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The role of sipping in the nutritional support of geriatric patients
Ondrová, Ellen ; Vágnerová, Tereza (advisor) ; Mádlová, Pavla (referee)
Introduction: Malnutrition is a significant problem in old age. Malnutrition is present in 30 - 70 % of hospitalized elderly and its consequences are severe. Systematic screening and early treatment are essential to ensure and maintain good health in the elderly and are an integral part of overall geriatric care. Nutritional support with sipping - oral nutriti- onal supplements (ONS) is one of the basic approaches in the management of malnutriti- on in geriatric patients. Aim of the thesis: The main aim of this thesis was to evaluate the intake of sipping in geri- atric patients and to monitor possible pitfalls in its use. To answer the main objective, four research questions were set to provide the following answers: 1. What proportion of the total energy intake (CEP) of a patient is from diet and from sipping, and how does gender and age affect energy intake from sipping ? 2. What proportion does dietary and sipping protein make up of the patient's prescribed intake? 3. Will the diet, including sipping, cover the patient's energy and protein needs? 4. Will patients drink their prescribed dose of sipping, and will certain factors such as education by the nutritional therapist and ability to eat affect the patient's in- take of sipping? Research methods: Quantitative research in the form of data...
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Longevity -influence of nutrition and physical activity
Pausar, Martin ; Matoulek, Martin (advisor) ; Vágnerová, Tereza (referee)
Introduction: Longevity and the factors influencing it have long been the subject of interest for both laypeople and experts. One approach to studying this issue is the observation of individuals who can be considered long-lived and whose physical and mental condition allows them to continue living a high-quality life. Some factors that determine this quality can be influenced more than others. Lifestyle is one of the modifiable factors, particularly its components such as diet, physical activity, and minimizing harmful habits. Aims: The main aim of the bachelor thesis is to find and describe possible common features in the field of eating habits and physical activity in a group of seniors aged 80 years and above. The first objective is to determine the frequency of consumption of selected foods or groups of foods and beverages. The second is to record the prevalence of selected non- communicable diseases in the sample studied and compare with the general population. The third was then to ascertain the proportion of fat and muscle mass of the respondents. Methodology: Data were collected through questionnaire surveys, direct interviews, and supplementary measurements of body composition. The data were then transformed into numerical form and analyzed using a spreadsheet software. A custom frequency...
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Mineral and vitamin deficiencies in the elderly and their supplementatin
Nesnidalova, Andrea ; Vágnerová, Tereza (advisor) ; Bárta, Michal (referee)
Seniors often buy inappropriate combinations of dietary supplements based on advertising or peer recommendations, but often to a lesser extent on the recommendation of a professional. It is important for seniors to pay attention to the quality and variety of their diet in order to maintain good health. The bachelor thesis is divided into theoretical and practical parts. In the theoretical part, the first chapter describes the individual vitamins and minerals. The next chapters deal not only with their deficiency and need in the elderly population but also with their correct consumption with regard to further pharmacotherapy. In particular, a chapter dealing with the reasons leading to insufficient food intake in the elderly is described. For the practical part, three main objectives have been set. The research was conducted by questionnaire survey to which a total of 67 respondents aged 65-90 years answered. The first objective was to find out what dietary habits seniors have in their home environment and what vitamins and minerals they are deficient in. A sub-objective of this question was to determine whether current supplementation is justified in this population given the results of the questionnaire survey. The second objective builds on dietary diversity and explores the principles of good...
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Nutrition in diseases of civilization prevention
Kaduchová, Pavla ; Starnovská, Tamara (advisor) ; Vágnerová, Tereza (referee)
The bachelor's thesis deals with the origin and occurrence of diseases of civilization and the possibilities of their prevention from the nutrition point of view. It focuses on the consumption of macronutrients and micronutrients in food with regard to the possible risk of these diseases as well as their protective effect. The theoretical part briefly deals with selected diseases and risk factors involved in their emergence, prevention and health promotion, and lastly focuses on nutrition as one of the leading determinants of health. The practical part focuses on the goals and related hypotheses, on the basis of which a questionnaire survey was conducted related to the interest in the composition of food, the impact of nutrition on the incidence of diseases of civilization and knowledge of nutritional recommendations. It also summarizes the characteristics of the sample of respondents and their current lifestyle for comparison with the theoretical awareness of the importance of nutrition. Key words: diseases of civilization, prevention, nutrition, lifestyle, nutritional recommendations
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Legal and economic aspects of the institute of the lender of last resort
Vágnerová, Tereza ; Dupáková, Lenka (advisor) ; Seknička, Pavel (referee)
Legal and economic aspects of the institute of the lender of last resort Abstract The master thesis deals with the legal and economic aspects of the institute of the lender of last resort, as a key institute that helps ensure the stability of financial markets. The thesis is divided into four parts. The first part is focused on the economic aspects of this institute, especially deals with the general definition of the term lender of last resort and its historical genesis, as well as the principles and forms of assistance of the lender of last resort. The key knowledge of this part is the Thornton-Bagehot doctrine of the lender of last resort. The second part of the thesis deals with the legal regulation of the lender of last resort in the Czech Republic. The third part is aimed at relevant European legislation and provides a summary of the relevant case law of the Court of Justice of the European Union, namely the cases Pringle, Gauweiler and Weiss. The fourth and final part of the thesis outlines the legal framework of this institute in the USA. The second to fourth part of the thesis also analyzes the behavior of 3 central banks (CNB, ECB and FED) in fulfilling the role of lender of last resort during the global financial crisis of 2008, the European debt crisis and the current coronavirus crisis,...
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The role of nutrition in the prevention of osteoporosis: calcium, proteins and gut microbiota
Holánová, Karolína ; Zikán, Vít (advisor) ; Vágnerová, Tereza (referee)
Introduction: Osteoporosis is defined as a systemic metabolic disease of skeleton. It is characterized by reduced amounts of bone mass and degradation of bone tissue microarchitecture with increased chances of fractures occurring. Women after menopause are affected by lack of estrogen and therefore have increased risk of osteoporosis. Goal: The goal of the diploma thesis is to evaluate the nutritional state of women after menopause with osteoporosis (With OP) and without osteoporosis (Without OP) focusing on calcium, proteins and nutrients which are affecting gut microbiota (prebiotics and probiotics). Methods: Nutritional state was evaluated based on three-day diet analysis and questionnaire about dietary preferences. Amounts of particular nutrients in respondents diets were obtained by using web page www.kaloricketabulky.cz. Bone material densities were measured by dual energy X-ray absorptiometry (DXA). Results: Nutritional breakdown of diets did not show any statistically significant differences in most of the cases. The only exception was protein and fiber intake, where the group without OP reported higher intake. Both sets of respondents reported higher intake of calories, fats and proteins then recommended. On the other hand, low intake of carbs, fiber, calcium and probiotics was discovered...
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Problems in prevention of vitamin D and calcium deficiency in geriatrics
Prokopová, Michaela ; Vágnerová, Tereza (advisor) ; Kvasničková, Ivana (referee)
Vitamin D and calcium are essential for the health of the elderly population. Due to the changes that occur in the body during aging, it is necessary to monitor the intake of these micronutrients and, if necessary, to supplement or substitute them appropriately. This thesis focuses on prevention of vitamin D and calcium deficiency in old age. The theoretical part explains the function of vitamin D and calcium in the human body, their metabolism, sources and problems of deficiency or excess. There is information about diseases related to the deficiency, especially osteoporosis and sarcopenia. The practical part has two sections. The first analyses the data from the SPRINTT trial. Data related to vitamin D, calcium, their supplementation and sarcopenia, as a disease associated with vitamin D deficiency, were used. The second section analyzes the data from a questionnaire survey in nursing homes, which obtained information about the health of seniors, the frequency of consumption of selected foods and vitamin D and calcium supplementation. Using data from the SPRINTT, it was found that 55 % of men and 40 % of women had the values of sarcopenia. 11 % of the participants had vitamin D deficiency. The data from the questionnaire found that only 51 % of respondents over the age of 70 supplemented with...
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Creatine monohydrate as a part of sarcopenia prevention in geriatric patients
Šaier, Martin ; Vágnerová, Tereza (advisor) ; Topinková, Eva (referee)
Introduction: Sarcopenia is a disease with a high prevalence in the elderly population and a significant negative impact on quality of life. Physical activity along with adequate nutritional intervention are key to mitigating these effects. Methods: The research was conducted using a questionnaire survey in which 113 nursing homes participated. The quality of nutritional care in these facilities was determined using a survey. Results: A total of 113 nursing homes were included in the research. Of these, 57% of facilities had a registered dietitian available. Nursing homes assess the presence of malnutrition at least 4 times a year in 74% of cases, of which they most often use changes in weight (80 %) and monitoring of food intake (70 %). Only 50 % of the facilities use validated nutritional screening tool. 83 % of the facilities apply nutritional support, most often in the form of diet modification and sipping (98 %). They use food fortifications less often, in a total of 57 % of facilities. The presence of a registered dietitian is affected by the size of the facility, with the larger ones being available to the registered dietitian at a higher frequency. The presence of a registered dietitian in the facility significantly positively affects the frequency of detection of malnutrition (P = 0.039)....
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Analysis of the nutrition of senior citizens in their environment
Kaiserová, Iveta ; Starnovská, Tamara (advisor) ; Vágnerová, Tereza (referee)
Senior citizens living in their own environment make up a large and growing population group. Proper nutrition at this age is gaining in importance as it contributes to maintaining a long and quality life. Therefore, the aim of the thesis was to evaluate the nature and quality of selected senior citizens' nutrition. This aim was divided into three sub-objectives, namely 1) to find out whether the informants' nutrition corresponds to their age and health condition, 2) whether there are factors that influence their nutrition, and 3) what do they follow when purchasing food. The sample consisted of four married couples between the ages of 71 and 75, coming from the Karlovy Vary region, who agreed to participate in a qualitative research. As there are no nutritional recommendations that take into account the ages and diseases most frequently present in the sample, the need for work informants has been formulated on the basis of relevant recommendations concerning seniors and their diseases. Intake data were then obtained through weekly meal records processed in "NutriPro START" software. To obtain anamnestic data, a semi-structured interview has been used. The results show that the diet of the selected seniors rather does not meet the demands based on their age and health, because they mostly receive...
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