March 2018
University of Perpetual Help System Dalta - Las Piñas
APPROVAL SHEET
PANEL MEMBERS:
______________________________
Member
______________________________
Member
TABLE OF CONTENTS
Acknowledgement 4
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
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
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,
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
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
Introduction
(Pruthi, 2015). For the past years, it is evident that childhood obesity has
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
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
has been campaigning actively in the past few years, for Filipinos to eat a
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
6
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conditions or medications, and where and how people live, including their
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
dependent or type 2 diabetes far more likely. In fact, 80-90 percent of all
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
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.
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
7
University of Perpetual Help System Dalta - Las Piñas
which the person has high blood glucose (blood sugar). There are different
glucose test can be taken at any time. This doesn’t require as much
Fasting plasma glucose test – fasting plasma glucose test is taken after
morning.
between Body Mass Index (BMI) and Blood sugar level among grade 12
Piñas Campus.
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.
1. Demographic Profile:
a. Age
b. Gender
1. To show whether the blood sugar level has an effect on the BMI of the
2. To know the significant relationship between BMI and blood sugar level.
Mass Index (BMI) and blood sugar level among grade 12 STEM students of
UPHSD.
awareness of the teenagers to their body mass index and blood sugar level. The
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
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
exemplary life which can reap benefits from lifetime such making their
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
as their references regarding blood sugar level and body mass index.
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
financial capability and the availability of the glucose strips. The respondents will
10
University of Perpetual Help System Dalta - Las Piñas
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
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
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
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.
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
the blood.
his/ her height. It is an indicator of a person’s total body fat. A BMI chart is
CHAPTER II
This chapter includes related literature and studies which aids the researchers
Related Literature
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).
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
less sleep, unsocial behaviour, less confidence, etc. These symptoms have to
Depression and obesity are two very challenging health issues, and
links between them. It is hardly surprising the two occur together. People
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
(Copeland, 2017). The standard BMI chart for children was posted by Susan
Obesity is a widespread public health concern that affects adults and children
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
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
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
According to Shiel (2017), Hypoglycemia is the medical term for low blood
There are different kinds of blood tests that can diagnose hyperglycemia and
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.
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.
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
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
is shown below.
University of Perpetual Help System Dalta - Las Piñas 16
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
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
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
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
was used for continuous variables; the level of significance was p < 0.05 in
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
who are more sedentary. Muscular activities result in the activation of the
inhibit the acetyl COA carboxylase (ACC) from synthesizing malonyl- CoA
increases the uptake of glucose and fatty acid from the blood myocytes into
proteinuria” which is posted at year 2016 discusses about the majority of data
on the association between obesity and increased cardiovascular risk are from
was to determine the relationship between obesity and blood pressure (BP),
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
and increases with age. It is associated with an increased risk of having EBG
and proteinuria.
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
obesity among Alabnaa schools in Tabuk, Saudi Arabia wherein the cross-
sectional study was conducted among the students of Alabnaa school, Tabuk,
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
history of (obesity and diabetes), intaking soft drinks were more obese than
their counterparts.
on their research, obesity tends to occur more commonly among females than
males.
the problem of childhood obesity in the United States has grown considerably
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
unless they adopt and maintain healthier patterns of eating and exercise
(Tidy, 2016).
Between Random Blood Glucose Levels and Body Mass Index Among Rural
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
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
between BMI and FBS reiterates the diabetogenic effect of adipose tissue and
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).
them, the overweight and obese adults were 937 million and 396 million
comparison to past 20 years. National surveys showed that there has been a
University of Perpetual Help System Dalta - Las Piñas 22
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
categories among patients seen at Wellness Center and Obesity and Weight
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
low HDL levels even in patients with normal to slightly elevated BMI should
23
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(2015) stated that, excess weight is a growing public health concern; even in
the major risks for heart disease. Here’s a closer look at the all-important
Heart Disease. Excess body fat puts a strain on your heart and
directly influences important factors that increase your risk for heart
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).
reaction.
Arthritis. Any excess pounds you carry will affect the weight-bearing
seem like such a a great stress. But consider that the cartilage in the
thicker than a one peso coin, and it gets easier to understand how even
arthritis and the need for hip or knee joint replacement surgery.
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
That is why, the Philippine Association for the Study of Overweight and
Obesity (PASOO), has been campaigning actively in the past few years, for
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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University of Perpetual Help System Dalta - Las Piñas
being diagnosed with type 2 diabetes but also the magnitude of this positive
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
95%, 3.4 to 3.8); Obesity Class III (RR=5.1, CI 95% 4.7 to 5.5).
adults, particularly the women. The time has come to try to prevent and
and describe dietary diversity and physical activity, as well as the influence
of the rural physical and social environment on diet, physical activity and
populations.
are generally defined using the body mass index (BMI), which is calculated
weight categories are defined in the Canadian Guidelines for Body Weight
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
United States and Canada, but the American obesity rate was slightly higher
(10% versus 8%). Overweight and obesity rates among Canadian children,
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
gender and weight status. BMI may provide a better proxy estimate of overall
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
hexokinase method.
glucose level associated with body mass index and gut microbiota in elderly
28
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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
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
Synthesis
(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
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).
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
more likely (Dudovskiy, 2017). In fact, 80-90 percent of all people diagnosed
with this condition are obese. According to Pietrangelo & Sarachik. (2016),
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
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
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
evidences and supporting details for the study findings – to present the
relationship between Body Mass Index (BMI) and blood glucose level of
relationship between the two variables. By knowing this, the researchers are
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
This study will use correlational research design because as defined by Dr.
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
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
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
Sampling Technique
study, availability of money, time and effort in gathering research data (David
Tejero (2006) stresses that when the population or larger group is too big and
smaller group. This is where the use of sampling techniques is advisable. The total
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
operations:
34
University of Perpetual Help System Dalta - Las Piñas
319 581
=1 = 1.82 ≅ 2
319 319
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
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
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
the researchers will start to get the required information from the respondents
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
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
samples were drawn (Moiseo, 2013). Since the after the calculation of data
with different values of the second nominal variable (Lani, 2017). The
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
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
References
Aliyu, T.M. et al. (2014). Relationship between random blood sugar and body
gate.net/publication/237621580_Relationship_between_random_blood_su
gar_and_body_mass_index_in_an_African_population
Bakari, A.G. et al. (2007). Obesity, overweight and under weight in suburban
tion/255578967_Obesity_overweight_and_under_weight_in_suburba
n_northern_Nigeria
Bakari, A.G. et al. (2007). Relationship between casual blood sugar and body
med/17563975/
Bello, B.T. et al. (2016). Obesity among adult Nigerians: Relationship with
ww.saudijobesity.com/article.asp?issn=2347-2618;year=2016;volume
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-obesity.imedpub.com/
imedpub.com/scholarly/childhood-obesity-statistics-journals-articles-ppts-
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list.php
mayoclinic.org/diseases-conditions/type-1-diabetes-in-
children/diagnosis-treatment/drc-20355312
Chen, C. (2015). Keeping Track of your blood sugar. Retrieved from https://
kidshealth.org/en/teens/track-blood-sugar.html#
Chernecky, C.C. & Berger, B.J. (2013). Laboratory Tests and Diagnostic
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Dahi, S.K. et al. (2017). Adolescents’ overweight and obesity among Alabnaa
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page=3;epage=7;aulast=Al
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Deepak, P., G. Praveen & Vittal, B.G. (2010). A Study Of Body Mass Index In
Detmer, W.M. (2016). Canadian Community Health Survey, Cycle 2.2, Nutrition
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cycle-2-2-nutrition-2004-guide-accessing-interpreting-data-health-canada-
2006.html
Dudovskiy, J. (2017). The truth Behind Heart Diseases. London: Eagle Sheets
Gov.ph/index.php/news/library-health-news/4674-childhood-obesity
Hewitt, J. (2010). Living a Healthy life for Longer Existence. NY: Justine
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Innocent, O. et al. (2013). Correlation between body mass index and blood
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Kolk, H. et al. (2014). Higher blood glucose level associated with body mass
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Martin, Y.H. (2016). BMI (Body mass index). Retrieved from https://www.m
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depression-journals-articles-ppts-list.php
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understanding/analytes/glucose/tab/test/
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.org/aacap/families_and_youth/facts_for_families/FFF-Guide/Obesity-In-
Children-And-Teens-079.aspx
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way.com/bmi-chart-children/
http://apps.who.int/bmi/index.jsp?introPage=intro_3.html
University of Perpetual Help System Dalta - Las Piñas 43
Education
Education
Education
Senior High School 2017
University of Perpetual Help System DALTA
Las Piñas City, Metro Manila, Philippines
Education
Senior High School 2017
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
Education
Senior High School 2017
University of Perpetual Help System DALTA
Las Piñas City, Metro Manila, Philippines
Education
Senior High School 2017
University of Perpetual Help System DALTA
Las Piñas City, Metro Manila, Philippines
Education
Senior High School 2017
University of Perpetual Help System DALTA
Las Piñas City, Metro Manila, Philippines
Education
Senior High School 2017
University of Perpetual Help System DALTA
Las Piñas City, Metro Manila, Philippines
Letter of Agreement
Date:
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.
___________________________
Signature over printed name
University of Perpetual Help System Dalta - Las Piñas 52
Information Sheet
Name (optional):
Gender: Section:
Weight:
Certificate of Legitimacy
Noted by:
___________________________
Mrs. Maria Carina Pontanar
Research Adviser
Signed by:
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Mr. Telesforo Acopiado Jr.
Academic Coordinator