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THE POWER of PROGRAMMING International Conference on Developmental Origins of Health and Disease Campus of the University Hospital, Munich-Großhadern THE POWER OF PROGRAMMING International Conference on Developmental Origins of Health and Disease Campus of the University Hospital, Munich-Großhadern Munich, Germany 6th - 8th May, 2010 PROGRAMME and ABSTRACTS KLINIKUM DER UNIVERSITÄT MÜNCHEN www.metabolic-programming.org/munich2010 Catching a course in perinatal nutrition and understanding the impact of nutrition on brain development. Time well spent. Abbott Nutrition Health Institute: Where education is brought to life. Visit the Learning Center at ANHI.org for an updated course catalog. Continuing Education Symposiums Research Conferences Clinical Tools Resource Library ©2010 Abbott Laboratories Inc. 74294/April 2010 ANHI.org 02307_abbnhi_POP_ad_fa.indd 1 4/6/10 1:05:27 PM table of contents THE POWER OF PROGRAMMING International Conference on Developmental Origins of Health and Disease Campus of the University Hospital, Munich-Großhadern Munich, Germany 6th - 8th May, 2010 Table of Contents page Welcome from the Organizers 4 Welcome from Dr. Antonio Di Giulio, 5 Head of Unit – Food, Health and Well-being, DG Research, European Commission Welcome from Dr. Wolfgang Heubisch, 6 Bavarian State Minister of Sciences, Research and the Arts Welcome from Prof. Reinhard Putz, 7 Vice-President of Ludwig-Maximilians-Universität Munich Welcome from Dr. Angelika Niebler, 8 Member of the European Parliament Welcome from Joachim Lorenz, 9 Referent für Gesundheit und Umwelt, City of Munich Meeting Organizer, Meeting President, Scientific Committee 10 Sponsors 11 Scientific Programme 12-18 Floorplan 19 Abstracts Oral Presentations • Plenary Sessions 21-22 • Parallel Sessions 23-58 Posters • I - Clinical studies 59-73 • II - Epidemiology 73-83 • III - Animal, cell and molecular studies 84-103 • IV - Consumer attitudes / economic and public health impact studies 104-109 General Information 110-111 Social Programme 111 Notes 112 www.metabolic-programming.org/munich2010 3 Welcome Welcome to Munich and to The Power of Programming On behalf of the Early Nutrition Programming Project (EARNEST), the Early Nutrition Academy (ENA), and the Developmental Ori- gins of Health and Disease Society (DOHaD), and the organizing committee, we are delighted to welcome you to this international conference on ‘The Power of Programming - Developmental Origins of Health and Disease’ at Munich, Germany. In recent years, strong evidence has accumulated to show that nutrition and lifestyle during pregnancy and infancy exert important long-term effects on development, health and performance. Epidemiological observations are increasingly supported by experi- mental studies exploring biological mechanisms, as well as by prospective intervention trials providing undisputable evidence for causality in humans. The scientific understanding of such programming effects of early nutrition are of major importance with regards to biomedical research, public health and well-being of people, the practice of nutrition and health care, the economy and wealth of societies, and policy decisions. Obviously, there is ample opportunity for applying this knowledge for preventive approach- es. It is therefore both timely and pertinent to review the state of the art, new results and future perspectives in the area of program- ming research and its applications at this International Conference, which is kindly supported by the General Directorate Research of the European Commission as part of the European Early Nutrition Programming Project (www.metabolic-programming.org), as well as a number of further sponsors In a multidisciplinary approach, specialists in basic science, epidemiology, clinical medicine and many other fields of research, as well as representatives of advisory and regulatory bodies and food manufacturers are coming together to explore synergistic approaches for further advances in this field. Renowned leaders in their fields will provide state of the art overviews, ably supported by a large number of new investigators presenting their latest findings. Munich, with its Bavarian charm, the splendid panorama of the Alps, and the many attractions of the city and its surroundings will provide an excellent platform for delegates to share experiences, critically discuss latest findings and develop collaborative ap- proaches for improvement of early nutrition. We hope you enjoy the Conference and benefit from it, and we wish you a very pleasant stay in Munich! Berthold Koletzko Brigitte Brands Mark Hanson EARNEST Co-ordinator and Conference Secretary and DOHaD President ENA Managing Director Project Manager EARNEST 4 Welcome Welcome from Dr. Antonio Di Giulio European Commission The present global financial crisis has significant impacts both on economic sectors and on individuals: in the EU, GDP fell by 4% in 2009, the industrial production dropped back to the levels of the 1990s, and 10% of the population is now unemployed. In the meantime, the world is moving fast and our society is facing challenges such as health inequalities (increase of diet- related diseases, social determinants), demographic changes due to ageing and an increasing world population, pressure on resources and climate change. The EU must now take charge of its future. The new Europe 2020 Strategy puts forward priorities to promote a smart, sustainable and inclusive growth. Strengthening knowledge and innovation is one the drivers of our future growth. Among others, this requires strengthening our research performance, promoting innovation and knowledge transfer throughout the Union, and ensuring that innovative ideas can be turned into new products and services that create growth and quality jobs and that help address European and global societal challenges. A major effort is also needed to combat poverty and social exclusion and to reduce health inequalities in order to ensure that everybody can benefit from growth. Equally important will be our ability to meet the challenge of promoting a healthy and active ageing population to allow for social cohesion and higher, longer productivity. EARNEST is an example of a project responding to the challenge of our society. The obtained results helped in advancing the know ledge on the mechanisms underlying the development/prevention of diet-related diseases (obesity, diabetes, CVD, allergy), enabling healthy ageing, providing recommendations to pregnant women and infants. The European Commission is proud to contribute to this global effort to improve human health and the quality of life of European citizens and hopes that the opportunities offered in the Framework Programmes will allow policy makers to take evidence-based preventive measures and establish new strategies. Instead of being reactive after the problems have occurred, we should now focus and invest more into prevention. Healthy eating habits and lifestyle are key elements. I am confident that this international conference on developmental origins of health and diseases will play its role to the fullest in providing a platform for a critical review of current knowledge in this area and in exploring and identifying future opportunities for nutrition research and for innovation of food products. Dr. Antonio Di Giulio Head of Unit – Food, Health and Well-being Directorate-General for Research European Commission 5 Welcome Welcome from Dr. Wolfgang Heubisch Bavarian State Minister of Sciences, Research and the Arts Dear ladies and gentlemen, It is a great pleasure for me to welcome you to the scientific conference on “The Power of Programming – Developmental Origins of Health and Disease” in Munich, the capital of our Free State of Bavaria. The interdisciplinary research of nutrition during pregnancy and infancy contributes funda- mentally to children’s healthy development. At this conference, nationally and internationally renowned scientists also present their findings regarding the long-term effects of maternal and infant diet on a person’s development and metabolism in adulthood. The state-of-the-art environment of the Dr. von Hauner Children’s Hospital at the University Hospital Munich – Ludwig-Maximilians-Universität facilitates substantial and outstanding research in this field. This university hospital – along with others – bears testimony to Bavaria’s excellent conditions for research in medicine and health care and the fact that the Free State attaches greatest importance to fostering research and science, especially in life sciences. The success of the Munich-based biotechnology cluster “m4 – a new dimension in pharmaceuticals development” is another great example. This cluster won in the second round of the Excellence Cluster Competition launched by the Federal Ministry of Education and Research and will receive considerable funding. More facts speak for Bavaria as a top research location, for example Bavaria’s accomplishment in the Initiative for Excellence, a joint programme of the federal and state governments. 19% of the total sum of € 1.9 billion of funds go to our Free State, which contributed about € 90 million to the programme. Furthermore, the Ludwig-Maximilians-Universität Munich, the Technische Universität Munich and the Helmholtz-Centre Munich co-operate in the Munich partner institute of the German Centre for Neurodegenerative Disorders (Deutsches Zentrum für Neuro- degenerative Erkrankungen – DZNE) in Bonn, which was founded in the context of the initiative of the Federal Ministry of Education and Research supporting national health research centres. This programme also guarantees the Munich partner institute’s perma- nent funding.
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