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  • TITLE
  • CERTIFICATE
  • DECLARATION
  • ACKNOWLEDGEMENT
  • LIST OF APPENDICES
  • ABSTRACT
  • CONTENTS
  • LIST OF TABLES
  • LIST OF FIGURES
  • 1. INTRODUCTION
  • 2. REVIEW OF LITERATURE
  • 2.1. Cardiovascular Diseases and coronary heart diseases
  • Fig.2Natural progression of atheroselerosis
  • 2.2. Prevalence of coronary heart diseases
  • 2.3. Risk factors of coronary heart diseases
  • 2.3.1.Epidemiologic studies identifying the coronary heart disease risk factors
  • 2.3.2. Non- modifiable risk factors
  • 2.3.3. Modifiable risk factors
  • 2.3.4. New risk factors
  • 3. METHDOLOGY
  • 3.1. Selection of Area
  • 3.2. Selection of Sample
  • Fig. 2 Location map of Kochi, Keral
  • 3.2.1. Cases (CHD group)
  • 3.2.2. Controls (Non CHD group)
  • 3.3. Tools and Techniques of data collection
  • 3.3.1. Socio-economic background and life style
  • 3.3.2. Anthropometric Measurements
  • 3.3.3 Clinical and Bio-chemical status
  • 3.3.4. Diet survey- dietary habits and food consumption pattern
  • 3.4. Analysis of data
  • 4. RESULTS AND DISCUSSION
  • 4.1. Socio-economic background of the sample
  • 4.1.1. Age and gender wise distribution of the sample
  • 4.1.2. Distribution of the sample based on religion
  • 4.1.3. Distribution of the sample based on educational status
  • 4.1.4. Distribution of the sample based on monthly income
  • 4.1.5. Distribution of the sample based on occupational status
  • Fig.8 Distribution of the sample based on occupational status
  • 4.1.6. Distribution of the sample based on marital status
  • Fig.9 Distribution of the sample based on marital status
  • 4.1.7. Distribution of the sample based on family size.
  • 4.2. Personal habits and life style
  • 4.2.1. Smoking habits
  • 4.2.2. Alcohol consumption
  • 4.2.3. Consumption of beverages
  • 4.2.4.Stress and other psychological factors
  • 4.2.5. Activity pattern
  • 4.3. Anthropometric parameters
  • 4.3.1. Comparison of mean height of the sample with standard height
  • 4.3.2. Comparison of mean weight of the sample with standard weight
  • 4.3.3. BMI status
  • 4.3.4. Waist circumference and waist/hip ratio.
  • 4.4. Clinical features
  • 4.4.1. Signs and symptoms of CHD
  • Fig.24 Distribution of the males based on the diagnostic events of CHD
  • Fig.26 Signs and symptoms of CHD experienced by the male subjects
  • 4.4.2. History of comorbidities
  • 4.4.3. Mean blood pressure
  • 4.4.4. Diabetic history
  • 4.4.5. Family history of morbidities
  • 4.5. Blood lipid profile
  • 4.5.1.Comparison of blood lipid profile of the sample with reference values
  • 4.5.2. Blood lipid profile of the sample below 60 years
  • 4.5.3. Blood lipid profile of the sample above 60 years
  • 4.5.4. Plasma homocysteine level
  • 4.5.5. Lipid profile Vs other variables
  • 4.6. Dietary habits
  • 4.6.1. Food habits and practices
  • Fig.36 Food habits of the sample
  • Fig.37 Meal pattern of the sample
  • 4.6.2. Diet modification due to other health problems
  • 4.6.3. Food and nutrient intake
  • 4.6.4. Frequency of consumption of food items
  • 4.7. CHD Vs selected food related risk factors
  • 4.7.1 Mean intake of specific foods and nutrients by the sample
  • 4.7.2. Use of cooking oil
  • 4.7.3. Percentage of total calorie consumption of CHD subjects in comparison with WHO population nutrient goals
  • 4.7.4 Correlation matrix of fatty acids and protein sources consumed by CHD subjects
  • 4.7.5 Correlation matrix of proximate principles and food cholesterol with serum lipids
  • 4.7.6 Age and sex adjusted relative risk of CHD based on food consumption
  • 4.7.7. Standardized Canonical Discriminate Function Coefficients of nutrients
  • 4.8. CHD Vs selected non-nutritional risk factors
  • 5. SUMMARY AND CONCLUSION
  • The major findings of the study
  • Limitations
  • CONCLUSIONS
  • Further studies recommended
  • Steps to be taken to improve the overall profile
  • BIBLIOGRAPHY
  • APPENDIX -I
  • APPENDIX -II
  • APPENDIX -III
  • APPENDIX IV
  • APPENDIX V
  • APPENDIX VI