Professional Documents
Culture Documents
An Undergraduate Thesis
Presented to
In Partial Fulfillment
By:
Eunica F. Fadriquela
2019
CERTFICATE OF ACCEPTANCE
Ma. Kristine H. Mendoza, RMT, MPH, MSMT Beryl Ben Mergal, RN, MSN, PhD
Thesis Adviser Methodologist
in partial fulfilment of the requirement for the degree Bachelor in Medical Laboratory
Science.
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ABSTRACT
Obesity is one of the risk factors of Diabetes Mellitus type 2. There is a specific
correlation between the glycemic the index of a food and the conditions of people related
to obesity. The glycemic index plays an important role in monitoring a person’s diet.
Pennywort passion fruit ice cream is a combination of pennywort plant also known as
Centella asiatica and passion fruit also known as Passiflora edulis. The aim of the study
was to determine the glycemic index of the Pennywort passion fruit ice cream which
The participants of this study are composed of 15 healthy individuals with the
age bracket of 18-25 and the blood glucose level of individuals were tested 7 times for
after the consumption of 50g carbohydrate of the pennywort passion fruit ice cream and
the glucose drink. The gathered data was used to compute for the glycemic index.
Computation of the incremental area under the curve of both glucose load and test
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ACKNOWLEDGEMENTS
First and foremost, we would like to express our deep appreciation to our family,
for providing us with all the financial need for the research and for their support and
encouragement.
Our gratitude and sincere thanks to our research adviser, Mrs Ma. Kristine H.
Mendoza for giving us valuable advices and encouragement to carry out our research
project successfully.
We are also grateful for all students who volunteered to be a part of our research,
we are extremely thankful for giving their time to us. Without them, we could have not
We would like also to take this opportunity to express our gratitude for the MLS
department for their support and ND department for letting us to use their laboratory.
And most of all we are grateful of our Father in Heaven whose undying grace and love
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TABLE OF CONTENTS
REVIEW OF LITERATURE…………………………………………………………..…3
Pennywort…………...………………………………………………………...............…..3
Passion Fruit………………………………………………………………............………4
Glycemic Index....................................................................................................................5
Theoretical Framework........................................................................................................6
Research Paradigm.................................................................................................................7
Definition of Terms................................................................................................................8
METHODOLOGY.................................................................................................................9
Researh Design....................................................................................................................9
Sampling..............................................................................................................................9
Instrumentation....................................................................................................................9
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Analysis of Data.................................................................................................................10
RESULTS …………………….………….…..………………………………………….12
Figure 1. Blood glucose response graph of Pennywort Passion Fruit Ice Cream
and Glucose Drink ………………………………………………….....13
DISCUSSION…………….………………………………………………...……………15
Summary of Findings………………………………………...............…....……….….…17
Conclusion…………………………………………………....….…………...............….17
Recommendations…………………………………………………………........................17
REFERENCES……………………………..……………………………………………19
APPENDICES……………………………………………..…………………………….21
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LIST OF TABLES
LIST OF FIGURES
Figure 1. Blood glucose response graph of Pennywort Passion Fruit Ice Cream
and Glucose Drink ……………………………………………….…..13
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1
Chapter 1
Glycemic index (GI) refers to the blood glucose response after the intake of
carbohydrate (CHO) containing test food relative to a reference food. Glycemic index is
originally intended for people with diabetes as a guide to food selection, advice being
given to select foods with a low GI. The current study aims at measuring the glycemic
index of pennywort passion fruit ice cream. In order to give appropriate dietary advice to
diabetic patients, it is required to know the glycemic index of foods commonly consumed
The glycemic index was first introduced by Jenkins and co-workers in the early
1980s and is a concept for the ranking of carbohydrate foods based on their effects on
post-prandial glycemia. In many ways, the glycemic index concept was an extension of
the dietary fibre hypothesis, which suggested that foods that are slowly absorbed might
The aim of this study is to determine if the Pennywort Passion Fruit Ice Cream
has a low Glycemic index and if it can be used to promote as herbal based ice cream for
hyperglycemic individuals. It is expected that the result of the study will educate and give
The goal of this research is to determine the Glycemic Index (GI) of pennywort x
passion fruit ice cream and confirm if it has a low GI. This research aspires to promote
Subproblems
1. What are the blood glucose levels of the participants after intake Pennywort
Ice Cream as herbal-based ice cream for hyperglycemic individuals. This alternative ice
cream will be beneficial to people who aspire for good health and still enjoy desserts such
as ice cream.
The study is confined within ages 18 -25 years old with a normal blood sugar
level. The findings and computations of the glycemic index must be interpreted carefully
and correctly. There are several limitations in this research study, one of limitation is that
the glycemic index score is determined based on a standard amount of carbohydrate and
that amount may or may not look like how much of the food is eaten. And also the
Chapter 2
3
REVIEW OF LITERATURE
Pennywort
countries such as India, Sri Lanka, China, Indonesia, Malaysia, South Africa and
Lanka and the Philippines. It is a brown and green leafy plant of the parsley family that
grows in, or nearby, water. The other common names of the plant are Asiatic Pennywort,
Indian Pennywort, Thick-leaved Pennywort, and Gotu Kola. C. asiatica contains different
classes of phytonutrients such as triterpenes which are the main chemical compound,
carotenoids which is one of the most important phytonutrients known for its ability to
prevent some forms of cancer and heart disease and it enhances the body’s immune
alkanoids, volatile oils, and fatty oils. Pennywort also provides a variety of phytonutrients
including β- carotene, lutein, neoxanthin, and zeaxanthin, which protect human cells from
damages eyes from growth-related problems among many other effects [ CITATION
Bha17 \l 1033 ].
suggestively important nutrient. Dietary fibre intake offers many health benefits like
reducing the risk of having coronary heart disease, stroke, hypertension, diabetes, obesity,
and certain gastrointestinal disorders, and provides many other health benefits or the skin
conditions, healing, memory improvement, treating high blood pressure and ease diabetic
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Passion Fruit
Passion fruit with the scientific name of Passiflora edulis belongs to family of
Passifloracea. P. edulis is grown in the tropical and subtropical parts of the world with a
high value and export-oriented crop. A Passion fruit stands out not only for its exotic and
unique flavor and aroma but also for its amazing nutritional properties. Passion fruit
grows mostly as a vine with a shallow root system. The leaves are trilobed, long and dark
green. The fruit has an oval shape with membranous sac which is aromatic when it opens.
Inside of fruit is filled with pulp and juice. When the fruit is mature, the outer skin
passion fruit include carbohydrates, glycosides, flavonoids, resins, alkaloids and phenolic
compounds. This fruit is responsible for hypoglycemic activity because of the presence of
Researchers analyze the glycemic response of passion fruit and it was observed that the
glucose levels are not very high and remain constant over time, showing that these fruits
have low effect on blood glucose levels. Passion fruit has shown several bioactivities
The Passion Fruit is widely consumed because of its high aroma and acidity,
especially as juice, and it is also used in different varieties of products such as ice creams,
The pennywort passion fruit ice cream was a product made by the Adventist
requirement. The ingredients of the ice cream include: Pennywort (Centella asiatica),
Passion fruit (Passiflora edulis), soya milk, coconut milk, vanilla extract, salt, and sugar.
Pennywort was utilized as the primary ingredient of the ice cream. The product can stay
for more than 2 weeks but the shelf life of this ice cream was not completely observed.
The original makers of the ice cream were alumni of the Nutrition and Dietetics
Department namely Michelle B. Salas and Ethel Grace C. Fonte[ CITATION Sal18 \l
1033 ].
Glycemic Index
carbohydrates that we consume. The digestive system breaks down the carbohydrates and
turns into glucose, which enters the bloodstream. The glucose gets into individuals’ cells
throughout the body and provides the energy that the body need [ CITATION Aug15 \l
1033 ].
Glycemic index measures how the carbohydrates in food can cause the glucose
level to increase after eating and how quickly the carbohydrates convert to glucose in
Glycemic index scale ranges from 1-100, it ranks foods containing carbohydrates
based on how it affects the glucose level. Foods that have a high glycemic index with
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scores between 70 to 100 digest and absorbed into the bloodstream quickly, which causes
huge, fast changes in glucose levels. Food with a high glycemic index may increase the
risk of colon cancer and diabetes but decreased the risk of stomach cancer. Medium
Low glycemic foods are those with scores less than 55 digests and are absorbed
more slowly, which produces gradual rises in blood sugar and insulin levels. A low
glycemic index diet can improve glycemic control in type 1 and type 2 diabetes, has
The glycemic index is also defined as the incremental area under the blood
percent of the response to the same amount of carbohydrate from a standard food taken
by the same subject. The area under the curve has been calculated as the incremental area
under the blood glucose response curve ignoring the area beneath the fasting
concentration. The AUC for blood glucose was calculated by using the trapezoidal
Theoretical Framework
According to the theory of Pi-Sunyer, there are two theories that lead to the high
7
Glycemic Index of food. First, it is because of the high content of glucose in the food.
The second theory states that it is the effect of a high insulin response
Research Paradigm
Independent Variables
Glycemic Index
Carbohydrate content of Ice
Cream
Definition of Terms
Age refers to the age group where the subjects belong. Particularly, these are: 18
to 25 years old
Fasting time is the abstinence from carbohydrates for a period of time for at least
Glycemic Index is a system that ranks the carbohydrate in foods on a scale from
blood
Pennywort is a brown and green leafy plant of the parsley family that grows in or
nearby water. This round – leaved plant is believed to have beneficial nutrients.
Passion Fruit is a sweet and seedy fruit which is cultivated in tropical and
subtropical areas.
IAUC stands for Incremental area under the curve, which is a method, used for
Chapter 3
METHODOLOGY
Research Design
This is a descriptive study. The dependent variable of this study is the glycemic
Sampling
The researchers used purposive sampling for the selection of participants in the
known to affect glucose metabolism, food allergies, and pregnancy. The fifteen subjects
that were selected are within the age bracket of 18-25 years old with normal blood sugar
levels.
Instrumentation
Pennywort Passion fruit ice cream was purchased in cups from a nutritionist
dietician. The reference food which is the glucose drink was bought from Mercury Drug.
researchers and more convenient for the participants in assisting the measurement of the
glycemic index.
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The participants fasted for 8-10 hours before the testing was done. They were also
asked to refrain from consuming any drinks except for water and avoid strenuous
activities during the fasting period. Blood extractions through capillary puncture for the
fasting blood sugar were performed. The participants were then instructed to consume the
prepared pennywort passion fruit ice cream within 5-10 minutes. The several capillary
blood samples were collected to measure the blood glucose levels at regular intervals of
15, 30, 45, 60, 90 and 120 minutes after the intake of ice cream. The participants were
asked to wait by sitting during the testing period. The participants underwent the same
preparation and procedure for the glucose drink. After all testing, the glycemic index of
Analysis of Data
Incremental area under the curve (AIUC) for each participant was computed using
the collected blood glucose from test food and reference food. The average incremental
area under the curve of both test and reference food was then computed which was then
x=1
AUC=∑ Ax
n
Assuming that at time t0, t1….tn, the blood glucose concentrations are G0,
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G1….Gn respectively where Ax is the AUC for the xth time interval, and the xth time
if Gx ˂G0 and Gx-1 ≥G0, Ax= ((Gx21 2 G0)2/ Gx-1- Gx)) * (tx – tx-1)/2;
Chapter 4
RESULTS
In this chapter the result of the study are presented and discussed with reference to
the aim of the study, which was to determine the glycemic index of the Pennywort
Glycemic Index
Table 1 shows the mean value of the average Increment Area Under the Curve of
the Pennywort Passion Fruit Ice cream and Glucose drink of the participants. The
Glycemic Index was then calculated using the trapezoidal method to measure the
Table 1
Computation of Increment Area Under the Curve
The glycemic index of Pennywort Passion Fruit Ice Cream obtained from the
average value of the fifteen glycemic index is shown in Table 2. The glycemic indexes
test is showed using pure glucose, and Pennywort Passion Fruit Ice Cream. All tested
Table 2
Glycemic Index of Pennywort Passion Fruit Ice Cream
The GI value of food was divided into three categories as follows: (1) low GI
(˂55), (2) medium GI (55-70), and (3) high GI (>70) [ CITATION Pas15 \l 1033 ]. Based
on these categories, Pennywort Passion fruit Ice Cream as a low GI. Glycemic index
difference in glucose response in healthy subjects. The graph shows that the average
glucose concentration of the subjects has a high initial peak of glucose level on 45
minutes (117.6 mg/dL) after taking Pennywort Passion fruit ice cream followed by the
gradual decline in blood glucose. For the Reference food which is the Glucose drink the
high initial peak of glucose level on 30 minutes (160.3 mg/dL) after the consumption but
after 90 minutes (125.6 mg/dL) the glucose concentration level drops rapidly.
DISCUSSION
15
Based on the result of the analysis that has been done with the calculation of area
under curve of the test food (Pennywort Passion Fruit Ice cream) and the reference food
(glucose drink) showed that the glycemic index has a low, which means the expected
After the consumption of Pennywort Passion Fruit Ice Cream, the blood glucose
level peaked at 45 mins and falls after which is delayed compared to the peak of glucose
carbohydrates and return to a normal blood glucose level over a short period of
time[ CITATION Jar17 \l 1033 ]. The carbohydrate content and glycemic index of food
have been shown to influence the glycemic response of the next food eaten following the
postprandial method.
The low GI value of Pennywort Passion Fruit Ice cream can be attributed to the
phytochemicals in it. According to one of the related studies, passion fruit is responsible
for the hypoglycemic activity because of the presence of the phytochemicals. Glycemic
[ CITATION LiZ16 \l 1033 ]. The lower glycemic index indicates the slow release of
glucose into the bloodstream, producing a gradual decline of blood glucose and insulin
levels which play an important role in the dietary management of diabetes[ CITATION
Rad09 \l 1033 ].
According to the previous literature, passion fruit has the components that can
affect the glycemic response, for example, the acidity, which can cause delayed gastric
Low Glycemic Index diets have been associated with development in metabolic
control and decreased risk of development of Diabetes Mellitus Type 2 due to the fact
that they are slowly digested and absorbed, producing a gradual rise in blood glucose and
Chapter 5
SUMMARY
Our present study had demonstrated that pennywort passion fruit ice cream falls
on a low glycaemic index. Although there are some increased values in some
participants, there were double increases when it comes to the reference drink. Base on
other studies, passion fruits have a hypoglycemic effect because of its phytochemicals. In
addition, the ingredients that had been used in making the pennywort passion fruit ice
CONCLUSIONS
The study showed that the GI of pennywort passion fruit ice cream falls on the
low category. Therefore this initial research is appropriate dietary for hyperglycaemic
persons, which means that the expected results were achieved. Part of the decreased GI is
the ingredients that were used in preparing the plant-based herbal ice cream.
RECOMMENDATIONS
individuals since it was proven that it can lower the blood glucose index. It can be an
reliability of the pennywort passion fruit ice cream for hyperglycaemic individuals.
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REFERENCES
Li H.X., Gao R., Zheng J.(2016). Bioactivities of Passion Fruit. International Journal
of Traditional and Natural Medicines, Volume 6(1),26-34
Passos T.U., Sampaio H.A., Sabry M.O. (2015). Glycemic index and glycemic load
of tropical fruits and the potential risk for chronic diseases. Food Science and
Technology.Volume 35, no. 1
Radulian G., Rusu E., Posea M.,(2009). Metabolic effects of low glycemic index
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Salas M., Fonte E.G. (2918). Development of Pennywort (Centella asiatica) Ice
Cream with Passion Fruit (Passiflora edulis), Department of Nutrition and
Dietitics,AUP.
Sieri S., Agnoli C., Pala V. (2017). Dietary glycemic index, glycemic load, and
cancer risk: results from the EPIC-Italy study. Scientific Reports | 7: 9757 |
doi:10.1038/s41598-017-09498-2
Venn B.J. & Green T.J. (2007). Glycemic index and glycemic load: measurement
issues and their effect on diet–disease relationships. European Journal of Clinical
Nutrition. 61 (Suppl 1), S122–S131 doi: 10.1038/sj.ejcn.1602942
21
APPENDICES
You are being invited to take part in a project being conducted by researchers, Kurt
Volataire Conlu, Mark Joshua Espanola and Eunica Fadriquela from the Medical Laboratory
The glycemic index refers to Glycemic index measures on how the carbohydrates in
a food can cause the glucose level to increase after eating and how quickly the
carbohydrates convert to glucose in your body. Glycemic index scale ranges from 1- 100,
it ranks foods containing carbohydrates based on how it affects the glucose level. A low
GI food may have a lower impact on blood glucose levels, either because digestion is
slowed by other components in the food or because the carbohydrate as a lower effect on
blood glucose than others. Several studies have shown that a low GI diet is associated
The purpose of this study is to measure the GI of a pennywort passion fruit ice
cream.
Have no known food allergies or intolerance in coconut milk and soya beans
Have the presence of disease or drugs which influence digestion and absorption of
nutrients
Are pregnant
This study involve screening visit, we will ask you about your age, as well as about any
medical conditions, medications, or natural health products that may affect glucose levels
in the blood . We will also measure your fasting blood glucose if it is in normal range.
Next is the study visit, if you are agreeing to take part in this study, you are expected to
o Avoid all food and beverages at least 8 – 10 hours before the study visit , and
avoid vigorous exercise on the morning visit
o Provide fasting blood samples taken by a finger prick
o Consume a specified portion of test food over 10 -15 minutes
o Provide a finger prick blood sample at 15, 30, 45, 60, 90 and 120 minutes
after
beginning to eat the food. Provide a total of 7 prick blood sample.
The blood collection procedure may cause some discomfort and slight bruising. After the
blood draw you will immediately be given a bandage to cover the spot where the blood was
taken. There are no other known risks involved with participating in this research.
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After the study, the researchers will be willing to share the results that may help
you and the people you know. If you have any questions about the study, feel free to ask
______________________________ -
___________________________
APPENDIX C. Area Under Curve of Pennywort Passion Fruit Ice Cream (mg/dL)
Food Tested Time IAUC
FBS 15 30 45 60 90 120
Pennywort Passion 1 105 109 102 98 97 108 123 374.41558
Fruit Ice Cream
2 87 101 113 124 143 114 88 3240
3 101 105 104 117 110 107 96 686.59091
4 105 111 107 114 115 104 109 514.36364
5 98 112 137 140 117 117 97 2408.25
6 93 104 133 134 106 94 92 1695
7 101 109 123 124 118 114 103 1597.5
8 91 88 98 97 103 105 99 944.25
9 103 109 115 111 125 111 107 1185
10 96 101 120 129 125 105 96 1852.5
11 101 101 119 127 121 105 100 1218
12 92 97 104 102 101 124 93 1582.5
13 100 104 101 106 111 105 100 562.5
14 103 100 121 131 136 108 92 1511.6518
15 92 96 113 110 109 99 88 1199.3182
\
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CURRICULUM VITAE A
conluboy@gmail.com
31
09052504002
PERSONAL DETAILS
Nationality: Filipino
EDUCATIONAL BACKGROUND
Tertiary education:
CURRICULUM VITAE B
markjoshuaespanyol@gmail.com
09357373607
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PERSONAL DETAILS
Nationality: Filipino
EDUCATIONAL BACKGROUND
Tertiary education:
CURRICULUM VITAE C
eunicafadriquela07@gmail.com
09283288307
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PERSONAL DETAILS
Language: Filipino
EDUCATIONAL BACKGROUND
Tertiary education: