Scientific Symposium of Nutrition for Euro Global Summit & Medicare Expo, Franfurkst, Proceedings 2015

Scientific Satellite Symposium

Organized by the Universityof Bitola St. Kliment OhridskiFaculty of Technology and Technical Sciences Veles

26 27 June, 2015 Hotel Premier, Bitola, Republic of Macedonia

Euro Global Summit & Medicare Expo onWeight Loss

Advanced perspectives for better fitness in public health nutrition to reduceobesity and related chronic diseases

Symposium Proceedings

Scientific Satellite Symposium for International Euro Global Summit &

Medicare Expo on Weight Loss

SYMPOSIUM PROCEEDINGS

Advanced perspectives for better fitness

in public health nutrition to reduce

obesity and related chronic diseases

Editor: Univ. Prof. Vera Simovska-Jarevska, MD., PhD

University of Bitola St. Kliment Ohridski Faculty of Technology and Technical Sciences Veles

Contents 1. Welcome Messages 2. International Advisory Board 3. Scientific Program 4. Abstracts 5. Papers 6. Indexs Authors, Co-Authors and Mentors

Welcome Message

Dear Colleagues and friends,

Scientific investigations and various scientifically based recommendations in the application of Medical Nutrition Therapy (MNT) for obese individuals, including lifestyle interventions and improvement of cardiorespiratory fitness by increased physical activity, shows high degree of efficiency in reducing obesity and health risks: metabolic disorders (type 2 diabetes, hyperlipidemia), cardiovascular diseases, muscle and skeletal disorders and other frequent co-morbidities linked to obesity

The correlation between high level of sedentary lifestyle, bad nutritional practices and negative effects of both on the health, especially in the adult population, are not evaluated so far. The innovative approaches towards this 21 century epidemics become imperative.

To organize a Nutritional Symposium for application of MNT to fight obesity, focusing on pre-vention aspects through physical activity, sport and behavioral medicine is not an easy task due to lack of scientific and expert staff, research and articles devoted to the subject.

Despite those facts, the innovative approaches in overcoming the health risks linked to obesity which are in the domain of the nutrition science, innovative nutritional technologies, fitness, physical activity and health, are subject to numerous research efforts as well as controversies throughout the world.

Publishing linked to specialized subjects in nutrition, sport and behavioral medicine, obesity and public health is minimal. Hence, this Symposium represents a rare occasion for educating the professional and scientific public and is as such included in the continuous education efforts of the Macedonian Medical Society. Simultaneously, the Symposium is the only venue where in addition to the scientific cadre, younger students can publish their research and exchange experiences with best European experts in the field.

The Symposium provides an ideal academic platform for the scientific and academic nutritional cadre as well as other experts in the region to present the latest scientific news related to the overcom-ing of the health risks linked to obesity.

Conducting the scientific Symposium will produce numerous positive effects for the newly es-tablished Faculty of Technology and Technical Sciences in Veles as part of the St. Clemet of Ohrid University in Bitola and the newly established Study Program in Nutrition as the first and only study program of this sort in Macedonia.

Due to the fact that this Symposium is as a scientific event included in the Euro Global Summit & Medicare Expo on Weight loss 2015, to be conducted August 18-20, 2015 in Frankfurt Germany, http://weightloss.global-summit.com/europe, we believe that the promotion of the Faculty will be one of the key benefits achieved.

The Symposium is also included in the activities of The World Obesity Federation (WOF) in the segment of official educational programs on obesity. WOF is a network organization representing professional, scientific and academic cadre and research communities from more than 50 regional and national associations dealing with obesity worldwide. http://www.worldobesity.org/what-we-do/events/non-iaso-events/

Exposing our academic cadre, through the abstracts and biographical information that will be included onthe web site of these European and global networks will create opportunities for collaboration in the internation-al scientific research efforts and will increase the profile of the Faculty to potentially bid for organizing the next

European and Global Summit in 2016. At the same time it will contribute to the affirmation of the Republic ofMacedonia by presenting our ambitious plans in the development of the nutrition as a multidisciplinary science.The Macedonian Medical Society and the National Organization for the Promotion of Health-EnhancingPhysical Activity (HEPA-Macedonia), a member of the World Health Organization (WHO HEPA Europe), will be co-organizers of this event.

The thematic areas of the Symposium are:

Mapping of recommendations for managing obesity in Europe and worldwide, and comparing of efficien-cy in an effort to improve their quality as well as evidence based MNT in children, adults and pregnant women.Comparison of applied scientifically based recommendations for dosing regular physical activity in preven-tion and treatment of obesity, maintaining healthy body weight, reducing of risk factors for NCD, reducing overall mortality and achieving long term health benefits. Research in the domain of the cardiorespiratory fitness (VO2max) and physical activity in children, ado-lescents and adults in Macedonia.Healthier food choices and appropriate nutrition for preventing obesity in various healthy population cat-egories.

Macro and micro composition of different reduction diets and combined treatments.Healthy diet through education and food reformulation - targets for food manufacturing industry (salt, saturated fat, trans fat and sugar content).Monitoring and promotion of health-enhancing physical activity and nutrientrich fresh food intake in reducing the rising trend of obesity prevalence in children and adolescents.

Regarding to the Position Paper on the Role of the Dietitian in the Management of Obesity (EFAD, 2008), Nu-tritionists/Dietitians play a key role in the management of obesity in adults and children at every level. They areuniquely qualified to translate the scientific evidence on energy intake and expenditure, nutrition and behaviourinto practical dietary advice and the provision of healthy food. Nutritionists/Dietitians use counselling techniquesto support individuals and groups who are overweight or obese or have obesity related conditions, such as diabetesand coronary heart disease, in an effective way both short term and long term (Lichtenstein 2007, Zazpe 2008,Govers 2009, Delahanty 2010).Nutritionists/Dietitians are in a key position to promote a healthy lifestyle. They are educated in nutrition, health, counselling and behavioural strategies and are actively involved in public health, health promotion/prevention, clinical treatment, disease management, research, food planning and preparation.Nutritionists/Dietitians have the skills and competences to interpret and communicate theoretical knowledgeto enable individuals to make appropriate choices about food and healthy lifestyle and to teach people how to sus- tain healthy behaviour.Nutritionists/Dietitians fulfil their role in prevention, treatment, food provision and research in a range ofdifferent settings:

Healthcare (primary care, acute, residential and private practice);Education (pre-school, school and higher education institutions);Workplace;Food industry;Multi-media;Research institute;National and local governments

Vera Simovska-Jarevska, MD., PhD.Univ. Prof. D-r / Director of Postgraduate study

University St. Kliment Ohridski-BitolaFaculty of Technology and Technical Sciences Veles

Macedonia

1

From Professor D-r Pekka Puska,MD, M.Pol.Sc. PhD

I want to congratulate you for your good activities and I wish you all success. Well-being through nutrition and exercise, the nation-

al obesity program in Finland, (2012-2015) is successful, and good example for Obesity prevention into their decision making and action. The State Councils Resolution of health-enhancing physical activity (HEPA) and nutrition on development guidelines covers the various age groups of nutri-tion and physical activity recommendations, including the elderly. One of the target group is a high-risk population refers to adults, with obesity-related diseases, such as diabetes, or risk factors for NCDs.

Biography

Professor D-r Pekka Puska is President of International Association of National Public Health Institutes (IANPHI). He was Director General of National Institute for Health and Welfare (THL) in Finland and Director and Principal Investigator of North Karelia Project: prevention of cardiovascular diseases in North Karelia and later in all Finland. Within 25 years, over 80% decline in annual heart disease mortality among the working age population and a dramatic general improve-ment in public health. The North Karelian and Finnish experience has greatly influenced nutrition policy and behaviour the world over and has been responsible for major reductions in deaths and chronic ill health from vascular disease. The clear demonstration of the protective value of lowering blood cholesterol has also opened the way for powerful new medications to reinforce the effect of dietary modification. Professor Puska was Director of Department for Non-communicable Disease Prevention and Health Promotion of World Health Organisation (WHO) and the focal point of this work that culminated in adoption of the Global Strategy on Diet, Physical Activity and Health by the World Health Assembly in 2004. Also, he was President of World Heart Federation (WHF). Professor Puska is Doctor of Medicine and Surgery, epidemiology/public health, and Profes-sor of Public Health, University of Koupio. He has over 500 scientific publications. Professor Puska has served as a Member of the National Parliament of Finland.

Letter of Gratitude

Dear Symposium Participants,

I am pleased to welcome all of you to the Satellite Symposium for Euro Weight loss 2015, Ad-vanced perspectives for better fitness in public health nutrition to reduce obesity and related chronic diseases. I would like to extend a special welcome to our students especially as it is the first time for some of them to participated at scientific meeting.

Through this satellite symposium, we would like to engage with all of you in an open and con-structive dialogue about obesity, one of the most prevalent health concerns among all populations and age groups worldwide, resulting into a significant increase in mortality and morbidity related to coronary heart diseases, diabetes type 2, metabolic syndrome, stroke and cancers. Prevention and treatment of this problem are an important deal for health systems, whose aim is to reduce the obe-sity and overweight prevalence, and related complications over the world.

At this Satellite Symposium exchange your knowledge in the arena of nutrition and food technol-ogy and enjoy the beauties of Bitola City of the consuls.

It is my sincere hope that we shall be seeing more of you in the future at another Symposium.

Valentina Pavlova, PhD Associate Professor / Dean

University St. Kliment Ohridski-BitolaFaculty of Technology and Technical Sciences Veles

Macedonia

Welcome Message

Dear Colleagues,

This scientific Symposium will deal with the global epidemic of obesity in adults, adolescents and children along with its complications of type 2 diabetes, hypertension and heart disease. The main topics are food, dietary, exercise and lifestyle modifications to encourage weight loss and the concept of Wellness.

Examples include a healthy lifestyle, weight management, physical fitness as well as food prod-ucts reformulation. Selected examples of general wellness claims include claims to promote or main-tain a healthy weight, encourage healthy eating or assist with weight loss goal and claims to promote physical fitness, measure aerobic fitness, improve physical fitness, develop or improve endurance or improve energy.

Many presentations in this Symposium fail into examples of a healthy lifestyle associated with risk reduction and are very useful for public dissemination.

Dragan Damjanovski, PhDProfessor / The First Dean

Faculty of Technology and Technical Sciences VelesUniversity St. Kliment Ohridski-Bitola

Macedonia

Welcome Message

International Advisory Board

President, Vera Simovska-JarevskaDirector of Postgraduate Study for Nutrition, Faculty of Technology and Technical Sciences Veles, University of Bitola St.Kliment Ohridski, Macedonia

Valentina PavlovaDean of Faculty of Technology and Technical Sciences Veles, University of Bitola St.Kliment Ohridski, Macedonia

Aleksandar SaveskiPresident of Student Parliament at the FacultyUniversity of Bitola St.Kliment Ohridski, Macedonia

Dragan DamjanovskiVesna Antoska-Knights Daniela Nikolovska-NedelkoskaZora UzunoskaTatjana KalevskaSasko MartinovskiMagdalena Damjanovska Tatjana BlazevskaAna NasevaElena StojanovskaMiodrag StojanovicMila Vidin-JarevskaSanja ManchevaSlavica Sivevska Vezire StarovaSasko Drvosanski

Scientific Satellite Symposium for Euro Global Summit & Medicare Expo on Weight Loss

August 18-20, 2015, Frankfurt, Germany

Advanced perspectives for better fitness in public health nutrition to reduce obesity and related chronic diseases

Hotel Premier, June 26-27, 2015 - Bitola

Scientific Program

June 26, 2015

14.00-18.00 Registration of participants

18.00 Opening Ceremony 18.00 - 18.30 Welcoming speeches

Univ. Prof.d-r. Vera Simovska-Jarevska, Symposium PresidentUniv. Prof. d-r. Zlatko Zoglev, Rector and Univ. Prof. Pere Aslimovski-Prorector of the University of Bitola St.Kliment Ohridski, MacedoniaUniv. Prof. d-r Valentina Pavlova, Dean, Faculty of Technology and Technical Sciences Veles, University of Bitola St.Kliment Ohridski, Macedonia

18.30 - 19.00 Introductory speech: International Obesity Guidelinesfocused on Lifestyle InterventionPresident Lecture, Vera Simovska-Jarevska, Director of Postgraduate Study for Nutrition, Faculty of Technology and Technical Sciences Veles,University of Bitola St.Kliment Ohridski, Macedonia

19.00 20:00 Cocktail

June 27, 2015

Plenary lectures

Session ChairsValentina Pavlova, Dragan Damjanovski, Vesna Antoska-KnightsUniversity of Bitola St.Kliment Ohridski, Faculty of Technology and Technical Sciences Veles, Macedonia

09:30 - 09:50 Effects of high-inensity lifestyle intervention on increased cardiometabolic risk in truncal obese adults Vera Simovska-Jarevska University of Bitola St.Kliment Ohridski, Faculty of Technology and Technical Sciences Veles, Macedonia

09:50 - 10:10 Hot debates in nutrition and food production/reformulation against global obesityDaniela Nikolovska-NedelkoskaUniversity of Bitola St.Kliment Ohridski, Facluty of Technolgy and Technical Sciences Veles, Macedonia

10:10 - 10:20 DiscussionSession 1 Food, Nutrition and Public HealthTrack 1 Screening Obesity and Optimisation in Nutrition

Session Chairs Zora Uzunoska, Tatjana Kalevska, Sasko Martinovski University of Bitola St.Kliment Ohridski, Faculty of Technology and Technical Sciences Veles, Macedonia

10:20 - 10:30 Mathematical modeling and optimisation in nutrition Vesna Antoska-Knights, Vera Simovska-JarevskaSt.Kliment Ohridski University of Bitola, Faculty of Technology and Technical Sciences Veles, Macedonia

10:30 - 10:40 Whey properties and its use for production of functional and probiotic drinks Tatjana Kalevska, Dragan Damjanovski, Aleksandar Saveski St.Kliment Ohridski University of Bitola, Faculty of Technology and Technical Sciences Veles, Macedonia

10:40 - 10:50 Modeling Nutritional Business Models of Consumer Behavior when Buying Food ProductsSasko Martinovski, Vera SimovskaJarevska, Rozita Spirovska-VaskovskaSt. Clement of Ohrid, University of Bitola, Faculty of Technology and Technical Sciences Veles.

10:50 - 11:00 Screening childhood obesity in region of Prilep, MacedoniaRosida Jakimoska-Jordanoska. Mentor: Vera Simovska-JarevskaSt. Clement of Ohrid, University of Bitola, Master study of Nutrition at theFaculty of Technology and Technical Sciences Veles.

11:00 - 11:10 Identification and determination of Ganodermic acid like bioactive compounds in samples from the medical mashroom reishi (ganoderma lucidum) and weight maintance.Miodrag Stojanovic, Mentor: Dragan DamjanovskiSt.Kliment Ohridski University of Bitola, Master Study of Nutrution at the Faculty of Technology and Technical Sciences Veles

11.10 - 11.15 Coffee break

Track 2 Health risks associated with overweight and obesity

Session ChairsVera Simovska-Jarevska, Daniela Nikolovska-Nedelkoska,Rosida Jakimoska-JordanoskaUniversity of Bitola St.Kliment Ohridski, Faculty of Technology and Technical Sciences Veles, Macedonia.

11:15 - 11:25 The normal and slowly higher body weight is a protective factor of bone mineral density in premenopausal and Osteoporosis in postmenopausal patients with Rheumatoid Arthritis Zora UzunoskaUniversity of Bitola St. Kliment Ohridski, Faculty of Technology and Technical Sciences Veles, Macedonia.

11:25 - 11:35 Diagnostic significance of obesityinduced insulin resistance and decreased sensitivity of periferial tissue in prevention of and care for comorbidities1Mila Vidin-Jarevska, 2Vera Simovska-Jarevska 1University of Belgrade, Institute of Rheumatology, Belgrade, Serbia

2University of Bitola St. Kliment Ohridski, Faculty of Technology and technical sciences Veles, Macedonia

11:35 - 11:45 Obesity as a risk factor for complications during the pregnancy Elena StojanovskaSt. Kliment Ohridski University of Bitola, Master study of Nutrition at the Faculty of Technolgy and Technical Sciences Veles, Macedonia

11:45 - 11:55 DASH-diet in hypertension and obesity prevention Sanja Mancheva St.Kliment Ohridski University of Bitola, Master study of Nutrition at the Faculty of Technolgy and Technical Sciences Veles, Macedonia

11:55 - 12:05 NaCl restriction survey in patients with cardiovascular diseases and heart failure on Primary Health Care level in Macedonia Ivo Zele, Tanja Tefova St.Kliment Ohridski University of Bitola, Faculty of Technolgy and Technical Sciences Veles, Macedonia

12:05 - 12:20 Discussion

12:20 - 13:20 Lunch

Session 2 Health Promotion and Obesity Prevention and Management through Lifestyle Interventions

Track 1 Nutritional Counselling in Health PromotionSession Chairs Sanja Mancheva, Tatjana Blazevska, Elena Stojanovska

St.Kliment Ohridski University of Bitola, Facluty of Technolgy and Technical Sciences Veles, Macedonia

13:20 - 13:30 Nutritional Counselling on dietary change during Religious Fasting in Macedonia: Easter and Ramadan Vezire Starova. Mentor: Vera Simovska-Jarevska St.Kliment Ohridski University of Bitola, Master study of Nutrition at the Faculty of Technolgy and Technical Sciences Veles, Macedonia

13:30 - 13:40 Make smart choice improving cardiovascular health through healthy nutrition and dietary salt restrictionTanja Tefova, Ivo Zele St.Kliment Ohridski University of Bitola, Facluty of Technolgy and Technical Sciences Veles, Macedonia

13:40 - 13:50 Healthy and balanced intestinal micro flora (microbiome) as precondition for maintaining and regulating normal body weightSasko DrvosanskiSt.Kliment Ohridski University of Bitola, Master study of Nutrition at the Faculty of Technolgy and Technical Sciences Veles, Macedonia

13:50 - 14:00 Influence of dietary habits on development of caries in children from rural and urban areas of SkopjeSlavica Sivevska, Mentor: Vera Simovska-JarevskaSt.Kliment Ohridski University of Bitola, Master study of Nutrition at the Faculty of Technolgy and Technical Sciences Veles, Macedonia

14:00 - 14:10 Psychosocial aspects of obesity Maja Vanevska. Mentor: Slavica Shubeska-Stratrova*

University of Bitola St. Kliment Ohridski, Faculty of Technology and Technical Science Veles, Macedonia; *Clinic of endocrinology, diabetes and metabolic disorders, Skopje, Macedonia.

Track 2 Nutrition Education in Obesity Prevention and Management

Session ChairsMiodrag Stojanovic, Aleksandar Saveski, Sasko Drvosanski St.Kliment Ohridski University of Bitola, Faculty of Technolgy and Technical Sciences Veles, Macedonia

14:10 - 14:20 Efficacy and safety of herbal medicines in obesity management.Valentina PavlovaSt Kliment Ohridski University of Bitola, Faculty of Technology and Technical ScienceVeles, Macedonia

14:20 - 14:30 Learning about the importance of healthy eating in prevention against obesity and nutrition-related chronic diseasesEmilija NedanovskaSt Kliment Ohridski University of Bitola, Faculty of Technology and Technical ScienceVeles, Macedonia

14:30 - 14:40 Obesity in young age and the benefit of balanced nutrition Marija RistevskaUniversity of Bitola St Kliment Ohridski, Faculty of Technology and Technical Science Veles, Macedonia

14:40 - 14:50 Mediterranean diet in prevention of obesity and cardiovascular disease Marija Madjovska, Aleksandra Manusheva, Kristina DimitrushevaUniversity of Bitola St Kliment Ohridski, Faculty of Technology and Technical Science Veles, Macedonia

14:50 - 15:00 The importance of proper nutrition for pregnant women in the prevention of malnutrition, including obesityDavor DaniloskiUniversity of Bitola St Kliment Ohridski, Faculty of Technology and Technical Science Veles, Macedonia


15:15 - 15:30 Coffee break

Session 3 Advanced perspectives of improved fitness in reducing obesity and related chronic diseases

Session Chairs1Magdalena Damjanovska, 2Gorica Pavlovska, 2Angel Panovski1First private University FON, Faculty of Sport Management, Skopje,Macedonia. 2St Kliment Ohridski University of Bitola, Faculty of Technology and Technical Sciences Veles, Macedonia.

15:30 - 15:40 The impact and conestions of some motor abilities on body mass index at the 18 years old students 1Magdalena Damjanovska, 2Serjoza Gontarev1First private University FON, Faculty of Sport Management, Skopje,Macedonia; 2University St. Ciril and Methodius, Faculty of physical education and sport, Skopje, Macedonia

15:40 - 15:50 Evaluation the influence of sporting activities on cardiorespiratory fitness of youth in creating national standards

Vera Simovska-JarevskaUniversity of Bitola St Kliment Ohridski, Faculty of Technology and Technical Science Veles, Institute of Sports Medicine, Skopje, Macedonia.

15:50 - 16:00 Correlation analysis between nutritional status and some function-biochemical parameters in physical active and sedentary school-aged children in the region of Skopje.Aleksandra Leova. Mentor: Vera Simovska-Jarevska*Master Studies of Food Safety and Quality Management at the Faculty of Technology and Metallurgical Sciences, Skopje, Macedonia. *St. Kliment of Ohridski Univeristy of Bitola,Faculty of Technology and Technical Sciences Veles, Institute of Sports Medicine, Skopje, Macedonia.

16:00 - 16:10 Athletes and the importance of Sport Nutrition ngel Panovski University of Bitola StKliment Ohridski, Faculty of Technology and Technical Science Veles, Macedonia

16:10 - 16:20 Dietary protein and essential amino acids supplementation for athletes-bodybuilders: From requirements to optimum adaptation Andrej Simovski1, Vladimir Nikolovski1, Ana Naseva2

University of Bitola StKliment Ohridski, Faculty of Technology and Technical Science Veles, Macedonia1, University of Skopje, Faculty of Medicine, Skopje, Macedonia2

16:20 - 16:30 Nutrition and physical activity in obese subjects Sonja Panovska. Mentor: Slavica Shubeska-Stratrova*University of Bitola St KlimentOhridski, Faculty of Technology and Technical Science Veles, Macedonia, *Clinic of endocrinology, diabetes and metabolic disorders, Skopje, Macedonia

16:30 - 16:40 Physiological base f method for programming physical activity in obese young individualsVladimir Nikolovski1, Andrej Simovski1, Ana Naseva2

University of Bitola StKliment Ohridski, Faculty of Technology and Technical Science Veles, Macedonia, University of Skopje, Faculty of Medicine, Skopje, Macedonia2

16:40 - 16:50 Epidemiology of Obesity in Macedonian YouthEmilija Spasovska-MojsovskaSt.Kliment Ohridski University of Bitola, Master study of Nutrition at the Faculty of Technolgy and Technical Sciences Veles, Macedonia


17:00 17:30 Conclusion and Preparation the REPORT of the First Scientific Symposium for Obesity in Macedonia

Closing Satellite Symposium in Macedonia

Papers

1. Socioeconomic inequalities in diet and physical activity among Macedonian population and model of behavioural modification Simovska-Jarevska V1,2, Martinovski S1, Antoska V1, P Kalevska T1, Pavlova V1,Nedelkovska-Nikoloska D1, Uzunoska Z1, Blazevska T11Department of Nutrition, Faculty of Technology and Technical Sciences, University St. Kliment Ohridski, Bitola, Republic of Macedonia; 2Nutrition Research Department, Public Health Institute of Sports Medicine, Skopje, Republic of Mac-edonia

2. Modeling Nutritional Business Models of Consumer Behavior when Buying Food ProductsMartinovski S, SimovskaJarevska V, Spirovska-Vaskovska R.St. Clement of Ohrid, University of Bitola, Faculty of Technology and Technical SciencesVeles.

3. Healthy and balanced intestinal micro flora as precondition for maintaining and regulating normal body weightDrvosanski S. University St. Kliment Ohridski, Bitola, Faculty of Technology and Technical Sciences, Veles

4. Food and Nutritional Practices During Religious Fasting in the Population of diversified Religious denominations in the Republic Of Macedonia Starova V. University St. Kliment Ohridski, Bitola, Faculty of Technology and Technical Sciences, Veles

26 27 June, 2015 Hotel Premier, Bitola, Republic of Macedonia

Scientific Satellite Symposium for

Euro Global Summit & Medicare Expo on Weight Loss

Abstracts

Euro Weight Loss-2015August 18-20, 2015

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Satellite Symposium for Euro Global Summit & Medicare Expo on

Effects of high-inensity lifestyle intervention on increased cardiometabolic risk in truncal obese adultsVera P Simovska JarevskaUniveristy of Bitola, Macedonia

Obesity is a chronic disease that increase the risk for coronary heart disease (CHD), type II diabetes (T2DM) and certain types of cancer, some of the leading causes of preventable death. Its a growing public health problem worldwide. The purpose of our study was to develop a model of therapeutic efficiency high-intensity lifestyle intervention intended for truncal obese adults with increased cardiometabolic risk. Within the randomised controled trial at a group of truncal obese adults with risk factors for CHD and T2DM, we suggest the following two types

of high-intensity lifestyle interventions: Ist-low fat, moderate hyperprotein, restriction diet (RD) of 1200-kcal/d(female) and 1500-kcal/d(male) with low atherogenic and glycemic(GI) index, and a specific proportion among SFA, MUFA and PUFA. The IInd-RD and the individually dosed physical activty (PA) with gradually, from low to modetare and peaks of high intensity (50%-60%-75%VO2max) in accordance to the initial level of the individual aerobic capacity (VO2max), expresed into METs. After 30 days was the increased energetic value of RD for 200-kcal/d in accordance with increased PA. The changes in anthropometric measures, metabolic profiles, VO2max and BMR are evaluated after 30 and 50days. The efficiency of the progammed PA in combination with RD represenets a significant higher reduction of BMI (kg/m2), WHR, fat mass index, risk factors for CHD and metabolic complication (hyperglycemia, dyslipidemia, arterial hypertension and atherogenic indexes) associated with truncal obesity and significant improvement in cardiorespiratory fitness for 17.16% VO2max from initial level. However, weight loss is influenced by individual biology and due to metabolic differences. European qudeline on prevention and management for nutritionists/dietitians by EFAD (ESDN Obesity) is desirable.

BiographyVera P. Simovska-Jarevska is Univ. Professor for Nutrition, Dietetics and Sports Medicine (MD., PhD) and Coordinator of Master Study for Nutrition at the University of Bitola. She was an Expert in the Macedonian Ministry of Health, the European Commission (FP7, HORIZON 2020) and a National coordinator in several projects covered by the WHO from 2001 to 2015 (CINDI, Move for Health, HEPA Europe). She has a wide range of professional experiences, obtained in 5 countries. Her research is focused on the role of nutrition and physical activity in the NCD prevention, especially obesity and cardiometabolic risk. She is the author of published over 100 original scientific articles, academic books and chapters.

[email protected]

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Hot debates in nutrition and food production/reformulation against global obesityDaniela Nikolovska NedelkoskaUniveristy of Bitola, Macedonia

Obesity is an important public health concern of our age. In theory, weight reduction involve behavior change related to diet and exercise. A lot of research has been devoted to the links between diet and obesity. Still, there are long-running differences of view, reflect the youth of the science and the difficulties of conducting controlled research that lasting for years, based on the daily routines of large numbers of free-living individuals. Increasingly sedentary lifestyles is considered as one of the major factor for the obesity epidemic in developed countries. Hence, the parallel debates on how to influence the consumer to make healthy lifestyle choices continues

actively.

Obesity, as multidimensional problem, requires an interdisciplinary approach involving the cooperation of all stakeholders such as the food industry, government, academia and medical community. Stakeholders should team up together in order to strengthen nutrition education of consumers and develop healthier product choices. Recently, attention has turned to the reformulating of the existing products (e.g. by decreasing sugars, fats and salts) and developing new food products. So, the food industry give its contribution in the battle against obesity by offering healthier food options on the market. The food labeling is also very important for consumers to have clarity and reliable nutrition information and to make responsible dietary decision. Giving consumers the nutrition information and nutritional food options can help them to make informed healthy choices and, in the long term, to deal with nutrition problems, including obesity.

BiographyDaniela Nikolovska Nedelkoska has completed her PhD thesis related to the antioxidant properties, bioactive compounds and therapeutic potential of the wild-growing macrofungi (mushrooms) in 2014. Her competences ranges from food engineering and biotechnology, to biological area of expertise. She has participated in several national and international projects in her field of interest. Ass. Professor Daniela Nikolovska Nedelkoska has published over 25 original scientific articles and abstracts.

[email protected]

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Mathematical Modeling and Optimisation in NutritionVesna Antoska KnightsUniveristy of Bitola, Macedonia

Over the years, research in the life sciences has been fit greatly from the quantitative tools of mathematics and modeling. Many aspects of complex biological systems can be more deeply understood when mathematical techniques are incorporated into a scientific investigation. Modeling can be fruitfully applied in many types of food and nutrition research. As an example, modelling and optimization in nutrition is very important in planning meals for groups and individuals. Data base of nutritional composition of foods with mathematical and numerical methods covers the central concepts of practical optimization techniques such as fundamentals of linear optimization and simplex method, viewing software for optimization, programming and

analysis, basics of fuzzy optimization.

Using the field of nutrition, you can find many cases of recent advances in knowledge and understanding that were facilitated by the application of mathematical modeling to kinetic data, model of quality and needed food products which has influence of changing habits in food and diet.

BiographyVesna Antoska Knights is University Professor at Faculty of Technology and Technical Science-Veles at University St.Clement Ohridski, Macedonia. Teaching subjects: Mathematic, Mathematic1, Mathematic2, Biostatistics, Modeling and Optimization. Currently is a University Senator at University St.Clement Ohridski, R.Macedonia. Represented as a Women in Robotics Supporting and Collaboration - International Journal of Advanced Robotic Systems, InTech, 2014. Participant at following international project: EU FP7 project: Potkonjak V., Principal Leader, Antoska, V., and all. Embodied Cognition in a Compliantly Engineered Robot, 2008-20013. (www.eccerobot.org); FOODLINKS (www.foodlinks.eu), 2010-2013; World Bank project FY09 Conditional Cash Transfer project, Simulation Modeling of the Social Protection System in the Republic in Macedonia, 2008. DAAD project: SimLab - Parallel Numerical Simulation. Vesna Antoska Knights, is author and co-author of over 30 published original scientific articles, academic books and chapters.

[email protected]

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Whey properties and its use for production of functional and probiotic drinksTatjana KalevskaUniveristy of Bitola, Macedonia

Whey is a by-product in the process of cheese production, represented with 85-90% from the total milk volume and contains 50% of the milks dry matter: lactose, whey proteins, minerals and vitamins. The high quality whey proteins are a source of energy and nutrients, rich with essential amino acids which makes them biologically essential proteins. The healing properties of whey are due to the presence of immunoglobulin and immunologically active substances which strengthen the immune system, protect the organism from different bacterial infections and allergic reactions. Only a small part of the whey produced in dairies in Macedonia

is used for the production of albumin cheese, while the rest is left unused. The goal of this work is to show the therapeutic and functional properties of whey as well as the possibility of its use in production of functional and probiotic whey based drinks, with the use of new innovative technologies and scientific findings.

BiographyTatjana Kalevska is a Doctor of biotechnical science employed at the Faculty of Technology and Technical Science-Veles, University St. Kliment Ohridski in Bitola. She has participated in many conferences, symposia, seminars and projects, with emphasis on the following as most significant: TEMPUS FOODLINKS Improving Academia-Industry links in food safety and quality and project Training in technology of sheep and goat cheese production MASP, SIDA with a study period in R. Greece. Author and co-author of several scientific papers, published in the domestic and international scientific journals.

[email protected]


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Notes:

Safety and efficacy of herbal medicines in the management of obesity

Valentina PavlovaUniveristy of Bitola, Macedonia

Obesity is becoming one of the most prevalent health concerns among all populations and age groups worldwide, resulting into a significant increase in mortality and morbidity related to coronary heart diseases, diabetes type 2, metabolic syndrome, stroke and cancers. Prevention and treatment of this problem are an important deal for health systems, whose aim is to reduce the obesity and overweight prevalence, and related complications over the world.

Nigella Sativa, Camellia Synensis, Green Tea, and Black Chinese Tea seem to have satisfactory anti-obesity effects and shown significant decrease in body weight. Nigella sativa and green tea

decrease lipid peroxidation in plasma or liver, which seem a mechanism of anti-obesity effect. Higher anti-oxidant and anti-obesity activity showed green tea due to its high concentration of catechins, including epicatechin (EC), epicatechin-3-gallate (ECG) and epigallocatechin-3-gallate (EGCG). Significant decrease in body fat was seen by Catechin-enriched green tea and black Chinese tea. Safety of these plants still remains to be elucidated by further long-term studies.

BiographyValentina Pavlova is Doctor of Science (Ph.D.) in Chemistry, degree obtained at Ss. Cyril and Methodius University, Faculty of Natural Sciences and Mathematics, Institute of Chemistry, Skopje in 2007. She has completed her postdoctoral studies at Alexander Technological Educational Institute of Thessaloniki, Thessaloniki, Greece in 2015. Associate Prof. Pavlova is the author/coauthor of more than 100 articles; participate in 73 diploma works and 10 research projects. She is a Reviewer of four international journals. From May 2013 till today she is a Dean at Faculty of Technology and Technical ScienceVeles.

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Identification and determination of ganodermic acid like bioactve compounds in samples from the medical mashroom reishi (ganoderma lucidum) and weight maintenanceMiodrag StojanoviUniveristy of Bitola, Macedonia

Mashrooms constitute a kingdom of organisms - Fungi, which is separate from the other two kingdoms organized higher eukaryotes: plants - Plantae and animals - Animalia. Given the growing global interest in natural sources of bioactive components, makrofungite is a huge resource for expanding the diversity of chemical components from natural sources that could find application in therapeutic purposes. Biosynthesis of different groups of secondary metabolites, polysaccharides and protein components, and the content of essential trace elements (selenium,

germanium, etc.) makes fungi valuable natural source of bioactive components with different therapeutical applications: antioxidant, antimicrobial and anticancer compounds, components who degrading the level of cholesterol in blood, boost immune system, etc. act as immunosuppressants and weight maintenance. This increasing interest in functional foods represents a paradigm shift from eliminating bad to increasing the good components that one consumes. The purpose of this research is to investigate the presence of secondary metabolite Ganoderic acid in different samples prepared by medical fungus Ganoderma lucidum using HPLC for identification and determination of GA in samples. Besides the identification and quantification of the test component, the paper is intended to provide a detailed review of the literature data relating to its bioactive action and therapeutic potential.

Ganoderic acids term refers to a group triterpenoids (lanosterol derivatives) identified in fungi of the genus Ganoderma. The research results should provide better knowledge of the therapeutic properties of this medical and act on methablism and weight maintenance.

BiographyMiodrag Stojanovi is a Master degree student on the Nutritional Studies at the St. Kliment Ohridski University of Bitola, Faculty of Technology and Technical Sciences Veles. He has completed (graduated) his Bh.sc.eng studies at the UKIM Technology Sciences Faculty Skopje. He is Owner of the Novus-trade company and Owner of the nutrition health company Dr.Robinson Skopje with over 8 years of experience in healthy food and life. He was representative person for BACKALDRIN Austria (2004 2008) and has own bakery for presentation and making healthy products.

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The normal and slowly higher body weight is a protective factor of bone mineral density in premenopausal and Osteoporosis in postmenopausal patients with Rheumatoid ArthritisZora UzunoskaUniveristy of Bitola, Macedonia

The body weight (BW), relative body weight (RBW) and its correlation with Bone Mineral Density (BMD) was investigated in 352 Rheumatoid Arthritis (RA) female patients, categorized in premenopausal (PreMP) and postmenopausal (PM) patients. BMD was measured by DXA densitometer in the beginning, 6 months and 1 year after trial.

RA PreMP patients with a BW of 45-55 kg had significantly lower BMD compared to those with 56-66 and 67-77 kg (1.087 v. 1.216, 1.260 g/cm, p< 0.01, p< 0.001). There was no significant difference between BMD of RA PreMP patients, age of 40-49 with a higher BW, and those of 30-39 ages RA PreMP (1.255 v.1.260 g/cm) which suggests that higher BW can prolong and reduce the bone loss during perimenopausal period.

In RAPM, lower BW of 45-55 kgs was connected to reduced BMD and the presence of Osteoporosis. In this group BMD values were significantly lower compared to the same category of patients with a normal BW, BW of 67-77 kg and over 77 kg (0.897 v. 0.996. 1.071.1.061 g/cm. p< 0.01, p< 0.001). Low BW in RA PreMP is followed by BMD reduction of 10.6% compared to patients with a higher BW, while in low BW RAPM patients this percentage rises to 16.5% and the occurrence of Osteoporosis is notified. However RAPM patients with a higher BW or obesity had normal values of BMD.

These results suggest that a lower BW is a risk factor for a lower BMD in PreMP and a significant risk factor for Osteoporosis in postmenopausal RA patients.

BiographyZora Uzunoska, MD, PhD, specialist of Clinical Immunology is teaching Human Anatomy, Physiology and Immunology to Nutrition graduate and postgraduate students. She had upgraded her knowledge living in 6 countries, working in several fields of medicine: Clinical work with Cardiac and Rheumatic Patients, Laboratory Research, Education and Science. She is the author of two books: Osteoporosis in Rheumatoid Arthritis based on her PhD Research, being awarded as the first scientific work published about this topic in Republic of Serbia; and The basic of Human Anatomy, a Textbook for Nutrition students. She is the author and coauthor of 45 articles.

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Screening childhood obesity in region of Prilep, MacedoniaRosida Jakimoska JordanoskaUniveristy of Bitola, Macedonia

Global computerization in developed, but also in developing countries is a social phenomenon in everyday life which is closely related to nutritional status and health status of children and adolescents. The aim of this article is through the implementation research of population to determine:

- Trend of overweight in school children and adolescents for a period of 5 years;- To assess behavioural risk factors for overweight and obesity; - To determine the correlation between diet and physical activity and to develop a mathematical

model to evaluate the positive effects of preventive educational activities.The survey was conducted in two stages, for two population groups of school-aged children and adolescents. The first part

of the survey conducted anthropometric measurements, functional and biochemical analysis, and also population survey to monitor behavioural risk factors (empirical method). The study is planned to be implemented also examining diet and physical activity among all school-aged children and adolescents with standardized questionnaires (Food Frequency Questionnaire) and the International questionnaire for assessment of physical activity (IPAQ-short version). Systematic reviews are implemented in school children aged 12 to 13 years, as the first group and in adolescents aged 17 to 18 years, the second group of respondents.

BiographyRosida JakimoskaJordanoska is born in Prilep, Macedonia. She is a specialist of School Medicine and employed in Public Health Care Centre-Prilep, the Department for preventive healthcare for school children and youth from 6-18 years. She is Master ( 2nd degree qualification) student of Nutrition at the Faculty of Technology and Technical Sciences Veles.

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Diagnostic significance of obesity-induced insulin resistance and decreased sensitivity of periferial tissue in prevention of and care for comorbiditiesMila Vidin-JarevskaUniversity of Belgrade, Serbia

Obesity and Insulin Resistance (IR) re the central issues in prevention of and care for comorbidities. In fact, the central problem is IR, which leads to a cascade of health problems. This condition should be diagnosed in primary practice and obesity clinics. Treatment should start at the earliest stage possible, when obesity-associated comorbidities are still reversible and includes a personalized dietary advice and counseling, preferably by a nutritionists/dietitians, and exercise program as a part of the treatment. Obesity-induced IR is a key component in the pathogenesis of type 2 diabetes mellitus (T2DM), hypertension, dyslipidemia and insulin

resistance Sy (Metabolic Sy). We made effort to answer why we need a shift of paradigm regarding the relationship between body weight and comorbidities.

Adipose tissue macrophages (ATMs) are necessary and sufficient for the development of the adipose tissue inflammation and insulin resistance associated with obesity. Also, it,s well known that longlasting or repeated temporary disturbances of glycoregulation in Metabolic Sy, obesity and pre-diabetes mellitus, disturbs insulin secretion of beta pancreatic cells with final stage, T2DM. For prevention of T2DM the most important is to detect on time first glycoregulation disturbances. Beside routine mesurement of fasting glycaemia and maybe OGTT, routine measurment of insulinaemia is not accepted in general practice in most of country in the world. ADA defined criteria IFC and IGT in 1997, and 2001. The WHO defined criteria of Sy X in 1998. and 2002 recommended measurment of insulinaemia, but not cheking of insulin sensitivity of pereferal tissue for exact diagnosis.

In our a randomized controlled trial, glycoregulation parameters were measured in 70 patients with Metabolic Sy including obesity, 51yrs. age-old and respectively 70 healthy individuals. Diagnostic significance of glycoregulation parameters and their ROC ANALYSIS were performed. Efficacy of Quicki indeks has better diagnostic performances and better efficiency than glycaemia and insulinaemia separately. Quicki indeks helps to distinguish non-functional hiperinsulinaemia and presence of hypoinsulinaemia in patient with obesity-induced insulin resistance and pre-diabetes mellitus (T2DM). Weight loss through diet and exercise leads to significant health improvement and is, therefore, the key in treatment of obesity and insulin resistance related comorbidities.

BiographyMila Vidin, MD, MSc. is a spesialist of Medical Biochemistry and Specialist of General Practice, as well as Master of Science of Molecular Imunogenetics. She graduated Medical School and Specialty of Medical Biochemistry at the University of Skopje, Macedonia (1983-1985). In 1982, she public defenced her Master thesis at the Interdisciplinary Center for Postgraduate studies of University of Zagreb, Croatia. Her PhD thesis is in field of Comparative Physiology. Practical analysis of her Master thesis for HLA tissue typing was conducted in Department for Imunoserology, Institute of Transfusiology and Haematology at the Medical School of Skopje. Other courses are in the field of Integrative Medicine (Bioresonant therapy), and Total Quality Management and Accreditation of Clinical Laboratory. She is a member of the Serbian Section of Rheumatologist, Biochemical Society of Serbia and President of NGO for Secondary Stroke Prevention. She is the author of monography, two books and 55 scientific papers.

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Obesity as a risk factor for complications during the pregnancyElena StojanovskaUniveristy of Bitola, Macedonia

At present, more than one third of women worldwide are obese, more than one half of pregnant women are overweight or obese, and 8% of reproductive-aged women are extremely obese, putting them at a greater risk of pregnancy complications. Therefore, preconception assessment and counseling are strongly encouraged for obese women and should include the provision of specific information concerning the maternal and fetal risks of obesity in pregnancy, as well as encouragement to undertake a weight-reduction program. Lifestyle intervention could help obese pregnant women to limit their weight gain during pregnancy, but has not yet been evaluated in randomized controlled trials. Its confirmed that a targeted lifestyle intervention programme

based on the principles of motivational interviewing reduces gestational weight gain (GWG) and levels of anxiety or depresed mood in obese pregnant women.At the same time pregnant woman needs macronutrients and micronutrients that are essential for her life and fetal life. For all obese and overweight patients, consultation with dietician early in labor, and consultation with weight-reduction specialists before attempting another pregnancy should be encouraged.

BiographyElena Stojanovska is Master (2nd degree qualification) student of Nutritional and Food Sciences, at Faculty of Technology and Technical Sciences. She graduated Chemistry School at St.Cyril and Methodius University-Skopje with over 8 years experience as a chemistry professor in a high school education- SUGS Dimitar Vlahov - Skopje. This is her first authors publication presented at the Scientific Symposium-Euro Global Summit Weight Loss 2015.

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DASH-diet in hypertension and obesity preventionSanja ManchevaUniveristy of Bitola, Macedonia

Arterial hypertension or high blood pressure is a chronic medical condition in which the blood pressure in arteries is elevated. What you choose to eat affects your chances of developing high blood pressure. Recent studies show that blood pressure can be lowered by following the Diatery Approaches to Stop Hypertension DASH-eating plan and by eating less salt also called sodium. In an attempt to explore the benefits of a reduced level of salt intake I have made a research. In the research She conducted in my Office 62 patients at the age of 24-65 were included, out of which 39 have already had high blood pressure values of 85-100 mmHg for the diastolic and 130-160 mmHg for the systolic blood pressure. The patients were divided into two groups,

one of which was put on diet by DASH-diet, and the patients of the other one were advised to continue to be on the usual diet. Each group has been divided into subgroups according to the quantity of salt which they have been taking on a daily basis. The different levels of salt were 3300mg, that is, the quantity that is usually taken on a daily basis and 2300 mg. i.e. medium reduced level of salt intake. The control of the blood pressure was carried out in the Office three days a week for a period of 45 days.

Results showed that reducing dietary sodium lowered blood pressure for both eating plans, but true winnig combination was DASH eating plan and lower intake of salt or sodium.

BiographySanja Mancheva is a Master Degree student on the Nutritional Studies of St.Climent of Ohrid University of Bitola,Facluty of Technolgy and Technical Sciences-Veles. She graduated medical school at St.Cyril and Methodius University-Skopje with over 10 years experience as doctor of medicine.

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NaCl restriction survey in patients with cardiovascular diseases and heart failure on PHC level in MacedoniaIvo ZeleUniveristy of Bitola, Macedonia

Food consumption and nutritional practices are an important part of life for whole population, including patients with acute or chronic cardiovascular diseases and heart failures. Observing patients with cardiovascular diseases and heart failure in the west region of the Republic of Macedonia has shown an increasing trend of CVD in recent years. 10 healthcare institutions respondents from the west region of the Republic of Macedonia, which are one of the best in their field, participated in a research study during 2015. The research is based on institutional surveying, using standardized survey tools containing food records, type and frequency of food

utilization and NaCl restriction. The survey is used to capture the restriction of NaCl in both working and non-working days and to monitor and analyze NaCl intake during the pharmacotherapy. The concluding results will be compared with the recommended quidellines of the World Health Organization. The results from the survey will be entered in a database using Excel software which enables both preliminary and final analysis of the data. The Simplex method for optimizing the data will be used and the numeric calculation of the Simplex method will be conducted using the C++ program language. Study results will be used to develop a model for future health promotion through healthy nutrition and quidelines during the treatment of patients with acute or chronic cardiovascular diseases and heart failure on PHC level in the country.

BiographyIvo Zele is Student degree of Food and Nutrition, Faculty of Technology and Technical Sciences Veles at the University of Bitola St. Clement of Ohrid. He is junior teaching associate on the Nutritional Studies at the Faculty. He worked in fitness shop O2 Company for four years. He is ambitious, communicative and responsible person. He is open for teamwork. This is his first presentation on the Euro Global Summit & Medicare Expo on Innovative weight loss approaches to overcome health risks associated with obesity.

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Nutritional counselling on dietary change during religious fasting in macedonia: Easter and RamadanVezire StarovaUniveristy of Bitola, Macedonia

Food consumption and nutritional practices are an important part in the religious life for many denominations, including the Orthodox Christianity and Islam, which are dominant in the Republic of Macedonia. Observing religious fasting in the Republic of Macedonia has shown an increasing trend in recent years. 360 respondents from Skopje, observers of the religious fasting rules, categorized in age groups from 15 to 65 years of age, belonging to the Orthodox Christian and Muslim faiths participate in a two-step research during 2015. The research is based on individual surveying, using standardized survey tools containing nutritional/dietary information notes, type

and frequency of food utilization (FFQ) and BMI. 24 hours recall survey is used to capture the consumption of macro and micro nutrients in both working and non-working days to monitor and analyze nutritional intake during fasting in terms of various micro and macro nutrients as well as glycemic index. The concluding results will be compared with the recommended nutrient intake annex of the second edition of the World Health Organizations Vitamin and Mineral Requirements in Human Nutrition publication. The results from the survey will be entered in a database using Statistica 9 software which enables both preliminary and final analysis of the data. The Simplex method for optimizing the data will be used and the numeric calculation of the Simplex method will be conducted using the program language C++. Study results will be used to set-up the recommendations for future health promotion programs and mass media education for healthy nutrition during religious fasting in the country.

BiographyVezire Starova is a Master degree student on the Nutritional Studies at the St. Clement of Ohrid University of Bitola, Faculty of Technology and Technical Sciences-Veles. She a graduated Philologist and educator with over 15 years of experience as teacher and translator.

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Make smart choice Improving cardiovascular health through healthy nutrition and dietary salt restrictionTanja TefovaUniveristy of Bitola, Macedonia

Modelling and optimization in nutrition can be applied in many types of food and nutrition research and it is very important in planning meals for groups and individuals. Dietary NaCl restriction is arguably the most frequent self care behavior recommended to patients with cardiovascular diseases (CVD). Excessive NaCl intake frequently is associated with fluid retention. Observing the status of the patients in Macedonia has shown increasing trend of patients with CVD in recent years. CVD remains the leading cause of death in Macedonia, and the risk factor for atherogenic CVD increases progressively with age. The research is based on

public health centres surveying, using standardized survey tools containing nutritional information notes, type and frequency of food utilization and NaCl restriction. The survey is used to capture the restriction of NaCl in both working and non-working days and to monitor and analyze NaCl intake during the treatment. The results from the survey will be entered in a database using Excel software which enables both preliminary and final analysis of the data. The optimization will be made with Simplex method which is one of the top ten methods for optimization. The numeric calculation will be conducted using the Visual Basic program language. The concluding results will be compared with the recommended publications of the World Health Organization. The results will be used to setup recommendations. for future health promotion programs for healthy nutrition.

BiographyTanja Tefova is Student degree of Food and Nutrition, Faculty of Technology and Technical Sciences Veles at the University of Bitola St. Clement of Ohrid. She is junior teaching associate on the Nutritional Studies at her faculty. She has practical experience in Bovin Winery (2014, 2015). She is a member at Association of Citizens EKOVITA Negotino. She is communicative and creative person and she has outstanding ability for planning, working in a team and motivating.

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The impact and conections of some motor ablities on body mass index at 18 years old studentsMagdalena DamjanovskaFirst private University FON, Macedonia

For purposes of this study were measured 13 motor tests on a sample of 75 male students of the fourth year of secondary vocational school Jovan Teslichkov, Veles, aged 18 6 months. The aim was whether the predictor system of motor variables have an impact on criterion variable of Body Mass Index (BMI). Regression analysis showed that the tests:deep forward bend on the bench(MDFBB), lifting the body from a lying position on the back abdominal muscle strength (MAMS), lifting the body with face lying down position back muscle strength (MBMS), flexed-arm hang on the bar (FAHB) and sprint 9-6-3-6-9 m. with 180 turns,

(MS96369), statistically have significant impact on BMI criteria variable. But because besides regular classes this sample of respondents had additional practical classes, which means more physical activity, was interesting this sample to be divided into two subsamples: 57 students who had normal values BMI and 18 students who had higher values BMI (clasification is made according to ITOF - Cole at all, 2007). The results of applied univariate analysis of variance showed that there were statistically significant differences in favor of students who had normal BMI, in the following tests: strength of abdominal muscles (MSAM), strength of back muscles (MSBM), flexed-arm hang on the bar (FAHB), Illinois test (MTILI), sprint 9-6-3-6-9 test by with 180 turns (MT96369), and test jumps in 4 squares (Mj4Sk).

BiographyMagdalena Damjanovska (PhD) is an Associate Professor at the Faculty of Sport Management, First Private University FON, Skopje, Macedonia. She was Dean of the Faculty of Sports and Sport Management at private University, 2007-2009, the Member of the Senate of Unevrsity FON, 2007-2010 working at the State University of Skopje, the Faculty of Physical Culture from 1980 to 2006, a member of the Comission for Women and Sport with the Olympic Committee and a trainer of Rhytmic Gymnastics, Commisioner of Rhytmic Gymnastic. At present, she is an Associate Professor of rhythmic gymnastics, dance, sport communication and management and has published more than 30 papers in reputed journals.

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Healthy and balanced intestinal micro flora (microbiome) as precondition for maintaining and regulating normal body weightSasko DrvosanskiUniveristy of Bitola, Macedonia

WHO statistics from 2014 highlight the fact that there are over 1.9 billon overweight people throughout the world, out of which over 600 millions are obese. Obesity is a major risk factor for development of chronic diseases such as cardiovascular diseases, T2DM and cancer. Aside of the dietary regime and the physical activity which have direct impact on the bodyweight, the new scientific research confirms the clear distinction between the type and structure of microorganisms that colonize the intestines of a normal weight and an overweight-obese person. The purpose of this paper is to give a short review of the role and functions of the human microbiome (population

of microorganisms in the intestines) from the aspect of food absorption. It explains the participation of various bacteria types (focusing on two main types of bacteria firmicutesand bacteroidetes) in the food digestion and absorption, and their direct influence on regulation of the bodyweight. Taking in consideration the information on the factors that directly impact the human microbiomes condition, in the conclusion reached on the bases of analysis of the latest research, we present a dietary recommendations that support regulation and balance of the gut microbiome, with respect to achieving optimal health and regulated body weight. Thus we can ackgnowledge the necesity of healthy and balanced intestinal micro flora (microbiome) as precondition for maintaining and regulating normal body weight.

BiographySasko Drvosanski is a Masters Degree student of the Nutritional Studies at the St. Clement of Ohrid University of Bitola, Faculty of Technology and Technical Sciences - Veles. He holds a BSc degree in information and communication technologies and has been professionally engaged in the field of marketing and communication for over 12 years. At present he is also a cofounder and editor in chief of a nutrition based web blog www.healthyfoodnotes.com.

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Influence of dietary habits on development of caries in children from rural and urban areas of SkopjeSlavica SivevskaUniveristy of Bitola, Macedonia

Dental caries is one of the most common oral diseases in modern humans. The state of oral health influences on general health and opposite as part of a one common system. Oral health and nutrition have a synergistic multidirectional relationship. Official position of American Academy of Nutrition and Dietetics is that nutrition is integral component of oral health. Numerous data coming from different studies point to the role of carbohydrates in etiology of dental caries as a multifactorial disease.

Main goal of this study is to determine the influence of dietary habits as one of main risks factors for dental caries diseases with children of 12 to 13 years of age in Skopje rural and urban areas related to the religious life for many denominations, including the Orthodox Christianity and Islam population. Apart from the main goal, it is to acquire data on oral hygiene habits, socio-demographic factors and to propose preventive measures concerning oral health.

Case study will consist of 250 children of 12 to 13 years of age, equally from both genders and Macedonian and Albanian nationalities. Clinical examination will be conducted at all school-age children according to which DMFT index will be determined based on Klein-Palmer method and OHI index based on Greene-Vermillion method.

Questionnaires will be fulfilled by the children from which we can collect data on dietary habits and types of food, oral hygiene habits and parents education. The questionnaire for dietary habits will consist of following: determining frequency of consumption of a different type of nutrition during a period of one week, or the so-called Food frequency questionnaire (FFQ).

Results from this study will be statistically processed via STATISTICA 7 including descriptive statistic, student t-test, and correlation, linear and multivariable analyses.

With this study we expect to collect the data given in the goal and be able to determine possible risk factors for dental caries disease and, as a result of it, propose preventive measures especially from the perspective of proper and balanced diet.

BiographySlavica Svevska is a Master 2nd degree student of the Nutritional Studies at the St. Clement of Ohrid University of Bitola, Faculty of Technology and Technical Sciences Veles. She is a graduated Doctor of Dental Medicine with over 15 years of experience as general dentist.

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Psychosocial aspects of obesityMaja VanevskaUniveristy of Bitola, Macedonia

The influence of psychosocial factors on obesity was discovered, test questionnaires were answered by 30 women (W) and 13 men (M), divided in two groups: group with normal BMI30 kg/m2 (B).

Educational level and success in education was higher in W (83,33%) and M (33,33%) in A compared to W (44,44%) and M (14,29%) in B. Satisfaction of their work is higher in A: 90%W and 80%M compared to B: 66,67%W and 60%M. We arent satisfied from their colleagues relationships in 71,43%W and in 33,33%M, and not satisfied from the quality of their job,

42,86%W and 66,67%M. Feeling stress during their working activities was estimated in B (58,73% W) compared to A (36,3% M), and 20%M of both groups. The possibility of relaxation at home is significantly lower in B: 22%W and 14,29%M compared to A: 58,33%W and 66,67%M. Subjects in B consider negative the influence of their immediate surrounding, in 86,67%W and 100%M, disabling them in their psychosocial adaptation in the society. M have opinion that the other people make fun of their obesity in 67%. W dont share that opinion. Educational level and success in education and their work was lower in obese, their non adaptation to immediate surrounding and its negative influence to them was higher. It is confirmed that obesity is connected with many psychosocial problems.

BiographyMaja Vanevska, at the age of 39, lives in Skopje, Macedonia. She has finished her elementary education in ,, Goce Delchev , district Ilinden, and in 1999 year completed secondary medical school for nurse - technician in: DSMU ,, Dr. Jovan Kalauzi - Bitola, R. Macedonia. She graduated in 2006 in the, Sublime Medical School in Bitola, Republic of Macedonia and gain the title: Specialist Nurse - general direction. Now she is advanced university student of nutrition at the Faculty of Technology and Technical Sciences-Veles, Republic of Macedonia. From 2001 - and still - regularly employed as a Charge Nurse in the Department of Education at University Clinic of endocrinology, diabetes and metabolic disorders - Skopje, Republic of Macedonia.

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Learning about the importance of healthy eating in prevention against obesity and nutrition-related chronic diseasesEmilija NedanovskaUniveristy of Bitola, Macedonia

Nutrition and dietetics is relatively young science in Macedonia. The Faculty of Nutrition was open five years ago and it enabled the youth to enrich their knowledge in this field. Still there is a need the rest of the population to be informed about the healthy benefits of food. It is a responsibility of the nutritionists and their associations. According to that, every nutritionist should possess characteristics as communicability and creativity. In Macedonia, there is an Association of Nutritionists, but it exists relatively short period. This association conducted a research with 181 respondent between 11 and 21 year, that showed 84% of the respondents are

informed about healthy food, but more often they chose fast food and processed snacks as a fast source of energy. One of the main obligations of the Association is to promote the healthy benefits of food, to inform the population the way unhealthy food causes chronic diseases and to offer healthy substitutes for unhealthy food. The activities of the Association are especially important because 60% of men and 47% of women over the age of 20 in our country have increased body weight and 20% of them are obese. For successful mission it is very important this Association to be supported from other significant groups, as government, physicians, etc. Mutual cooperation can lead to healthier lifestyle of the population with decreased chronic diseases and healthy youth which is very important for the future of our country.

BiographyEmilija Nedanovska is Student Degree of Nutrition at the University St. Clement of Ohrid-Bitola, Faculty of Technical and Technological Science-Veles. She finished a high school education in Josip Broz Tito in Bitola which is one of the most successful high schools in Macedonia. This is my first strudents presentation at the European Conference in 2015.

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Obesity in young age and the benefit of balanced nutrition

Marija RistevskaUniveristy of Bitola, Macedonia

Obesity is known as a chronic disorder involving excessive body fat that increases the risk of health problems. In the recent years, childhood obesity is on the rise. Childhood obesity also takes an emotional tool. Overweight children are frequently teased and excluded from team activities, which can lead to low self-esteem, negative body image, and depression. Research points to high fat diets and lack of exercise are the reasons that more preschoolers are on their way to obesity. There is a greater choice of processed food available in our shops and food outlets, which can contain lots of fat and sugar. Many parents do not guide their children toward healthy eating, because they do not want to prohibit them certain kinds of unhealthy food that their

children want.

A healthy eating plan limits foods that lead to weight gain. Portion control is an important factor in child care. Educating children and their families should be incorporated in daily curriculum.

Potential health problems that are related to the weight, such a diabetes, makes nutrition a major health concern. It is important to regulate the food intake thereby the needs for nutrients required for proper growth and development of children should be satisfied. Exercise for young children means outdoor play typical for a growing child or other kind of regular training that is in the child liking and not a formal exercise program.

BiographyMarija Ristevska is Bachelors Degree of Nutrition (expected), Faculty of Technology and Technical Sciences-Veles at the University St. Clement Ohridski in Bitola, Macedonia. She completed high medical school at D-r Jovan Kalauzi-Bitola.

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Mediterranean diet in prevention of cardiovascular disease and obesityMarija MadjovskaUniveristy of Bitola, Macedonia

Food contains nutrients and biologically active substances which are important for growth and development, for proper metabolic functioning and they also affect the vitality and immunity from certain diseases. Proper diet involves daily use of various food in quantities that satisfy our real needs of proteins, fats, carbohydrates, minerals, vitamins, enzymes and other biologically active compounds that regulate our metabolism. If we enter more than the necessary amounts of food we risk to increase our body mass and become susceptible to a range of chronic diseases that are characteristic of people with overweight such as cardiovascular diseases, diabetes mellitus type 2.

The Mediterranean diet is a set of dietary habits which if we practice them they can become a real source of health and protect against the aforementioned diseases which today are constantly increasing due to consumption of fast food meals that are full with trans fatty acids. The prevalence of cardiovascular diseases is 61% of all cause marbidity in Macedonia (2014). Research has shown that the traditional Mediterranean diet reduces the risk of heart disease.In fact, an analysis of more than 1,5 million healthy adults demonstrated that following a Mediterranean diet you can reduce the risk of death from heart disease and cancer, as well as you can protect yourself from Parkinson`s and Alzheimer`s diseases .

BiographyMarija Madjovska is a student of Food and Nutrition Study, Faculty of Technology and Technical Sciences Veles at the University of BitolaSt. Clement of Ohrid. She has attended practice in the company for the production of healthy food. She is communicative, social, worthy and responsible person. This is her first presentation on the Euro Global Summit & Medicare Expo on Innovative weight loss approaches to overcome health risks associated with obesity.

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Dietary protein and essential amino acids supplementation for athletes-bodybuilders: from requirements to optimum adaptation Andrej B. SimovskiUniveristy of Bitola, Macedonia

The main belief in resistance-trained athletes/bodybuilders is that it is needed to generate more muscle protein. There is a good rationale for recommending to athletes protein intakes that are higher than the RDA. Our purpose was to present the efficiency of recent clinical examinations of protein and essential amino acids supplements used by novice, amateur and world-class bodybuilders to gain muscle mass, strength and to present any possible adverse effects.

On the basis of nitrogen balance measurements, the recommended protein intake to maximize muscle protein synthesis is 1.3-1.8 g/kg per day consumed as 3-4 nitrogenous meals. Sports nutrition scientists have accepted that protein intakes during early stage of intensive training in novice bodybuilders is 1.6-1.8 g/kg per day. Protein increases from 1.35 to 2.6 g/kg per day do not increase muscle mass gains during the first month of bodybuilding training (1.5 hrs/day, 6 days/week).

Amateur bodybuilders may require slightly more protein than sedentary people. A well balanced diet would be achieved with a few corrections in food such as total calorie intake and protein quality. Breads and cereals and milk and dairy products revealed to be the most important groups. Protein supplements contributed 13% (18-22%) of total protein intake. Its dubious whether extra dietary protein supplementation will help someone to achieve athletic goals.

A world-class bodybuilders during 8-week pre-competition period achieved athletic goal by following high energy (54 kcal/kg/day), carbohydrate (76% of DEI) and protein (19%) diet. The exercise strategy included 2 hrs of aerobic and 3 hrs of weight training. Recent scientific findings are supported claims that excessive protein supplementation can lead to dehydration, liver and kidney changes. The most effective way to increase strength and bulk is to perform sport-specific resistance exercise training with the provision of adequate energy, carbohydrate, and protein.

BiographyAndrej B. Simovski is born in Skopje, Macedonia. He is Bachelors Degree of Nutrition (expected), Faculty of Technology and Technical Science Veles at the University St.Clement Ohridski in Bitola, Macedonia. Language skills: english, macedonian and serbian. Participant at the international projects, working on logistic support at annual conferences, workshops and continual medical education, creating power point presentations/posters at national campaigns, video materials and the website www.nosmoking.cjb.net . Also, he was translator of materials and case study, preparing the materials (agenda, sertificates, invitation letters, photocopying), brochures handing, taking part in organizing eco activities, organizing an exhibition and public education counselling as a Secretary of the NGO Public Health National organization for health promotion.

[email protected]

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The importance of proper nutrition for pregnant women in the prevention of malnutrition, including obesityDavor DaniloskiUniveristy of Bitola, Macedonia

Pregnancy is one of the best periods for each woman but is associated with physiological changes that result in increased plasma volume and red blood cells and decreased concentrations of circulating nutrient-binding proteins and micronutrients. To maintain a healthy pregnancy, it is necessary to take care of proper nutrition.

The best time to refer to the dietician is when there is a desire to become pregnant, or upon becoming pregnant in combination with:

Underlying disease: diabetes, elevated risk of gestational diabetes, based on family history, cardiovascular disease, thyroid disease, muscle diseases, bowel diseases, chronic constipation, eating disorders, food sensitivities, (imminent) kidney failure;

High risk factor: overweight/obesity, unwanted substantial weight gain in a previous pregnancy, hypertension/gestational hypertension, underweight condition, experience with underweight condition in a previous pregnancy, elevated risk of gestational diabetes, based on family history, persistent nausea and morning sickness, specific problems and/or questions related to food.

In the diet, pregnant women need macronutrients and micronutrients that are essential for life and life that mothers carry in their womb. Micronutrients and macronutrients that are to be ingested on regular basis are: carbohydrates, proteins, fats, vitamins, minerals and water. Some nutrients are particularly important during pregnancy and need to be consumed as a prenatal supplement. Folic acid is the most important nutrient during pregnancy because its deficiency can lead to the occurrence of spina bifida.

This paper aims to provide an overview of the distinctive nutritional need of pregnant women.

BiographyDavor Daniloski is a student of Nutritional and Food Sciences, and now he is a Student Assistant at Faculty of Technology and Technical sciences (study of Nutrition). He worked on several projects supported by the results obtained from experiments in laboratories:

Examination of the total number of bacteria in waste water fifth channel - Bitola

Biochemical analysis of cow milk (protein, fat, carbohydrates, pH, acidity, dry matter).

Biochemical analyzes of apples (oxidative processes)

This is his first authors publication.

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Modeling of nutrition business models of consumer behavior when buying food products Sasko MartinovskiUniveristy of Bitola, Macedonia

Introduction: In the planning of socio-economic development, making profit, protecting the environment and planning a healthy life, a modelling of models is needed, and the obtained anticipated changes at different levels are crucial to efficient management. Nowadays we use of various consumer behaviour models, the most known of which are only the deterministic or probabilistic, lumped or agent model, continuous product range or finite number of brands etc. In these models, the modelling is done with analytics and statistics (mathematical models).

The subject of this research paper is to modelling for business model and the goal is nutrition models of consumer behaviour when purchasing food products in which emphasis is given to the determinant nutritional properties of food. The paper present original concept of modelling for business model. The model is built on the basis of several principles and one of the most important is to provide greater clarity and full understanding of the process that is built into the model. Nutritional business model of consumer behaviour we propose is not a classic mathematical model. It can include mathematics, statistics, and other methodologies including: nutrition, economic and geographic - Geographic Information System (GIS).

Conclusion: The building a good nutrition model of consumer behaviour when purchasing food would help companies in order to get answers to questions about their marketing strategy. These models can be used in the Health and Nutrition sectors. Research has shown that the application of GIS, in the building of the model, is a very important and necessary component.

BiographySasko Martinovski, PhD, was born in Veles, where he completed his primary and secondary education. He got his Bachelors and Masters degree in Sciences at the Faculty of Electrical Engineering - Skopje, at the University Ss. Cyril and Methodius Skopje, and obtained his PhD from the Faculty of Economics - Prilep, Ss. Kliment Ohridski with the paper on GIS modelling for strategic planning of the development of the urban environment. His work experience is extensive, including work in a number of companies as head of the computer centre, work in the implementation of GIS projects, but also as an educator for IT education. Today he works as a Professor at the Faculty of Technology and Technical sciences in Veles. During his career he has received a number of awards and certificates for his contribution to the IT sector. Recently, his main fields of scientific research activity include: Expert systems, GIS application in medicine, nutrition, food technology and economics, GIS and electronic services (e-business, e-marketing, e-commerce), GIS modelling and Marketing.

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Physiological base f method for programming physical activity in obese young individuals Vladimir NikolovskiUniveristy of Bitola, Macedonia

Collaboration among sports pedagouges and sports nutritionists is necessary to reinforce the link between sound regular physical activity (PA) and dietary practice for weight management in young individuals. Our purpose was to propose the method for programming PA on physiological base in obese young individuals and to reinforce the collaboration among sports pedagouges and sports nutritionists in the area of health promotion and cardiovascular disease (CVD) risk reduction through increasing physical activity.

Our method for programming PA was established using classification for aerobic fitness (WHO). The basic criterion for obese individuals selection in four PA groups was initial level of VO2max (ml-1kg-1min-1) expressed in term of METs. Training pulse was calculated using equation by Karvonen M. Intensity of PA was recommended in accordance with energy expenditure and expresed in term of METs (WHO/Andersen). Using tables of gross energy expenditure of various PA were chosen different types of PA. Diet of 1500kcal/d was prescribed in the Ist phase and 1800kcal/d in the IInd phase related to increased level of VO2max (ml-1kg-1min-1). The efficacy of programmed PA and/or diets were examined in 42 obese young individuals included in 8 wk randomized controlled trials.

Using our method for programming PA were achieved significant reduction on body fat and CVD risk factors, safe performance and is avoided the risk for CVD events, so as enlarged type of PA. Ongoing debate are long-term effects on weight cycling and management, preferably 2-5 years.

BiographyVladimir Nikolovski is Bachelors Degree of Nutrition (expected), Faculty of Technology and Technical Science-Veles at the University St.Clement Ohridski in Bitola, Macedonia.

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Athletes and the importance of sport nutrition Angel PanovskiUniveristy of Bitola, Macedonia

There are many books and scientific papers in the world, but there is not a single diet or exercis

Documents

Scientific Symposium of Nutrition for Euro Global Summit & Medicare Expo, Franfurkst, Proceedings 2015