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The effect of low-protein diet on progression of chronic kidney disease
Čmerdová, Kristýna ; Karbanová, Miroslava (advisor) ; Tesař, Vladimír (referee)
Background: Low protein diet is one of the treatments for patients with chronic kidney disease during the pre-dialysis period. Studies about this subject have been published for more than 20 years, but the conclusions about its effect and the most appropriate composition are not clear. A low-protein diet is recommended for some patients at the Nephrology Clinic of General University Hospital. These patients are educated and re- educated by a nutrition therapist who also controls their food intake through a food diary. Objectives: To evaluate the effect of low-protein diet on the progression of chronic kidney disease in our conditions and to compare the results with the control group. Furthermore, to evaluate the nutritional status of these patients and the influence of the diet on it. Last but not least, describe a set of patients coming to education about low-protein diet. Methods: The input data was retrospectively retrieved from the medical records of patients who attended medical checks at the Nephrology Clinic of General University Hospital between 10/2016 and 3/2018. A group of 15 patients with a low-protein diet was compared with a control group of 15 patients who did not receive low-protein diet education. The main data collected was year of birth, estimated GFR, urea, creatinine, albumin,...
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The effect of low-protein diet on progression of chronic kidney disease
Čmerdová, Kristýna ; Karbanová, Miroslava (advisor) ; Tesař, Vladimír (referee)
Background: Low protein diet is one of the treatments for patients with chronic kidney disease during the pre-dialysis period. Studies about this subject have been published for more than 20 years, but the conclusions about its effect and the most appropriate composition are not clear. A low-protein diet is recommended for some patients at the Nephrology Clinic of General University Hospital. These patients are educated and re- educated by a nutrition therapist who also controls their food intake through a food diary. Objectives: To evaluate the effect of low-protein diet on the progression of chronic kidney disease in our conditions and to compare the results with the control group. Furthermore, to evaluate the nutritional status of these patients and the influence of the diet on it. Last but not least, describe a set of patients coming to education about low-protein diet. Methods: The input data was retrospectively retrieved from the medical records of patients who attended medical checks at the Nephrology Clinic of General University Hospital between 10/2016 and 3/2018. A group of 15 patients with a low-protein diet was compared with a control group of 15 patients who did not receive low-protein diet education. The main data collected was year of birth, estimated GFR, urea, creatinine, albumin,...
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Long-term effects of short-term low calorie and very low calorie diets
Čmerdová, Kristýna ; Matoulek, Martin (advisor) ; Mikeš, Ondřej (referee)
Starting points: LCD and VLCD are one of the possibilities, which can be used when battling obesity. They are not however advised separately. There must always be present another form of treatment. What follows is either bariatric treatment, or a home reduction plan in cooperation with a nutrition therapist. LCD or VLCD should always be under the supervision of a doctor. Goals: To, in detail, describe a complex of patients, who were on weight reduction hospital stay (later only WRHS), as a foundation of a statistical analysis of dynamic changes concerning the reasoning of LCD and VLCD hospitalization, basic anthropometric data and deduce the short and long-term effect of WRHS with LCD and VLCD. Methods: Entry data were collected retroactively from hospital records of patients who were hospitalized for reduction of weight in the years 2014-2015 in inpatient ward D3 of the third Internal clinic of the General University Hospital in Prague (Všeobecná fakultní nemocnice v Praze). This data was statistically processed and its results discussed and charted in this paper. Main results: The most common reasoning for WRHS was sole reduction of weight; next was bariatric operation after WRHS. Patients who didn't undergo bariatric operation within a year of their 1.st WRHS, and their weight after one year is...
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