN A NUTRITIONALLYADEQUATE DIET ?A. Lluch1, M. MAILLOT2, E. CLERFEUILLE1, E. VERGER3, N.DARMON2, R. P. NATHALIE1

1 DANONE RESEARCH, PALAISEAU, France2 UMR NUTRITION HUMAINE INRA/UNIV AIX-MARSEILLE3 AGROPARISTECH-INRA UMR 914 PNCA

Abstract Text: The aim of this study was to analyse qualitative and quan-

titative changes in the dairy products consumption, needed to achievenutritional recommendations in a French adult population.An individualdiet model was developed using linear programming to simultaneouslymeet the French nutrient recommendations while deviating the least fromthe observed food diets (dietary survey INCA 1). Variations in weight,energy and nutrients in observed and modelled diet were calculated foreach food group (n=7), with a focus on dairy products (cheese, milk,yoghourts and dairy desserts).The results indicated that the weight of 3food groups significantly increased in the modelled diet: starchy foods(+ 37%), fruit & vegetables (+ 62%) and dairy products (+19%). Withinthe dairy category, there was an increase in the weight of yoghourts (+60%) and milk (+17%), a decrease of cheese (-48%), without significantchange of dairy desserts. In the modelled diet, the contribution of dairyproducts to the total decrease in SFA and sodium was exclusively due toa decrease in cheese. Interestingly, the dairy products did not contributeto the decrease in added sugars. In conclusion, linear programmingallows estimating the contribution of the different food groups andsubgroups in nutritionally adequate and socially acceptable diet. In aFrench population, among the dairy food group, increasing the intake ofthe lowest energy-dense dairy products (i.e. yoghourts and milk) wouldbe recommended. In the future, this approach could help to revise orprecise existing food-based dietary guidelines.Conflict of Interest:Funding:






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T1:PS3 - Psychological and Social �Aspects

207 accepted poster

BODY IMAGE DISSATISFACTION IN THE LOOK AHEAD STUDY:FOUR YEAR RESULTST. Stewart1, D. Williamson2, H. Han3, D. Ryan4, G. Bray4, F. Greenway4,M. Coday5, H. Mack6

1 PENNINGTON BIOMEDICAL RESEARCH CENTER, Behavior Technology,Baton Rouge, USA2 PENNINGTON BIOMEDICAL RESEARCH CENTER, Baton Rouge, USA3 PENNINGTON BIOMEDICAL RESEARCH CENTER, Statistics, BatonRouge, USA4 PENNINGTON BIOMEDICAL RESEARCH CENTER, Clinical Research,Baton Rouge, USA5 UNIVERSITY OF TENNESSEE HEALTH SCIENCE CENTER, PreventiveMedicine Psychiatry6 SEATTLE INSTITUTE FOR BIOMEDICAL AND CLINICAL RESEARCH,biomedical and clinical research

Abstract Text: Introduction: Obese individuals report greater dis-satisfaction with body size compared to normal-weight adults. Theprimary aim of this study was to determine whether participants inan intensive lifestyle intervention (ILI) experienced greater reductionsin body image dissatisfaction (BID) than participants in a diabetessupport/education (DSE) control group. Methods: Look AHEAD (Actionfor Health in Diabetes) is a multi-center/ randomized controlled trialexamining whether weight loss interventions reduce cardiovascularmorbidity/mortality in overweight individuals with type 2 diabetes. Thisstudy included 141 participants at one site (Pennington Biomedical)of the Look AHEAD study (ILI, n=70; DSE, n=71). Perceived currentand ideal body size were assessed by the Body Morph Assessment(BMA) at baseline and follow-up over four years. BID was defined bythe discrepancy between perceived current body size and ideal bodysize.Results: Participants in the ILI group lost more weight than thecontrol group (ILI= men lost 8.4% of their total body weight and womenlost 7.2%; DSE group= men lost 0.4% and women lost 0.9%) over fouryears. Participants in the ILI group had greater improvements in BID atyear 4 relative to DSE (men-p=.0013, women-p=.013). Although therewere no changes in perceived ideal body size in either group over fouryears, the ILI group reported greater decreases in perceived currentbody size (p < 0.05), resulting in greater reductions in BID.Conclusions:Participation in a behavioral weight loss program resulted in improvedBID relative to control for a four- year period. Further conclusions arepresented.Conflict of Interest: The authors have no conflicts of interest to declare.Funding: This study is supported by the Department of Health andHuman Services through the following cooperative agreements from theNational Institutes of Health: Study of Health Outcomes of Obesity (LookAHEAD Trial) NIH U01 DK 56990, 1999-2006, extended 2006-2013.

208 accepted poster

BODY IMAGE AND GESTATIONAL WEIGHT GAIN: A PROSPEC-TIVE STUDYB. Hill1, H. Skouteris1, M. McCabe1

1 DEAKIN UNIVERSITY, School of Psychology, Melbourne, Australia

Abstract Text: IntroductionApproximately 50% of Australian adultwomen of childbearing age are overweight or obese, and, whenpregnant, the majority gain excessive levels of weight; this is also thecase in the US and other European countries. High gestational weightgain (GWG) is the strongest predictor of maternal overweight or obesitypost birth and is also associated with an increased risk of childhoodobesity. Hence, understanding the factors that contribute to excessiveGWG is vital in combating obesity. The aim of the current study was toexamine whether body image attitudes (feeling fat, attractive, or strongand fit, and salience of weight and shape) predict excessive GWG.MethodBody image was assessed in 108 pregnant women across threetime points in pregnancy. Total GWG was also assessed. Results Aftercontrolling for pre-pregnancy BMI, feeling fat and feeling strong and fit inearly pregnancy were related to lower total GWG, while higher salienceof weight and shape was associated with higher GWG. In late pregnancy,feeling fat or attractive were associated with higher GWG. Body imageattitudes did not predict whether or not GWG recommendations wereexceeded.ConclusionThese findings suggest that the type of body imageattitude and the timing of these attitudes through pregnancy matter inrelation to the prediction of GWG. We argue that body image is an aspectof antenatal care that should not be ignored if a holistic approach toobesity prevention is adopted.Conflict of Interest: The authors declare no conflict of interest.

Funding: Briony Hill and Helen Skouteris are funded by the NationalHealth and Medical Research Council, Australia.

211 accepted poster

INDIVIDUALIZATION AND COMMENSALITY AMONG YOUNGADULTS IN THREE EUROPEAN COUNTRIES: THE ACHIEVE-MENT OF FREEDOM AND SOCIALITYG. Danesi11 INSTITUT PAUL RESEARCH CENTER & EHESS, Ecully, France

Abstract Text: Studies underlined a trend of individualization inpost-industrial societies and its impact on the decline of meal patternsregulating food intakes (Rotenberg, 1981). Young people are stronglyconcerned by this phenomenon. They tend to skip meals and substitutethem with snacks (Devine et al., 2003). In this paper, we aim to discuss:1.How the pleasure of eating among young adults is strongly related tofreedom of food choice and sociality;2. How the arrangement betweenfreedom and social meal is culturally determined. Data were collectedthrough interviews with 84 young adults and observation of eatingoccasions in cities of France, Germany and Spain. Young adults expresstheir will of freedom in what and when they eat, but also their difficultiesto have regular meals. Some identified reasons are: absence of rigidschedule, desire to break with routine, living conditions and diversity ofeating habits in their social network. At the same time, eating times areoccasions to gather friends. The combination of these two dimensions isdifferent regarding the three countries investigated. Pleasure of eatingamong young adults is crucial. This is connected with cultural attitudestowards food. Eating is mostly a personal affair and pleasure is opposedwith health in countries with protestant heritage. In opposition, eating isa social affair and pleasure is an essential component of eating well incountries with catholic heritage (Fischler & Masson, 2008).Conflict of Interest:Funding:

212 accepted poster

INTERRELATIONSHIP OF BODY MASS INDEX , WAIST CIRCUM-FERENCE AND ZINC STATUS IN NORTH PEOPLE OF IRAN.M. mahdaviroshan1

1 GUILAN UNIVERSITY OF MEDICAL SCIENCES, Guilan university ofMedical Sciences, rasht, Iran Islamic Republic of

Abstract Text: marjan mahdaviroshan- Morteza Rahbar TaramsariMehran Mahdaviroshan Abstract : The objective of the study wasto find out the association between measurement of plasma Zn andantropometric measurment In north people of IranMaterials andMethods: The population of this study, was 45 men and women with30-60 years old in north of Iran. Height, weight and circumferences ofwaist (WC) were made using a standard technique by one researcher. Body mass index (BMI) was computed using the standard formula .RESULTS: The mean age of subject was 48.88±1.65 years old .59%(26) of people were mail and 41% (19) were female. the mean of serumzinc concentration was 77.52±1.59 that was in normal range. there waspositive correlation between serum zinc level with weight, body massindex (BMI) and waist circumference (p<0.05), and correlation betweenage and serum zinc level was negative (p<0.05). CONCLUSION:The results revealed that weight, body mass index (BMI) and waistcircumference, had significant relation with serum zinc concentration innorth people of IranConflict of Interest:Funding:

213 accepted poster

OBESITY AND MENTAL HEALTH: EVIDENCE FROM A REPRE-SENTATIVE SAMPLE OF ADULTS IN FRANCEV. NICHELE1

1 INRA ALIMENTATION ET SCIENCES SOCIALES, Ivry-sur-Seine, France

Abstract Text: Introduction: There is a continued interest in obesity andmental health because of their obvious public health implications. Theexistence and nature of a relationship between obesity and mental healthin the general population is poorly understood with inconsistent findingsreported in the literature on US data. We find few studies on the subjectin Europe. This article aims to fill this gap for the French case. Methods:A sample of adults (7676 females, 5952 males) interviewed in the 2008Survey of Health is used. A simultaneous equations model is estimated




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to examine the effects of lifestyle and socio-demographic characteristicson mental health or obesity and the interaction between the two.Results:About 13.1% of female are obese. A lower prevalence is found amongmen with 12.6% being obese. Concerning, the interaction betweenBMI and mental health, the results indicate a negative effect of mentalillness on BMI for men. The association between mental health andBMI is not significant for women. In contrast, body weight contributesto mental illness for the two genders. The results show that effectsof most lifestyle and socio-demographic characteristics on BMI andmental health differ between genders.Conclusion: This results show theimportance of examining the interaction between BMI and mental health.Furthermore, the different effects of most lifestyle and socio-demographiccharacteristics between genders highlight the importance of separateanalyses by sex.Conflict of Interest: NoFunding: No

214 accepted poster

OBSERVATION OF PARENTAL FUNCTIONING AT MEALTIMEUSING A SIBLING DESIGNE. Moens1, C. Braet21 GHENT UNIVERSITY, Department of Developmental, Personality andSocial Sciences, Ghent, Belgium2 GHENT UNIVERSITY, Department of Developmental, Personality andSocial Psychology, Ghent, Belgium

Abstract Text: Introduction: The current study aims to investigatewhether parental feeding practices are part of the shared environmentor responsive to certain characteristics of different children from thesame family. Method: 36 mothers with two children (4-12 y) of which10 sibling-pairs were discordant for weight status (healthy weight over-weight), were invited to the lab for a standard meal. Maternal responsiveand controlling behaviour was observed and coded. Children’s weightstatus and eating behaviour was assessed. Results: In general, mothersshow similar levels of responsiveness and controlling behaviour withinfamilies. However, the use of mothers’ authoritarian and permissivecontrolling behaviour and her expressions of involvement at mealtimewere consequently related to children’ s amount of food eaten and theirrestraining eating style. Conclusion: The amount of food the childreneat, both observed and assessed by questionnaire, seems to be relatedto more extreme parenting practices in mothers. Next to a generalparenting style, mothers adopt a feeding style that is responsive to aspecific child.Conflict of Interest: None disclosedFunding: This research was supported by a post-doctoral researchgrant awarded to the first author by the National Fund for ScientificResearch-Flanders (Belgium).

215 accepted poster

PARENTAL PERCEPTION OF LESS LIFE SATISFACTION AFTERHAVING CHILDREN AND THE RISK OF OVERWEIGHT AMONG2-6 YEAR OLD CHILDREN PREDISPOSED TO OVERWEIGHT.RESULTS FROM THE SUND START STUDY.N. J. Olsen1, T. Buch-Andersen1, M. Stougaard1, M. Trærup1, J.Pedersen1, M. N. Händel1, C. Seeger1, L. M. Østergaard1, E. L.Mortensen2, B. L. Heitmann1

1 INSTITUTE OF PREVENTIVE MEDICINE, COPENHAGEN UNIVERSITYHOSPITAL, Research Unit for Dietary Studies, Copenhagen, Denmark2 UNIVERSITY OF COPENHAGEN, Institute of Public Health, Copenhagen,Denmark

Abstract Text: Introduction: Research suggests that too much foodand too little exercise are insufficient explanations for the increasedobesity prevalence seen in most countries, and that family stress may beanother important determinant. Among younger children, overweight andobesity has been found to be associated with living in households lackingemotional support and cognitive stimulation.Methods: The Sund Startstudy included 645 children aged 2-6 years predisposed to overweightdue to high birth weight, maternal pre-pregnancy overweight or maternallow socioeconomic status. Of these, 511 children had completeinformation on BMI, parental education and experienced life satisfactionafter having a child. Information on life satisfaction was obtained froma questionnaire. The question asked was "which changes have beenin your life since you had a child/children?" and the possible answerswere "Less life satisfaction", "More life satisfaction" and "No changesin life satisfaction". International cut-offs for overweight according toage and gender were applied. Odds Ratio (OR) and 95% ConfidenceIntervals (CI) were estimated from logistic regression analysis. Results:Children of parents reporting less life satisfaction (2.7%) after having a

child had OR = 5.5 (95% CI 1.51 20.08) of being overweight, comparedto children of parents reporting more life satisfaction after having a child.The analysis was adjusted for factors such as gender, child’s age andparental educational level.Conclusion: Parent’s experience of less lifesatisfaction after having a child was associated with increased risk ofoffspring overweight already at age 2-6 year.Conflict of Interest: None disclosedFunding: Research relating to this abstract was funded by TrygFonden,Danish Medical Research Council and Helsefonden.

216 accepted poster

PREFERENCES, LIKING AND CHOICE BEHAVIOUR FOR BREADIN A RESTAURANT CONTEXTC. Iborra-Bernad1, L. Saulais2, E. Petit2, A. Giboreau2

1 UNIVERSIDAD POLITÉCNICA DE VALENCIA, Food science2 CENTRE DE RECHERCHE DE L’INSTITUT PAUL BOCUSE, Ecully, France

Abstract Text: IntroductionIn France, bread is an important contributorto the diet, usually consumed along with other dishes, during a meal. Yet,most published studies of preferences and eating behaviours for breadfocus on bread as a product rather than a part of a whole meal.Thisresearch aims to study the links between preferences, liking, and choicebehaviours for bread in real meal situations.Methods Subjective andbehavioural methodologies were used to study consumer preferencesfor two varieties of bread: white bread (WB) and whole wheat bread(WWB) during a restaurant meal. 117 customers participated in a mealat a French experimental restaurant. Liking scores, and stated productpreference, were measured before and after the meal. These subjectivemeasures were compared with behavioural measures of choices andquantities eaten, obtained through video observation during the meal.ResultsNo significant differences were found between liking scoresbefore or at after meal. The proportion of participants preferring WBpresented no significant differences before and after meal (35%), whilepreferences for WWB decreased after the meal (from 48 to 32%). 80%(respectively, 63%) of participants who preferred WB (respectively,WWB) chose their preferred bread first. A link between quantities eatenand stated preferences was also shown.ConclusionsThe evolution ofpreferences questions ’one-shot’ preference measurements as predictorsof behaviours in meal situations. Interactions with other dishes duringthe meal, and satiety mechanisms, may play a role in this evolution.In-context behavioural measurements may help providing useful insightsinto the dynamics of food selection.Conflict of Interest: The authors declare no conflict of interest.Funding: This research was funded by the Research Committee of theInstitut Paul Bocuse.

217 accepted poster

PREPREGNANCY BMI AND MATERNAL DIETARY PATTERNS INRELATION TO THE NEONATAL BIRTH WEIGHTK. Przybyłowicz1, K. Janiszewska1, M. Przybylowicz2, D. Jesiołowska3,P. Malarkiewicz4

1 UNIVERSITY OF WARMIA AND MAZURY, NUTRITION, Olsztyn, Poland2 PROVINCIAL SPECIALIST HOSPITAL, medicine and clinical science,Olsztyn, Poland3 UNIVERSITY OF WARMIA AND MAZURY, Nutrition, Olsztyn, Poland4 NON PUBLIC HOSPITAL MALARKIEWICZ, medicine and clinical science

Abstract Text: Introduction: Nutritional habits of pregnant women andproper prepregnancy BMI have a significant effect on child developmentin the foetal period and after birth. An exessive intake of saturatedfatty acids originating from animal products and trans-fatty acids fromprocessed products can result in frequent health complications. Thepurpose of the study was to describe dietary patterns and prepregnancyBMI in the relationships to the neonatal birth weight. Methods: A qualita-tive food frequency questionnaire was administered to 432 women livingin Warmia and Mazury districts of Poland. Dietary patterns were definedby principal component analysis and described by multivariate analysis.Maternal BMI was categorized as underweight (<18.5 kg/m2), healthyweight (18.5 - 24.9 kg/m2) and overweight (>=25 kg/m2).Birth conditionof a neonate was assessed pursuant to body weight measurementscarried out at the hospital on the day of birth, as recorded in the medicalrecord book of a child. With regard to the neonatal birth weight, threecategories of children were determined: of low birth weight -hypotrophic(<2.5 kg), of proper body weight eutrophic (2.5-4.0 kg) and of excessivebody weight hypertrophic (>4.0 kg). Results: The analysed group hadthe highest share (72%) of women with proper body weight beforepregnancy, 11% women with too low body weight (BMI<18.5kg/m2),and 17% with too high body weight (BMI>24.9kg/m2).The analysis ofthe child body weight found 79% eutrophic newborns, 8% of children





werehypotrophic and 13% were hypertrophic. The highest share ofhypotrophic children was born by women with the lowest BMI valuesand highest share of hypertrophic children by the highest BMI values.A relationship was found between neonatal birth weight and maternalBMI before pregnancy.Two major patterns identified: fatty" and variety".Women following the fatty" pattern had higher pre-pregnancy BMI andgave birth to heavier neonates. Conclusion: Understanding dietarypatterns in pregnancy and proper pre-pregnancy BMI allows to promotebetter nutrition and prevent non communicable diseases of the offspringand women.Conflict of Interest:Funding:

218 accepted poster

PRIMARY PSYCHOSOCIAL PREDICTORS FOR OBESITY PRE-VENTION IN MEXICAN WOMENC. Meza Peña1, E. G. Pompa Guajardo1

1 UNIVERSIDAD AUTÓNOMA DE NUEVO LEÓN, FACULTAD DE PSI-COLOGÍA, Department of Psychology, Monterrey, Mexico

Abstract Text: Introduction: Obesity and overweight are present in70% of the adult Mexican population of both genders, with a higherpresence in women than men (Olaiz, et al, 2006). Mexico ranks secondworldwide in obesity in adults (WHO, 2006). The genesis of obesity isassociated with stressful life events and the use of food as a refuge tocompensate frustration, sadness, needs and fears (Hair & Z, 2007),going beyond the biological dimension.Methods: The Questionnairefor the Ego Functions Assessment (EFA; Bellak &Goldsmith, 1993)and the Overeating Questionnaire (OQ; O’Donnell & Warren, 2007)were applied to a quotas sample of BMI of 217 women.Results: Themotivation to lose weight, age, number of children, body image, healthhabits and socioeconomic status were predictors of BMI. We definedthree structural equation models with good fit and based on these, weformulate suggestions for the understanding of overweight and obesityand its prevention.Conclusion: The findings reveal that in obesityprevention, is necessary to work with those aspects that seem to predictit, so it is important to develop campaigns to promote improvements inhealth habits, including healthy eating and exercise, working with theyoung population on issues related to the body, such as body image,identity and self concept, as well as provide alternatives to work onaffective disorders of depression and anxiety.Conflict of Interest:Funding:

219 accepted poster

TEMPERAMENT AND CHARACTER IN EXTREME WEIGHTCONDITIONSC. Sacho1, Z. Agüera23, S. Jiménez-Murcia23, I. Sánchez2, L. Claes4,R. Castro2, R. Granero5, S. Larrea5, C. Botella63, R. de la Torre73, J. M.Fernández-Real83, G. Frühbeck93, F. J. Tinahones103, M. Covas113, F.F. Casanueva123, F. Fernández-Aranda23

1 UNIVERSITY HOSPITAL OF BELLVITGE-IDIBELL, Psychiatry, Hospitaletde Llobregat, Spain2 UNIVERSITY HOSPITAL OF BELLVITGE, Psychiatry3 CIBER FISIOLOGÍA DE LA OBESIDAD Y NUTRICIÓN, Santiago deCompostela, Spain4 CATHOLIC UNIVERSITY OF LEUVEN, Psychology5 UNIVERSIDAD AUTÓNOMA DE BARCELONA, Psychobiology andMethodology of Health Sciences, Barcelona, Spain6 UNIVERSITY JAUME I, Department of Basic Psychology7 INSTITUT MUNICIPAL D’INVESTIGACIÓMÈDICA (IMIM-HOSPITAL DELMAR), 6Human Pharmacology and Clinical Neurosciences8 INSTITUT D’INVESTIGACIÓ BIOMÈDICA DE GIRONA, Service ofDiabetes, Endocrinology and Nutrition,9 UNIVERSITY OF NAVARRA, PAMPLONA, Department of Endocronology10 HOSPITAL CLÍNICO UNIVERSITARIO VIRGEN DE VICTORIA, Service ofDiabetes, Endocrinology and Nutrition11 INSTITUT MUNICIPAL DINVESTIGACIÓMÈDICA (IMIM-HOSPITAL DELMAR),, Cardiovascular Risk and Nutrition12 COMPLEJO HOSPITALARIOUNIVERSITARIO DE SANTIAGO, 11Labora-tory of Molecular and Cellular Endocrinology

Abstract Text: Introduction: Research has largely suggested thattemperament and character can influence physical and mental health.Results from the studies that have dealt with these issues specify thatpersonality and BMI are related.Objectives: Based on this dimensionsthe main objective of this study was, to assess in a sample of women, ina broad range of body mass index (BMI), the extent to which personalitytraits are related to BMI.Method: The TCI-R was administered to

391 AN patients, 248 healthy controls (26 underweight, 196 normalweight, 26 overweight) and 200 obese (50 obese and 150 morbidobese) subjects, with BMI ranging from 11.22 to 60.08 (mean BMI:24.70± 11.47). All the subjects were females and were diagnosedaccording to DSM-IV criteria. Additional assessment measures includedthe EDI-2, the SCL-90-R as well as a number of other clinical andpsychopathological indices.Results: It was found as predictors of BMI,reward dependence (p<.05), persistence (p<.05), and self-directedness(p<.001). Furthermore significant differences were found in the scalesof TCI-R (p<.01), except for Self-Transcendence scale, among thegroups. Whereas anorexic patients were characterized by the highestscores in harm avoidance and persistence (p<.0.01), and the lowestscores of self-directedness (p<.05), the obese group showed thelowest persistence scores (p<.001) and the highest scores on rewarddependence and cooperativeness (p<.002). Conclusions: Our findingssuggest an association between temperament (reward dependence andpersistence) and character (self-directedness) with BMI.Conflict of Interest: NoneFunding: Acknowledgement: CIBER is an initiative of Instituto SaludCarlos III, Spain; Financial support was received from Fondo de In-vestigacinitaria -FIS (PI081573; PI081714) and AGAUR (2009SGR1554).

221 accepted poster

THE LINKAGE BETWEEN EATING BEHAVIOUR AND EMOTIONREGULATION IN CHILDREN: RESULTS FROM A REFERREDSAMPLEJ. Vandewalle1, E. Moens1, C. Braet11 GHENT UNIVERSITY, Department of Developmental, Personality andSocial Psychology, Ghent, Belgium

Abstract Text: Introduction: When examining childhood obesity,research shows a strong relation between the child’s eating style and theweight status of the child. More specific, an emotional eating style, eatingwhen experiencing negative emotions, has frequently been associatedwith childhood obesity. This study is based on the recent focus inliterature on emotion regulation theories. We assume that emotionaleating can be viewed as a maladaptive strategy to regulate negativeemotions. Therefore the aim of this study is to test if children with anemotional eating style also show higher use of maladaptive emotionregulation strategies. Methods: We included overweight youngstersbetween the age of 10 and 16 (N = 50), who were seeking treatment.During a first visit at the treatment centre, youngsters were asked to fill ina battery of questionnaires. Results: First analyses show as predictedsignificant positive associations between emotional eating and the useof maladaptive emotion regulation strategies in general. Conclusions:Further results will be discussed at the conference. Moreover, we willpresent a model that can explain how family interactions (e.g. secure orinsecure attachment with the parents) can have an impact on the waychildren learn to regulate their emotions.Conflict of Interest: None DisclosedFunding: No funding

222 accepted poster

TRAIT BINGE EATING IS A HEDONIC PHENOTYPE OF OBESITY:JOINT ACTION ON LIKING AND ‘WANTING’ FOR FOOD.M. Dalton1, J. Blundell1, G. Finlayson1

1 UNIVERSITY OF LEEDS, Institute of Psychological Sciences, Leeds,United Kingdom

Abstract Text: Introduction: Obesity is a heterogeneous conditionand distinct behavioural phenotypes are likely to exist within obesepopulations. The present study aimed to determine the utility of traitbinge eating as the basis of a ’hedonic phenotype’ in obese females,and examined the role of liking and ’wanting’ for high reward foods asdrivers of overconsumption.Methods: Using a matched pairs design,overweight/obese females with high or low scores on the Binge EatingScale were divided into one of two groups; Obese-Binge (O-B) andObese-Non binge (O-NB). Liking and ’wanting’ were assessed usingthe Leeds Food Preference Questionnaire. Food intake was assessedunder counterbalanced fasted or satiated conditions using an ad-libitumeating task.Results: O-B consumed significantly more energy in thead libitum eating task when fasted or satiated, and consumed greateramounts of high-fat sweet food. O-B also demonstrated a dissociation ofliking and ’wanting’ for high-fat sweet foods: While both groups showedlower liking when satiated compared to fasted, ’wanting’ was actuallygreater in O-B when satiated.Conclusion: Variation in trait binge eatingwas associated with greater food intake and an increased ’wanting’for high-fat sweet foods when satiated. These findings highlight theimportance of methodology that distinguishes liking and ’wanting’ for




T1:PSO - COMMUNITY AND POPULATION STRATEGIES

food, and support the use of trait binge eating as a ’hedonic phenotype’of obesity with implications for more targeted research and treatmentstrategies.Conflict of Interest: None.Funding: Biotechnology and Biological Sciences Research Council(BB/G005524/1) and (BB/G530141/1).

T1:PSO - Community and PopulationStrategies

224 accepted poster

CORE STABILIZATION TRAINING AS A WAY TO RELIEVE A LOWBACK PAIN AND INCREASE THE LUMBAR SPINE STABILITY INOBESE PATIENTS USING VLCDC. VIEIRA1, L. NASCIMENTO1

1 MAXIMO RAVENNA THERAPEUTIC CENTER, Physical Activity, Salvador,Brazil

Abstract Text: Introduction: The inner core is a group of deep musclesthat support the spine and give stability to the center of the body (Kurt,Brett, & Mike Brungardt, 2006). Overweight, especially in the abdominalregion, causes an imbalance in the biomechanical of the columndemanding much more from the muscles and ligaments which supportthe lower back, thus making obesity a risk factor for low back pain.On the other hand, the weight loss with VLCD tends to decrease thereserves of lean mass (Monteiro, 2007), affecting the deep stabilizers ofthe trunk and the tone of the abdominal wall, leading to low back pain aswell. Therefore, it is intended to perform specific exercises to stabilize theinner core with overweight and obese patients in order to prevent and / ortreat back pain.Method: Design: Observational. Thirty minute sessionsof core stabilization training, three times a week, with patients with discherniation in the lumbar region. Participated 53 females, aged between29 and 76, and 10 males, aged between 35 and 67. Results: Accordingto all patients’ statements, there were the decrease of the pain, theincrease of the muscles strength and benefit of daily tasks.Conclusion:The core stabilization training can relieve the low back pain and stabilizethe lumbar segment.Conflict of Interest: None DisclosedFunding: Research relating to this abstract was funded by MaximoRavenna Therapeutic Center. Bahia, Brazil.

225 accepted poster

CORRELATIONS BETWEEN PAI-1 AND ANTHROPOMETRICPROFILE IN OBESE ADULTSG. Jamar1, L. Pisani1, D. MASQUIO1, V. A. Furuya2, J. P. Carvalho-Ferreira1, S. G. Andrade-Silva1, L. Oyama3, A. DÂMASO3, D.CARANTI11 FEDERAL UNIVERSITY OF SAO PAULO - PAULISTA MEDICINESCHOOL, Post Graduate Program of Interdisciplinary Health Sciences,SAO PAULO, Brazil2 FEDERAL UNIVERSITY OF SAO PAULO - PAULISTA MEDICINESCHOOL, Obesity Study Group (GEO) , SAO PAULO, Brazil3 FEDERAL UNIVERSITY OF SAO PAULO - PAULISTA MEDICINESCHOOL, Post Graduate Program of Nutrition, SAO PAULO, Brazil

Abstract Text: Introduction: Plasminogen Activator Inhibitor 1 (PAI-1)is a proinflammatory adipokine, envolved in the coagulation cascadeand fibrinolysis and can be a mediator of metabolic and cardiovascularrisk related to obesity. Currently, the neck circumference has beenused, in clinical practice, as a marker of cardiovascular risk due theaccumulation of fat molecules in the carotid artery walls. Thus, obesityis an independent factor for cardiovascular disease. Aims: To verifythe correlation between PAI-1 and anthropometric profile in obeseadults engaged in an interdisciplinary therapy. Methods: For this studywere enrolled 43 obese adults (age 43,5 ± 12,1 years and Body MassIndex 37,7 ± 6,4 kg/m2) engaged an interdisciplinary therapy. Theanthropometric profile includes body mass, stature, BMI, abdominalcircumference, neck circumference and chest circumference. The bloodpressure and blood collection were used to assess the level of seruminflammatory marker PAI-1. Results: Stratifying the sample by BMI, PAI-1levels were positively correlated with body mass (r = 0.313, p = 0.04),abdominal circumference (r = 0.379, p = 0.013), neck circumference (r =0.432, p = 0.004), chest circumference (r = 0.405, p = 0.004) and diastolicblood pressure (r = 0.358 e p = 0.032). Conclusion: The major finding inthe present investigation is that our results demonstrated the correlationbetween PAI-1 and neck circumference and others anthropometricsvariables as well as the diastolic blood pressure in obese adults. Thesefindings emphasize association between the degree of obesity andadipose tissue deposition with the higher values of PAI-1.Conflict of Interest: None disclosed.Funding: 1. CAPES REUNI, FAPESP (2008/57722-0) and UNIFESPsupported the Research performed in Santos- Brazil by GEO UNIFESP.


T1:PSO – COMMUNITY AND POPULATION STRATEGIES



226 accepted poster

DUTCH COLLABORATION IN RESEARCH ON THE COMPRE-HENSIVE INTEGRATED COMMUNITY APPROACH TO PREVENTOVERWEIGHT AND OBESITY IN CHILDRENM. van Koperen1, A. M. Hendriks2, V. Van de Gaar3, E. Ruiter4, R. vander Kleij51 VU UNIVERSITY, Health Sciences, Amsterdam, Netherlands2 MAASTRICHT UNIVERSITY, Health Sciences, Maastricht, Netherlands3 ERASMUS MC, Public health, Rotterdam, Netherlands4 GGD NIJMEGEN, Health Promotion and Epidemiology5 LEIDEN UNIVERSITY MEDICAL CENTRE, Public health, Leiden,Netherlands

Abstract Text: INTRODUCTIONDeterminants of overweight and obesitycan be found at individual and environmental level. Prevention strategiesshould therefore be directed at those levels in a comprehensive inte-grated community approach. Exploratory research from five major localcollaborations in 2010 in The Netherlands between academic institutions,community health services and local authorities (Academic CollaborativeCentres (ACC) for Public Health) identified gaps in knowledge, expertiseand used methodology to successfully implement and evaluate such anapproach. Identified gaps were: emergence and development of politicalsupport; the use of social marketing techniques; parental involvementin interventions; success of intended adoption and implementationprocesses and the evaluation methodology of this approach. METHODSThe five ACC, now combined in the Consortium Integrated ApproachOverweight (CIAO), shared knowledge and expertise and studied theimplementation of multiple comprehensive community approachespreventing overweight in children. To develop theoretical frameworksliterature was studied on best practises regarding the five study topicsand interviews were held with program leaders, political representatives,policy makers, users and target audiences RESULTSThe initial findingsof CIAO comprise a determined overarching program theory, a developedtheoretical framework for the emergence and development of politicalsupport and intersectoral collaboration, a review of evaluation frameworksto be used for the community approach and development of an evaluationtool regarding the social marketing techniques. CONCLUSIONFutureactivities of CIAO will focus on identifying methods and possibilities withinthe collaboration of the domains of policy, practice and research, for usein comprehensive integrated community approach to prevent overweight.Conflict of Interest:Funding:

227 accepted poster

EFFECT OF MID-TERM STRESS ON VISCERAL OBESITY INWOMENM. Khalili1, H. Karimi2, S. Sadri31 NATIONAL NUTRITION AND FOOD TECHNOLOGY RESEARCH INSTIRTUE,SHAHID BEHESHTI MEDICAL UNIVERSITY, basic science dept., Tehran,Iran Islamic Republic of2 NATIONAL NUTRITION AND FOOD SCIENCES RESEARCH TECHNOLOGYRESEARCH INSTITUTE., basic science dept., tehran, Iran IslamicRepublic of3 MAYGOON CLINIC

Abstract Text: Introduction: Visceral obesity (abdominal obesity) isrelated to the increase of cytosoly triglycride in the tissues (non-fattissues) like muscles, liver and beta pancreas tissues and it is a risk factorof coronary disease and diabetes mellitus type2. The pathophysiology ofabdominal obesity is unidentified but is thought that the environmentalstress causes hyperactivity of HPA axis (hypothalamic-pituiatry-adernal)which induces a high cortisol level and metabolic disorder of glucose/lipidand insuline and visceral obesity. Many studies have shown thatthe people with elevated blood cortisol level have abdominal obesity(Cushing syndrome). Regarding the controversial reports about the effectof mid-term environmental stress on visceral obesity in healthy womenwith normal weight and as there was no study on this issue in Iran, thisstudy was carried out to examine the effect of mid-term environmentalstress on visceral obesity in women.Methods:In a matched case- controlstudy 358 healthy 18-45 years non- menopause women were selectedby their waist to hip ratio (WHR). The women with WHR>08 (case) andthe women with WHR <0.8 (control) and completely matched by theirdemographic characteristics. There were two questionnaires (generaland stress questionnaires) and anthropometric assessment was done.Statistical analysis was performed by t-test, conditional logistic regressionand X2 Results:The results showed that the group with higher stressscore had higher waist to hip ratio and the difference was significant p <=0.01Conclusion:The Midterm environmental stress can cause visceralobesity in women. The women who exposed to environmental or socialstress continuously are at the risk of visceral obesity.Conflict of Interest: None Disclosed

Funding: Research relating to this abstract was funded by NationalNutrition and food Technology Research Institute

228 accepted poster

EVALUATION OF A GENDER-SEGREGATED, COMMERCIAL,COMMUNITY BASED, WEIGHT MANAGEMENT PILOTJ. Poulter1, G. Raine2, S. Robertson3

1 NUTRITION WORKS!, Tonbridge, United Kingdom2 LEEDS METROPOLITAN UNIVERSITY, Centre for Men’s Health, Facultyof Health and Socal Sciences3 LEEDS METROPOLITAN UNIVERSITY, Centre for Men’s Health, Facultyof Health and Social Sciences

Abstract Text: Introduction: Despite the high prevalence of excessweight in UK males, their participation in commercial weight-lossprogrammes, including through referral by the NHS, remains low. Thisabstract explores a pilot in which "men only" meetings were tested.Methods: Overweight and obese men (N=62) were recruited by theNHS in 3 locations. Mean age was 47.6 years (SD = 12.7) with a meanBMI of 36.1 kg/m (SD = 5.8). Participants received vouchers to attend12 weekly meetings, combined with access to online tools. No changesto the commercial programme were made. Simply the standard servicemodel of open-gender was adapted to offer meetings that were availableonly to men. A 30-minute exercise class, led by qualified local authorityfitness instructors, was an ’add-on’ in 2 locations, delivered after themeeting. In addition to weight change, qualitative data about participantexperience was collected through depth interviews and focus groups(N=26). Results: Mean weight change for all participants was -6.3 kg(SD =4.9) representing 5.7% initial weight and an average change in BMIof -2.02kg/m2 (-8.8kg , -8.13%, -2.86kg/m2 respectively in completers).63% completed, of which 77% achieved a loss of ≥ 5% (52% respec-tively of all participants). Respondents were positive about the service,stating a unanimous preference for the segregated offering.Conclusion:This pilot suggests that men lose significant weight when following anunmodified weight-loss regime and that offering gender-based meetingswas a key element for engagement and satisfaction in this commercialweight-loss programme.Conflict of Interest: Jenny Poulter undertook this project as a consultantto Weight Watchers UKFunding: Weight Watchers UK Ltd

230 accepted poster

LESSONS OF THE EPODE EUROPEAN NETWORK (EEN)FOR THE PREVENTION OF CHILDHOOD OBESITY THROUGHCOMMUNITY-BASED INTERVENTIONSJ. M. BORYS1, L. WALTER2, H. DU PLESSIS2, P. HARPER2,Y. LE BODO2

1 EPODE INTERNATIONAL NETWORK, Brussels, Belgium2 EPODE INTERNATIONAL NETWORK, Coordination Team, Brussels,Belgium

Abstract Text: Introduction: EPODE is a coordinated, capacity-buildingmethodology for communities to implement effective and sustainablestrategies to prevent childhood obesity (1). Since 2008, the EEN, sup-ported by the European Commission (DG SANCO), is aimed at enrich-ing existing methodologies, developing guidelines on EPODE pillars andfacilitating implementation of interventions using EPODE methodologyin other countries.Methodology: four committees, gathering universi-ties and experts from different fields, have conceptualized EPODE prac-tices, using broad literature screening, interviews and committee meet-ings gathering more than 100 multidisciplinary contributions.Results: re-search results (2) highlight the:

1. Leading role of local authorities to initiate, lead, catalyse, federateand fund targeted and multisectoral actions, with the support oflocal stakeholders;

2. Importance of a strong coordination team at central (national) andlocal levels, and a tight collaboration between these coordinationstructures in order to develop relevant, concrete and tailored ac-tions;

3. Interest of public-private partnerships to support actions on a long-term, with a transparent governance and clear rights and obliga-tions for all partners;

4. Need of a multidisciplinary and significant evaluation, adapted tothe field, not only focusing on obesity prevalence but also on theprocess of actions.



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Conclusions: Since the beginning of EEN, the use of EPODE method-ology, considered to be the largest global obesity prevention initiativeat community level, has been scaled up. This methodology is evolvingand being enriched when applied by programmes throughout the world.Early evaluation suggests encouraging results. The EPODE InternationalNetwork was created to gather existing programmes and help multiplestakeholders to start new ones.Conflict of Interest:Funding: Public Funding: Directorate General for Health andConsumers (European Commission)Private Funding: Ferrero, Mars,Nestlrangina-SchweppesEEN Associated partners: Free University ofAmsterdam, Gent University, Lille 2 University, Saragossa University,Fleurbaix Laventie Ville SantO, Proteines companyReferences:1. BorysJM et al. EPODE approach for childhood obesity prevention: methods,progress and international development. Obesity Reviews, 2011 (ac-cepted 27 September 2011, doi: 10.1111/j.1467-789X.2011.00950.x).2.Borys JM et al. Preventing Childhood Obesity: EPODE EuropeanNetwork Recommendations. Lavoisier, Paris, 2011.

231 accepted poster

LOSE TO WIN 2009: THE EFFECT OF A WORKPLACE TEAM-BASED WEIGHT LOSS CHALLENGE IN SINGAPOREK. Vasquez1, R. Malhotra2, T. Ostbye23, M. F. Chan4, G. Khoo1, L.Choo1, L. Chew4, S. Thilagaratnam1

1 HEALTH PROMOTION BOARD, Healthy Ageing Division, Singapore,Singapore2 DUKE-NUS GRADUATE MEDICAL SCHOOL, Program in Health Servicesand Systems Research3 DUKE UNIVERSITY, Department of Community and Family Medicine,Durham, USA4 HEALTH PROMOTION BOARD, Research Strategic Planning Division,Singapore, Singapore

Abstract Text: Introduction: The prevalence of obesity is increasingin Singapore as it is globally. It is of public health interest to identifyand implement effective weight loss interventions. We describe amulti-faceted, workplace behavioural intervention aimed at achievingweight loss among groups of overweight or obese employees and assessits effectiveness. Methods: A structured 12-week weight loss programcomprising nutrition education and physical activity sessions wasorganized by the Singapore Health Promotion Board. 285 participants,forming 72 teams (1 per workplace), had their anthropometric (bodyweight, body mass index (BMI) and body fat percentage) and fitnessindex score (based on UKK 2-km walk test) measurements taken pre-and post-intervention. The targeted intervention was complemented bya nationwide media campaign. Questionnaires assessing self-efficacyand dietary and physical activity practices were also administered.Participants reported on factors that had helped them achieve/maintaina healthy weight. Results: Average age was 37 year and baselineaverage BMI was 31. The average decrease, from baseline to end ofintervention, in weight, BMI, and body fat % was 3.58 kg, 1.32 kg/m2 and2.14%, respectively. Fitness index score increased by 34.1 units. Greaterparticipation in physical activity and nutrition education sessions wasassociated with more beneficial changes in anthropometric and fitnessmeasures. Participants were supportive of a team-based approach forintervention delivery and reported numerous health promoting changesat their workplace. Conclusion: The intervention was well-received andeffective in producing short-term weight loss. Further research needs tobe done to ascertain the program’s long-term effectiveness.Conflict of Interest: None disclosedFunding: Research relating to this abstract was funded by the HealthPromotion Board of Singapore.

232 accepted poster

LOSE TO WIN R© 2 CHALLENGE – A NATIONAL WEIGHT MAN-AGEMENT PROGRAMK. Vasquez1, R. Malhotra2, T. Ostbye34, M. F. Chan5, M. H. Zaw5, G.Khoo1, L. Choo1, L. Chew5, S. Thilagaratnam1

1 HEALTH PROMOTION BOARD, Healthy Ageing Division, Singapore,Singapore2 DUKE-NUS GRADUATE MEDICAL SCHOOL, Program in Health Servicesand Systems Research3 DUKE NUS GRADUATE MEDICAL SCHOOL, Program in Health Servicesand Systems Research4 DUKE UNIVERSITY, Department of Community and Family Medicine,Durham, USA5 HEALTH PROMOTION BOARD, Research Strategic Planning Division,Singapore, Singapore

Abstract Text: Introduction: Lose to Win R© Challenge is a competitiveteam-based structured weight management program, which was firstintroduced in 2009. It aims to motivate individuals (age: 18-69 years) witha BMI of 25kgm-2 to 37.4kgm-2 and waist circumference of ≥90cm formen and ≥80 for women to lose weight in a healthy manner. Methods:In 2010, Lose to Win R© 2 (LTW) had 865 participants (Community 641and Workplace 224) for the intervention group and 91 participants fromworkplaces for the control group.Eligible participants attended 12 weeksof interactive nutrition and physical activity sessions. Weight, height, BMI,waist circumference and fitness were measured at week 0, 6 and 12. Apre-post questionnaire was administered to assess change in knowledgeand lifestyle practices. Individual and group winners for communityand workplace categories were selected based percentage weightloss, reduction in waist circumference, attendance and fitness index.Post-challenge activities involved weight measurements (3 & 12 month)and phone surveys (1 and 6 month).Results: At the end of intervention,average reduction in weight and waist circumference was 3.7kg and 8cmrespectively. Intervention groups (community lost an average of 3.57kg,workplace 3.89kg) showed significant higher weight loss in comparedto control that lost 1.01kg (p<0.0001). Average reduction in BMI andwaist circumference were also significant at p<0.0001. Attrition was low,with 72% of enrolled participants completing the challenge.Conclusion:The intervention was well-received and effective in producing short-termweight loss. Further enhancements like mental wellbeing workshops willbe considered to boost long-term sustainability.Conflict of Interest: None DisclosedFunding: Research relating to this abstract was funded by the HealthPromotion Board of Singapore.

236 accepted poster

OBESITY GENDER GAP IS MODULATED BY ENVIRONMENT &SOCIO-ECONOMICS AMONG TUNISIAN ADULTSJ. El Ati1, P. Traissac2, F. Delpeuch2, C. Béji1, H. Aounallah-Skhiri3, S.Eymard-Duvernay2, H. Ben Romdhane3, B. Maire2

1 INNTA (NATIONAL NUTRITION INSTITUTE OF TUNISIA)2 IRD (INSTITUT DE RECHERCHE POUR LE DÉVELOPPEMENT), UMRNUTRIPASS - IRD, UM2, UM1, Montpellier, France3 INSP (NATIONAL PUBLIC HEALTH INSTITUTE OF TUNISIA)

Abstract Text: Introduction: South Mediterranean countries haveexperienced a marked increase in prevalence of obesity which conse-quences on gender related inequalities in health have been little studied.We assessed gender differences in corpulence and their environmentaland socio-economic modifiers among Tunisian adults.Methods: Cross-sectional survey (2005): 35-70y. Tunisians. National, 3 level randomcluster sample (F: n=2964, M: n=2379). BMI=weight/height2 frommeasured height and weight, obesity (OB): BMI >= 30kg/m2. Corpulencegender contrast as F vs. M mean BMI difference (diff.); multivariatemodels featuring gender x covariate interaction (int.) assessed modifyingeffect of environment (urban (U) vs. rural (R)) or socio-economics(age, marital status, profession, education, economic level).Results:Marked F vs. M contrast: mean BMI 28.4(0.2) vs. 25.3(0.1) (P<0.0001),OB 37.0% vs. 13.3% (P<0.0001). Modifiers of the F vs. M contrast(adjusted diff. in kg/m2) were : - environment (U: +2.5, R: +1.3, int.P<0.0021), - education (none: +3.5, primary:+3.9, secondary:+2.5,int. P=0.024), - profession (not working: +2.5, employee/worker: +1.8,upper/intermediate: +0.1, int. P=0.0013), - economic level (low:+1.8,middle:+3.4, high:+2.4, int. P=0.0007).Conclusion: The huge observedoverall gender obesity gap is higher in urban and low socio-economicstatus settings, with consequences regarding gender specific preventionof obesity.Conflict of Interest: None DisclosedFunding:




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237 accepted poster

PERSONAL AND ENVIRONMENTAL CHARACTERISTICS RE-LATED TO TRANSPORT MODE CHOICE; RESULTS FROM THEAVENUE PROJECTE. Scheepers12, W. Wendel-Vos1, E. Van Kempen3, J. Schuit12

1 NATIONAL INSTITUTE FOR PUBLIC HEALTH AND THE ENVIRONMENT,Centre for Prevention and Health Services Research, Bilthoven,Netherlands2 VU UNIVERSITY AMSTERDAM, Faculty of Earth and Life Sciences,Amsterdam, Netherlands3 NATIONAL INSTITUTE FOR PUBLIC HEALTH AND THE ENVIRONMENT,Centre for Environmental Health Research, Bilthoven, Netherlands

Abstract Text: Introduction: This explorative study examines thecharacteristics (who, where) of short car trips. By gaining insight intopersonal and contextual motivations of choosing the car over activeforms of transport such as bicycling and walking, active transport canbe stimulatedMethods: Data were derived form ’mobility researchNetherlands (2004-2009)’. This dataset includes transportations madeby members of households (n=± 23 500 households per year). Atransportation consisted of one or more trips, with a trip being made withone and the same means of transport. Characteristics of the individualwere derived from the same dataset. In addition, neighbourhoodcharacteristics were derived form other datasets. Analyses were focusedon trips up to 7.5 kilometres.Results: Active transport was most oftenused for the purpose of touring, commuting, education and othersocial-recreational purposes. In contrast, work-related trips were morelikely to be made by car. Women were more likely to use active transport.Age and educational level showed U-shaped associations with usingactive transport. A higher degree of urbanization was found to be relatedto more use of active transport modes.Conclusion: This study showedseveral possible target populations for interventions and policy measuressubstituting the car by active transport at distances up to 7.5 kilometres.In the future, additional quantitatively and qualitatively data collectionlinked to these kinds of studies will give more detailed information fortailoring policy measures involving sustainable transport.Conflict of Interest:Funding:

238 accepted poster

PHASE III :EVALUATION OF A WEIGHT REDUCTION INTER-VENTION FOR OBESITY IN THULAMELA, VHEMBE DISTRICTLIMPOPO: A SOUTH AFRICAN EXPERIENCER. Tendani1, S. Wright2, B. Hoffmann2

1 TSHWANE UNIVERSITY OF TECHNOLOGY, City of Tshwane MetropolitanMunicipality, South Africa2 TSHWANE UNIVERSITY OF TECHNOLOGY, Nursing, City of TshwaneMetropolitan Municipality, South Africa

Abstract Text: Introduction: The purpose of the study was toevaluate the effects of the weight reduction intervention. This follows aparticipatory action research aimed at developing culture fit communityinterventions. The evaluation was according to success indicators priornegotiated with participants based on Reh (S.a). The identified indicatorsconsidered necessary were to be SMART (specific, measurable,attainable, realistic and time framed). The outcomes of the interventionswere evaluated according to the quantifiable final physical measurementsafter a year of interventions and the qualitative views of the participants.Methods: The research strategy both qualitative and quantitative. Aquantitative survey and qualitative exploratory methods were followed.All participants who were involved in the intervention Phase weresampled. Only n=12 quantitative sample and n=9 qualitative samplewas realized. Data gathering was through a questionnaire, individualstructured interviews by the researcher captured on audiotape. Results:the results demonstrated that the participants experienced definitebenefits of intervention. The benefits to the immediate family will also bereported with a surprise finding about the views of spouses on weightreduction. The results will also demonstrates that the participants alsofelt that weight reduction is empowering and instilling self confidence witha resultant improved quality of life and that intervention should be culturefit. Conclusion: The presentation will focus on the results. Obesityintervention is challenging and without understanding the full scope ofthe problem, the epidemic goes on in South Africa. Multiple factorsshould be considered when planning for intervention. Strategies shouldalso be culture specific. Is South Africa ready to address the after effectsof obesity?Conflict of Interest: NoneFunding: Funding was by Thwane University of technology

239 accepted poster

REGIONAL CLUSTER-BASED ACTIVITIES AIMED AT IMPROV-ING NUTRITION AND LIFESTYLE IN MAZOVIA REGION OFPOLANDK. Rejman1, E. Halicka1, B. Kowrygo1, J. Kaczorowska1

1 WARSAW UNIVERSITY OF LIFE SCIENCES, Warsaw, Poland

Abstract Text: Introduction: Obesity levels in Mazovia, the biggest ad-ministrative region located in central Poland, with a population of circa 5million people, are growing. In an effort to reverse this trend the oppor-tunity of establishing a food and nutrition Research Driven Cluster (RDC)based on the collaboration between triple-helix actors representing localacademia, industry and political/society institutions is explored.Methods:In the framework of the EU-funded project (No 266181) "Countering diet-related diseases through competitive regional agrofood and physical ac-tivity clusters" (AFRESH) secondary data on the needs and demands forfood, nutrition and physical activity services of the Mazovian consumerswere collected. Delphi interviews with local experts engaged in each partof triple-helix were conducted. A SWOT-SOR analysis of Mazovia RDCwith the involvement of local stakeholders was performed and six strate-gic objectives were identified.Results: During a brainstorming sessionof Polish project partners (Warsaw University of Life Sciences, MazovianAgricultural Advisory Center and food producer Sante) three objectiveswere selected for further potential cooperation:

1. the development and implementation of nutrition education activi-ties in different population groups by strong regional academic cen-tres;

2. popularisation of healthy lifestyles using the experience of publicand business sectors;

3. diversification of innovative product offer on the food, nutrition andphysical activity services markets.

These outcomes became the basis for identifying local research prioritiesregarding healthy lifestyles. Altogether AFRESH partners representingRDCs from eight EU-regions proposed 31 research priorities which willbe discussed to set up Joint Action Plan for the regions.Conflict of Interest:Funding: EU 7th Framework Programme Project No 266181

240 accepted poster

THE COMPARISON OF OBESITY RELATED LIFE STYLE PAT-TERN AMONG DAY-TIME AND SHIFT WORK CLINICAL NURSESM. Naghashpour1, R. Amani21 AHVAZ JONDI-SHAPOUR UNIVERSITY OF MEDICAL SCIENCES, NUTRI-TION, Ahvaz, Iran Islamic Republic of2 AHVAZ JONDI-SHAPOUR UNIVERSITY OF MEDICAL SCIENCES, Deprt-ment of Nutrition, Diabete research center, Ahvaz, Iran Islamic Republicof

Abstract Text: Introduction: Obesity has been shown to be prevalentamong shift workers and is associated with higher BMI, independently ofage and work duration (1, 2). This study aimedto examine the influenceof shift work on obesity related factors in nurses working in universityhospitals.Methods:A cross-sectional comparative study was conductedon ninety eight female nurses (55 day-time workers and 43 shift work-ers) working in six educational hospitals in Ahvaz, Iran. A questionnairecontaining disease history and lifestyle pattern questions was applied. A3-day 24-hour food recalls for dietary intake evaluation also Beck Depres-sion Inventory (BDI) andHospital Anxiety and Depression Scale (HADS)for depression and stress evaluation were collected. Serum hs-CRP and25(OH) D3 concentrations were measured using immunoturbidimetricand electrochemiluminescent immunoassay methods, respectively. Ery-throcyte glutathione reductase activity coefficient (EGR-AC) for riboflavinstatus evaluation was measured. Anthropometric indices were obtainedaccording to world health organization standard protocol.Results: Therewas a lower dietary intake of thiamin, riboflavin, niacin, folate, magne-sium and iron in shift than day-time work nurses (p<0.05). There was nosignificant difference in hs-CRP concentrations, EGR-AC, 25(OH) D3 lev-els, hemoglobin and hematocrite concentrations, and also anthropomet-ric and psychiatric variables between two groups. Engagement time inweekly physical exercise (min/wk) was higher in shift than day- time worknurses (P=0.001).Conclusion:Shift working may be directly responsiblefor some nutritional deficiencies as well sedentary lifestyle among shiftwork female nurses and therefore is indirectly related to increase obesityand overweight risk in the future among them.




T1:PSO - ENVIRONMENTAL AND BEHAVIORAL MONITORING

Conflict of Interest: None Disclosed received from Jondi-shapour Uni-versity of Medical Sciences, Iran.Funding: Funding for this study was provided by a research grant ofJondi-shapour University of Medical Sciences, Iran.References:

1. Morikawa Y, Miura K, Sasaki S, et al. Evaluation of the effectsof shift work on nutrient intake: A cross sectional study. J OccupHealth 2008; 50: 270-278.

2. Antunes LC, Levandovski R, Dantas G, Caumo W, Hidalgo MP.Obesity and shift work: chronobiological aspects. Nutr Res Rev2010; 23: 155168.

241 accepted poster

THE FOOD CONSUMPTION, METABOLIC SYNDROME COMPO-NENTS AND BMI AND ITS CORELATION WITH WORKPLACECAFETERIA ON THE OFFICE WORKERSM. Yerli11 ISTANBUL UNIVERSITY THE INSTITUTE OF HEALTH SCIENCES,Nutrition, Istanbul, Turkey

Abstract Text: This study aimed to find out the effect of the workplacecafeteria on obesity and metabolic syndrom components at the officeworkers.Results: Totally 204 office workers from workplaces which hadcafeteria (CW) and had not cafeteria (NCW) participated. It was foundout that women consumed healthier food if they eat out of workplacecafeteria but men did not. For men, the average values of fasting plasmaglucose (FPG), high dansity lipoprotein cholesterol (HDL-K), triglyceride,sistolic blood pressure, diastolic blood pressure, waist circumferenceand body mass index (BMI) were 86,6 and 91,9 mg/dl, 45,8 and 43,7mg/dl, 123,1 and 140,1 mg/dl, 117,5 and 123,3 mm Hg, 77,4 and80,4 mm Hg, 92,6 and 92,2 cm, and 26,7 and 26,5 kg/m2 at CW andNCW respectively. For women, the average values of fasting plasmaglucose (FPG), high dansity lipoprotein cholesterol (HDL-K), triglyceride,sistolic blood pressure, diastolic blood pressure, waist circumferenceand body mass index (BMI) were 84,3 and 86,3 mg/dl, 52,1 and 55,6mg/dl, 88,3 and 71,9 mg/dl, 108,9 and 117,8 mm Hg, 72,1 and 77,3mm Hg, 76,3 and 73,6 cm, and 23,1 and 22,3 kg/m2 at CW and NCWrespectively.Conclusion: Having cafeteria at the workplace has positiveeffect on men but not on women.Conflict of Interest:Funding:

T1:PSO - Environmental and BehavioralMonitoring

242 accepted poster

BEVERAGE CONSUMPTION HABITS AND THEIR ASSOCIATIONWITH TOTAL WATER INTAKE AND ENERGY INTAKE AMONGBRITISH ADULTSS. Gibson1, S. Shirreffs2

1 SIG-NURTURE LTD, guildford, United Kingdom2 LOUGHBOROUGH UNIVERSITY, School of Sports, Exercise and HealthSciences, Loughborough, United Kingdom

Abstract Text: Introduction Beverages contribute around 80% of totaldietary water but most also contribute energy: this study investigatedboth aspects.Methods We analysed original weighed dietary recordsfrom a national study of 1724 adults aged 19-64 years (2000/2001)to investigate beverage consumption patterns over 24hrs and 7days("24/7") for their association with total water intake (TWI) and energyintake (EI).ResultsMean TWI was close to the European Food SafetyAuthority (EFSA) "Adequate Intake" (AI) of 2L for women and 2.5L formen. However, 33% of men and 23% of women both had a TWI belowAI and consumed less than 1g water per kcal EI (lowest consumers).Beverage variety was a significant predictor of TWI. Men consumed morealcohol and caloric soft drinks than women, while women consumedmore tap water and diet soft drinks. Total beverage consumption washigher at weekends, especially among men, and highest in the evenings.Excluding alcohol, beverages contributed approx 8% of energy for menand 9% for women. Caloric soft drinks contributed less than 3% of EI.There was no association between the proportion of energy derived fromnonalcoholic beverages and EI. ConclusionsFurther studies are requiredto explore how drinking patterns may impact hydration status and energybalance. There is a need for better measures of hydration status.Conflict of Interest:Funding: This secondary analysis of UK government data wasundertaken by Sig-Nurture Ltd (Independent Consultants) with fundingfrom Coca-Cola.

243 accepted poster

DIFFERENCE BETWEEN NUTRITIONAL KNOWLEDGE WITHNORMAL WEIGHT, OVERWEIGHT AND OBESITY POPULATIONSA. R. Navarro Cruz1, R. Ramírez Velarde1, O. Vera López1, R. AvilaSosa1, N. Melgoza Palma1, R. M. Dávila Márquez1

1 BENEMÉRITA UNIVERSIDAD AUTÓNOMA DE PUEBLA, Bioquímica yAlimentos, Puebla, Mexico

Abstract Text: Introduction: Public concern about nutrition and healthhas increased; however, the level of knowledge has not. Several studiesindicated that each individual has different concepts of a proper diet asan assurance of nutritional quality. On the other hand, some authorsfound that an increase of different kind of food in diet increases the risk ofobesity. The purpose of this study was evaluated the difference betweennutritional knowledge with normal weight, overweight and obesitypopulations.Methods: A survey was applied (67 questions, includingage, anthropometric measurements, eating habits frequency, diet quality,and basic nutrition knowledge) to 500 volunteers from the University ofPuebla. Data and statistical analysis were performed by R-Sigma-Babelsoftware.Results: Only 3% were obese, 50.4% overweight, and 46.6%of the population had normal weight. No differences in nutritionalknowledge were found between normal weight and overweight students,both groups believe that a better diet includes eating more protein andless fat, in breakfast milk (without differentiating between skim or whole)and some bread should be eaten, and a weight loss diet is varied butcontrolled. Moreover, the obese group agrees that a "good" diet needsmore vitamins and less fat (pasta and whole milk) and for weight lossonly fruit should be eaten, and they get their nutritional knowledgefrom internet and TV, unlike normal weight and overweight groups whoeven go to specialists in nutritionConclusion: There are differencesbetween normal weight and overweight population and those withobesity, probably due to their information sources.Conflict of Interest:Funding:


T1:PSO – ENVIRONMENTAL AND BEHAVIORAL MONITORING



244 accepted poster

DIFFERENCES IN BEVERAGE CONSUMPTION ACCORDING TOBMIA. Jarosz1, M. Jarosz2

1 INSTITUTE OF FOOD AND NUTRITION, Department of Health andPhysical Activity Promotion, Warsaw, Poland2 INSTITUTE OF FOOD AND NUTRITION, Head of Food and NutritionInstitute, Clinic of Metabolic Diseases and Gastroenterology, Warsaw,Poland

Abstract Text: Introduction: Beverages may positively affect energybalance and contribute to higher risk of overweight and obesity.Aim:Examination of beverage intake structure according to BMI among adultPoles. In the study participated 988 subjects 493 males and 515 femalesaged 25-64y. Mean age was 45y. 50% of participants had proper bodyweight (BMI 18,6 -24,9), 48% were overweight or obese (BMI >25) and2% were underweight (BMI <18,6).Results: Mean fluid consumption was1,7 liters per day. Subjects with obesity consumed significantly less water(350 vs. 575ml), and more hot beverages with added sugar (eg. Tea),(819 vs. 756ml) comparing to subjects with normal body weight.Thesame relationship was found according to carbonated soft drinksconsumption.Highly significant differences (p>0,001) were found in caseof alcohol intake, especially beer. Obese and overweight subjects haddistinctively higher intake than normal body mass subjects.Conclusions:Obese and overweight subjects consumed higher amounts of sweetenedbeverages and alcohol and less water. That kind of intake structure canimpact weight gain and development of overweight and obesityConflict of Interest: None of the authors of the above manuscript hasdeclared any conflict of interestFunding: The study was funded by Zywiec ZdrA. company. The resultswere available for Institute of Food and Nutrition by free knowledgesharing.

245 accepted poster

EFFECT OF 40% HIGH FAT OVERFEEDING ON ACTIVITYMEASURED IN A ROOM CALORIMETER AND FOOD CRAVINGSC. Martin1, L. Hall1, T. Stewart2, V. Lecoultre3, D. Johannsen3, E.Ravussin3

1 PENNINGTON BIOMEDICAL RESEARCH CENTER, Ingestive BehaviorLaboratory, Baton Rouge, USA2 PENNINGTON BIOMEDICAL RESEARCH CENTER, Behavior TechnologyLaboratory:Eating Disorders and Obesity , Baton Rouge, USA3 PENNINGTON BIOMEDICAL RESEARCH CENTER, John S. McIlhennySkeletal Muscle Physiology, Baton Rouge, USA

Abstract Text: Introduction: We previously demonstrated that physicalactivity levels do not change significantly after 8-weeks of overfeeding,though this previous study manipulated dietary protein levels. We alsodemonstrated that food cravings decrease during dieting, particularlyfor foods restricted on specific diets, but the effect of overfeeding onfood cravings has not been examined. The purpose of this studywas to test the effect of prolonged overfeeding on activity and foodcravings.Methods: 35 adults (29 male, 6 female) age 20-40 years withBMI 22-32 kg/m2 completed 8 weeks of overfeeding (40% above energyrequirements) with a high-fat diet (15% protein, 44% fat). Participantsate prepared food under supervision. Activity (percent time active in aroom calorimeter) was measured at baseline and week 8. Food cravingswere measured at baseline, week 4, and week 8. Change over timewas evaluated with dependent t-tests (alpha equal to .01).Results: Afteroverfeeding, participants gained 7.5±0.3 kg of weight (mean±SEM),ranging from 2.3-10.7 kg. Percent time active in the room calorimeter didnot change significantly during overfeeding (baseline, 15.0±1.1 vs. week8, 15.8±1.2, p=.29). Cravings for carbohydrates and general cravingsdecreased significantly from baseline to week 4, but not from baselineto week 8.Conclusion: Surprisingly, in a confined room calorimeter,activity levels did not change at the end of 8 weeks of overfeeding, thusnot contributing to the dissipation of excess energy. However, cravingsfor carbohydrates and general cravings decreased with overfeeding inparallel with alterations in hunger, though the effect appears temporary.Conflict of Interest: None.Funding: This research was funded by United States National Institutesof Health grant R01 DK060412.

246 accepted poster

EFFECT OF OMEGA-3 SUPPLEMENTATION IN COMBINATIONWITH DIET ON WEIGHT LOSS IN WOMENM. Khalili1, H. Karimi2, S. Sadri31 NATIONAL NUTRITION AND FOOD TECHNOLOGY RESEARCH INSTIRTUE,SHAHID BEHESHTI MEDICAL UNIVERSITY, basic science dept., Tehran,Iran Islamic Republic of2 NATIONAL NUTRITION & FOOD TECHNOLOGY RESEARCH INSTITU-TEEA, Tehran, Iran Islamic Republic of3 MAYGOON CLINIC

Abstract Text: Introduction: In addition to the metabolic and car-diovascular benefits of omega-3 (n3) fatty acids, some studies havesuggested an added weight lossenhancing benefit to this supplementand some not. Regarding the controversial reports about the effect ofOmegs-3 fatty acids consumption on weight loss this study was carriedout on obese women.Methods: In a place-bo controlled randomizedclinical trial 40 healthy 18-45 years non- menopaused obese women,case and control group were selected by their body mass index (BMImore than 30) and had been matched by their general characteristics(age, literacy, job, marital status and number of children). There werea general questionnaire and a 24 hours recall.The groups should havebeen on recommended weight loss diet (1200-1500) Kcal diet, and theexperimental group received 1 gram Omega-3 fatty acids.The durationof intervention was 8 weeks.Statistical analysis done by t-test, X2,Mann-Whitny and Wilcoxon test.Results: The results showed that theaverage of weight loss in group which used Omeg- 3 supplementation(case) was 3/73±1/62 kg and in (control) group was 4/33±2/16 kg(P= 0/404) at the end of intervention, it means Omega-3 fatty acidssupplementation had no effect on weight loss, but the women’s possitiveattitude to continue their weight loss program was %87 in case group and%49 in control group.Conclusion: Omega-3 consumption in 8 weekshas no effect on weight loss, but can make a positive attitude to continuea weight loss program in obese women.Conflict of Interest:Funding:

247 accepted poster

EFFECTS OF A PHYSICAL ACTIVITY INTERVENTION IN CHIL-DREN ATTENDING CHILD CARE (YOUP’LÀ BOUGE PROGRAM):A CLUSTER-RANDOMIZED CONTROLLED TRIALB. Antoine1, B. Jérôme1, K. Susi2, M. V. Pedro3, K. Tanja H.4, P.Jardena3

1 UNIVERSITY OF LAUSANNE, Institut of Sport Sciences, Lausanne,Switzerland2 SWISS TPH3 UNIVERSITY OF LAUSANNE, Faculty of Biology and Medicine, CHUV,Lausanne, Switzerland4 UNIVERSITY OF ZÜRICH, Child Development Center

Abstract Text: Introduction: Physical activity (PA) is of high importancefor health promotion in young children and child care centers representideal settings. To fill the existing gap, we conducted a cluster RCTassessing the effectiveness of Youp’luge, a real-life program in child carecenters implemented by governmental agenciesMethods: 58 child carecenters were randomly selected and 1:1 assigned to a control and anintervention group. The Youp’luge program supports unstructured PAby providing workshops for educators, adapting the built environmentof the child care centers, providing time for PA and involving parents.Motor Skills was the primary and BMI, PA (accelerometers) and Qualityof Life secondary outcomes.Results: Of the 1616 children, 1467 (age3.3 ±0.7 yrs, 46% girls) participated in the study. 648 children (BMI16.2 ± 1.2 kg/m2, 12% overweight & obese,) were present on themotor test day at baseline (mean attendance at child care 48%). Therewere no intervention effects in the measured outcomes. However,within the intervention group, associated predictors were identified forimprovements in motor skills (free-access movement corner, parentalevenings), BMI (motivated and additionally formed educators) and PA(type of equipment).Conclusion: This real-life PA program did notimprove motor skills or the secondary outcomes. As many programshave to balance between effectiveness and feasibility outside of aresearch setting, taking the found predictors into account may improveoutcomes in such programs.Conflict of Interest:Funding:



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248 accepted poster

ENDOCRINE DISRUPTING PCBS IN SERUM ARE POSITIVELYASSOCIATED WITH VISCERAL BUT NOT SUBCUTANEOUSABDOMINAL FATE. Dirinck1, L. Van Gaal2, A. Covaci3, P. Jorens4, A. Dirtu5, T. Geens3,H. Neels6

1 ANTWERP UNIVERSITY HOSPITAL, Department of endocrinology,diabetology and metabolic disease, Antwerp, Belgium2 ANTWERP UNIVERSITY HOSPITAL, Endocrinology, diabetology andmetabolic disease, Edegem, Belgium3 ANTWERP UNIVERSITY, Department of toxicology4 ANTWERP UNIVERSITY HOSPITAL, Department of intensive caremedicine, Edegem, Belgium5 UNIVERSITY OF ANTWERP, Department of toxicology, Antwerp, Belgium6 ANTWERP UNIVERSITY, Department of ecophysiology

Abstract Text: Introduction: Abdominal fat, in particular visceral fat,is associated with metabolic dysfunction. Polychlorinated biphenyls(PCBs), known endocrine disruptors, are associated with obesity,increased waist and the metabolic syndrome. This study assesses theassociations between serum levels of PCBs and abdominal fat accu-mulation.Methods: Serum POPs were investigated cross-sectionallyin obese adults. Anthropometric measures and a blood sample weretaken in a fasting state. Abdominal adipose tissue (total, visceral andsubcutaneous) was measured with a CT-scan at the L4-L5 level. Weanalysed the serum for the presence of 23 different PCB congeners. Allcongeners were summed for analysis.Results: Our study population (n= 95) consisted of 70% women and 30% men. Mean age was 40, meanBMI was 39.3 kg/m. A strong positive correlation could be establishedbetween PCB serum levels and visceral abdominal fat (r = .35, p < 0.01).Subcutaneous abdominal fat correlated negatively with PCB serum levels(r = -.38, p<0.01). We did not establish a significant correlation with totalabdominal fat or waist.Conclusions: Our results suggest that PCBsmight show varying accumulating behavior in different fat compartments.In future research, it is important to assess the depot-specific burdenof PCBs. On the one hand, the metabolic properties of visceral fatdiffer from those of subcutaneous fat and, on the other hand, not allPCB congeners exert the same endocrine-disrupting profile. Thereforethe local concentrations and congener profiles of endocrine-disruptingsubstances such as PCBs, could affect human health in divergent ways.Conflict of Interest: None disclosedFunding: Tinne Geens acknowledges the Funds for Scientific ResearchFlanders (FWO) for a PhD fellowship, while Adrian Covaci acknowledgesFWO for a postdoctoral fellowship.

249 accepted poster

ENVIRONMENTAL INFLUENCE ON EMOTIONAL STATE RE-LATED TO FOOD APPRECIATION AT THE RESTAURANTC. Jacquier1, A. Giboreau1

1 CENTRE DE RECHERCHE INSTITUT PAUL BOCUSE, Ecully, France

Abstract Text: Introduction: The perception of food can be influencedby a variety of environmental variables such as temperature, waitingtime and colors. Food can affect emotional state and inversely, emotionscan change food intake by increasing or decreasing the consumption.The aim of our study is to study the effects of the eating situation onconsumers’ emotional state, and their link with the perception of food.We would like to demonstrate that a "relaxing" eating context couldimprove pleasure (food appreciation) and well-being (emotional state)of customers.Methods: Four colored ambiances (Red, Blue, White andGreen) were set up during one week at the experimental restaurantof the Institut Paul Bocuse Research Center and were compared to acontrol one (Reference). An emotional state evaluation and the aperitifand the meal as a whole-liking were measured at the beginning andafter the meal by customers, using questionnaires.Results: In ambiancered, aperitif is less appreciated than in ambiance of reference. For theaperitif that may be more associated with emotional responses andaffective processes. Further analyses are currently in progress to identifythe effects of gender, time of meal and social environment.Conclusion:Our study underlines that food appreciation and emotional states varyaccording to the environment. It is worth noting that the understanding ofthe influence of eating context on food behavior could enhance pleasure,comfort and well-being of consumers and may be a potential source ofaction on food choice and consumption.Conflict of Interest: None DisclosedFunding: Research relating to this abstract was funded by USAITC-AResearch Division

250 accepted poster

INTENTIONAL WEIGHT LOSS UNDER ENERGY RESTRICTIVEREGIME AND PLASMA LEVELS OF LIPOPHILIC PERSISTENTORGANIC POLLUTANTSD. Mullerova1, D. Matejkova1, J. Rosmus2, L. Muller3, M. Matejovic1

1 CHARLES UNIVERSITY, MEDICAL SCHOOL AND TEACHING HOSPITALPLZEN, MEDICAL DEPARTMENT, Plzen, Czech Republic2 STATE VETERINARY INSTITUTE, DEPARTMENT OF CHEMISTRY, Prague,Czech Republic3 UNIVERSITY OF WEST BOHEMIA, FACULTY OF APPLIED SCIENCES,Plzen, Czech Republic

Abstract Text: Introduction: The aim of this study was to revealwhether intentional weight loss, especially body fat mass loss inobese affects plasma levels of the persistent organic pollutants (POP),especially polychlorinated biphenyls (PCB, congeners 138, 153, 180),hexachlorobenzene (HCB), 2,2-bis-(4-chlorophenyl)-1,1-dichloroethene(p,p-DDE).Methods: The study was designed as a longitudinal inter-vention trial with a control group, where 30 obese women (OB; BMI>30kg/m2; age 21-74 years) were studied before and after a 6-monthlow-calorie-diet intervention (LCD; 5MJ daily). As a control group, 9female volunteers without LCD intervention were used (C; BMI=19-25kg/m2; age 21-64 years). POP were measured by high resolutiongas chromatography with electron capture detection; body fat bymulti-frequency BIA.Results: Plasma levels of HCB, p,p’DDE, and PCB138 were significantly increased in OB after 6 months of LCD, while LCDintervention lowered body fat by 6.2±6.3 kg, but were also significantlyincreased in C without significant differences of changes between theboth groups. However, in regression modeling body fat loss explains from9 to 29% of increase of p,p’DDE, PCB 138 respectively.Conclusion: Ourresults did not confirm the difference of increase of plasma levels of theexamined lipophilic POP in OB after moderate weight loss by 6-monthLCD in comparison to C, although body fat mass reducing may partlyinfluence the plasma levels of POP.Conflict of Interest: NoneFunding: Research relating to this abstract was funded by a grant MSM0021620819 "Replacement of and support to some vital organs" CharlesUniversity, Medical School and Teaching Hospital Plzen, Czech Republic

251 accepted poster

LIFESTYLE CHANGES IN FIRST YEAR UNIVERSITY STUDENTSIN SCOTLAND AND THEIR IMPACT ON BODY WEIGHT. AQUALITATIVE STUDYC. K. Nikolaou1, M. Lean1, C. Hankey1

1 UNIVERSITY OF GLASGOW, Nutrition, Glasgow, United Kingdom

Abstract Text: Introduction: Lifestyle changes occurring in first yearstudents often result in weight changes (Vell-Zarb et al.2009). Theaim of this study was to identify barriers to and facilitators of healthylifestyles and their impact in first year students’ body weight.Methods:A semi-structured questionnaire was used to explore the lifestyleexperiences of students. Questions were focused on barriers to andfacilitators of healthy lifestyles. First year undergraduate studentsattending a Scottish university were contacted through email at the endof the academic year and invited to participate in an online focus group.Ground rules and the list of the questions were posted in a secureonline password protected chat room. The transcripts were analysedqualitatively using thematic analysis (ATLAS.ti. 5.2 software).Results:31 students participated. Themes identified both as facilitators of andbarriers to healthy lifestyles were budget, peer influence, stress and timeconstraints. Weight changes were experienced by all participants andthey suggested that health promotion services of the university shouldimprove.Conclusions: Results suggest that first year students experienceseveral lifestyle changes. Working closely with university services totackle students’ barriers to healthy lifestyles could be a step towardspreventing obesity in this population.References: Vella-Zarb, R.A. &Elgar, F. J. (2009). The ’Freshman 5’: A meta-analysis of weight gain inthe freshman year of college. J Am Col Health, 58:2,161-166Conflict of Interest: None disclosedFunding: Research related to this abstract was funded by the Universityof Glasgow



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252 accepted poster

OVERWEIGHT AND OBESITY IN WOMEN AND THEIR RELA-TIONSHIP WITH SOCIO-ECONOMIC AND DIETARY FACTORS INTEHRAN CITYF. Mohammadi1, N. Omidvar1, M. Abdollahi2, A. Houshiar-Rad2, Y.Mehrabi3, A. R. Dorosty4

1 NATIONAL NUTRITION AND FOOD TECHNOLOGY RESEARCH IN-STITUTE (NNFTRI), FACULTY OF NUTRITION SCIENCES AND FOODTECHNOLOGY, SHAHID BEHESHTI UNIVERSITY OF MEDICAL SCIENCES,community Nutrition, Tehran, Iran Islamic Republic of2 NATIONAL NUTRITION AND FOOD TECHNOLOGY RESEARCH INSTITUTE(NNFTRI), FACULTY OF NUTRITION SCIENCES AND FOOD TECHNOL-OGY, SHAHID BEHESHTI UNIVERSITY OF MEDICAL SCIENCES, Nutritionand Research, Tehran, Iran Islamic Republic of3 FACULTY OF PUBLIC HEALTH, SHAHID BEHESHTI UNIVERSITY OFMEDICAL SCIENCES, Biostatistics4 SCHOOL OF PUBLIC HEALTH, TEHRAN UNIVERSITY OF MEDICALSCIENCES, nutrition and biochemistry

Abstract Text: Introduction: Identifying related factors to overweightand obesity in the population is the first step for combating this problem.This study aimed to determine the socio-economic and dietary factorscontributing to women’s overweight and obesity in Tehran city. Methods:In this cross-sectional study, 412 adult females were selected by asystematic cluster sampling from 6 different districts of Tehran city.Height, weight and waist were measured and body mass index (BMI)was calculated. Socio-economic status (SES) of the households wasassessed by a questionnaire through structured interviews. Assessmentof food consumption was done using three consecutive 24hour dietrecalls. Basal metabolic rate (BMR) was calculated and under-reportingwas defined as energy intake/BMR ratio<0.92. Logistic regression wasused to test the effects of SES variables on weight status, simultaneously.Results: Only 1.0% of women were underweight, while overweight andobesity was observed in 40.3, and 33%, respectively. Consumption ofvegetables and oils in obese women was reported lower than normalweight women. Under-reporting was reported in 10.6% of womenstudied and was related to overweight positively. In logistic regression,age and family size of overweight women was higher than normal- weightwomen and central obesity in low SES districts was higher than in highSES districts(OR 2.02, CI95%:1.17-5.04) (P<0.05). Conclusion: Highprevalence of abdominal obesity and low consumption of vegetablesin women residing in low SES districts of Tehran is alarming. Healthpromotion programs are necessary for low SES women in Tehran.Conflict of Interest: None disclosedFunding: Supported fully by National Nutrition and Food TechnologyResearch Institute (NNFTRI), Faculty of Nutrition Sciences and FoodTechnology, Shahid Beheshti University of Medical Sciences, Tehran,Iran [grant number P/25/47/1012]

253 accepted poster

PERCEPTION OF HEALTH OF AN ADULT POPULATION: DIF-FERENCE BETWEEN SENSE AND ANTHROPOMETRIC ANDCLINICAL SITUATIONA. R. Navarro Cruz1, N. Rodríguez Medina1, R. Ramírez Y Ayala1, O.Vera López1, R. Avila Sosa1, P. Aguilar Alonso1


Abstract Text: Introduction: Overweight and obesity are a seriousproblem in Mexico, and many efforts are made to fight them unsuccess-fully. It is known that body perception is a subjective parameter of greatimpact on individuals’ health, so it is important to compare personalperception versus clinical and nutritional assessment, to induce socialawareness about cardiovascular risks that are ignored, probably dueto a misperception about themselves.Methods: The study comparedclinical (glucose, triglycerides, cholesterol and blood pressure) andanthropometric parameters (weight, height, BMI and percent bodyfat) of 114 adults between 30 and 60 years old (81 women / 33 men)with a self-perception survey. Data were evaluated statistically withRsigma-Babel software.Results: According to BMI and body awareness,only 13.1% correctly perceived ideal weight, 22.8% overweight and 3.5%obese, the underestimation of weight in obese people was common.According to waist circumference 55.4% of women have cardiovascularrisk substantially increased and 63.5% of men were at low cardiovascularrisk. Women under 40 years tend to recognize when they are overweightbetter than older women, however men perceptions overestimate theirbody weight. Many people who had high levels of blood glucose andtriglycerides are underestimated in their perception, while cholesterol andblood pressure levels were correctly perceived.Conclusion: Personalperception is critical to lifestyle and impact on the acceptance of problemslike obesity and overweight. People who are mistakenly perceived have

greater risk to their health.Conflict of Interest:Funding:

254 accepted poster

SHORT SLEEP DURATION PREFERENTIALLY INCREASESABDOMINAL ADIPOSITY IN ADULTSJ. P. Chaput1, J. P. Després2, C. Bouchard3, A. Tremblay4

1 CHEO RESEARCH INSTITUTE, Healthy Active Living and ObesityResearch Group, Ottawa, Canada2 HÔPITAL LAVAL RESEARCH CENTER, Quebec Heart Institute3 PENNINGTON BIOMEDICAL RESEARCH CENTER, Human GenomicsLaboratory4 LAVAL UNIVERSITY, Social and Preventive Medicine

Abstract Text: Introduction: The aim of this 6-year longitudinal studywas to verify whether short sleep duration preferentially increasesabdominal adiposity in adults.Methods: A total of 276 adults aged 18to 64 years were tested in this observational study. Anthropometricmeasurements (body mass index and waist circumference), self-reportedsleep duration and several covariates were assessed. A regressionequation derived from the changes in body mass index and waistcircumference of normal- and long-duration sleepers (reference category,≥7 h of sleep per night, n=233) was used to predict the change inwaist circumference of short-duration sleepers (6 h of sleep pernight, n=43). Additionally, the influence of sleep duration on waistcircumference changes was modeled by using linear regression in bothsleep-duration groups, adjusting for changes in body mass index andother covariates. Results: We observed that measured (actual) changesin waist circumference were significantly greater than predicted changes(mean ± SEM: 3.41 ± 0.53 vs. 2.69 ± 0.51 cm, respectively, P<0.05),implying that short-duration sleepers had an excess of abdominal fataccumulation over the 6-year follow-up period. After controlling forthe changes in total adiposity as measured by body mass index, onlyshort-duration sleepers gained more abdominal adiposity over 6 years.Conclusion: The present study provides the first evidence that shortsleep duration is associated with preferential increases in abdominaladiposity in adults. This finding is of particular concern since abdominaladiposity is correlated with a number of metabolic anomalies.Conflict of Interest: None Disclosed.Funding: Research relating to this abstract was funded by the CanadianInstitutes of Health Research.

255 accepted poster

STUDY ON THE ALIMENTARY BEHAVIOUR OF THE ROMANIANPRESCHOOL AND SCHOOL CHILDREN WITH OBESITY ANDOVERWEIGHTI. Petrescu1, S. Cosoveanu1

1 UNIVERSITY OF MEDICINE AND PHARMACY IN CRAIOVA, Pediatrics,Craiova, Romania

Abstract Text: Introduction: The research was meant to identify,evaluate, analyze and establish some correlations among behavioralfactors, environmental factors and obesity in children.Methods: Iincluded in the study 205 Romanian children, aged 2-14 years. Inclu-sion criteria: BMI≥percentile 95/age/sex in obesity and 85BMI<95percentile/age/sex in overweight.Results: The prevalence was 6.7% foroverweight and 9.8% for obesity. The overweight and obese children,as compared to the normoweight children, eat, daily, sweets (55.6%,42.3% respectively, vs. 11%), soft drinks (38.8%, 38.2% respectively,vs. 8.2%), fast-food (31.8%, 34%, respectively, vs. 8.3%), meat (59.6%,79.4% respectively, vs. 63.9%) and occasionally fruits (38.5%, 58.9%respectively, vs. 27.1%), vegetables (18.6%, 34.8% respectively, vs.11.2%), cereals (11.2%, 14.2% respectively, vs. 6.7%), milk (5.2%, 6.1%respectively, vs. 2.8%). I noticed a tendency to replace one or two mealswith snacks in the overweight and obese children. The consumption oflarge meals was associated with the presence of overweight and obesityin children. The food consumption while watching TV or playing thecomputer was associated with overweight in children. While watching TVprograms more than 2 hours a day, 36.8% of the overweight and obesechildren are eating, as compared to the normoweight children (8.3%).Conclusion: Following the nutritional investigation in the preschooland school children, I noticed an alimentary abuse, quantitative andqualitative, associated with physical activity decrease. Children are avery important target group, since early, healthy food habits representthe most efficient method to preserve the state of health in the long run.Conflict of Interest: None disclosed.Funding: No funding.



252 accepted poster




253 accepted poster





254 accepted poster




255 accepted poster






252 accepted poster




253 accepted poster





254 accepted poster




255 accepted poster







T1:PSO - FOOD ACCESSIBILITY AND GASTRONOMY

T1:PSO - Food Accessibility and �Gastronomy

257 accepted poster

ELIMINATION OF OLFACTORY AND TASTE SENSORY IN-FORMATION MODULATES GLUCOSE KINETICS AND SWEETPREFERENCET. Tsuji1, T. Yamamoto2, S. Tanaka1, M. Kogo1

1 OSAKA UNIVERSITY, Graduate school of Dentistry, Suita city, Osaka,Japan2 KIO UNIVERSITY, Department of Health and Nurtrition

Abstract Text: Introduction: Olfactory and taste sensory informationis generally recognized to beimportant in forming individual foodpreference. We have reported that grapefruitfragrancesignificantlyextended the time to peak and decreased the maximal blood glucoselevel(BGL) in blood glucose curve compared withodor freeconditionafter glucose-loading.We examined the blocking effects of olfactory andtaste sensory inputs on the BGL and sweet preference.Methods:Afterglucose-loading, we measured BGL of 15-h food-deprived awake rats atfixed time interval. Toexamine the effect of loss of taste inputs via oralsensory receptors on BGL, glucose solution was injected directly into thestomach through nasogastric (NG) tube. To examine the loss of olfactoryinputs on BGL, zinc sulfate was intranasally infused to produce atemporary loss of olfaction. We also performed the two-bottle preferencetest and measured voluntary intake of water and glucose solutions for4 days innormosmic and anosmic rats.Results: The maximal BGLwas significantly decreased under both conditions with anosmic andNG-fed rats, respectively. The two-bottle preference test demonstratedthat both low and high concentrations of glucose solutions were notpreferred by the anosmic rats in comparison with normosmic rats.Onerepresentative anosmic rat showed the tendency to prefer water toglucose solution during the course of experiment.Conclusion: Olfactoryand taste sensory inputs possibly contribute to glucose preference anddigestionthrough modulatory effects on glucose kinetics. The presentresults would suggest a more efficient and simple nutritional care for thepatients with abnormal lipid metabolism.Conflict of Interest: NoneFunding: Research relating to this abstract was supported by Grants-in-Aid for Scientific Research (B) (21390535 to M.K.) and Grants-in-Aid forYoung Scientists (B) (23792338 to T.T.) from the Japan Society for thePromotion of Science.

258 accepted poster

GASTRONOMY AND LIFE STYLE-RELATED DISEASES: INTRO-DUCING MASTIC-GUM INTO JAPANESE CULINARY TRADITIONT. Fukazawa1, I. Smyrnioudis2, M. Konishi1, S. Numao3, S. Sakamoto3

1 WASEDA UNIVERSITY, Graduate School of Sport Sciences, Saitama,Japan2 THE CHIOS GUM MASTIC GROWERS ASSOCIATION, Chio, Greece3 WASEDA UNIVERSITY, Faculty of Sport Sciences, Saitama, Japan

Abstract Text: Introduction: It has been discussed during the pastseveral years that mastic-gum is the most popular and widely usedfunctional food, playing an important role in the treatment of severallifestyle diseases of modern life in western countries. However,little is known about the mastic’s functional and medical efficacy inAsia, and especially in Japan. This study aims at exploring ways inintroducing mastic-gum from Chios Island in Greece to Japan withfocus on its therapeutic-effect on total cholesterol.Methods: A popularpharmaceutical-plant from Japan (the Japanese apricot-ume) is used asa comparator of mastic. This study analyses the two plants’ (mastic andume) physiological function with regards to total cholesterol reductionas well as their historic cultural and culinary role for both Western andAsian societies.Results: After comparing the two varying functional food,it has been indicated in a unique way that there is a similarity betweenmastic-gum and ume, first in relation to decrease of total cholesterol andsecond, in relation to their long history in the west and East respectivelybeing used as functional food in similar ways and appreciated by theirrespective societies.Conclusions: In conclusion, it is remarkable thatboth of the pharmaceutical plants are easily accessible (abundant andcheap sources) and with no side-effect. Moreover, they are importantdeterminants in shaping not only the eating habits but also the everydayculinary-culture on many aspects. Mastic can be introduced intoJapanese society through several culinary-ways adopted by this study asappropriate for Japanese people.Conflict of Interest: Conflict of Interest: None DisclosedFunding: Funding: No Funding

259 accepted poster

WORKPLACE HEALTHY EATING PROMOTION: THE EUROPEANPROGRAMME FOOD (FIGHTING OBESITY THROUGH OFFERAND DEMAND)N. BERTRAND1

1 EDENRED, Public Affairs, Brussels, Belgium

Abstract Text: The consequences of bad nutrition on health andeconomy have been clearly identified by the WHO and the EU. Besides,having lunch out of home has become commonplace and employeeswho do not have a company restaurant are often confronted with manyofferings.In that perspective, Edenred formed a public private partnershipwith Health Ministries, Nutritionists and Universities to propose a projectin the framework of the Second Health Programme of DG SANCO.Since its launch in 6 countries (Belgium, Czech Republic, France, Italy,Spain and Sweden) in 2009, the FOOD project has been concentratingon health promotion at the workplace and has aimed at changingemployees’ bad habits during their lunch break. The 5 successivestages:1. Inventory of the existing programmes (139 programmes) and 2types of surveys (quantitative: 52 000 employees and 5 000 restaurantsand qualitative: 50 interviews with restaurants in 12 countries)2.Comparative study of the results and recommendations of the partners3.Pilots in restaurants and in companies: development of adapted tools:guides, training, posters, e-learning DVD&. 4. Evaluation of the pilots5.New tools adapted and dissemination of best practices Results from theprocess evaluation indicated good performance on the coordination andsurvey methodology. Through 28 months, the FOOD project is estimatedto have reached around four million employees and 195 000 restaurants.The project has had an impact on the participating experts as well, asthe partners have agreed to continue their collaboration as a programme,with new partners and countries.Conflict of Interest:Funding: The european FOOD project received funding from DGSANCO for 28 months


T1:PSO – FOOD ACCESSIBILITY AND GASTRONOMY


T1:PSO - GLOBALISATION/NUTRITION TRANSITION

T1:PSO - Globalisation/Nutrition �Transition

260 accepted poster

DIETARY KNOWLEDGE, BEHAVIOURS, AND ATTITUDESAMONG INDIAN SCHOOL CHILDRENL. Howard1, L. Roberts2

1 UNIVERSITY OF BIRMINGHAM, School of Medicine, Birmingham, UnitedKingdom2 UNIVERSITY OF BIRMINGHAM, School of Medical Sciences, Birming-ham, United Kingdom

Abstract Text: IntroductionThis study aimed to describe and comparenutrition knowledge levels, dietary intake, and dietary behaviours amongIndian school children, according to socio-economic status (SES),gender, and age. Exploring these dimensions of diet is necessaryto inform appropriate preventative interventions to curb the growingrates of childhood obesity and its consequent health problems in India.MethodsThis is a cross-sectional, descriptive study using a researcherdeveloped self-administered paper questionnaire. The questionnairecollected data pertaining to the student’s demographics, knowledgeof healthy foods, food intake, snacking behaviours, dietary behaviourswithin the home, and personal attitudes towards healthy eating. Itwas set in two government (state) and two non-government (private)schools (a practical and plausible measure of SES) in Kerala, SouthIndia and included four hundred and ninety-five children aged between10 and 18 years. The questionnaires were administered in February2011.ResultsQuality of diet was sub-standard across the whole sample,and worse among female students and students of a higher SES. Therewas no relationship between age and knowledge, and healthy attitudesand knowledge of healthy eating did not clearly translate into a healthierdiet. There was however a relationship between age and dietarybehaviours. Reasons for these trends are likely to be embedded in theculture and economic state of India. ConclusionsThe study demonstratesthat diet among Indian children is sub-standard, particularly among girlsand children from a higher socio-economic background. There must nowbe a prompt effort to arrest this decline in diet among Indian children,which should focus particularly on these two groups. Interventions mustutilise a variety of methods as well as education to improve diet. Forthese to be effective will also require societal change and this in turnwill require strong government support.This study provides an insightinto the diets of south Indian children which no other study to date hasfocused on. Whilst some of the immerging trends could have beenpredicted, this study provides the essential evidence of these trendsfor future interventions to be based upon, which up until now has beenlacking. Further qualitative work to gain a more detailed understandingof children’s attitudes and dietary influences is now necessary, sincequestionnaires such as the one used in this study can only partlymeasure these factors. Studies focussing on exercise are also neededsince this is an equally important factor in fighting overweight and obesityin children. This study originally set out to formulate a score indicatingthe ’healthiness’ of each participant’s diet to enable identification offactors predictive of a poor diet. However it became clear during theanalysis stage that a more precise measure, such as validated fooddiaries, was necessary to do this. Future studies that use such a toolwould help to complete the picture of children’s diet in India.Conflict of Interest: The author declares no conflict of interests.Funding: The research was supported by funds from The University ofBirmingham via the intercalation funding scheme.

261 accepted poster

RELATIONSHIP OF BURNOUT SYNDROME AND EATINGHABITS OF ADMINISTRATIVE STAFF CELAYA-SALVATIERRACAMPUS OF GUANAJUATO UNIVERSITYC. Campos1, N. Padilla2

1 CAMPUS CELAYA SALVATIERRA UNIVERSITY OF GUANAJUATO, Celaya,Mexico2 UNIVERSIDAD DE GUANAJUATO CAMPUS CELAYA SALVATIERRA,Celaya, Mexico

Abstract Text: Introduction. Burnout syndrome is a cause forconcern, involving personal impact, whether emotional, behavioral orpsychosomatic, by unhealthy lifestyles, excessive job demands, lowmotivation to work and lost productivity. We feel the need to conduct astudy to determine if the staff of the University of Guanajuato CampusCelaya-Salvatierra have Burnout syndrome and to relate the changes intheir eating habits.Material and Methods. We performed a comparativeanalytical cross-sectional study. We worked with a total of 60 workers, 43female and 17 male, randomly selected, which formed the sample.The

variables used were age, gender, marital status, presence or absenceof children, working hours, professional seniority, number of meals perday, diet, Burnout syndrome and eating habits.Questionnaires wereused:Maslach Burnout Inventory General SurveyEating habits Results.Finding no statistically significant association between the presence ofburnout syndrome and unhealthy eating habits (p>0.05, 95%CI =0.54 to5.16) Conclusion. We found that who had unhealthy eating habits were67% more likely to experience burnout syndrome (OR=1.67).Conflict of Interest: no oneFunding: no one


T1:PSO – GLOBALISATION/NUTRITION TRANSITION


T1:PSO - POLICY AND MACRO ECONOMIC SYSTEMS

T1:PSO - New Media and Social Net-works

262 accepted poster

CONFLICTING PERSPECTIVES: AN EXPLORATION OF ONLINEMEDIA RE/PRESENTATIONS OF WEIGHT-LOSS SURGERYN. Glenn1, C. Champion1, J. Spence1

1 UNIVERSITY OF ALBERTA, Faculty of Physical Education and Recre-ation, Edmonton, Canada

Abstract Text: Introduction: Media has the ability to construct powerfulunderstandings about health and illness. Weight-loss surgery (WLS)is the fastest growing treatment for morbid obesity. There is littleinformation about how WLS is re/presented in the media. The purposeof this exploratory study was to examine online media re/presentationsof WLS.Methods: A qualitative content analysis was performed onnews articles and related reader comments available online at theCanadian Broadcasting Corporation (CBC) website. The focus wason the primary messages conveyed, the intended audience and thetone.Findings: Article texts were mostly supportive of WLS. Whereascomments were predominantly aggressive and unsupportive, includingdegroatory language such as "Piggy" and "Fatty". Comments frequentlyaddressed issues unrelated to WLS, particularly obesity and weight-lossand were aimed primarily at other commenters, ’fat’ people, and thegovernment. Articles presented a ’neutral’, bio-medical view of obesityand WLS intended for the genearl, tax-paying public and obese indi-viduals.Conclusions: Articles and corresponding comments frequentlypresented conflicting perspectives. Findings revealed that weight-basedstigmatization was prevelent among commenters and understandingsof weight-loss were dangerously simplistic (i.e., eat less/move more).In contrast, articles presented a ’neutral’, supportive perspective byreinforcing bio-medical, ’expert’ understandings of obesity as dis-easeand WLS as treatment. Nevertheless, the lack of consideration for thecomplex nature (e.g., psycho-social and experiential perspectives) ofobesity and related treatments may reinforce simplistic assumptionsabout obesity and WLS. Although media may be increasingly supportive,much work is required to address the continued stigmatization ofobesity/treatments among the public. 1. Conflict of InterestNonedisclosed.2. FundingFunding was received from the Canadian Institutesof Health Research (CIHR)Conflict of Interest: No conflict of interest.Funding: Funding was received from the Canadian Institutes of HealthResearch (CIHR)

264 accepted poster

WEB-BASED CALCULATORS IN THE PREVENTION OF OBESITY- EXPERIENCE FROM THE CITY OF LODZ (POLAND)T. Nawarycz1, K. Pytel2, L. Ostrowska-Nawarycz1

1 MEDICAL UNIVERSITY OF ŁÓDZ, Department of Biophysics, Łódz,Poland2 UNIVERSITY OF ŁÓDZ, Faculty of Physics and Applied Informatics

Abstract Text: Excessive body weight, elevated blood pressure (BP) andthe reduced overall physical activity (PA) are well known risk factors forcardiovascular diseases (CVD) and many other civilization diseases. Asimple web-based system of calculators for an assessment of nutritionalstatus (NS), level of BP, and physical fitness (PF) tests for adults, childrenand youth of a school age is presented. The results of anthropometricand BP screening examinations of children and youth from the Lodzregion Poland (13 186 boys and 13 358 girls, aged 719 years), wereused as a reference. The interactive calculators developed allow oneto evaluate: - the NS using the BMI, waist circumference and height byage and sex, - the BP status (systolic/diastolic pressure) by age , sexand height, - the PF status using some simple physical tests by age andsex. The web-based calculators were implemented in MS Visual Studioin C #. They are designed to work with the Windows 9x/2000/XP familysystems. The program requires a NET Framework runtime environment.The system is equipped with an easy to use graphical interface forentering data, and displays the results of the calculation. Conclusions:Our experiences shows the utility of web-based calculators for theearly prevention and self-monitoring of classical CVD risk factors. Thepresented system can be particularly useful for the modification of alifestyle in the case of familial clustering obesity.Conflict of Interest: None DisclosedFunding: Grant of the Mayor of the City of Lodz

T1:PSO - Policy and Macro EconomicSystems

265 accepted poster

A PRAGMATIC TOOL FOR ROBUSTLY ASSESSING COST-EFFECTIVENESS OF INTERVENTIONSH. Rutter1, N. Cavill1, R. Katherine2

1 NATIONAL OBESITY OBSERVATORY, Oxford, United Kingdom2 EAST MIDLANDS PUBLIC HEALTH OBSERVATORY

Abstract Text: In a world of increasingly constrained resourcescost-effectiveness of interventions is ever more important. However, theevidence base for effective interventions to tackle obesity remains small,and the subset of those interventions that are demonstrably cost-effectiveis even smaller. The National Obesity Observatory has built on existingwork from Australia, the OECD, and others to develop a pragmatic tool tosupport decision-making on the allocation of resources for interventions,even in the face of considerable evidential uncertainty. This greatlybroadens the range of potential approaches under consideration. Thereare of course risks associated with this and we have done all we can tominimise them. The tool also links to the National Obesity ObservatoryStandard Evaluation Guidance. At the time of abstract submission thetool is still under development, but it will have been published by thetime of the conference following extensive consultation and stakeholderengagement. We will describe the aims and objectives of the tool, itsdevelopment process, and the mechanism by which it works. We believethat this novel approach will provide a valuable additional tool to supportaction to tackle obesity, and we are keen both to disseminate it and toobtain critical feedback in order to continue its development and ensureit provides the best possible support to practitioners.Conflict of Interest: noneFunding: none

266 accepted poster

A REVIEW OF GLOBAL RECOMMENDATIONS PERTAINING TOPHYSICAL ACTIVITY FOR CHILDREN <5 YEARS OF AGEH. Skouteris1, D. Dell’Aquila1, L. Baur2, G. Dwyer2, M. McCabe1, L.Ricciardelli1, M. Fuller-Tyszkiewicz11

1 DEAKIN UNIVERISTY, School of Psychology, Burwood, Melbourne ,Australia2 UNIVERSITY OF SYDNEY, Discipline of Paediatrics Child Health,Westmead, Australia

Abstract Text: Introduction: In the current climate of high childhoodobesity prevalence rates, there is an urgent need for evidence-basedstudies to inform the development of community targeted programs toensure healthy levels of physical activity in young children. The aim ofthis presentation is to outline the global recommendations pertainingto physical activity for children younger than 5 years of age, and theimplications of these guidelines when we consider current data pertainingto preschooler physical activity in Australia.Method: A literature searchwas conducted in June 2011 to retrieve journal articles that have citedphysical activity recommendations or guidelines in children <5 years.Most guidelines/recommendations were retrieved from governmentor organizational websites. Results: Only 3 countries have endorsedgovernment guidelines for children <5 years. Our review of the literaturerevealed that we are a long way from forming universal or comparableguidelines for preschool-aged children. The barriers to developingevidence based guidelines include: (1) methodological issues, suchas the application of different measurement instruments; (2) a lackof evidence for dose response required for positive health outcomes,and (3) limitations in representative surveys of physical activity inhealthy young children. Conclusion: The presentation will conclude withrecommendations for future research and public health policy.Conflict of Interest: NoneFunding: Research relating to this abstract was funded by AustralianResearch Council Discovery Grant (ARC Discovery).


T1:PSO – POLICY AND MACRO ECONOMIC SYSTEMS



267 accepted poster

CHARACTERIZATION OF FOOD ENVIRONMENTS AROUNDHIGH SCHOOLS: WHERE DO ADOLESCENTS GO?C. Dufour12, M. Vallières1, N. Bachiri3, V. Drapeau4, A. Royer5, C.Després3, N. Alméras1

1 CRIUCPQ (CENTRE DE RECHERCHE DE L’INSTITUT UNIVERSITAIREDE CARDIOLOGIE ET DE PNEUMOLOGIE DE QUÉBEC), Quebec, Canada2 UNIVERSITÉ LAVAL, Division de kinésiologie, département de médecinesociale et préventive, Québec, Canada3 ÉCOLE D’ARCHITECTURE DE L’UNIVERSITÉ LAVAL4 UNIVERSITÉ LAVAL, Département d’éducation physique, Québec,Canada5 DIRECTION RÉGIONALE DE SANTÉ PUBLIQUE DE LA CAPITALE-NATIONALE

Abstract Text: Introduction: The omnipresence and easy availability offood are major issues which do not spare school environment. Methods:Fourth grade high school adolescents (n=173) from 5 neighbourhoods ofQuc City were recruited. Through an Internet survey, all places (sellingfood or not) frequented by adolescents around their school, on foot andby bicycle, were listed. The food establishments located in a 1-km areaaround each school were identified. A classification grid was elaboratedto document and to classify the quality of the food offer in three categories(low, moderate and high). This new tool provides a global nutritionalquality score (0 to 100) as well as subscores for beverages, appetizers,main course, side dishes and desserts. Results: Preliminary results ofthe characterization showed that the quality of the food offer is similaramong the five school environments. Food establishments classifiedas high food quality represent around 10% for three of the five schools.Nearly 45% of the places frequented by adolescents sell food. For 75%of these places, the nutritional quality of the food offer went from low tomoderate. About 22% of the other frequented places offer food as well,which exposes adolescents to more unhealthy food choices. Conclusion:A majority of the places frequented by the adolescents located near theschools were characterized by a low to moderate nutritional offer, whichmight unfavourably influence their food habits.Conflict of Interest: NoneFunding: Fonds qucois de la recherche sur la soci et la culture (FQRSC)

269 accepted poster

DESIGN AND BASELINE CHARACTERISTICS OF THE LIVE FORLIFE EMPLOYEE WEIGHT MANAGEMENT STUDYT. Ostbye1, M. Stroo1, R. Brouwer1, B. Fuemmeler1, J. Joyner1, E.Eisenstein1, B. Peterson1, J. Dement11 DUKE UNIVERSITY MEDICAL CENTER

Abstract Text: Introduction: The workplace can be an important settingfor addressing obesity. An increasing number of employers offer weightmanagement programs. The few existing evaluations of such programshave not utilized a randomized control design. We present the designand baseline data from a randomized control trial (RCT) evaluating theefficacy and cost-effectiveness of two employee weight control programsoffered at Duke University.Methods: 500 obese (BMI >30) employeesare randomized (1:1) to one of two 12-month employee weight loss/management programs. Before randomization, baseline data arecollected including measured height/weight, accelerometry, self-reportedphysical activity and dietary intake, and a health risk assessmentincluding blood pressure and serum cholesterol. The impact of the twoprograms will be related to their net costs (program costs minus reducedhealth care expenditures). Participants in both intervention groups willalso be compared to a non-randomized observational control group ofemployees.Results: 360 participants have been randomized betweenJanuary 2011 and December 2011. At baseline, the mean age is 45.6years, 84% were female, 41% white, and 54% black. Mean baseline BMIwas 37.6. Participants consumed a mean of 2.5 servings of F/V perday. Conclusion: This RCT addresses the need to measure long-termoutcomes of employee weight management programs in terms of 1)effectiveness over time, 2) weight reduction, 3) lifestyle changes, and 4)net costs to the employer.Conflict of Interest: None DisclosedFunding: Research relating to this abstract was funded by the NationalInstitute of Occupational Safety and Health (NIOSH).

270 accepted poster

ESTIMATING THE EXTENT OF THE MORBIDLY OBESE POPU-

LATION IN SCOTLANDE. Grieve1, E. Fenwick1, M. Lean2

1 UNIVERSITY OF GLASGOW, Health Economics and Health TechnologyAssessment, Glasgow, United Kingdom2 UNIVERSITY OF GLASGOW, Human Nutrition, Glasgow, UnitedKingdom

Abstract Text: IntroductionIt has been estimated that just over 2% ofthe Scottish population has a body mass index (BMI) ≥ 40 kg/m2 butthere are no estimates that disaggregate the morbidly obese populationbeyond this level. The aim of our research was to derive the extent ofthe morbidly obese population in Scotland by BMI groupings beyond 40kg/m2.MethodsUsing secondary cross-sectional data and estimates ofdisease prevalence associated with varying levels of BMI ≥ 40 kg/m2,we determined the approximate size of the population of the morbidlyobese in Scotland by BMI 40 kg/m2, 50 kg/m2, 60 kg/m2 to ≥ 70kg/m2.ResultsOur estimates suggest that as BMI increases from ≥40 kg/m2 up to ≥ 70 kg/m2 the proportion of the population falling intoeach BMI grouping falls by a factor of 10 with 2%, 0.2% 0.02% and0.002% of the population for each 10 point BMI grouping ≥40 up to ≥70respectively. In absolute terms, this equates to approximately 100,000;10,000; 1000 and 100 individuals.ConclusionOur results concur with theliterature that just over 2% of the Scottish population is morbidly obese.Extrapolating our results to values of BMI above 80kg/m2 suggests thereare currently few individuals (<100) living in Scotland with BMI at theselevels. Grouping people with BMI values above 40 kg/m2 into a singlehomogenous group of morbidly obese hides the extent of the morbidityand potential unmet need associated with increasing BMI levels, evenwithin the morbidly obese category.Conflict of Interest: None.Funding: We acknowledge the donation of unencumbered funds fromCambridge Weight Plan.

271 accepted poster

FASTING CIRCULATING GLP-1 LEVEL AND INTESTINAL MI-CROBIOTA IN OBESE AND NORMAL WEIGHT SUBJECTSA. Zak-Gołab1, P. Kocełak2, B. Zahorska-Markiewicz3, M. Aptekorz4, M.Zientara5, G. Martirosian5, J. Chudek1, M. Olszanecka-Glinianowicz6

1 MEDICAL UNIVERSITY OF SILESIA, Pathophysiology Unit Departmentof Pathophysiology2 MEDICAL UNIVERSITY OF SIESIA, Health Promotion and ObesityManagement Unit, Department of Pathophysiology3 OUTPATIENT METABOLIC CLINIC WAGA4 MEDICAL UNIVERSITY OF SILESIA, Department of Microbiology, d,Poland5 MEDICAL UNIVERSITY OF SILESIA, Department of Microbiology, f,Poland6 MEDICAL UNIVERSITY OF SILESIA, Health Promotion and ObesityManagement Unit, Department of Pathophysiology, Katowice, Poland

Abstract Text: Introduction: It is thought that physiologic intestinalmicrobiota may play a role in the development of obesity throughenhancing energy utilization from digested food. We hypothesizedthat intestinal microbiota may influence gut hormones release. Theaim of the study is to assess the composition of intestinal microbiotaand its influence on fasting plasma GLP-1 level in obese and normalweight subjects.Methods: The study group included 50 obese subjects(group O) and 30 normal-weight subjects (group S) without concomitantdiseases. Body composition was assessed by bioimpedance method.Plasma GLP-1 was measured by ELISA. Faces samples formerlydiluted in physiological salt were inoculated on media in aerobic andanaerobic conditions to analyze semi-quantitatively the composition ofintestinal bacterial flora.Results: Fasting plasma GLP-1 levels weresimilar in obese and normal weight subjects (1.4±0.9 vs.1.3±0.5ng/mL). However, a significant negative correlation between BMI andGLP-1 levels (R=-0.23, p=0.04) was found. There was no correlationbetween plasma GLP-1 concentration and overall bacterial count, andthe percentage of Firmicutes species. No influence of overall bacterialcount and Bateroides and Firmicutes speciescount on GLP-1 wasproved in multiple regression analysis. Conclusion: The composition ofintestinal microbiota does not influence fasting circulating GLP-1 level.Conflict of Interest: None DisclosedFunding: Research relating to this abstract was funded by MedicalUniversity of Silesia

274 accepted poster

LITERATURE REVIEW OF THE ECONOMIC BURDEN ASSOCI-



267 accepted poster




269 accepted poster



270 accepted poster





271 accepted poster




274 accepted poster




267 accepted poster




269 accepted poster



270 accepted poster





271 accepted poster




274 accepted poster






ATED WITH SEVERE AND COMPLICATED OBESITYE. Grieve1, E. Fenwick1, M. Lean2


Abstract Text: IntroductionBurden of disease studies typically classifyindividuals with a body mass index (BMI) ≥ 40 kg/m2 as a singlegroup (morbidly obese). Our aim was to review the literature on theeconomic burden of morbid obesity, the fastest growing category ofobesity, disaggregated by BMI categories (≥ 40 kg/m2, ≥ 50 kg/m2&≥100 kg/m2) in order to explore differences in resource use as BMIincreases beyond 40 kg/m2.MethodsArticles presenting data on theeconomic burden associated with morbid obesity were identified fromOvid MEDLINE, EMBASE, EBSCO CINAHL and the Cochrane Librarydatabases. Data were extracted on the direct and indirect costsassociated with morbid obesity and estimates of the multiplier effect ofincreasing BMI. Results12 studies were identified, with 2 disaggregatingresource use above ≥ 40kg/m2. Multiplier effects on a variety of differenttypes of costs incurred by the morbidly obese compared with thoseof normal weight ranged from 1.49 to 2.6 for direct costs, and 1.7 to11.0 for indirect costs. ConclusionThere are few data presented inthe literature on the economic burden of obesity disaggregated by BMIbeyond 40 kg/m2. By grouping people homogenously above a thresholdof BMI 40 kg/m2, the multiplier effects for those at the highest endof the spectrum are likely to be under-estimated with impacts on thecost-effectiveness of interventions and policies aimed at the morbidlyobese. The demographic also profile needs to be considered as costsare not distributed homogenously across BMI classes, age, gender andsocio-economic status.Conflict of Interest: None.Funding: We acknowledge the donation of unencumbered funds fromCambridge Weight Plan.

276 accepted poster

OBESE ADOLESCENTS WITH BINGE EATING DISORDER: ARETHEY AT HIGHER RISK FOR OTHER MENTAL DISORDERS?L. Lanza1, C. Chamay-Weber2, X. Martin3, N. Farpour Lambert31 UNIVERSITY HOSPITAL OF GENEVA, Department of Child and Adoles-cent, Geneva 14, Switzerland2 UNIVERSITY HOSPITAL OF GENEVA, Department of Child and Adoles-cent, Geneva, Switzerland3 UNIVERSITY HOSPITAL OF GENEVA, Department of Child and Adoles-cent, Geneva, Switzerland

Abstract Text: ObjectiveBinge Eating is a prevalent problem amongobese adolescents seeking help for their obesity. Care of these patientsis often difficult and suboptimal. In this context, the purpose of this studywas to evaluate whether obese adolescents with Binge Eating Disorder(BED) have an increased risk of psychopathological disorders comparedto patients without BED. MethodsThis was a cross-sectional studyincluding 37 obese adolescents (body mass index >97th percentile) aged11 to 17 years (mean 14.2 ± 1.7) recruited at the Paediatric ObesityClinic or at the Adolescent Medicine Unit. The female to male ratiowas 2.4. A trained psychologist administrated the French version ofthe Schedule for Affective Disorders and Schizophrenia for school-ageChildren (K-SADS) and the eating disorder section of the StructuredClinical Interview for DSM-IV (SCID) to assess psychological disorders.ResultsPreliminary analysis showed that obese adolescents with partialor full diagnosis of BED presented more anxiety disorder (P=.004), oppo-sitional defiant disorder (P=.028), depression (P=0.05) and sub-thresholdoveranxious disorder (P=.002) than obese adolescents without BED.ConclusionPartial or full Binge Eating Disorder in obese adolescents isassociated with other psychopathological disorders, such as anxiety anddepression. Therefore, BED and associated psychopathologies shouldbe screened systematically in this population and, if present, a specifictherapy should be initiated by a trained psychologist to increase thesuccess of obesity treatment and increase quality of life.Conflict of Interest: NoneFunding: No Funding/Research relating to this abstract

278 accepted poster

PROCESS EVALUATION OF THE NOURISH-RCT, AN OBESITYPREVENTION INTERVENTION COMMENCING IN INFANCY.V. Thebaud1, J. Nicholson2, J. Meedeniya1, J. Wilson1, L. Daniels1

1 QUEENSLAND UNIVERSITY OF TECHNOLOGY, Institute of Health andBiomedical Innovation, School of Public Health, Kelvin Grove, Australia2 PARENTING RESEARCH CENTRE

Abstract Text: Introduction:Process evaluation provides importantinformation for interpreting program effectiveness and informing programimprovement[1]. This abstract presents results on participant atten-dance, satisfaction, perceived usefulness and barriers to engage into anAustralian trial.Methods: 352 first-time mothers were allocated to receiveanticipatory guidance on early feeding practices[2]. This was deliveredthrough two 6-session group education modules, when children wereaged 6 and 14 months. Session attendance was recorded. Participantscompleted baseline and feedback questionnaires after each module.Results: 272 (77%) of the mothers (mage: 30 years; sd: 5.3) were bornin Australia, 207 (59%) had completed University education. Prior to thefirst module, 52 (15%) had returned to work. Median attendance was3 out of 6 information sessions. Time constraint (n= 65) was the mostreported barrier to attendance, followed by child illness (n= 36). Of the221 (63%) participants who provided feedback, 199 (90%) were satisfiedwith information sessions, 216 (98%) reported the information was"very useful" and 214 (97%) that they would recommend the program.Prior to the second module, 160 (45%) mothers had returned to work.Median attendance at this stage dropped to 0 out of 6 informationsessions. Further analyses of the barriers to attendance are beingconducted.Conclusion: After module 1, participants were satisfied, butthere was considerable variability in the amount of the program received.This may attenuate the intervention effect.References: [1] Oakley, A., etal. 2006. http://eprints.ucl.ac.uk/6628/1/6628.pdf.[2] Daniels, L., et al.,BMC Public Health, 2009. 9(1): p. 387.Conflict of Interest: noneFunding: NOURISH is funded by the National Health and MedicalResearch Council; VT is supported by an Australian Postgraduate Award.

279 accepted poster

PSYCHOLOGICAL INTERVENTIONS MODEL ON AN INTERDIS-CIPLINARY LIFESTYLE THERAPY OF OBESE ADULTSA. Moares1, J. P. Carvalho-Ferreira2, M. Cipullo3, A. DÂMASO1, D.Caranti41 FEDERAL UNIVERSITY OF SÃO PAULO, Post Graduate Program ofInterdisciplinary Health Sciences, Santos, Brazil2 FEDERAL UNIVERSITY OF SAO PAULO (UNIFESP), Post GraduateProgram of Interdisciplinary Health Sciences, Sao Paulo, Brazil3 FEDERAL UNIVERSITY OF SÃO PAULO, Department of Health,Education and Society, Federal University of São Paulo , Santos, Brazil4 FEDERAL UNIVERSITY OF SÃO PAULO, Post Graduate Program ofInterdisciplinary Health Sciences, Federal University of São Paulo,Santos, Brazil

Abstract Text: Background: Obesity is a complex chronic disease whichis associated with psychological aspects also related with a poor qualityof life. The Obesity Study Group (GEO) is an interdisciplinary researchgroup that aims to achieve the control and treatment of obese adultsthrough lifestyle changes. Aim: To present and discuss the psychologicalintervention model on GEO. Methods: According our flowchart of theinterdisciplinary lifestyle therapy we emphasize many aspects includingthe psychological strategies during the long term treatment of 49obese adults of both genders (BMI 36.35 ± 5.89 Kg/m2; Age 44.1± 10.0).Results: After screening, the obese adults were evaluatedwith clinic anamneses, anthropometric measurements, assessmentof food consumption and psychological evaluations. In this way, theystarted the interdisciplinary therapy to change a lifestyle (nutritional,psychological and physical exercise). The flowchart is presented bellow.Conclusion: Currently, the interdisciplinary intervention model is themost recommended for clinical and scientific communities for obesitytreatment. However, the interdisciplinary does not mean dilution ofspecific knowledge, but the link between the different disciplines toachieve the expected goals. This study demonstrated the specificity ofpsychology within an interdisciplinary therapy model: the main topics tobe discussed; the importance of free thematic sessions (to meet specificdemands) and conducting joint operations with other areas.Conflict of Interest:Funding: GEO UNIFESP

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SCORING SYSTEM TO ESTIMATE CARDIOVASCULAR RISK INCHILDRENS. Stomfai1, W. Ahrens2, S. De Henauw3, S. Marild4, L. A. Moreno5, A.Siani6, M. Tornaritis7, T. Veidebaum8, Kovács1, D. Molnár11 UNIVERSITY OF PÉCS, Department of Paediatrics, Pécs, Hungary2 UNIVERSITY OF BREMEN, BREMEN INSTITUTE FOR PREVENTIONRESEARCH AND SOCIAL MEDICINE, Bremen, Germany3 GHENT UNIVERSITY, FACULTY OF MEDICINE AND HEALTH SCIENCES,Department of Public Health, Ghent, Belgium4 GOTEBORG UNIVERSITY, Department of Paediatrics, Goteborg,Sweden5 GENUD (GROWTH, EXERCISE, NUTRITION AND DEVELOPMENT)RESEARCH GROUP, UNIVERSITY OF ZARAGOZA, Zaragoza, Spain6 INSTITUTE OF FOOD SCIENCES, UNIT OF EPIDEMIOLOGY & POPULA-TION GENETICS, NATIONAL RESEARCH COUNCIL, Avellino, Italy7 RESEARCH AND EDUCATION INSTITUTE OF CHILD HEALTH, Strovolos,Cyprus8 NATIONAL INSTITUTE FOR HEALTH DEVELOPMENT, Tallinn, Estonia

Abstract Text: Introduction: The development of cardiovascular dis-eases begins in childhood, though there is no consensus how to estimateearly risk status which could be the premise of targeted intervention. Theaim of the present investigation is to introduce a risk estimation basedon the method of modified MIRACLE scoring1 in the IDEFICS popula-tion.Methods: 5964 children (boys: 3077; age range: 2,0-9,9 years; bodyweight: [mean±SD] 23,9±7,12 kg; BMI: 16,4±2,47) of the total IDEFICSpopulation (16223) having all parameters of the applied scoring systemwere selected. The scoring system is based on two clusters: individualparameters (obesity/overweight, waist circumference/height ratio, hyper-tension, weight small/large for gestational age) and family history (earlycardiovascular disease, diabetes type 2, hypertension and dyslipidemia).In order to verify a cut-off value of the score system detecting consider-able risk of having at least three pathological laboratory parameters (fast-ing blood glucose, total cholesterol, HDL-cholesterol, triglyceride, HOMA-index, HgbA1C and CRP), the score values and the laboratory data wereanalyzed. Results: Table. Prevalence of score values and correspond-ing relative risk (odds ratio) of detecting 3 or more abnormal laboratoryvalues:

Conclusions: The present results demonstrate that even a simplescoring system can detect children deserving further attention. Furtheranalysis is needed to refine the components of the scoring system andto define the best cut-off score value.Ref: 1Brambilla, P et al: IJO (2007)31, 591600Conflict of Interest: None Disclosed.Funding: The research was funded by the Hungarian ’Social Re-newal Operational Programme’ (TMOP-4.2.1. B-10/2/KONV-2010-0002)and the ’Medical Research Council HECRIN Committee’ (276/2009 ETT).

281 accepted poster

STATISTICAL ANALYSIS TO ESTABLISH THE ECONOMICBURDEN ASSOCIATED WITH SEVERE AND COMPLICATEDOBESITYE. Grieve1, E. Fenwick2, M. Lean3

1 UNIVERSITY OF GLASGOW, Health Economics and Health TechnologyAssessment, Glasgow, United Kingdom2 UNIVERSITY OF GLASGOW, Health Economics and Heatlh TechnologyAssessment, Glasgow, United Kingdom3 UNIVERSITY OF GLASGOW, Human Nutrition, Glasgow, UnitedKingdom

Abstract Text: IntroductionThere are few data presenting the economicburden associated with morbid obesity, the fastest growing categoryof obesity, disaggregated beyond a body mass index (BMI) ≥ 40kg/m2. Our aim was to estimate the impacts on utility and resource useof different BMI groupings beyond 40 kg/m2.MethodsWe undertookanalysis of secondary cross-sectional data using health surveys toexplore the economic burden (utility and costs) associated with BMI ≥40 kg/m2&≥ 70 kg/m2. Two methodological approaches were used; weregressed expenditure, resource use and costs by BMI and comparedthe results with a bottom-up approach applying unit costs to healthoutcomes associated with varying BMI. As obesity-related costs arenot distributed homogenously, we provide a demographic profile of thissub-population. Health utility scores were generated by applying theSF-6D algorithm.ResultsThe impacts on direct costs for BMI ≥ 50kg/m2 are almost quadruple those for BMI 20 30 kg/m2. For BMI 30 -40 kg/m2 and BMI 40 50 kg/m2, costs are 50% and 100% greater thanfor BMI 20 - 30 kg/m2. They are more likely to be living in the mostdeprived quintile (40%) and to be female (70%). Utility scores are lowestamong the morbidly obese and underweight.ConclusionBy groupingpeople homogenously as morbidly obese above a threshold of BMI 40kg/m2, the multiplier effects for those at the highest end of the spectrumare likely to be under-estimated. This will impact the cost-effectivenessestimates of any interventions aimed at the morbidly obese.Conflict of Interest: None.Funding: We acknowledge the donation of unencumbered funds fromCambridge Weight Plan.

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SURVEY OF SOME METABOLIC SYNDROME FACTORS AMONGPRIMARY SCHOOL GIRLS . IRAN (RAFSNJAN CITY) . 2008Z. Salem1

1 FACULTY OF MEDICINE, Social Medicine Dept, Rafsanjan, Iran IslamicRepublic of

Abstract Text: Introduction: Metabolic syndrome is a risk factor fortype 2 diabetes mellitus and cardiovascular diseases. This syndromeis increasing number of children and adolescents. The aim of thisstudy was to estimate the prevalence of some components of metabolicsyndrome among girls aged 7-11 years in Rafsanjan, 2008Methods Inthis descriptive , cross-sectional study 775 girls were selected usingtwo stage random sampling in 2008. The individual questionnaire wascompleted. The blood pressure was measured. Hypertension wasdetected using (National Heart, Lung and blood Institute criteria ) Fourthreport on the diagnosis, evaluation and treatment of high blood pressurein children and adolescents .Anthropometric indices including weight (W),height(Ht) and waist circumference ( WC) were measured using standardequipments . Obesity was defined based on BMI scores using CDCchart. Abdominal obesity was also detected based on WC percentiles forage and gender . Data were analyzed using by SPSS software ResultsThis study showed that 11.9 % and 8.9% of the girls were overweightand obese respectively). Abdominal obesity was observed in 5% ofchildren.11.9% and 4.2 % of children had high systolic and diastolic bloodpressure respectively . Conclusion :Our findings showed a rather highprevalence of hypertension and abdominal obesity as components ofmetabolic syndrome in primary school girls in Rafsanjan . It is suggestedto follow up other age groups and other components of this syndrome infurther studiesConflict of Interest:Funding:






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