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Nutrition Masterclass APPSPGHAN 2024

Theme: The Future of Pediatric Nutrition in Asia

27 June 2024 Thursday @ Royal Chulan Kuala Lumpur


Eating and nutrition are unique with impressive diversity and variety in Asia compared with the other regions of world. The one-day Nutrition Masterclass APPSPGHAN 2024 can refresh your knowledge and strengthen your expertise during clinical practice for benefiting Asian children towards future.

Katsuhiro ARAI
Chair, Scientific Committee

AM talks: Nutrition to Maximize Present and Future Child Health

Morning talks aim at Nutrition to Maximize Present and Future Child Health. Professor Damayanti Rusli Syarif from Universitas Indonesia in Jakarta will show you how to differentiate stunting, a big problem is in Asia, with short stature and its nutrition management. Professor Sirinuch Chomtho from Chulalongkorn University in Bangkok will introduce therapeutic weight loss strategy and novel concept of pediatric research for pediatric obesity. Dr. Iris Mei Ching Chan, a neonatal consultant, neonatal team head and gastrointestinal service lead physician at Kwong Wah Hospital and an honorary Clinical Associate Professor in Chinese University of Hong Kong, will tell how various maternal diets and supplementation in pregnancy impact birth weight and micronutrients of preterm birth and babies. Professor Jossie Rogacion from University of the Philippines Manila will demonstrate how early dietary patterns can shape future health and predict future health outcomes. Dr. Masanobu Kawai, the Deputy director of the Department of Gastroenterology, Nutrition and Endocrinology at Osaka Women’s and Children’s Hospital will update your understanding of vitamin D deficiency for its prevalence, relevant diseases, maternal status–neonate association, and evidence-based applications. Professor Shiuh-Bin Fang from Taipei Medical University and TMU Shuang Ho Hospital will tell a story about Asian conventional functional foods such as regional fermented soybean foods and their relationship with vitamin K2, as well as research and utilization of nutraceuticals in children.

Childhood Stunting – Role of Pediatricians In Diagnosis and Management
Damayanti Rusli SYARIF, Indonesia
Pediatric Obesity – Current Perspectives In Diagnosis and Management
Sirinuch CHOMTHO, Thailand
Maternal Diets and Supplementation In Pregnancy – Potential Impact On Birth Weight and Preterm Birth
Iris Mei Ching CHAN, Hong Kong
Dietary Patterns and Non-Communicable Diseases In Later Life - Early Nutrition Shaping Future Health
Jossie ROGACION, Philippines
Vitamin D Deficiency, Supplementation, and Evidence-Based Applications
Masanobu KAWAI, Japan
Conventional Functional Foods and Nutraceuticals For Health Benefit In Asian Children
Shiuh-Bin FANG, Taiwan
PM talks: Nutrition for Disease Intervention and Prevention

Afternoon talks focus on Nutrition for Disease Intervention and Prevention. Dr. Luu Thi My Thuc, Head of Nutrition Department of Vietnam National Children's Hospital, will talk about how to approach children with picky eating for differentiation with anorexia and its relevant nutrition deficiency. Dr. Sarath Gopalan, a Senior Consultant Pediatric Gastroenterologist and Hepatologist associated with Madhukar Rainbow Children's Hospital and President Elect Nutrition Society of India, will tell you the innovative evidence-based use of probiotics to fight against malnutrition and micronutrient deficiency in Asian children. Associate Professor Marion Aw from National University of Singapore, a Senior Consultant and Head of the Division of Paediatric Gastroenterology, Nutrition, Hepatology and Liver transplantation at the Department of Paediatrics, National University Health System will disclose the facts and myths in gluten related disorders as well as diagnostics and therapeutics for non-celiac gluten sensitivity. Dr. Jason Yap, Consultant Paediatric Gastroenterologist in The Royal Children’s Hospital in Melbourne and Clinical Associate Professor in University of Melbourne, will update current and emerging treatments such as glucagon-like peptide-2 analogues for intestinal failure and rehabilitation in children. Finally, Associate Professor Jin Soo Moon from Seoul National University and SNU Children’s Hospital will introduce optimizing management for hospital and home parenteral nutrition for pediatric intestinal failure and short bowel syndrome. Altogether, the Nutrition Masterclass will fully recharge you with new practical and theoretical knowledge for your professional practice in pediatrics.

Practical Approach To Children With Picky Eating
Luu Thi My THUC, Vietnam
Innovative Use of Probiotics In The Fight Against Malnutrition and Micronutrient Deficiencies
Sarath GOPALAN, India
Non-Celiac Gluten Sensitivity and Gluten Related Disorders – Facts and Myths
Marion AW, Singapore
Intestinal Failure and Rehabilitation – Current and Emerging Treatments
Jason YAP, Australia
Optimizing Management For Hospital and Home Parenteral Nutrition for Pediatric Intestinal Failure
Jin Soo MOON, Korea

Outlines

A-1. Childhood stunting – Role of pediatricians in diagnosis and management

  • What is the definition of stunting and why does it become the global problem?
  • How big is stunting a problem in Asia?
  • Why should pediatricians get involved in stunting diagnosis and management?
  • How to differentiate stunting with other causes of short stature
  • What is the principle of nutrition intervention to stunting recovery

A-2. Pediatric obesity – Current perspectives in diagnosis and management

  • Therapeutic weight loss strategies  
    • Dietary interventions
    • Behavior and lifestyle modification
    • Anti-obesity medications
    • Bariatric-metabolic surgery
  • Overall concepts of pediatric obesity-related research
    • Body composition and related co-morbidities
    • Etiologies and pathophysiology: gene-environmental interactions, gut microbiota dysbiosis
    • New weight management interventions

A-3. Maternal diets and supplementation in pregnancy – Potential impact on birth weight and preterm birth

  • Incidence of low birth weight and preterm birth worldwide: A huge health burden
  • Maternal nutrition has a significant role in ensuring successful birth outcomes
  • Maternal diets during pregnancy and its impact on birth weight and preterm birth: "Western diets" vs diet rich in vegetables, fruits, fish, whole grains and dairy products
  • Effect of different micronutrients on preterm birth and LBW/ SGA babies: iron, folic acid, calcium, vitamin A, vitamin D, multi micronutrient supplement (MMN), lipid-based nutrient supplementation (including essential fatty acid, DHA)

A-4. Dietary patterns and non-communicable diseases in later life – Early nutrition shaping future health

  • Diet-disease relationship acquired a new dimension from focus on single nutrients to dietary patterns
  • Dietary patterns: quantities, proportions, variety or combination of foods, drinks and nutrients in diets and frequency by which they are habitually consumed
  • Early dietary exposure may be prelude to later dietary patterns
  • Dietary patterns developed early can persist in later childhood/adolescence and predict future health outcomes:  
    • Obesity
    • Cardio-metabolic diseases
    • Neurologic and developmental problems
    • Immune-related diseases (asthma/allergies)

A-5. Vitamin D deficiency, supplementation, and evidence-based applications

  • Vitamin D deficiency is prevalent in children unless universal supplementation is performed
  • Vitamin D functions in a multifaceted manner, but enhancing Ca absorption in the intestine is its primary function.
  • Vitamin D deficiency causes hypocalcemia and rickets in children.
  • Maternal vitamin D status is highly associated with that in neonates.
  • Vitamin D deficiency is preventable by appropriate interventions.

A-6. Conventional functional foods and nutraceuticals for health benefit in Asian children

  • Definition of functional foods and nutraceuticals
  • Introduction of common functional foods in different Asian regions: e.g. Fermented soybean foods (Kimena in India, Cheonggokjang and Deonjang in South Korea, Natto in Japan)
  • What are the key nutrients of fermented foods for health benefits? Taking vitamin K2-producing foods as an example
  • How to conduct an in vitro and clinical study using the regionally functional foods? Taking indigenous cinnamon in Taiwan as an example
  • How can pediatricians use function foods and nutraceuticals in Asian children? Evidence-based communications with patients

P-1. Practical approach to children with picky eating

  • Distinguished picky eating in small children and anorexia in old children (age, causes, diagnosis)
  • Nutrient deficiency among picky eating children: Test to confirm nutrient deficiency (iron, Vitamin D, zinc…), short term and long-term effect of nutrient deficiency
  • Control and prevent picky eating, nutrient deficiency

P-2. Innovative use of probiotics in the fight against malnutrition and micronutrient deficiencies

  • What is the role of the gut in influencing nutrient absorption and bioavailability?
  • What are the important factors which determine bioavailability of nutrient absorption from the gut and how do they get altered?
  • What methods are currently available to estimate nutrient absorption from the gut and their bioavailability?
  • How does the composition of the gut microbiome impact nutrient absorption and bioavailability?
  • How can probiotics be of potential utility in modifying the gut microbiome favourably and influencing nutrient absorption and bioavailability?
  • What scientific evidence is currently available regarding this and which are the probiotic strains which appear promising?
  • How can this information be effectively utilized in community based nutrition intervention programmes in Asia?

P-3. Non-celiac gluten sensitivity and gluten related disorders – Facts and myths

  • Facts and Myths regarding gluten related disorders
  • Diagnostic and management strategies in dealing with concerns relating to non-coeliac gluten sensitivity

P-4. Intestinal failure and rehabilitation – Current and emerging treatments

  • Described current outcomes of children with intestinal failure
  • Established treatment options for intestinal rehabilitation in children
  • Emerging treatments for intestinal rehabilitation such as GLP-2 analogues

P-5. Optimizing management for hospital and home parenteral nutrition for pediatric intestinal failure

  • Intestinal failure (IF) is an increasing disease entity in the field of pediatric nutritional support. Aggressive surgical interventions and supportive cares targeted for patients with volvulus, necrotizing enterocolitis and Hirschsprung disease make this possible.
  • About one thirds of the patients with extensive bowel loss require PN with many unmet clinical needs, despite of recent improved postoperative supportive care (e.g. parenteral nutrition (PN), use of hydrolysate formula, and various enteral feeding protocols) with better outcomes
  • Brief summary for the recent advance of pediatric parenteral and enteral nutrition for the children with IF and short bowel syndrome
Time Duration Topic Speaker Moderator
0800-0820 20 min Registration    
0820-0825 5 min Opening Remarks
(President of MySPGHAN)
Prof Lee Way Seah  
0825-0845 20 min Greeting from President of APPSPGHAN and Importance of Nutrition for Child Health (including "Rationale to decide the energy requirement for children") – Topic to be determined Prof Kyung Mo KIM  
0845-0915 30 min Childhood stunting – Role of pediatricians in diagnosis and management Damayanti Rusli
SYARIF
Way Seah LEE
0915-0945 30 min Pediatric obesity – Current perspectives in diagnosis and management Sirinuch CHOMTHO
0945-1015 30 min Maternal diets and supplementation in pregnancy – Potential impact on birth weight and preterm birth Iris Mei Ching CHAN
1015-1030 15 min Panel Q&A  
1030-1045 15 min Coffee Break    
1045-1115 30 min Dietary patterns and non-communicable diseases in later life - Early nutrition shaping future health Jossie ROGACION Kee Seang CHEW
1115-1145 30 min Vitamin D deficiency, supplementation, and evidence-based applications Masanobu KAWAI
1145-1215 30 min Conventional functional foods and nutraceuticals for health benefit in Asian children Shiuh-Bin FANG
1215-1230 15 min Panel Q&A  
1230-1330 60 min Lunch Symposium (Kyowa Hakko Bio) Topic (MHOs) to be determined (45 min talk+15 min Q&A) Prof Katsuhiro ARAI Shiuh-Bin FANG
1330-1400 30 min Practical approach to children with picky eating Luu Thi My THUC Chee Liang CHOONG
1400-1430 30 min Innovative use of probiotics in the fight against malnutrition and micronutrient deficiencies Sarath GOPALAN
1430-1500 30 min Non-celiac gluten sensitivity and gluten related disorders – Facts and myths Marion AW
1500-1515 15 min Panel Q&A  
1515-1530 15 min Coffee Break    
1530-1600 30 min Intestinal failure and rehabilitation – Current and emerging treatments Jason YAP Ruey Terng NG
1600-1630 30 min Optimizing management for hospital and home parenteral nutrition for pediatric intestinal failure Jin Soo MOON
1630-1640 10 min Panel Q&A  
1640-1650 10 min Closing Remarks
(Chair of the Nutrition Subcommittee of APPSGHAN)
(Chair of the Scientific Committee of APPSGHAN)

Prof Shiuh-Bin FANG
Prof Katsuhiro ARAI
 
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