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PT010 Estimating the Changes in Nutritional Quality and Environmental Impact of Primary School Meals if All Meals Met the New School Food Plan Standards in England
POSTER ABSTRACTS
PT007
PT010
Health Centers as a Novel and Developing Direction of Cardiovascular and Other Noncommunicable Diseases Prevention in Russia
Estimating the Changes in Nutritional Quality and Environmental Impact of Primary School Meals if All Meals Met the New School Food Plan Standards in England
N. V. Pogosova*1, E. K. Vergazova1, A. K. Ausheva1, S. S. Isakova1, S. A. Boytsov1 1 National Research Center for Preventive Medicine, Moscow, Russian Federation
K. W. Wickramasinghe*1, P. Scarborough1, N. Townsend1, M. Goldacre1, M. Rayner1 1 Nuffield Department of Population Health, University of Oxford, Oxford, United Kingdom
Introduction: A conceptually new structure in the Russian healthcare system – Health Centers (HCs) for adult population and HCs for children (6-17 years old) were established in 2009-2010. In some regions HCs became the very first institutions dealing with medical prevention. Objectives: The goal was provide a health screening, to promote a healthy lifestyle, including reduction of alcohol and tobacco consumption, and to prevent cardiovascular and other noncommunicable diseases in the Russian population. Methods: HCs provide a complex health screening and counseling on free of charge basis for citizens of Russia (totally covered by insurance). The health screening includes more than 25 parameters of health: smoking status (self-reported, by means of carbon monoxide in the exhaled air and cotinine in urine), spirometry, level of physical activity, eating habits, height, weight, body mass index, waist circumference, adiposity using bioimpedance analysis, blood pressure, heart rate, ECG (3 leads, computerized with heart rate variability analysis), ankle-brachial index, carboxyhaemoglobin, grip strength, stress level, total cholesterol, blood glucose, prophylactic dental examination, visual acuity and intraocular pressure, total cardiovascular risk using the SCORE scale for high risk countries. Thereafter a personal counseling by a HCs doctor is provided regarding detected risk factors, their management and making healthier lifestyle choices. HCs visitors have also an opportunity to receive a group counseling on relevant health topics (so called Health schools). Results: A total of 502 HCs for adults and 193 HCs for children and adolescents were established in 2009-2010 throughout Russia. HCs are gaining popularity. Since 2010 the annual number of HCs visitors almost doubled: in 2010 - 2,364,402 (91.5% adults and 8.5% children), in 2011 -3,882,158 (75% adults and 25% children) and in 2012 4,278,221 (63% adults and 27% children), in 2013 - 4,651,473 visits (73.5% adults and 26.5% children) and in 2014 - 4,707,567 (73.0% adults and 27% children). Conclusion: To address the growing popularity in 2011-2015 59 additional HCs were launched, and by the beginning of 2015 we had 806 HCs including 501 for adults, 219 for children, 23 mixed HCs for the whole family and 63 mobile HCs. Disclosure of Interest: None Declared
Introduction: There is increasing concern regarding the sustainability of global food production. This study developed a method to quantify simultaneously the nutritional impact and carbon footprint of the School Food Plan, a policy addressing healthiness and sustainability of school meals in England. Objectives: This study aims to quantify changes in nutritional quality and greenhouse gas emissions (GHGE) if all primary school meals met the new School Food Plan (SFP) and its new food-based standards for primary school meals (SFP Scenario). Methods: The Primary School Food Survey (PSFS) dataset was used in this study. For school lunches a sample of 6,690 students from 136 schools were included in the final analysis. A systematic review was conducted to estimate the GHGE per Kg of common food items and GHGE values were assigned for each food item in the dataset. All meals which meet the new SFP food-based standards were identified in the PSFS. Their GHGE value and nutritional quality was compared with the average primary school meal in the total PSFS dataset. Fourteen nutrient based standards were used to quantify healthiness of meals. Results: The percentage of meals that meet the protein standard increases in the SFP scenario. Similarly the proportion of meals meeting the standards for important micronutrients (e.g. iron, calcium, vitamin A and vitamin C) will be increased. When salt, saturated fat and sugar were used to define a “healthy meal” almost 32% of PSFS meals are classified as “healthy” compared to only 23% of meals In the SFP scenario. The mean GHGE value of meals which meets the SFP criteria is 0.81 KgCO2e compared to 0.72 KgCO2e of average PSFS meal. Adopting the SFP would increase the total emissions associated with primary school meals by 28,000,000 KgCO2e. Conclusion: The introduction of new food-based standards will increase the GHGEs of primary school meals in England and improve some aspects of the nutritional quality, but it would not improve the salt, sugar and saturated fat content levels, unless recipes are changed. Disclosure of Interest: None Declared
PT008 Effects of a Low-Carbohydrate Diet Very High in Total and Saturated Fat on the Triad of Atherogenic Dyslipidemia J. Laupsa-Borge*1, J. E. Nordrehaug2, E. Rostrup1 1 Department of Heart Disease, Haukeland University Hospital, 2Department of Clinical Science, University of Bergen, Bergen, Norway Introduction: Low-carbohydrate (LC) diets are widely used to manage obesity and the cardiometabolic syndrome. However, concerns have been raised about possible dyslipidemia caused by an increase in dietary total fat and saturated fatty acids (SFA) with these diets. Objectives: We examined in obese men and women the effects of a LC diet very high in total fat and SFA on the triad of atherogenic dyslipidemia, i.e., high plasma levels of small, dense LDL particles (LDL-P), low levels of HDL cholesterol (HDL-C), and increased levels of triacylglycerols (TAG). Methods: 22 obese (BMI 28 kg/m2; fat percentage >20% for men and >28% for women) and sedentary, but otherwise healthy individuals were put on an ad libitum low-carbohydrate high-fat (LCHF) diet for 10 weeks. Changes in body weight and composition was analyzed by dual-energy x-ray absorptiometry (DXA), and lipids and lipoproteins were measured at baseline and follow-up, both enzymatically and by nuclear magnetic resonance (NMR). Results: Dietary records based on food weighing showed that energy intake during the intervention declined with 33.727.7% from baseline (p<0.001). Mean dietary composition in percentage of total energy intake (E%) during the intervention was 4.32.0E% carbohydrate (-90.842.9% change from baseline, p<0.001), 23.34.8E% protein (+32.942.4%, p¼0.002), 71.36.1E% total fat (+98.027.4%, p<0.001), and 32.36.4E% SFA (+119.755.3%, p<0.001). This dietary transition was followed by a 6.93.1% reduction in body weight (p<0.001), and 7.46.5% less percent body fat (p<0.001). We observed an increase in total cholesterol (TC) from 4.980.86 to 5.551.76 mmol/l (p¼0.038), low-density lipoprotein cholesterol (LDL-C) from 3.330.69 to 3.921.61 mmol/l (p¼0.024), and HDL-C from 1.230.36 to 1.320.33 mmol/l (p¼0.029). TAG was reduced from 1.290.67 to 0.890.35 mmol/l (p¼0.004). The NMR analysis showed no change in total number of LDL-P (p¼0.470), but significant changes in LDL subclasses. Large LDL-P increased by 85.3133.3% (p¼0.001), while we observed a 43.765.3% reduction in small, dense LDL-P (p¼0.007). The LDL-P size increased by 3.04.0% (p¼0.002), while the VLDL particle size was reduced by 11.211.6% (p<0.001). Conclusion: A weight reducing LCHF diet may positively alter atherogenic dyslipidemia in obese individuals, despite a very high intake of total fat and SFA. Disclosure of Interest: None Declared
e128
PT011 Chagas Disease in a Child’s Pediatric and Maternity Hospital in an Endemic Province of Argentina J. R. Romano*1 1 Cardiologia, Policonsultorio Maria Candelaria, Hospital de Laguna Blanca Formosa., Laguna Blanca, Argentina Introduction: It is a matter well known that the actual number of positive cases of the disease as associated with poverty is highly underestimated , with the known consequences for public health of Argentina or Latin American countries this problem. Objectives: Report positive cases and features found in the province of Formosa, a pediatric hospital serving, obstetric and gynecological patients , and provincial reference for these patients. In a period of 5 months of 2014. Methods: A descriptive study, which was compiled by taking simple data and positive serology , the origin of the patients and the age of patients with serology positivadesde the August 1, 2014 to December 31, 2014. The data was performed were extracted from laboratory worksheets that hospital and corroborated with data taken by the service infectologia of the hospital. These data were analyzed with Excel 2000. Results: 103 seropositive patients including 19 newborns, 22 pediatric patients ( including newborns ), the remaining women, 82 % pregnant . The mean age of the positive serology was 27 years , most often by age was 16 years ( mothers 10 pts ) , Formosa Capital were 51% . And in rural areas 49% ( inland villages ) , Aboriginal race were 5%. All congenital Chagas were not of Formosa Capital. Conclusion: high number of chagasic patients for the period of time covered , although many mothers did not transmit to their children ’s disease , those that did were of people found a significant number of mothers of low age he was , with positive serology . Aboriginal mothers found were few. Importantly, is a referral hospital for inland towns , many Chagas patients may not derived. Disclosure of Interest: None Declared PT014 Quality Improvement and Assurance of a Cardio-Diabetes Education Programme: A Pan India Initiative for Primary Care Physicians D. S. Jain1, A. Mishra*1, S. Sinha1, P. Gupta1, R. Srivastava1, S. Deshpande2, D. Prabhakaran1, A. G. Unnikrishnan2, S. Bhalla1 1 Public Health Foundation of India, Gurgaon, 2Chellaram Diabetes Institute, Pune, India
GHEART Vol 11/2S/2016
j
June, 2016
j
POSTER/WCC_2016-POSTERS
PT007
PT010
Health Centers as a Novel and Developing Direction of Cardiovascular and Other Noncommunicable Diseases Prevention in Russia
Estimating the Changes in Nutritional Quality and Environmental Impact of Primary School Meals if All Meals Met the New School Food Plan Standards in England
N. V. Pogosova*1, E. K. Vergazova1, A. K. Ausheva1, S. S. Isakova1, S. A. Boytsov1 1 National Research Center for Preventive Medicine, Moscow, Russian Federation
K. W. Wickramasinghe*1, P. Scarborough1, N. Townsend1, M. Goldacre1, M. Rayner1 1 Nuffield Department of Population Health, University of Oxford, Oxford, United Kingdom
Introduction: A conceptually new structure in the Russian healthcare system – Health Centers (HCs) for adult population and HCs for children (6-17 years old) were established in 2009-2010. In some regions HCs became the very first institutions dealing with medical prevention. Objectives: The goal was provide a health screening, to promote a healthy lifestyle, including reduction of alcohol and tobacco consumption, and to prevent cardiovascular and other noncommunicable diseases in the Russian population. Methods: HCs provide a complex health screening and counseling on free of charge basis for citizens of Russia (totally covered by insurance). The health screening includes more than 25 parameters of health: smoking status (self-reported, by means of carbon monoxide in the exhaled air and cotinine in urine), spirometry, level of physical activity, eating habits, height, weight, body mass index, waist circumference, adiposity using bioimpedance analysis, blood pressure, heart rate, ECG (3 leads, computerized with heart rate variability analysis), ankle-brachial index, carboxyhaemoglobin, grip strength, stress level, total cholesterol, blood glucose, prophylactic dental examination, visual acuity and intraocular pressure, total cardiovascular risk using the SCORE scale for high risk countries. Thereafter a personal counseling by a HCs doctor is provided regarding detected risk factors, their management and making healthier lifestyle choices. HCs visitors have also an opportunity to receive a group counseling on relevant health topics (so called Health schools). Results: A total of 502 HCs for adults and 193 HCs for children and adolescents were established in 2009-2010 throughout Russia. HCs are gaining popularity. Since 2010 the annual number of HCs visitors almost doubled: in 2010 - 2,364,402 (91.5% adults and 8.5% children), in 2011 -3,882,158 (75% adults and 25% children) and in 2012 4,278,221 (63% adults and 27% children), in 2013 - 4,651,473 visits (73.5% adults and 26.5% children) and in 2014 - 4,707,567 (73.0% adults and 27% children). Conclusion: To address the growing popularity in 2011-2015 59 additional HCs were launched, and by the beginning of 2015 we had 806 HCs including 501 for adults, 219 for children, 23 mixed HCs for the whole family and 63 mobile HCs. Disclosure of Interest: None Declared
Introduction: There is increasing concern regarding the sustainability of global food production. This study developed a method to quantify simultaneously the nutritional impact and carbon footprint of the School Food Plan, a policy addressing healthiness and sustainability of school meals in England. Objectives: This study aims to quantify changes in nutritional quality and greenhouse gas emissions (GHGE) if all primary school meals met the new School Food Plan (SFP) and its new food-based standards for primary school meals (SFP Scenario). Methods: The Primary School Food Survey (PSFS) dataset was used in this study. For school lunches a sample of 6,690 students from 136 schools were included in the final analysis. A systematic review was conducted to estimate the GHGE per Kg of common food items and GHGE values were assigned for each food item in the dataset. All meals which meet the new SFP food-based standards were identified in the PSFS. Their GHGE value and nutritional quality was compared with the average primary school meal in the total PSFS dataset. Fourteen nutrient based standards were used to quantify healthiness of meals. Results: The percentage of meals that meet the protein standard increases in the SFP scenario. Similarly the proportion of meals meeting the standards for important micronutrients (e.g. iron, calcium, vitamin A and vitamin C) will be increased. When salt, saturated fat and sugar were used to define a “healthy meal” almost 32% of PSFS meals are classified as “healthy” compared to only 23% of meals In the SFP scenario. The mean GHGE value of meals which meets the SFP criteria is 0.81 KgCO2e compared to 0.72 KgCO2e of average PSFS meal. Adopting the SFP would increase the total emissions associated with primary school meals by 28,000,000 KgCO2e. Conclusion: The introduction of new food-based standards will increase the GHGEs of primary school meals in England and improve some aspects of the nutritional quality, but it would not improve the salt, sugar and saturated fat content levels, unless recipes are changed. Disclosure of Interest: None Declared
PT008 Effects of a Low-Carbohydrate Diet Very High in Total and Saturated Fat on the Triad of Atherogenic Dyslipidemia J. Laupsa-Borge*1, J. E. Nordrehaug2, E. Rostrup1 1 Department of Heart Disease, Haukeland University Hospital, 2Department of Clinical Science, University of Bergen, Bergen, Norway Introduction: Low-carbohydrate (LC) diets are widely used to manage obesity and the cardiometabolic syndrome. However, concerns have been raised about possible dyslipidemia caused by an increase in dietary total fat and saturated fatty acids (SFA) with these diets. Objectives: We examined in obese men and women the effects of a LC diet very high in total fat and SFA on the triad of atherogenic dyslipidemia, i.e., high plasma levels of small, dense LDL particles (LDL-P), low levels of HDL cholesterol (HDL-C), and increased levels of triacylglycerols (TAG). Methods: 22 obese (BMI 28 kg/m2; fat percentage >20% for men and >28% for women) and sedentary, but otherwise healthy individuals were put on an ad libitum low-carbohydrate high-fat (LCHF) diet for 10 weeks. Changes in body weight and composition was analyzed by dual-energy x-ray absorptiometry (DXA), and lipids and lipoproteins were measured at baseline and follow-up, both enzymatically and by nuclear magnetic resonance (NMR). Results: Dietary records based on food weighing showed that energy intake during the intervention declined with 33.727.7% from baseline (p<0.001). Mean dietary composition in percentage of total energy intake (E%) during the intervention was 4.32.0E% carbohydrate (-90.842.9% change from baseline, p<0.001), 23.34.8E% protein (+32.942.4%, p¼0.002), 71.36.1E% total fat (+98.027.4%, p<0.001), and 32.36.4E% SFA (+119.755.3%, p<0.001). This dietary transition was followed by a 6.93.1% reduction in body weight (p<0.001), and 7.46.5% less percent body fat (p<0.001). We observed an increase in total cholesterol (TC) from 4.980.86 to 5.551.76 mmol/l (p¼0.038), low-density lipoprotein cholesterol (LDL-C) from 3.330.69 to 3.921.61 mmol/l (p¼0.024), and HDL-C from 1.230.36 to 1.320.33 mmol/l (p¼0.029). TAG was reduced from 1.290.67 to 0.890.35 mmol/l (p¼0.004). The NMR analysis showed no change in total number of LDL-P (p¼0.470), but significant changes in LDL subclasses. Large LDL-P increased by 85.3133.3% (p¼0.001), while we observed a 43.765.3% reduction in small, dense LDL-P (p¼0.007). The LDL-P size increased by 3.04.0% (p¼0.002), while the VLDL particle size was reduced by 11.211.6% (p<0.001). Conclusion: A weight reducing LCHF diet may positively alter atherogenic dyslipidemia in obese individuals, despite a very high intake of total fat and SFA. Disclosure of Interest: None Declared
e128
PT011 Chagas Disease in a Child’s Pediatric and Maternity Hospital in an Endemic Province of Argentina J. R. Romano*1 1 Cardiologia, Policonsultorio Maria Candelaria, Hospital de Laguna Blanca Formosa., Laguna Blanca, Argentina Introduction: It is a matter well known that the actual number of positive cases of the disease as associated with poverty is highly underestimated , with the known consequences for public health of Argentina or Latin American countries this problem. Objectives: Report positive cases and features found in the province of Formosa, a pediatric hospital serving, obstetric and gynecological patients , and provincial reference for these patients. In a period of 5 months of 2014. Methods: A descriptive study, which was compiled by taking simple data and positive serology , the origin of the patients and the age of patients with serology positivadesde the August 1, 2014 to December 31, 2014. The data was performed were extracted from laboratory worksheets that hospital and corroborated with data taken by the service infectologia of the hospital. These data were analyzed with Excel 2000. Results: 103 seropositive patients including 19 newborns, 22 pediatric patients ( including newborns ), the remaining women, 82 % pregnant . The mean age of the positive serology was 27 years , most often by age was 16 years ( mothers 10 pts ) , Formosa Capital were 51% . And in rural areas 49% ( inland villages ) , Aboriginal race were 5%. All congenital Chagas were not of Formosa Capital. Conclusion: high number of chagasic patients for the period of time covered , although many mothers did not transmit to their children ’s disease , those that did were of people found a significant number of mothers of low age he was , with positive serology . Aboriginal mothers found were few. Importantly, is a referral hospital for inland towns , many Chagas patients may not derived. Disclosure of Interest: None Declared PT014 Quality Improvement and Assurance of a Cardio-Diabetes Education Programme: A Pan India Initiative for Primary Care Physicians D. S. Jain1, A. Mishra*1, S. Sinha1, P. Gupta1, R. Srivastava1, S. Deshpande2, D. Prabhakaran1, A. G. Unnikrishnan2, S. Bhalla1 1 Public Health Foundation of India, Gurgaon, 2Chellaram Diabetes Institute, Pune, India
GHEART Vol 11/2S/2016
j
June, 2016
j
POSTER/WCC_2016-POSTERS