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University of Perpetual Help System Dalta - Las Piñas

THE RELATIONSHIP OF BODY MASS INDEX AND BLOOD SUGAR


LEVEL OF GRADE 12 STEM STUDENTS

A Thesis Proposal presented to the Faculty


Of the Senior High School Department
University of Perpetual Help System DALTA
In Partial Fulfillment
Of the Requirements for General Biology I

Bauzon, Rea Beatriz A.


Boricano, Kylla Shane T.
Buenaventura, Jan Lance C.
Calingao, Beaver John M.
De Castro, Bea Patrice R.
De Dios, Marie Jan Louise C.
De Ocampo, John Martin A.
Dela Cruz Jr., Ruel B.

Senior High School Department

Las Pinas City

March 2018
University of Perpetual Help System Dalta - Las Piñas

APPROVAL SHEET

This study entitled, “THE RELATIONSHIP OF BODY MASS INDEX


AND BLOOD SUGAR LEVEL OF GRADE 12 STEM STUDENTS” prepared
and submitted by Bea Patrice R. De Castro, Kylla Boricano, Rhea Beatriz
Bauzon, Jan Lance Buenaventura, Beaver Calingao, Marie Jan De Dios, John
Martin De Ocampo and Ruel Dela Cruz Jr. in partial fulfillment of the
requirements for the subject Practical Research 2 has been examined and
recommended for acceptance and approval for oral defense.

MRS. MARIA CARINA PONTANAR


Thesis Adviser

PANEL MEMBERS:

______________________________
Member

______________________________
Member

Accepted and approved in partial fulfillment of the requirements for t


he subject of Research: Qualitative 2.

MS. SHEILA D. TANDOC


English Learning Area Coordinator
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TABLE OF CONTENTS

Acknowledgement 4

I. PROBLEM AND ITS BACKGROUND


Introduction 5
Statement of the problem 7
Objectives 8
Hypothesis of the Study 8
Significance of the study 8
Scope and limitation 9
Conceptual framework 10
Definition of terms 11

II. REVIEW OF LITERATURE


Synthesis 29

III. RESEARCH METHODOLOGY


Research Design 32
Research locale 32
Sampling Technique 33
Data gathering procedure 34
Data gathering tool 34
Data Analysis Plan 35

References 36
Curriculum Vitae of Researchers 43
Letter of Agreement 51
Information Sheet 52
Certification of Legitimacy 53
University of Perpetual Help System Dalta - Las Piñas 4

ACKNOWLEDGEMENT

The researchers wish to express their deepest gratitude to the special people

who extended their assistance for the success of this study.

First of all, we would like to thank The Almighty God who is the source of

life and strength. Thank God for the guidance, knowledge and wisdom that we

need for the success of this study.

Our special thanks to our adviser, Mrs. Marry Grace Mabao who continues to

give us her valuable feedback and constructive advice throughout our work.

Thank you for always there supporting us, giving us the right direction and

providing us brilliant insights, especially for giving us a great idea for our title.

To Mrs. Maria Carina Pontanar, our Research teacher, thank you for the

guidance throughout the making of this study. For your genuine apprehension,

encouragement, patient and whose expertise and knowledge was generously

shared.

To our family who never failed to show their full support and unending love

throughout the study and our journey as students. Thank you for the substantial

sacrifices that you’ve made for the possibility of this research. We truly adore

your efforts for the completion of this study.

To our classmates and friends who are always there willing to share their

comments and knowledge about our study and never hesitate to extend their hands

for help.
University of Perpetual Help System Dalta - Las Piñas 5

CHAPTER I

THE PROBLEM AND ITS BACKGROUND

Introduction

Obesity is a complex disorder involving an excessive amount of body fat

(Pruthi, 2015). For the past years, it is evident that childhood obesity has

more than doubled in children and quadrupled among adolescents (Lui,

2016). According to Philippine Council for Health Research and

Development, the number of obese children and adolescents has been on the

rise in the Philippines and the rest of the world over the last decade. Results

of nutritional surveys among Filipinos reveal slow but steady increasing rates

of childhood overweight and obesity cases. The 2011 Global School-based

Health Survey also indicated that about 13% of adolescents in the Philippines

are overweight and obese (Gloor, 2015). Excess weight is a growing public

health concern; even in a developing country like ours. That is why, the

Philippine Association for the Study of Overweight and Obesity (PASOO),

has been campaigning actively in the past few years, for Filipinos to eat a

healthy diet and exercise regularly in order to avoid becoming overweight

and developing obesity. And obesity is so threatening to cardiovascular

health that the American Heart Association has named it one of

the major risks for heart disease (Reyes, 2015).

According to Ogden (2017), there are several factors that may contribute

to weight gain among youth which include genes, eating habits, physical

inactivity, TV, computer, phone, and other screen time, sleep habits, medical
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conditions or medications, and where and how people live, including their

access to healthy foods and safe places to be active. Technology is very

efficient to our daily lives thus it is inevitable for everyone to use gadgets,

particularly cellular phones. Almost all teenagers have their own mobile

phones that they can use from time to time. Everything could be found in just

a touch – knowledge and entertainment. This capability frequently leads to

inactivity of teenagers to physical activities.

According to Dudovskiy (2017), obesity makes the onset of non-insulin

dependent or type 2 diabetes far more likely. In fact, 80-90 percent of all

people diagnosed with this condition are obese.

Body Mass Index (BMI) is the tool most commonly used to estimate and

screen for overweight and obesity in adults and children. BMI is defined as

weight in kilograms divided by height in meters squared. For most people,

BMI is related to the amount of fat in their bodies, which can raise the risk of

many health problems. But children grow at different rates at different times,

so it is not always easy to tell if a child is overweight. The CDC BMI growth

charts are used to compare a child’s BMI with other children of the same sex

and age. It is important that a child’s health care provider evaluates a child’s

BMI, growth, and potential health risks due to excess body weight.

The human body needs energy in order to perform different tasks

effectively. The energy used by the body is provided by the nutrients in the

food that a person eats. Food contains complex carbohydrates that are broken

down into simple sugars such as glucose (Ramos & Ramos, 2017). According
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to Ware (2016), diabetes is described as a group of metabolic diseases in

which the person has high blood glucose (blood sugar). There are different

kinds of tests in determining an individual’s sugar level.

 Random plasma glucose test – a blood sample for a random plasma

glucose test can be taken at any time. This doesn’t require as much

planning and is therefore used in the diagnosis of type 1 diabetes

when time is of the essence.

 Fasting plasma glucose test – fasting plasma glucose test is taken after

at least eight hours of fasting and is therefore usually taken in the

morning.

The given data encouraged the researchers to determine the relationship

between Body Mass Index (BMI) and Blood sugar level among grade 12

STEM students of the University of Perpetual Help System DALTA – Las

Piñas Campus.

Statement of the Problem

Generally, the study aims to show the relationship between Body Mass

Index (BMI) and Blood Sugar level among grade 12 STEM students of the

UPHSD.

Specifically, the study will sought to answer the following questions:

1. Demographic Profile:

a. Age

b. Gender

c. Body Mass Index

BMI – Body Mass Index


BGL – Blood Glucose Level
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d. Blodd Glucose Level

2. What is the average BMI of the grade 12 STEM students?

3. What is the average blood sugar level of grade 12 STEM students?

4. What gender classification has a higher BMI?

Objectives of the Study

The objectives of this research are:

1. To show whether the blood sugar level has an effect on the BMI of the

grade 12 STEM students.

2. To know the significant relationship between BMI and blood sugar level.

3. To know which gender classification has a higher BMI.

4. To spread awareness regarding obesity and diabetes.

Hypothesis of the Study

The researchers believe that there no significant relationship between Body

Mass Index (BMI) and blood sugar level among grade 12 STEM students of

UPHSD.

Significance of the Study

The overview of this present study would be a great contribution to the

awareness of the teenagers to their body mass index and blood sugar level. The

outcomes of this investigation could be highly significant and beneficial

specifically to the following:


University of Perpetual Help System Dalta - Las Piñas 9

Teenagers. This study will benefit teenagers as it can help them to have

awareness about their body mass index and blood sugar level. Being aware

might be sufficient to prevent obesity among teenagers.

Parents. This study can help parents to let them know about the body mass

index and blood sugar level of their children. Parents must urge their children

to eat more healthy foods rather than eating junk foods that are bad in health.

Moreover, parents should establish healthy eating habits as this can influence

their children to live in a healthy manner. Thereby, parents shall lead an

exemplary life which can reap benefits from lifetime such making their

children free from obesity or diabetes and live longer.

Doctors/Experts. This study will be useful to doctors or experts to find out

the effect of one’s blood sugar level to their body mass index. Through this

study, the doctors could give out advices and precautions to their patients

about diabetes and obesity.

Future Researchers. This study could of use by other students or researchers

as their references regarding blood sugar level and body mass index.

Scope and Limitations

This research focuses on showing the relationship between body mass index to

blood sugar level among grade 12 STEM students of the University of Perpetual

Help system DALTA – Las Piñas campus. This study will only make available to

30 out of 837 grade 12 STEM students as respondents because of the researchers’

financial capability and the availability of the glucose strips. The respondents will
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undergo physical assessment for the calculation of the BMI. The respondents will

not be manipulated in terms of their daily lifestyle thus, the researchers will use

random blood sugar level test in the study. The respondents must not be under

medications, pregnant or breast feeding, undergoes body building programs and

must not have diabetes.

Conceptual Framework

INPUT PROCESS
Respondents' profile: - Information sheet for the OUTPUT
- Age determination of BMI and The relationship
BGL between BMI and
- Gender - Random Blood Glucose BGL among grade 12
- BMI Test
STEM students
- BGL - BMI test

Fig. 1 The Conceptual framework of the study regarding the relationship of


Body Mass Index and Blood sugar level of grade 12 STEM Students.
The conceptual framework shows how the researchers will give answer to the

research problem. The diagram presents that the researchers aim to present the

relationship between body mass index and blood sugar level. Right after the

presentation of the problem is the process which illustrates the specific data

needed for the research findings. The body mass index and blood sugar level of

the chosen 30 grade 12 STEM students are the data that is intended to be gathered
University of Perpetual Help System Dalta - Las Piñas 11

for the fulfilment of the findings. After being able to gather the data required, the

planned techniques and treatments will be performed by the researchers that will

eventually result to the relationship of body mass index and blood sugar level of

grade 12 STEM students.

Definition of Terms

Obesity – A condition wherein the body has accumulated too much body fat.

A person is considered obeseif they are more than 20 percent over their ideal

weight.

Diabetes – A disease that is characterized by increased level of sugars in the

blood. It is either due to lack of insulin in the body or lack of response

produced by the body.

Blood sugar level – The amount of glucose (sugar) in the body. The normal

blood sugar level should be between 3.9 to 5.5 mmol/L. Blood glucose meter

is a small, portable machine that is used to measure how much glucose is in

the blood.

Body Mass Index – The measurement of a person’s weight with respect to

his/ her height. It is an indicator of a person’s total body fat. A BMI chart is

used to categorize if a person is underweight, normal, overweight or obese.


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CHAPTER II

REVIEW OF RELATED LITERATURE

This chapter includes related literature and studies which aids the researchers

to further understand and achieve the goals of the study.

Related Literature

Body Mass Index


Childhood obesity statistics according to the world survey statistics, childhood

obesity has dramatically multiplied in kids and quadrupled in teenagers in the

previous 30 years. The rate of youngsters aged 6-11 years in the United States

who were obese expanded from 7% in 1980 to about 18% in 2012. In 2012, more

than 33% of kids and youths were overweight or obese (Border, 2017).

According to an article published at http://www.imedpub.com last

October 17, 2017 by Parwanto & Senjaya stated that depression and obesity

have been recognized as major public health issues in youths. Survey records

have been reported saying that child obesity gives rise to depression among

children. The symptoms include loss of interest in children in their activities,

less sleep, unsocial behaviour, less confidence, etc. These symptoms have to

be taken into care by the parents by carrying their children to a good

physician who can start therapies against obesity as well as depression.

Depression and obesity are two very challenging health issues, and

scientists continue to explore the complicated physical and psychological

links between them. It is hardly surprising the two occur together. People

affected by obesity are often self-conscious about their appearance or their


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physical abilities. Although they have traditionally been compartmentalized

as separate physical and emotional health conditions, evidence suggests

interactions and common pathways between them, implying that successful

treatment should ideally target shared underlying mechanisms.

Body Mass Index is a simple, inexpensive and non invasive surrogate

measure of body fat. BMI is a reasonable indicator of body fat for both adults

and children. The BMI is an attempt to quantify the amount of tissue mass

(muscle, fat, and bone) in an individual, and then categorize that person as

underweight, normal weight, overweight, or obese based on that value

(Copeland, 2017). The standard BMI chart for children was posted by Susan

Way (2017) via susanshealthyway.com is shown below:

Obesity is a widespread public health concern that affects adults and children

alike. According to Bhatt (2017), childhood obesity is a serious medical condition


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that occurs when a children is above normal weight for his age and height. It has

been linked to increased risk for diseases such as: cardiovascular disease,

diabetes, stroke, certain cancers later in life, Child and adolescent obesity also

increases the risk of social stigmatization, depression among youth. Among

children aged 6-11 years, rates of obesity climbed from 7% in 1980 to 18% in

2010. This same trend is seen among 12-19 year olds where obesity rates rose

from 5% to 18% during the same time period.

Blood Glucose Test

Blood sugar, or glucose, is the main sugar found in your blood. It comes from

the food you eat, and is your body’s main source of energy. Your blood carries

glucose to all of your body’s cells to use for energy (Joshi, 2014). A blood

glucose test measures the amount of a sugar called glucose in a sample of your

blood (Nandi, 2017). Keeping an eye on blood sugar levels has many benefits.

Testing your blood sugar levels before and after meals helps you see how eating

certain food affects those levels. Knowing this can help you adjust your food

choices and medicine doses (Chen, 2015). According to Sonora (2017), the blood

glucose test may be used to detect high blood glucose (hyperglycemia) and low

blood glucose (14anadian1414mia).

Hyperglycemia is an abnormally high blood glucose (blood sugar) level

(Stoppler, 2016). Hyperglycemia is a hallmark sign of diabetes (both type 1

diabetes and type 2 diabetes) and prediabetes.


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According to Shiel (2017), Hypoglycemia is the medical term for low blood

sugar. It typically occurs as a side effect of medications for diabetes.

There are different kinds of blood tests that can diagnose hyperglycemia and

hypoglycaemia (Stoppler 2016).

Random blood glucose. This test reflects the blood sugar level at a given

point in time. Normal values are generally between 70 and 125 mg/dL, as

discussed earlier.

Fasting blood glucose. This is a measurement of blood sugar level taken

in the early morning prior to eating or drinking anything since the night

before. Normal fasting blood glucose levels are less than 100 mg/dL.

Levels above 100 mg/dL up to 125 mg/dL suggest prediabetes, while

levels of 126 mg/dL or above are diagnostic of diabetes.

Oral glucose tolerance test. This is a test that measures blood glucose

levels at given time points after a dose of sugar is consumed. This test is

most commonly used to diagnose gestational diabetes.

Glycohemoglobin A1c. is a measurement of glucose that is bound to red

blood cells and provides an indication about blood sugar levels over the

past 2 to 3 months.

A chart depicting the normal range of glucose level of children and teens

posted via www.webmd.com and reviewed by Dr. Michael Dansinger (2016)

is shown below.
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Statistics showed that obesity is a globally wide problem among teenagers

that can be associated with several diseases, particularly diabetes. Obesity can be

determined by the use of BMI percentile categories using growth charts. 85th-95th

percentile are classified as overweight, 95th percentile are classified as obese.

Main cause for childhood obesity includes irregular eating habits, lack of physical

activities, etc. There are several associated effects also like cholesterol problem,

blood pressure, diabetes, etc (Bhatt, 2017). Obesity makes the onset of non-insulin

dependent or type 2 diabetes far more likely (Dudovskiy, 2017). In fact, 80-90

percent of all people diagnosed with this condition are obese. According to

Pietrangelo & Sarachik. (2016), they stated that an important part of diabetes

management is controlling your blood glucose (sugar) levels.


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Related Studies

The relationship between casual blood sugar and body mass index in a

suburban northern Nigerian population, a study that was elaborated and tested

by Bakari et al. (2007) used a prospective survey of adults aged 55 years or

younger who gave informed consent, in two communities (Makarfi and

Giwa) near Zaria, in the northern part of Nigeria was done. The Body Mass

Index (BMI) and casual blood sugar using capillary blood assessed with the

Ames glucometer were determined for all the subjects. Students t-test was

used to compare continuous variables while Pearson’s correlation coefficient

was used for continuous variables; the level of significance was p < 0.05 in

each case. Three-hundred and seventeen subjects participated in the study.

The mean age of the subjects was 35.03 +/- 9.79 years (33.0 +/- 9.64 among

females and 36.18 +/- 9.59 among males p = 0.1007). They concluded that

the female subjects had significantly higher BMI than their male counter

parts, (26.61 +/- 7.19 KgM2 versus 24.01 +/- 5.39, KgM2 p = 0.0341.)

Casual blood sugar levels were however similar between males and females

85.21 +/-27.04 mg/dl versus 85.88 +/- 14.74 mg/dl, p = 0.8868. There was a

positive but non-significant correlation between casual blood sugar and BMI

among female subjects (r = +0.1520, p > 0.05) in the males however, the

correlation between these variables was not significant (r = -0.0395, p > 0.5).

According to Innocent et al. (2013), stated that BMI and BGL were

positively correlated among the 253 subjects who participated in their study.

The research title was Correlation between body mass index and blood
University of Perpetual Help System Dalta - Las Piñas 18

glucose levels among some Nigerian undergraduates. The relationship was

positively and strongly correlated among the female subjects. These

differences in gender values may be because the male undergraduates have

been linked to increased muscular activities unlike the female counterpart

who are more sedentary. Muscular activities result in the activation of the

peptide hormone adiponectin that causes the cascade activation of AMPK to

inhibit the acetyl COA carboxylase (ACC) from synthesizing malonyl- CoA

for fatty acid biosynthesis in hepatocytes. AMPK once activated also

increases the uptake of glucose and fatty acid from the blood myocytes into

the hepatocytes for metabolism

An article from http://www.saudijobesity.com entitled “Obesity among

adult Nigerians: Relationship with blood pressure, blood sugar, and

proteinuria” which is posted at year 2016 discusses about the majority of data

on the association between obesity and increased cardiovascular risk are from

studies conducted in western countries with majority of studies being from

Nigeria focusing on prevalence in selected populations. The aim of this study

was to determine the relationship between obesity and blood pressure (BP),

blood sugar, and proteinuria. This was a community-based, cross-sectional

study of 526 adults aged 18 years and older in three local government areas in

Lagos. Obesity was assessed using the body mass index (BMI). BP, blood

glucose (BG), and presence of proteinuria were determined. Obesity was

defined as a BMI ≥ 30 kg/m2, elevated blood pressure (EBP) as a systolic

blood pressure (SBP) ≥ 140 mmHg or a diastolic blood pressure (DBP) ≥ 90


University of Perpetual Help System Dalta - Las Piñas 19

mmHg, elevated blood glucose (EBG) as a random blood glucose

(RBG) ≥ 200 mg/dL, and proteinuria as ≥2+ proteinuria on urinalysis

(≥100 mg/dL). Bello et al. (2016) have concluded that obesity is common

among adult Nigerians residing in Lagos. Its prevalence is higher in females

and increases with age. It is associated with an increased risk of having EBG

and proteinuria.

A study conducted by Dahi et al. (2017) stated that the prevalence of

overweight and obesity are high among adolescents in Tabuk region

particularly among those with family history of obesity, diabetes and those

intake soft drink frequently. Screening for obesity at school entry and

providing health education sessions for students about diet and exercise are

highly recommended. Their study was entitled Adolescents’ overweight and

obesity among Alabnaa schools in Tabuk, Saudi Arabia wherein the cross-

sectional study was conducted among the students of Alabnaa school, Tabuk,

KSA in 2015–2016. Self-administered questionnaire was constructed by the

investigators in Arabic language, it included gender, age, some relevant

factors regarding obesity. Weight, height were measured, and body mass

index was calculated. Childhood growth chart was used to classify the degree

of overweight and obesity. Data was managed using SPSS version 21. The

study yield to the prevalence of overweight and obesity among students were

11.4% and 14.9% respectively. Prevalence of obesity among male students

was 12.5% compared to 16.9% among female students (statistically

significant). Students whose mothers were highly educated, with family


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history of (obesity and diabetes), intaking soft drinks were more obese than

their counterparts.

Another study conducted by Bakari, A.G. et al. (2007) is about the

Obesity, overweight and under weight in suburban northern Nigeria. Based

on their research, obesity tends to occur more commonly among females than

males.

According to American Academy of Child and Adolescent Psychiatry,

the problem of childhood obesity in the United States has grown considerably

in recent years. Approximately 12.7 million, or 17 percent, of children and

adolescents are obese. Obesity is among the easiest medical conditions to

recognize but most difficult to treat. Unhealthy weight gain due to poor diet

and lack of exercise is responsible for over 300,000 deaths each year. The

annual cost to society for obesity is estimated at nearly $100 billion.

Overweight children are much more likely to become overweight adults

unless they adopt and maintain healthier patterns of eating and exercise

(Tidy, 2016).

A study was done by Etukumana et al. (2017) entitled Relationship

Between Random Blood Glucose Levels and Body Mass Index Among Rural

Adults In North Central Nigeria concluded that there is no relationship

between the levels of random blood glucose and Body Mass Index among the

rural adult in the north central Nigeria. It seems BMI would not be a good

predictor of Diabetes Mellitus among rural adults.


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Another study conducted by Deepak, Praveen & Vittal (2010), about the

relationship of BMI and Fasting Blood Sugar. This study showed that using

400 healthy adult individuals who met the inclusion criteria, where in fasting

blood samples were collected to measure FBS by the glucose oxidase method

and thirty individuals were excluded from the study, as their blood glucose

levels were in the diabetic range, there is an observed positive correlation

between BMI and FBS reiterates the diabetogenic effect of adipose tissue and

emphasizes the importance of the maintenance of normal BMI to prevent the

early onset of diabetes.

A study conducted by Aliyu et al. (2014) about the relationship between

random blood sugar and body mass index in an African population resulted that

BMI is higher among females in the community and correlates with random blood

glucose levels. Concerted efforts need to be made to address the issue of weight in

this community within the framework of what is culturally acceptable. They also

noted that racial factors seem to be important in the relationship between body

mass index (BMI) and glucose intolerance. They used Three-hundred and

seventeen subjects participated in the study. Mean age of subjects was 35.0 + 9.8

years (33.0 + 9.6 among females and 36.2 + 9.6 among males p= 0.1007).

Agrawal et. al (2017) conducted a study entitled “Correlation Between Body

Mass Index and Blood Glucose Levels in Jharkhand Population”. According to

them, the overweight and obese adults were 937 million and 396 million

respectively worldwide and the figure has almost doubled in number in

comparison to past 20 years. National surveys showed that there has been a
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marked decrease in under nutrition and significant increase in the prevalence of

overweight and obesity. Glucose synthesizes fatty acid that constitute body fat

content. An increase in blood glucose level will result in increase in BMI causing

increased lipid biosynthesis and hence body weight. As BMI increases, insulin

resistance also increases which results in increased blood glucose level in body.

Since body weight is associated with BMI, it may be expected that BMI should

correlate with blood glucose levels. In view of above the aim of their study is to

evaluate the association between FBG level and BMI in men and women among

Jharkhand. The currently recommended cut-offs of include 18.5 – 24.9 kg/m for

normal, 25.0 – 29.9 kg/m for overweight and >30 kg/m for obesity. In the end of

their study, they concluded that BMI and FBG are positively correlated and

subjects are therefore at risk of Obesity and its related conditions.

A study conducted by Mata (2017), a doctor of Section of

Endocrinology,Diabetes and Metabolism of the Department of Medicine, St.

Luke’s Medical Center in Quezon City aims to determine the prevalence of

metabolic syndrome and its individual components across different BMI

categories among patients seen at Wellness Center and Obesity and Weight

Management Center, St. Luke’s Medical Center Quezon City. According to

her, in Filipino adults, individual components of the metabolic syndrome and

using the Asian cut-offs for abdominal obesity are present even in individuals

with low BMI of 18.5-22.9 kg/m2 and 23-24.9 kg/m2. The presence of

abnormal metabolic features such as central obesity, high triglycerides and

low HDL levels even in patients with normal to slightly elevated BMI should
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prompt health care providers to consider nutrition counselling and weight

management programs to these groups of individuals and not just be focus on

individuals with higher BMI.

An article posted online via www.philstar.com that was written by Reyes

(2015) stated that, excess weight is a growing public health concern; even in

a developing country like ours; and obesity is so threatening to cardiovascular

health that the American Heart Association has named it one of

the major risks for heart disease. Here’s a closer look at the all-important

relationship between your health and your weight.

Heart Disease. Excess body fat puts a strain on your heart and

directly influences important factors that increase your risk for heart

attacks and stroke, including blood pressure, cholesterol and

triglycerides; a dangerous type of blood fat. For example, any

additional weight can raise your blood pressure, increasing the

workload on your heart and causing it to enlarge and weaken over

time. Obesity also lowers levels of beneficial HDL cholesterol.

Studies show that fat gathered around the waist, the so-called apple

shape, is more dangerous to the heart than fat gathered in the hips

(pear shaped).

Diabetes. In particular, excess weight increases insulin resistance, a

condition that makes it more difficult to control glucose levels

properly. Over time, elevated blood sugars can lead to damaged

arteries, which in turn are more prone to atherosclerotic plaques. In


University of Perpetual Help System Dalta - Las Piñas 24

short, being obese can be the beginning of a potentially deadly chain

reaction.

Arthritis. Any excess pounds you carry will affect the weight-bearing

joints; your hips and knees. Perhaps an extra 10 to 20 pounds doesn’t

seem like such a a great stress. But consider that the cartilage in the

knee, which is supposed to absorb shock and protect the joint, is no

thicker than a one peso coin, and it gets easier to understand how even

small amounts of extra weight can hurt. Obesity can accelerate

arthritis and the need for hip or knee joint replacement surgery.

Back pain. If you don’t keep to a desirable weight, the flabby

stomach you’ll develop will decrease your abdominal muscle strength,

which can then put tremendous strain on your spine and lead to bad

bouts of back pain. Conversely, when you lose weight, you’re more

likely to increase your abdominal strength, which in turn flattens your

profile and lessens the strain on your back.

That is why, the Philippine Association for the Study of Overweight and

Obesity (PASOO), has been campaigning actively in the past few years, for

Filipinos to eat a healthy diet and exercise regularly in order to avoid

becoming overweight and developing obesity.

Ramos et al. (2014) conducted a research study that assessed the

association between body mass index and the risk of being diagnosed with

type 2 diabetes. In their study, they concluded that body mass index was

found to not only be strongly and independently associated with the risk of
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being diagnosed with type 2 diabetes but also the magnitude of this positive

association is significantly larger for higher BMI values from a total of

12,179 cases were included in the analysis (average age 55, 43% male) along

with 25,177 controls (average age 56, 55% female). A positive association

between body mass index and the risk of a type 2 diabetes diagnosis was

found. This association strength increased based upon body mass index

category as followings: Overweight individuals (RR=1.5, CI 95%, 1.4 to 1.6);

Obesity Class I (RR=2.5, CI 95%, 2.3 to 2.6) Obesity Class II (RR=3.6, CI

95%, 3.4 to 3.8); Obesity Class III (RR=5.1, CI 95% 4.7 to 5.5).

According to a study conducted by Kirunda et al. (2015) which was

entitled “Population-based survey of overweight and obesity and the

associated factors in peri-urban and rural Eastern Uganda” discussed the

predominantly rural adult population, the prevalence of overweight and

overweight/obesity are already high, particularly among women, middle aged

adults, peri-urban residents and adults in the higher quintiles of SES.

Overweight/obesity appears to occur in significant proportions among young

adults, particularly the women. The time has come to try to prevent and

control overweight/obesity. Further inquiry is required to understand the

perceptions of weight, diet and physical activity in the general population,

and describe dietary diversity and physical activity, as well as the influence

of the rural physical and social environment on diet, physical activity and

BMI so as to guide the design and implementation of appropriate strategies


University of Perpetual Help System Dalta - Las Piñas 26

for the prevention and control of overweight and obesity in similar

populations.

A study regarding the Body Mass Index of Canadian people was

conducted by Detmer (2016) wherein, he stated that overweight and obesity

are generally defined using the body mass index (BMI), which is calculated

by dividing body weight in kilograms by height in metres squared. Body

weight categories are defined in the Canadian Guidelines for Body Weight

which is shown below.

BMI (kg/m2) Classification Health Risk

< 18.5 Underweight Increased risk


18.5-24.9 Normal Weight Least risk
25.0-29.9 Overweight Increased risk
30 and over Obese
30.0-34.9 Obese class I High risk
35.0-39.9 Obese Class II Very high risk
> 40.0 Obese Class III Extremely high risk

In 2016, the overweight rate for 2 to 17 year-olds was 18% (an estimated

1.1 million), and 8% were obese (about 0.5 million) — for a combined rate of

26%. Compared to Americans, based on the most recent data (2010-2014),

the combined overweight/obesity rate of 2 to 17 year-olds was similar in the

United States and Canada, but the American obesity rate was slightly higher

(10% versus 8%). Overweight and obesity rates among Canadian children,

aged 2 to 17, 2016


27
University of Perpetual Help System Dalta - Las Piñas

Overweight (%) Obese (%) Overweight/Obese (%)


Total 18.1 8.2 26.2
Boys 17.9 9.1 27.0
Girls 18.3 7.2 25.5
Total 2 to 5 15.2 6.3 21.5
Total 6 to 11 17.9 8.0 25.8
Total 12 to 17 19.8 9.4 29.2

A study conducted by Mehdad et al. (2008), regarding the relationship

between body fat and each of body mass index (BMI) and waist

circumference (WC), and to test the effectiveness of fat mass (FM), percent

of body fat (PBF), BMI, and WC in predicting high levels of fasting blood

glucose (FBG) stated that BMI and WC were closely associated with FM and

PBF, respectively. However, the degree of these associations depends on

gender and weight status. BMI may provide a better proxy estimate of overall

adiposity than WC; nevertheless, both of them would appear to be a

reasonable surrogate for FM and PBF as screening tools to identify

adolescents at risk of developing excess body fat and high level of FBG. A

total of 167 adolescents aged 11–17 years were recruited from Rabat region.

BMI and WC were determined using standard equipments. FM and PBF were

derived from isotope dilution technique. FBG was determined by the

hexokinase method.

A study published at www.ncbi.nlm.nih.gov entitled “Higher blood

glucose level associated with body mass index and gut microbiota in elderly
28
University of Perpetual Help System Dalta - Las Piñas

people.” Showed a brief results of the relationship of BMI and blood glucose

level. According to Kolk et al. (2014), Blood glucose level was positively

correlated with BMI (r=0.402; p=0.014). Higher blood glucose level had

negative correlation with relative share of intestinal anaerobic bacteria such

as bacteroides (r=-0.434; p=0.0076) and gram-positive anaerobic cocci (r=-

0.364; p=0.027). In contrast, the relative share of bifidobacteria (r=0.383;

p=0.019) and staphylococci (r=0.433; p=0.008) was positively correlated to

blood glucose level. In elderly people, a higher blood glucose concentration

was predicted by the reduction of the anaerobes’ proportion (adj. sex, age,

and BMI R(2)=0.192, p=0.028) and that of Bacteroides sp. (adj. R(2)=0.309,

p=0.016). They concluded that a tight interplay between increased BMI, level

of blood glucose, and the reduced proportion of cultivable bacteroides is

taking place in the gut microbiota of elderly people.


University of Perpetual Help System Dalta - Las Piñas 29

Synthesis

Research indicates that BMI correlates to direct measures of body fat

such as underwater weighing and dual-energy X-ray absorptiometry (DXA),

and is considered an inexpensive and easy-to-perform alternative for these

(Nichols, 2016). For adults 20 years and older, BMI is interpreted by using

standard weight status categories that are the same for all ages, and for both

men and women. For children and adolescents between 2-20 years old, BMI

is interpreted relative to a child’s age and sex (Martin, 2016). BMI is used as

a screening tool to indicate whether a person is underweight, overweight,

obese or a healthy weight for their height (Paddock, 2016).

Childhood obesity statistics according to the world survey statistics, childhood

obesity has dramatically multiplied in kids and quadrupled in teenagers in the

previous 30 years. The rate of youngsters aged 6-11 years in the United States

who were obese expanded from 7% in 1980 to about 18% in 2012. In 2012, more

than 33% of kids and youths were overweight or obese (Border, 2017).

In the Philippines, excess weight is also a growing public health concern

(Reyes, 2015), particulary the teenagers (Tidy, 2016). According to Bhatt

(2017), childhood obesity is a serious medical condition that occurs when a

children is above normal weight for his age and height. It has been linked to

increased risk for diseases such as: cardiovascular disease, diabetes, stroke,

certain cancers later in life, Child and adolescent obesity also increases the

risk of social stigmatization, depression among youth.


30
University of Perpetual Help System Dalta - Las Piñas

Obesity makes the onset of non-insulin dependent or type 2 diabetes far

more likely (Dudovskiy, 2017). In fact, 80-90 percent of all people diagnosed

with this condition are obese. According to Pietrangelo & Sarachik. (2016),

they stated that an important part of diabetes management is controlling your

blood glucose (sugar) levels. According to Sonora (2017), the blood glucose

test may be used to detect high blood glucose (hyperglycemia) and low blood

glucose (30anadian3030mia).

However, the study will use random blood glucose test which means that

a blood sample will be extracted from a non-fasting subject. According to

Hurd (2017), If an individual had a random blood glucose test, a normal

result depends on when you last ate but most of the time, the blood glucose

level will be below 125 mg/dL (6.9 mmol/L). A random blood sugar level of

200 milligrams per 30anadian30 (mg/dL), or 11.1 millimoles per liter

(mmol/L), or higher suggests diabetes (Carlson, 2017).

The normal range stated by Hurd (2017) and Susan Way’s (2017) BMI

chart will be used as basis whether a grade 12 STEM students has high or low

BMI and blood glucose level.

Foreign studies, official local statistics regarding the percentage of the

obese in a population and information about blood glucose level were

presented in the compilation of the related literature that could be of use as

evidences and supporting details for the study findings – to present the

relationship between Body Mass Index (BMI) and blood glucose level of

grade 12 STEM students of UPHSD. There were studies that resulted to


University of Perpetual Help System Dalta - Las Piñas 31

insignificant relationship of body mass index and blood sugar level of a

population while some studies showed that there was a significant

relationship between the two variables. By knowing this, the researchers are

urged more to determine whether there is a relationship between body mass

index and blood glucose level.


32
University of Perpetual Help System Dalta - Las Piñas

CHAPTER III

RESEARCH METHODOLOGY

This chapter includes the realizations of the study through certain elements

such as the research design, research locale, sampling design, data gathering tool

and procedure.

Research Design

A research design is defined as a map or “blueprint” that guides the

researchers in the process of collecting, analyzing, and interpreting observations.

It is a logical model of proofs that allows the researchers to draw inferences

among the variables under investigation.

This study will use correlational research design because as defined by Dr.

Janet Waters (2017), Correlational research is a quantitative method in which you

have two or more quantitative variables from the same group of participants and

you are trying to determine if there is a relationship between the two variables.

The study aims to determine the relationship of body mass index and blood sugar

level of grade 12 STEM students in UPHSD.

Such definition gives the researchers the idea of using this design in

determining the relationship of body mass index and sugar level of grade 12

STEM students.

Research Locale

The research will be conducted at the University of Perpetual Help System

DALTA – Las Piñas campus. The said school is selected based mainly on the
University of Perpetual Help System Dalta - Las Piñas 33

proximity of its location to the researchers and the huge number of senior high

school students enrolled in the said campus. UPHSD is one of the premier

universities in the Philippines located at 1740 Alabang – Zapote Rd, Almanza

Uno, Las Piñas, Metro Manila.

Sampling Technique

Sampling technique essentially involves a system of selecting a population

representation from the general population depending on the objective of the

study, availability of money, time and effort in gathering research data (David

2005 and Mercado 2006).

Tejero (2006) stresses that when the population or larger group is too big and

taking all of them would be manageable, it is wiser to get only a sample or a

smaller group. This is where the use of sampling techniques is advisable. The total

number of grade 12 STEM students enrolled in UPHSD is certain to be big, thus,

the proponents will prefer only particular numbers of participants.

The proponents will use a non probability sampling technique which is

quota sampling technique as sampling design because as defined by Torneo

(2017), quota sampling sampled elements should be proportionate to their

representation in the population.

The total population of grade 12 STEM students is 900 wherein, 319 are

girls and 581 are boys. In order to get the proportion needed for the number

of respondents for the study, the researchers performed the appropriate

operations:
34
University of Perpetual Help System Dalta - Las Piñas

Given: 319 girls and 581 boys

319 581
=1 = 1.82 ≅ 2
319 319

The proportion of girls to boys of grade 12 STEM students of UPHSD is

1:2. Thus, the total number of respondents will be 10 girls and 20 boys. These

students will represent the population of the grade 12 STEM students in tht

University of Perpetual Help System DALTA.

Data Gathering Procedure

Before the proponents will be able to gather information, they will first

ask the respondents if they are willing to cooperate with the tests that the

researchers will administer. The respondents will sign an agreement that

serves as a proof that they are willing and are not forced to perform the tests.

After doing so, the researchers will asses and confirm whether the

respondents have diabetes or not. If the respondents passed the requirements,

the researchers will start to get the required information from the respondents

through filling up the information sheet which includes the respondent’s

height, weight, blood sugar level and other personal data.

Data Gathering Tool

The researchers will use an information sheet that contains the details to

be gathered from the respondents regarding their BMI and blood glucose

level. The researchers will use a height chart, weighing scale, a glucometer

and glucose strips in gathering the height, weight and blood sugar level of the

respondents.
University of Perpetual Help System Dalta - Las Piñas 35

Data Analysis Plan

After being able to gather all the data required for the research findings,

the researchers will categorize the respondents whether the respondents are

under weight, normal range, overweight or obese (WHO, 2017) and has high

or low sugar level (Sonora, 2017).

According to Torneo (2017), the primary method of analysis in

correlational research design is hypothesis-testing which is central to

inferential statistics; thus, the researchers will use inferential statistics in

treating and analyzing the data.

Inferential statistics are techniques that allow the proponents to use

samples to make generalizations about the population from where the

samples were drawn (Moiseo, 2013). Since the after the calculation of data

the respondents will be categorized, it is suitable to use chi-square of

independence as statistical test. Chi-square of independence test is used to

determine if there is a significant relationship between two nominal

(categorical) variables. The frequency of one nominal variable is compared

with different values of the second nominal variable (Lani, 2017). The

implication if there is or there is no significant relationship between BMI and

blood glucose level will be: if the null hypothesis is accepted there is a

relationship between BMI and blood glucose level. If the null hypotheses is

rejected the implication would be that there is no relationship between BMI

and blood glucose level. The chi-square test will be analyzed and computed

through the aid of IBM SPSS (Statistical Package for the Social Sciences).
University of Perpetual Help System Dalta - Las Piñas 36

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Tidy, C. (2016). Obesity in Children and Teens. Retrieved from http://www.aacap

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way.com/bmi-chart-children/

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http://apps.who.int/bmi/index.jsp?introPage=intro_3.html
University of Perpetual Help System Dalta - Las Piñas 43

REA BEATRIZ A. BAUZON


#26 Carmencita Village Talon III, Las Piñas City 1742 • beacheese@yahoo.com •
09565101356

Education

Senior High School 2017


University of Perpetual Help System DALTA
Las Piñas City, Metro Manila, Philippines

Junior High School 2016


Canossa School
Sta. Rosa, Laguna, Philippines

Grade School 2012


Canossa School
Sta. Rosa, Laguna, Philippines

Honors and Awards

Essay Writing Contest, 2016


Pagsulat ng Tula, 2015
University of Perpetual Help System Dalta - Las Piñas 44

KYLLA SHANE T. BORICANO


San Juan Extension Carmencita Village, Talon 3, Las Piñas City 1740 •
kylla_boricano@yahoo.com • 09174205807

Education

Senior High School 2017


University of Perpetual Help System DALTA
Las Piñas City, Metro Manila, Philippines

Junior High School 2016


Las Piñas East National High School
Talon Village – Annex
Las Piñas City, Metro Manila, Philippines

Grade School 2012


Talon 3 Elementary School
Las Piñas City, Metro Manila, Philippines
University of Perpetual Help System Dalta - Las Piñas 45

JAN LANCE C. BUENAVENTURA


Blk 33 Lot 2 Casimiro Townhomes St. Joseph, Pulang Lupa Dos, Las Piñas City
1742• janlance.00@gmail.com • 09561409786

Education
Senior High School 2017
University of Perpetual Help System DALTA
Las Piñas City, Metro Manila, Philippines

Junior High School 2016


Our Lady of the Pillar Catholic School
Imus City, Cavite, Philippines

Grade School 2012


Brehms School Incorporated
Imus City, Cavite, Philippines
University of Perpetual Help System Dalta - Las Piñas 46

BEAVER JOHN M. CALINGAO


19 Marigold road Pilar village Las Piñas City 1750

Education
Senior High School 2017
University of Perpetual Help System DALTA
Las Piñas City, Metro Manila, Philippines

Junior High School 2016


University of Perpetual Help System DALTA
Las Piñas City, Metro Manila, Philippines

Grade School
Mother Mary of Pilar School Child Development Center
Las Piñas City, Metro Manila, Philippines
University of Perpetual Help System Dalta - Las Piñas 47

BEA PATRICE R. DE CASTRO


237A. Capt. Sarino St. Mabolo, City of Bacoor 4102 • beapatricedc@yahoo.com
• 09264688528

Education
Senior High School 2017
University of Perpetual Help System DALTA
Las Piñas City, Metro Manila, Philippines

Junior High School 2016


St. Peregrine Institute
Banalo, City of Bacoor, Cavite, Philippines

Grade School 2012


Mabolo Elementary School
Mabolo, City of Bacoor, Cavite, Philippines

Honors and Awards


Class Valedictorian, Elementary, 2012
Class Valedictorian, Junior High School, 2016
Academic Excellence Awardee, 2017

Seminars and Trainings


Division Schools Press Conference, 2011
Journalism Summer Training, 2013
University of Perpetual Help System Dalta - Las Piñas 48

MARIE JAN LOUISE C. DE DIOS


B19 L9 Dapdap St. BF El Grande Soldiers Hills IV, City of Bacoor 4102 •
mariejandedios@gmail.com • 09150011618

Education
Senior High School 2017
University of Perpetual Help System DALTA
Las Piñas City, Metro Manila, Philippines

Junior High School 2016


Bacoor National High School – Main
Molino, City of Bacoor, Cavite, Philippines

Grade School 2012


Mayflower Academy of Las Piñas
Las Piñas City, Metro Manila, Philippines
University of Perpetual Help System Dalta - Las Piñas 49

JOHN MARTIN A. DE OCAMPO


42 Sultana St. Manuyo 1, Las Piñas City • jmdeocampo15@gmail.com •
09367395782

Education
Senior High School 2017
University of Perpetual Help System DALTA
Las Piñas City, Metro Manila, Philippines

Junior High School 2016


Las Piñas National High School – Main
Las Piñas City, Metro Manila, Philippines

Grade School 2012


Manuya Elementary School
Las Piñas City, Metro Manila, Philippines
University of Perpetual Help System Dalta - Las Piñas 50

RUEL B. DELA CRUZ, JR.


Blk1 Lot 2 Rosas St. Camella Homes, Bacoor City, Cavite •
delacruzjrruel@yahoo.com • 09367244164

Education
Senior High School 2017
University of Perpetual Help System DALTA
Las Piñas City, Metro Manila, Philippines

Junior High School 2016


La Camelle School
Bacoor City, Cavite, Philippines

Grade School 2012


La Camelle School
Bacoor City, Cavite, Philippines
University of Perpetual Help System Dalta - Las Piñas 51

Letter of Agreement

Date:

I, ________________________________ a bonafide grade 12 STEM

student of the University of Perpetual Help System DALTA, Las Piñas

campus hereby to sign this letter of agreement that I willingly want to

perform and cooperate the given tests: (Body Mass Index & Random Plasma

Glucose Test) by the researchers that are mentioned below and that I am not

forced to do the tests so. Through my signature below, I declare that I do not

have diabetes.

 Bauzon, Rea Beatriz

 Boricano, Kylla Shane

 Buenaventura, Jan Lance

 Calingao, Beaver John

 De Castro, Bea Patrice

 De Dios, Marie Jan Louise

 De Ocampo, John Martin

 Dela Cruz, Ruel Jr.

___________________________
Signature over printed name
University of Perpetual Help System Dalta - Las Piñas 52

Information Sheet

Name (optional):

Age: Birth date:

Gender: Section:

For Body Mass Index (BMI) Category


Height:

Weight:

For Glucose Test Category


Blood sugar level:
53
University of Perpetual Help System Dalta - Las Piñas

Certificate of Legitimacy

October 19, 2017

I, Telesforo Acopiado Jr., Academic Coordinator of the Senior High


School Department of the University of Perpetual Help System DALTA
hereby sign this certificate that signifies the validity of the total number of
grade 12 STEM students that will be used exclusively for thesis as
requirement in Practical Research 2. Shown below is the breakdown of the
serial number of students per section.

SECTION No. of Boys No. of Girls


STEM 1 36 23
STEM 2 41 16
STEM 3 47 11
STEM 4 29 23
STEM 5 44 7
STEM 6 56 4
STEM 7 56 0
STEM 8 36 19
STEM 9 40 7
STEM 10 18 40
STEM 11 13 42
STEM 12 12 42
STEM 13 29 26
STEM 14 32 23
STEM 15 40 11
STEM 16 26 20
STEM 17 26 5
Total 581 319

Noted by:

___________________________
Mrs. Maria Carina Pontanar
Research Adviser

Signed by:

___________________________
Mr. Telesforo Acopiado Jr.
Academic Coordinator

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