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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