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1. Assessment Of Correlation Between Food Choices And Fertility Status In Females

by Tamkenat Mansoor (2013-VA-923) | Dr. Muhammad Nasir | Ms. Amina Chughtai | Mr. Muhammad Bilal.

Material type: book Book; Literary form: not fiction Publisher: 2015Dissertation note: The changing lifestyles and eating patterns have resulted in a number of fertility related problems, especially in females. Initially it was thought that only morbidly increased or decreased body weights were the causative factors in cases of infertility and sub fertility but it has been observed that a lot of women with normal body weight are also increasingly finding it difficult to conceive. Similarly obese and underweight women have also been seen to reproduce normally. Thus, in order to have a better understanding of the relationship between food and fertility we need to compare the eating patterns of fertile women with those of infertile ones. Various eating patterns are associated, either negatively or positively, with the fertility status of females. At least 50 fertile and 50 infertile females, attending the OPDs at health centers in Gujrat, during the time of 6 months or until the benchmark of 50 control and 50 cases is not achieved, will be recruited and interviewed through a proposed questionnaire. Other than Food frequency checklist, social, medical and sexual history of the females will also be included in the questionnaire. Filled questionnaires will be analyzed using Minitab. Comparisons will be made between the food choices of fertile and infertile group using t-test and other relevant tests. The results of the proposed study will help to assess the association between the eating patterns and fertility status of females and help the practitioners to educate and better assist their patients to conceive successfully. Availability: Items available for loan: UVAS Library [Call number: 2415-T] (1).

2. Comparative Study To Assess The Effectiveness Of Various Nutritional Education Methods On Knowledge, Attitude And Practices Of School Going Children.

by Khadija Jamil (2014-VA-532) | Ms. Amina Chughtai | Ms. Tahreem Hussain | Muhammad Bilal.

Material type: book Book; Literary form: not fiction Publisher: 2016Dissertation note: Nutrition education is an essential component of nutrition intervention to improve dietary habits, food choices and to prevent nutritional deficiencies. During the developmental stage between 9-13 years the children experiences a period of remarkable physical, social-emotional, intellectual change and puberty begins to reshape their body. Poor dietary habits and lack of physical activity can be the main cause of poor nutritional status among school going children. Balanced diet has been promoted by health care professionals and food guide pyramid as a tool in relation to balanced diet. Along with basic energy and nutrients the concept of balance must be keep in mind. For proper growth and development and to prevent nutritional deficiencies it is important that children must adopt healthy eating patterns from the early stages of their life. The most important challenging task is to change attitude and modify the dietary behavior of children because most of the children do have information about healthy eating and proper nutrition. In order to change the unhealthy eating patterns of children to become permanent part of life style, nutrition education must provide to children by different nutrition education methods. The directive of the current research helped us to enhance the understanding of different nutritional educational methods and compared the results of three different nutritional education methods (audiovisual, brochure and oral) to improved students’ nutrition knowledge, attitude and dietary practices with the view of determining which method was the most effective. . To compare the effectiveness of nutrition education methods data was collected from three different private schools of Lahore. The study sample consisted of 166 participants. The participants were divided into three groups. In Group 1 nutrition education lectures were delivered through (audio visual), Group 2 nutrition education lectures were delivered through (brochures) and in Group 3 nutrition education lectures were delivered through (traditional oral method). Baseline data included weight, height, BMI and food frequency. The effects of various nutrition education methods on three groups were evaluated by using KAP questionnaire before and after nutrition education lectures delivered. Data were analyzed statistically through analysis of variance (ANOVA) and paired t test. Level of significance was defined as (p<0.05). Study results demonstrated that majority of participants were normal weight with BMI 20.6±2.4 kg/m2. After three months, the post anthropometric measurements of students from different groups were indicating that the mean age, height and BMI from different schools were same when compared with baseline data. Dietary habits of the study participants in three groups (audiovisual, brochure, oral) were also assessed before and after nutrition education lectures were delivered. Analysis of food frequency questionnaire explored that few consumption of food items like milk, yogurt, chapatti, white bread, mutton increased with the passage of time which were statistically significant (p <0.05). The consumption of vegetables (potato and cabbage) and fruits (apple, guava and banana) were increased but they were not statistically significant (p>0.05). The effect of three nutrition education methods (audiovisual, brochure and oral) revealed significant changes on knowledge, attitude and practices before and after nutrition education lectures in three groups. Of the three methods audiovisual, brochure, oral), the mean score of correct answers on knowledge, attitude and practices about balanced diet before nutrition education intervention was less as compared to post test. Although there was a significant changes on knowledge attitude and practices between three nutrition education methods, but the results of the present study revealed that the highest mean score of correct answers on knowledge, attitude and practices was seen in group 1 (audiovisual) than in group 3 (oral) and lastly in group 2 (brochure), indicating audiovisual as the most effective method to improve nutrition knowledge, attitude and practices of children on balanced diet. The nutrition education lectures delivered through audiovisual method has shown to bring about an improvement in knowledge, attitude and practices on balanced diet as compared to other nutrition education methods (oral and brochures) used in the study. The present study demonstrated that after audiovisual, oral method was the second most effective to improve knowledge attitude and practices about balanced diet as compared to brochures. Availability: Items available for loan: UVAS Library [Call number: 2596-T] (1).

3. Assessment Of Nutritional Status Of End Stage Renal Disease Patients On Maintained Hemodialysis

by Ayesha Batool (2014-VA-548) | Ms. Amina Chughtai | Dr. Sana Ullah Iqbal | Mr. Muhammad Bilal.

Material type: book Book; Literary form: not fiction Publisher: 2016Dissertation note: End stage renal disease patients on MHD (maintained hemodialysis) have critical nutritional status. The state of nutrition is always critical for the recovery from any disease. An optimal health status assures good quality of life. The study aimed to assess the nutritional status of patients diagnosed with ESRD on maintained hemodialysis. Caloric and protein intake of patients was calculated and compared with standards. Inadequate dietary intake leads to protein energy malnutrition in patients with end stage renal disease on maintained hemodialysis. A sample of 240 patients identified with end stage renal disease (age 40-60 years) visiting outdoor patient department, department of nephrology, Sheikh Zayed Hospital and nephrology department Mayo Hospital, Lahore was selected. Sample was calculated using Yummny formula. Sample was selected through purposive sampling. Direct Nutrition assessment will be conducted through ABD. Anthropometric measurements included BMI, MAMC and TAPM (Appendices I). Biochemical tests included Creatinine, BUN, Serum albumin, total proteins and hemoglobin. Dietary intake was assessed through 24 hour diet recall and FFQ. PG-SGA form was used for screening of patients for malnutrition. The study found that the nutritional status of ESRD patients on MHD is critically poor. 82% of the subjects of the study were moderately to severely malnourished. BMI of most of the patients were normal and thus it is not a reliable parameter to assess malnutrition among critically ill patients. The dietary intake data had shown significant difference between intake and requirements of calories (kcal/day) and proteins (gm/day). The MAMC and TAPM results interpreted that lean muscle mass is depleted in more than 70% of the patients. TAPM values were significantly related with protein intake and PS-SGA score. Thus, it is a reliable parameter for the assessment of malnutrition. Descriptive Summary 74 statistics, regression analysis, t-test, correlation, chi square and cross classification table was used to analyze data. Data was presented in form of graphs and tables. Statistical software SPSS version 22 was used to analyze data. Data thus obtained will serve as baseline data for improvement of nutritional status of ESRD patients. The study also validated the nutritional markers and parameters, which will be helpful in assessment of critically ill patients. Availability: Items available for loan: UVAS Library [Call number: 2605-T] (1).

4. Effect Of Various Classroom Educational Activities On Fresh Fruit Intake Of Children

by Anum Zafar (2014-VA-533) | Ms. Tahreem Hussain | Ms. Amina Chughtai | Mr. Muhammad Bilal.

Material type: book Book; Literary form: not fiction Publisher: 2016Dissertation note: Children of age group 3-4 years are developing their dietary habits. Multiple factors affect their eating preferences. Intake of fresh fruits is observed to be less in this age group. Initiative to improve fresh fruit intake during this age is of utmost importance as fruits are rich in micronutrients. The proposed study attempts to find out the effect of class activities on fresh fruit intake of children. The current study hypothesized that class learning activities can improve the consumption of fresh fruits in children and the results of the current study indicates that fresh fruit intake can be increased by different educational activities. A sample of 100 children 3-4 years of age enrolled in The Educators (Shahdara campus) participated in the study. They were divided in four equal sub groups, 25 children in each group. Each group was given the same weighed (109grams) fruit bowls for 20 mins. One group was the control group. In contrast the other three experimental groups received the treatment in the form of different class activities like animated movie, storytelling and the talk session. The fruit bowls were served after these activities and then the weight of the fruit bowls were recorded again. The experiment was performed thrice with a gap of one week to observe the difference. Those participants who were suffering from any type of allergy were excluded from this study. Data of the leftover weight was analyzed statistically by SPSS version 21. Descriptive statistics (frequency/percentage), graphs, tables and graphs were used to analyze the data of different days of the treatment. One way ANOVA was used to check the difference between the outputs of different groups. The result of the current study showed that participant with the treatment of storytelling ate more than any other treatment with lowest mean value of left over weight 14.36, however the group which receive the treatment of discussion had the mean value of 21.49 and the treatment with movie had the mean value of 34.02. Participant belong to the control group did not eat much fruit because they had highest mean value of leftover weight of 39.69. Therefore it can be concluded from the current study that there is a positive effect of different class based learning activities on fresh fruits intake in children of age group 3-4 year. Availability: Items available for loan: UVAS Library [Call number: 2659-T] (1).



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