MAPPING NUTRITIONAL INTERVENTIONS FOR LIFESTYLE MODIFICATION AMONG SCHOOL ADOLESCENTS: A SCOPING REVIEW
Main Article Content
Keywords
School adolescents, nutrition, Lifestyles
Abstract
In the realm of adolescent health, evidence-based nutritional interventions for lifestyle modification are increasingly recognized as crucial. This scoping review maps the range of such interventions among school adolescents, providing an overview of current strategies, research gaps, and opportunities for enhancing their effectiveness. The review adhered to the PRISMA-ScR checklist for transparency and comprehensive documentation of the methodology. A systematic search was conducted across PubMed, Cochrane Library, Taylor & Francis databases, and Google Scholar for literature on lifestyle modification through nutritional interventions among school adolescents. Two reviewers independently screened titles and abstracts for relevance using predefined criteria. Data extracted included author, title, year of publication, region, and document type. The findings underscore the complexity and interconnectivity of various factors influencing adolescent health, ranging from individual behaviors to broader socioeconomic and environmental contexts. Key insights reveal that while numerous interventions have demonstrated effectiveness in improving specific health outcomes, there remains significant variability in their design, implementation, and overall impact. The review highlights that there is paucity of good quality literature from LMIC. There is need for future research to identify cost effective , multisectoral approaches involving latest technology to bring about sustained behaviour change.
References
1. Herbert J, Schumacher T, Brown LJ, Clarke ED, Collins CE. Delivery of telehealth nutrition and physical activity interventions to adults living in rural areas: a scoping review. Int J Behav Nutr Phys Act. 2023 Sep;20(1):110.
2. Moeini B, Rezapur-Shahkolai F, Bashirian S, Doosti-Irani A, Afshari M, Geravandi A. Effect of interventions based on regular physical activity on weight management in adolescents: a systematic review and a meta-analysis. Syst Rev. 2021 Feb;10(1):52.
3. Croker H, Packer J, Russell SJ, Stansfield C, Viner RM. Front of pack nutritional labelling schemes: a systematic review and meta-analysis of recent evidence relating to objectively measured consumption and purchasing. J Hum Nutr Diet Off J Br Diet Assoc. 2020 Aug;33(4):518–37.
4. Nakabayashi J, Melo GR isa, Toral N. Transtheoretical model-based nutritional interventions in adolescents: a systematic review. BMC Public Health. 2020;20(1):1–14.
5. Ghosh S, Kabir MR, Alam MR, Chowdhury AI, Al Mamun MA. Balanced diet related knowledge, attitude and practices (KAP) among adolescent school girls in Noakhali district, Bangladesh: a cross sectional study. Int J Adolesc Med Health. 2022;34(5):319–25.
6. Daly AN, O’Sullivan EJ, Kearney JM. Considerations for health and food choice in adolescents. Proc Nutr Soc. 2022;81(1):75–86.
7. McGowan J, Straus S, Moher D, Langlois E V., O’Brien KK, Horsley T, et al. Reporting scoping reviews—PRISMA ScR extension. J Clin Epidemiol. 2020;123:177–9.
8. Leandro CG, Fonseca EV da S da, de Lim CR, Tchamo ME, Ferreira-e-Silva WT. Barriers and Enablers That Influence Overweight/Obesity/Obesogenic Behavior in Adolescents From Lower-Middle Income Countries: A Systematic Review. Food Nutr Bull. 2019;40(4):562–71.
9. Imtiaz A, ulHaq Z, Afaq S, Khan MN, Gillani B. Prevalence and patterns of physical activity among school aged adolescents in Pakistan: a systematic review and meta-analysis. Int J Adolesc Youth [Internet]. 2020;25(1):1036–57. Available from: https://doi.org/10.1080/02673843.2020.1831559
10. Soliman A, Alaaraj N, Hamed N, Alyafei F, Ahmed S, Shaat M, et al. Nutritional interventions during adolescence and their possible effects. Acta Biomed. 2022;93(1):1–14.
11. Ashton LM, Sharkey T, Whatnall MC, Williams RL, Bezzina A, Aguiar EJ, et al. Effectiveness of interventions and behaviour change techniques for improving dietary intake in young adults: A systematic review and meta-analysis of RCTs. Nutrients. 2019;11(4).
12. Psaltopoulou T, Tzanninis S, Ntanasis-Stathopoulos I, Panotopoulos G, Kostopoulou M, Tzanninis IG, et al. Prevention and treatment of childhood and adolescent obesity: a systematic review of meta-analyses. World J Pediatr. 2019 Aug;15(4):350–81.
13. Salam RA, Das JK, Irfan O, Ahmed W, Sheikh SS, Bhutta ZA. Effects of preventive nutrition interventions among adolescents on health and nutritional status in low- and middle-income countries: A systematic review. Campbell Syst Rev. 2020;16(2).
14. Nonguierma E, Lesco E, Olak R, Welch H, Zar Alam N, Bonyadi J, et al. Improving Obesogenic Dietary Behaviors among Adolescents: A Systematic Review of Randomized Controlled Trials. Nutrients. 2022 Nov;14(21).
15. Raut S, KC D, Singh DR, Dhungana RR, Pradhan PMS, Sunuwar DR. Effect of nutrition education intervention on nutrition knowledge, attitude, and diet quality among school-going adolescents: a quasi-experimental study. BMC Nutr. 2024;10(1):1–10.
16. Hayba N, Elkheir S, Hu J, Allman-Farinelli M. Effectiveness of Lifestyle Interventions for Prevention of Harmful Weight Gain among Adolescents from Ethnic Minorities: A Systematic Review. Int J Environ Res Public Health. 2020 Aug;17(17).
17. Shinde S, Wang D, Moulton GE, Fawzi WW. School-based health and nutrition interventions addressing double burden of malnutrition and educational outcomes of adolescents in low- and middle-income countries: A systematic review. Matern Child Nutr. 2023;(September):1–36.
18. Salam RA, Das JK, Ahmed W, Irfan O, Sheikh SS, Bhutta ZA. Effects of Preventive Nutrition Interventions among Adolescents on Health and Nutritional Status in Low-. Nutrient. 2020;12(1).
19. Medeiros G, Azevedo K, Garcia D, Segundo VO, Mata Á. Effect of school-based food and nutrition education interventions on the food consumption of adolescents : a systematic review . J Environ Res Public Heal. 2020;1–19.
20. Chaudhary A, Sudzina F, Mikkelsen BE. Promoting Healthy Eating among Young People-A Review of the Evidence of the Impact of School-Based Interventions. Nutrients. 2020 Sep;12(9).
21. Macarthur G, Caldwell DM, Redmore J, Watkins SH, Kipping R, White J, et al. Individual-, family-, and school-level interventions targeting multiple risk behaviours in young people. Cochrane Database Syst Rev. 2018;2018(10).
22. Oddo VM, Roshita A, Khan MT, Ariawan I, Wiradnyani LAA, Chakrabarti S, et al. Evidence-Based Nutrition Interventions Improved Adolescents’ Knowledge and Behaviors in Indonesia. Nutrients. 2022;14(9):1–11.
23. Oh C, Carducci B, Vaivada T, Bhutta ZA. Digital Interventions for Universal Health Promotion in Children and Adolescents: A Systematic Review. Pediatrics. 2022 May;149(Suppl 5).
24. Lee A, Lo ASC, Keung MW, Kwong CMA, Wong KK. Effective health promoting school for better health of children and adolescents: Indicators for success. BMC Public Health. 2019;19(1):1–12.
25. Jha SS, Dobe M, Taklikar C, Lahiri A. School-based intervention on behavioral intention of adolescents regarding healthy diet in India. Front Public Heal [Internet]. 2023;11. Available from: https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2023.1094960
26. Azevedo LB, Stephenson J, Ells L, Adu-Ntiamoah S, DeSmet A, Giles EL, et al. The effectiveness of e-health interventions for the treatment of overweight or obesity in children and adolescents: A systematic review and meta-analysis. Obes Rev. 2022 Feb 1;23(2).
27. Tully L, Burls A, Sorensen J, El-Moslemany R, O’Malley G. Mobile Health for Pediatric Weight Management: Systematic Scoping Review. JMIR mHealth uHealth. 2020 Jun;8(6):e16214.
28. Champion KE, Parmenter B, McGowan C, Spring B, Wafford QE, Gardner LA, et al. Effectiveness of school-based eHealth interventions to prevent multiple lifestyle risk behaviours among adolescents: a systematic review and meta-analysis. Lancet Digit Heal. 2019;1(5):e206–21.
29. Tzelepis F, Mitchell A, Wilson L, Byrnes E, Haschek A, Leigh L, et al. The Long-Term Effectiveness of Internet-Based Interventions on Multiple Health Risk Behaviors: Systematic Review and Robust Variance Estimation Meta-analysis. J Med Internet Res. 2021 Dec;23(12):e23513.
30. Keshani P, Kaveh MH, Faghih S, Salehi M. Improving diet quality among adolescents, using health belief model in a collaborative learning context: A randomized field trial study. Health Educ Res. 2019;34(3):279–88.
31. Rosling H. NCD Countdown 2030: efficient pathways and strategic investments to accelerate progress towards the Sustainable Development Goal target 3.4 in low-income and middle-income countries. Lancet. 2022;399(10331):1266–78.
32. Ashton LM, Sharkey T, Whatnall MC, Williams RL, Bezzina A, Aguiar EJ, et al. Effectiveness of Interventions and Behaviour Change Techniques for Improving Dietary Intake in Young Adults: A Systematic Review and Meta-Analysis of RCTs. Nutrients. 2019 Apr;11(4).
33. Hayba N, Rissel C, Allman Farinelli M. Effectiveness of lifestyle interventions in preventing harmful weight gain among adolescents: A systematic review of systematic reviews. Obes Rev. 2021;22(2):45–57.
34. Salam RA, Padhani ZA, Das JK, Shaikh AY, Hoodbhoy Z, Jeelani SM, et al. Effects of Lifestyle Modification Interventions to Prevent and Manage Child and Adolescent Obesity: A Systematic Review and Meta-Analysis. Nutrients. 2020 Jul;12(8).
35. Azevedo LB, Stephenson J, Ells L, Adu-Ntiamoah S, DeSmet A, Giles EL, et al. The effectiveness of e-health interventions for the treatment of overweight or obesity in children and adolescents: A systematic review and meta-analysis. Obes Rev an Off J Int Assoc Study Obes. 2022 Feb;23(2):e13373.
36. Tully L, Burls A, Sorensen J, El-Moslemany R, O’Malley G. Mobile health for pediatric weight management: Systematic scoping review. JMIR mHealth uHealth. 2020;8(6).
37. Oh C, Carducci B, Vaivada T, Bhutta ZA. Interventions to Promote Physical Activity and Healthy Digital Media Use in Children and Adolescents: A Systematic Review. Pediatrics. 2022 May;149(Suppl 5).
38. Hargreaves D, Mates E, Menon P, Alderman H, Devakumar D, Fawzi W, et al. Strategies and interventions for healthy adolescent growth, nutrition, and development. Lancet [Internet]. 2022;399(10320):198–210. Available from: http://dx.doi.org/10.1016/S0140-6736(21)01593-2
39. Unicef. Brief on the Social Ecological Model. 2020;1–3.
40. Pervaiz F, Khalil H, Javed R, Khan A, Kamran J, Islam M, Hayat A, Siddiqui AH, Shehrazai ZA, Iqbal A. PREVALENCE OF OIL AND GHEE CONSUMPTION IN GENERAL POPULATION; A CROSS-SECTIONAL SURVEY. Pakistan Armed Forces Medical Journal. 2022 Feb 25;72(SUPPL-1):S49-52.
41. Pervaiz F, Khan A, Khalil H, Shah N, Javaid R, Rashad F, Pervaiz R, Rabbani F, Asghar I, Iqbal MA. MANAGING THE BURDEN OF DISEASE THROUGH MEDICAL EDUCATION: A PILOT SURVEY TO ASSESS THE KNOWLEDGE REGARDING NON-COMMUNICABLE DISEASE RISK FACTORS AMONG MEDICAL SCIENCE STUDENTS. Pakistan Armed Forces Medical Journal. 2022 Feb 25;72(SUPPL-1):S25-28.
42. Younis F, Farooq MU, Younis S, Younis F, Azam N, Pervaiz F, Mahmood H. PSYCHO-SOCIAL SCHOOL ENVIRONMENT IN ARMY PUBLIC SCHOOLS OF RAWALPINDI, PAKISTAN–A CROSS SECTIONAL STUDY. Pakistan Armed Forces Medical Journal. 2019 May 17;69(SUPPL 2):S194-99.
2. Moeini B, Rezapur-Shahkolai F, Bashirian S, Doosti-Irani A, Afshari M, Geravandi A. Effect of interventions based on regular physical activity on weight management in adolescents: a systematic review and a meta-analysis. Syst Rev. 2021 Feb;10(1):52.
3. Croker H, Packer J, Russell SJ, Stansfield C, Viner RM. Front of pack nutritional labelling schemes: a systematic review and meta-analysis of recent evidence relating to objectively measured consumption and purchasing. J Hum Nutr Diet Off J Br Diet Assoc. 2020 Aug;33(4):518–37.
4. Nakabayashi J, Melo GR isa, Toral N. Transtheoretical model-based nutritional interventions in adolescents: a systematic review. BMC Public Health. 2020;20(1):1–14.
5. Ghosh S, Kabir MR, Alam MR, Chowdhury AI, Al Mamun MA. Balanced diet related knowledge, attitude and practices (KAP) among adolescent school girls in Noakhali district, Bangladesh: a cross sectional study. Int J Adolesc Med Health. 2022;34(5):319–25.
6. Daly AN, O’Sullivan EJ, Kearney JM. Considerations for health and food choice in adolescents. Proc Nutr Soc. 2022;81(1):75–86.
7. McGowan J, Straus S, Moher D, Langlois E V., O’Brien KK, Horsley T, et al. Reporting scoping reviews—PRISMA ScR extension. J Clin Epidemiol. 2020;123:177–9.
8. Leandro CG, Fonseca EV da S da, de Lim CR, Tchamo ME, Ferreira-e-Silva WT. Barriers and Enablers That Influence Overweight/Obesity/Obesogenic Behavior in Adolescents From Lower-Middle Income Countries: A Systematic Review. Food Nutr Bull. 2019;40(4):562–71.
9. Imtiaz A, ulHaq Z, Afaq S, Khan MN, Gillani B. Prevalence and patterns of physical activity among school aged adolescents in Pakistan: a systematic review and meta-analysis. Int J Adolesc Youth [Internet]. 2020;25(1):1036–57. Available from: https://doi.org/10.1080/02673843.2020.1831559
10. Soliman A, Alaaraj N, Hamed N, Alyafei F, Ahmed S, Shaat M, et al. Nutritional interventions during adolescence and their possible effects. Acta Biomed. 2022;93(1):1–14.
11. Ashton LM, Sharkey T, Whatnall MC, Williams RL, Bezzina A, Aguiar EJ, et al. Effectiveness of interventions and behaviour change techniques for improving dietary intake in young adults: A systematic review and meta-analysis of RCTs. Nutrients. 2019;11(4).
12. Psaltopoulou T, Tzanninis S, Ntanasis-Stathopoulos I, Panotopoulos G, Kostopoulou M, Tzanninis IG, et al. Prevention and treatment of childhood and adolescent obesity: a systematic review of meta-analyses. World J Pediatr. 2019 Aug;15(4):350–81.
13. Salam RA, Das JK, Irfan O, Ahmed W, Sheikh SS, Bhutta ZA. Effects of preventive nutrition interventions among adolescents on health and nutritional status in low- and middle-income countries: A systematic review. Campbell Syst Rev. 2020;16(2).
14. Nonguierma E, Lesco E, Olak R, Welch H, Zar Alam N, Bonyadi J, et al. Improving Obesogenic Dietary Behaviors among Adolescents: A Systematic Review of Randomized Controlled Trials. Nutrients. 2022 Nov;14(21).
15. Raut S, KC D, Singh DR, Dhungana RR, Pradhan PMS, Sunuwar DR. Effect of nutrition education intervention on nutrition knowledge, attitude, and diet quality among school-going adolescents: a quasi-experimental study. BMC Nutr. 2024;10(1):1–10.
16. Hayba N, Elkheir S, Hu J, Allman-Farinelli M. Effectiveness of Lifestyle Interventions for Prevention of Harmful Weight Gain among Adolescents from Ethnic Minorities: A Systematic Review. Int J Environ Res Public Health. 2020 Aug;17(17).
17. Shinde S, Wang D, Moulton GE, Fawzi WW. School-based health and nutrition interventions addressing double burden of malnutrition and educational outcomes of adolescents in low- and middle-income countries: A systematic review. Matern Child Nutr. 2023;(September):1–36.
18. Salam RA, Das JK, Ahmed W, Irfan O, Sheikh SS, Bhutta ZA. Effects of Preventive Nutrition Interventions among Adolescents on Health and Nutritional Status in Low-. Nutrient. 2020;12(1).
19. Medeiros G, Azevedo K, Garcia D, Segundo VO, Mata Á. Effect of school-based food and nutrition education interventions on the food consumption of adolescents : a systematic review . J Environ Res Public Heal. 2020;1–19.
20. Chaudhary A, Sudzina F, Mikkelsen BE. Promoting Healthy Eating among Young People-A Review of the Evidence of the Impact of School-Based Interventions. Nutrients. 2020 Sep;12(9).
21. Macarthur G, Caldwell DM, Redmore J, Watkins SH, Kipping R, White J, et al. Individual-, family-, and school-level interventions targeting multiple risk behaviours in young people. Cochrane Database Syst Rev. 2018;2018(10).
22. Oddo VM, Roshita A, Khan MT, Ariawan I, Wiradnyani LAA, Chakrabarti S, et al. Evidence-Based Nutrition Interventions Improved Adolescents’ Knowledge and Behaviors in Indonesia. Nutrients. 2022;14(9):1–11.
23. Oh C, Carducci B, Vaivada T, Bhutta ZA. Digital Interventions for Universal Health Promotion in Children and Adolescents: A Systematic Review. Pediatrics. 2022 May;149(Suppl 5).
24. Lee A, Lo ASC, Keung MW, Kwong CMA, Wong KK. Effective health promoting school for better health of children and adolescents: Indicators for success. BMC Public Health. 2019;19(1):1–12.
25. Jha SS, Dobe M, Taklikar C, Lahiri A. School-based intervention on behavioral intention of adolescents regarding healthy diet in India. Front Public Heal [Internet]. 2023;11. Available from: https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2023.1094960
26. Azevedo LB, Stephenson J, Ells L, Adu-Ntiamoah S, DeSmet A, Giles EL, et al. The effectiveness of e-health interventions for the treatment of overweight or obesity in children and adolescents: A systematic review and meta-analysis. Obes Rev. 2022 Feb 1;23(2).
27. Tully L, Burls A, Sorensen J, El-Moslemany R, O’Malley G. Mobile Health for Pediatric Weight Management: Systematic Scoping Review. JMIR mHealth uHealth. 2020 Jun;8(6):e16214.
28. Champion KE, Parmenter B, McGowan C, Spring B, Wafford QE, Gardner LA, et al. Effectiveness of school-based eHealth interventions to prevent multiple lifestyle risk behaviours among adolescents: a systematic review and meta-analysis. Lancet Digit Heal. 2019;1(5):e206–21.
29. Tzelepis F, Mitchell A, Wilson L, Byrnes E, Haschek A, Leigh L, et al. The Long-Term Effectiveness of Internet-Based Interventions on Multiple Health Risk Behaviors: Systematic Review and Robust Variance Estimation Meta-analysis. J Med Internet Res. 2021 Dec;23(12):e23513.
30. Keshani P, Kaveh MH, Faghih S, Salehi M. Improving diet quality among adolescents, using health belief model in a collaborative learning context: A randomized field trial study. Health Educ Res. 2019;34(3):279–88.
31. Rosling H. NCD Countdown 2030: efficient pathways and strategic investments to accelerate progress towards the Sustainable Development Goal target 3.4 in low-income and middle-income countries. Lancet. 2022;399(10331):1266–78.
32. Ashton LM, Sharkey T, Whatnall MC, Williams RL, Bezzina A, Aguiar EJ, et al. Effectiveness of Interventions and Behaviour Change Techniques for Improving Dietary Intake in Young Adults: A Systematic Review and Meta-Analysis of RCTs. Nutrients. 2019 Apr;11(4).
33. Hayba N, Rissel C, Allman Farinelli M. Effectiveness of lifestyle interventions in preventing harmful weight gain among adolescents: A systematic review of systematic reviews. Obes Rev. 2021;22(2):45–57.
34. Salam RA, Padhani ZA, Das JK, Shaikh AY, Hoodbhoy Z, Jeelani SM, et al. Effects of Lifestyle Modification Interventions to Prevent and Manage Child and Adolescent Obesity: A Systematic Review and Meta-Analysis. Nutrients. 2020 Jul;12(8).
35. Azevedo LB, Stephenson J, Ells L, Adu-Ntiamoah S, DeSmet A, Giles EL, et al. The effectiveness of e-health interventions for the treatment of overweight or obesity in children and adolescents: A systematic review and meta-analysis. Obes Rev an Off J Int Assoc Study Obes. 2022 Feb;23(2):e13373.
36. Tully L, Burls A, Sorensen J, El-Moslemany R, O’Malley G. Mobile health for pediatric weight management: Systematic scoping review. JMIR mHealth uHealth. 2020;8(6).
37. Oh C, Carducci B, Vaivada T, Bhutta ZA. Interventions to Promote Physical Activity and Healthy Digital Media Use in Children and Adolescents: A Systematic Review. Pediatrics. 2022 May;149(Suppl 5).
38. Hargreaves D, Mates E, Menon P, Alderman H, Devakumar D, Fawzi W, et al. Strategies and interventions for healthy adolescent growth, nutrition, and development. Lancet [Internet]. 2022;399(10320):198–210. Available from: http://dx.doi.org/10.1016/S0140-6736(21)01593-2
39. Unicef. Brief on the Social Ecological Model. 2020;1–3.
40. Pervaiz F, Khalil H, Javed R, Khan A, Kamran J, Islam M, Hayat A, Siddiqui AH, Shehrazai ZA, Iqbal A. PREVALENCE OF OIL AND GHEE CONSUMPTION IN GENERAL POPULATION; A CROSS-SECTIONAL SURVEY. Pakistan Armed Forces Medical Journal. 2022 Feb 25;72(SUPPL-1):S49-52.
41. Pervaiz F, Khan A, Khalil H, Shah N, Javaid R, Rashad F, Pervaiz R, Rabbani F, Asghar I, Iqbal MA. MANAGING THE BURDEN OF DISEASE THROUGH MEDICAL EDUCATION: A PILOT SURVEY TO ASSESS THE KNOWLEDGE REGARDING NON-COMMUNICABLE DISEASE RISK FACTORS AMONG MEDICAL SCIENCE STUDENTS. Pakistan Armed Forces Medical Journal. 2022 Feb 25;72(SUPPL-1):S25-28.
42. Younis F, Farooq MU, Younis S, Younis F, Azam N, Pervaiz F, Mahmood H. PSYCHO-SOCIAL SCHOOL ENVIRONMENT IN ARMY PUBLIC SCHOOLS OF RAWALPINDI, PAKISTAN–A CROSS SECTIONAL STUDY. Pakistan Armed Forces Medical Journal. 2019 May 17;69(SUPPL 2):S194-99.
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Jul 17, 2024
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Dr Humaira Mahmood, Dr. Farrah Pervaiz, Dr. Rahmeen Pervaiz, Dr. Mariyum Sarfraz, Dr. Muhammad Farrukh Habib, & Habiba Altaf. (2024). MAPPING NUTRITIONAL INTERVENTIONS FOR LIFESTYLE MODIFICATION AMONG SCHOOL ADOLESCENTS: A SCOPING REVIEW. Journal of Population Therapeutics and Clinical Pharmacology, 31(7), 678–691. https://doi.org/10.53555/jptcp.v31i7.7026
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Author Biographies
Dr Humaira Mahmood
Professor Department of Public Health AFPGMI,NUMS
Dr. Farrah Pervaiz
Assistant Professor of Community Medicine Rawalpindi Medical University
Dr. Rahmeen Pervaiz
Resident Trainee Paediatrics Shifa international Hospital
Dr. Mariyum Sarfraz
Associate Professor Health Services Academy
Dr. Muhammad Farrukh Habib
Senior Lecturer Health Services Management, Shifa Tameer e Millat University, Islamabad Pakistan
Habiba Altaf
National University of Science & Technology