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Articles by Rubina Hakeem
Total Records ( 4 ) for Rubina Hakeem
  Rubina Hakeem , Asher Fawwad , Afshan Siddiqui , Muhammad Yakoob Ahmadani and Abdul Basit
  This study was planned to assess the dietary intake of diabetic subjects and kind of dietary modification they have made after individualised dietary guidance. Information on clinical and dietary profile of 200 subjects was recorded at first visit of BIDE. Dietary guidance was given by dietician. Second visit was done after 3 months. Subjects having adequate intake of fruit and vegetable, milk and meat was 68, 38 and 63% for males and 52, 40 and 35% for females, respectively. Only 20.4% males and 5.9% females had usual adequate consumption of the four food groups. Overall adequacy of diet improved for 11.1% of males and 27% of females. Weight reduction was observed in 54.8% of females and 32.2% of males. Rate of BMI reduction was significantly higher in the group who had reduced their caloric intake. This first of its kind study from Pakistan, has documented the efficacy of dietary guidance and highlighted the need for further attention to assure balanced intake of foods form various food groups.
  Rubina Hakeem and A.H. Shaikh
  To assess the differences in fasting blood glucose, total blood cholesterol and body-weight of Pakistani children having negative or positive family history of diabetes and heart disease, a total of 240, 10-12 years old school going children (109 males and 131 females) were recruited. Percentage-of-median of BMI-for-age (NCHS reference) was calculated. Differences in means of Body Mass Index (percentage of median), Waist Hip Ratio (WHR), Fasting Blood Glucose (FBG) and Total Blood Cholesterol (TBC) of children were compared in relation to family history for diabetes or heart disease. Seventeen percent and 10% of children had positive family history for diabetes and heart disease respectively; out of this 8% had both. Children having positive family history for diabetes had significantly higher FBG, and those having positive family history for heart disease had significantly higher TBC. Overweight children (>85th Percentile of BMI for age) had significantly higher mean value for WHR but not for FBG or TBC. Within the family history groups trend of differences in FBG or TBC of overweight and normal weight children was non-consistent and non-significant. Positive family history appear to influence glucose and lipid profile at ages 10-12 irrespective of weight status and this fact needs to be considered in identification of subjects for educational interventions.
  Rubina Hakeem , Salma H. Badruddin and Jane Thomas
  Changes in diet and activity are supposed to be responsible for the increased prevalence of urbanization related diseases. By comparing determinants of food choice among rural and urban south Asians we can assess the impact of urbanization on food selection process and this information can help in planning nutrition education strategies. This study was conducted to compare the determinants of food choice for South Asian children at different levels of urbanization.Among South Asian groups relative impact of males on family food choice and that of parents on children`s food choice was more pronounced than it was among British Caucasians (BrC) but the influence decreased with urbanization rank (UR). With urbanization children`s likeness for fatty snacks increased significantly. Gender bias in food choice was higher among all south Asian groups as compared to BrC but decreased with urbanization rank. Determinants of food selection for children differ with urbanization status. Influences of children`s own preferences increase with UR. Influence of male family members on family food choice and gender bias in food preference decreases with UR.
  M. Zafar Iqbal Hydrie , Abdul Basit , A. Samad Shera , Rubina Hakeem and Akhtar Hussain
  Dietary trends have been found to be related with metabolic syndrome in various studies. To identify dietary patterns and study associations between the dietary patterns of subjects with high and low risk of metabolic syndrome in a Karachi based community. A group of 871 men and women were selected randomly from 532 households. Data about consumption of specific foods was available for 867 adults. Participants completed a health and lifestyle questionnaire and 363 subjects provided fasting blood samples for glucose and lipids. Dietary intake was assessed by a questionnaire to identify consumption of 33 specific food items and the dietary patterns categorized into 6 food groups was assessed by cluster analysis. Five dietary patterns were identified through cluster analysis. Cluster 1 had the lowest proportion of persons with metabolic syndrome i.e. 42.7% while cluster 2 had the highest percentage of metabolic syndrome subjects (56.3%) (p = 0.09). Consumption of fat and caloric dense foods was significantly higher among highest risk group (cluster 2) compared to lowest risk group (cluster 1) (p = 0.0001). The consumption of food groups containing fruit, milk and meat was also more than twice in high risk compared to low risk group (p = 0.0001). Even within the same population there are marked differences in dietary patterns and these apparently contribute to the risk of developing metabolic syndrome. Dietary pattern studies will help elucidate links between diet and disease and contribute to developing healthy eating guidelines.
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