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 Does Bariatric Surgery break the cycle of obesity?
25 pre versus 25 post operative children
Ages 2-25 years
Epigenetic alterations genes involved in glucose homeostasis Less hyperinsulinemic
More glucose tolerant (HOMA- IR)
Less adipose (fat percentage, waist circumference)
Lower blood pressure
>> The answer may be yes!
  Ramadan fasting
2018: May 15th to June 14th
Fasting in daytime, large (sweet) meal at night, sleep patterns different. Produced metabolic changes similar to starvation
Pregnant women often (>90% in Indonesia; >50% in Amsterdam)
Prospective cohort n=130 Muslim women in Amsterdam
Moroccan descent women (87%) more likely to fast than Turkish descent women (8%) First/ second/ third generation had no impact on fasting
Lower birth weight (270 g) among women that fasted in the first trimester
Savitri A et al, Br J Nutr, 2014 Malhotra, BJN, 1987
43
   Page 71 of 135
Guenard, PNAS, 2013
42
  PRECONGRESS COURSE 05 I BARCELONA, SPAIN – 1 JULY 2018 77
   PresentationAMC.pptx PresentationAMC.pptx













































































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