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Nutritional knowledge of patients after bariatric surgery
Uhrová, Kateřina ; Mottlová, Alena (advisor) ; Orbanová, Pavla (referee)
The bariatric surgery is regarded as the most effective treatment method of dangerous forms of obesity. Since the bariatric surgery is closely related to nutrition, it is thus necessary to emphasize the importance of good nutritional knowledge of patients that have undergone this type of surgery. The aim of this thesis was to examine the nutritional knowledge of patients that are at least one year after the surgery, or reoperation. To get relevant data, patients were examined using an anonymous questionnaire. The survey indicates that the patients have insufficient knowledge regarding the recommended protein intake. Furthermore, the examination exhibited, surprisingly, that men have statistically worse knowledge than women do as well as that the majority of patients does not know what the dumping syndrome is. The survey confirmed that the patients operated more than two and a half years ago have worse nutritional knowledge than the ones operated within such a period of time. Moreover, the examination did not identify problems regarding the correct food preparation, post- operational diet, and inappropriate eatables. In addition, it was discovered that about fifty percent of all the examined patients have sufficient knowledge of the post-bariatric surgery eating habits. Since the importance of...
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The deficiency of Vitamins in obese patients before intervention
Wood, Denisa ; Svačina, Štěpán (advisor) ; Piecha, Roman (referee)
This thesis is devoted to the vitamin deficiency in obese patients before bariatric surgery. The purpose of this study was a detection and evaluation of the deficient vitamins in obese patients before bariatric surgery. The monitored vitamins were vitamin A, E, D, B12 and folic acid. The theoretical part of this thesis describes the general definition, functions, the daily intake of the vitamins and the division of the vitamins. It pays attention to a biochemical metabolism and the physiological functions of the monitored vitamins. Listed are the etiological determinants of obesity. It describes the physiological regulation of body weight and highlights the current interventional procedures to treat obesity. The practical part describes the methodology of monitoring the levels of the selected vitamins and the subsequent evaluation of the results. Based on the findings of the specific deficits, the risks of these deficiencies were assessed. Dietary recommendations were assembled for the patients who are being prepared for bariatric surgery. The conclusion compares other studies dealing with similar issues.
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The genetic background of obesity and its treatment with bariatric surgery
Lischková, Olga ; Bendlová, Běla (advisor) ; Šeda, Ondřej (referee) ; Mráz, Miloš (referee)
Obesity is a frequent metabolic disease that causes many other health and socioeconomic complications. Obesity arises due to excessive energy intake and decrease in energy expenditure, which is a conseqence of contemporary lifestyle. Moreover, obesity has a strong genetic component. Common obesity is polygenic, multifactorial disease, in which individual genes interact with each other and with environmental factors. Genome-wide association studies, conducted between 2006-09, led to the discovery of dozens of gene loci that predispose individuals to obesity. The strongest signals were registered for polymorphisms in FTO (fat mass and obesity-associated) and near a gene MC4R (melanocortin 4 receptor). However, the contributions of these variations on the phenotype of obesity are very small, therefore, it is necessary to validate the results of such robust studies. It is very important to uncover the effects of genetic variants for understanding the molecular mechanisms of energy metabolism. The studies presented in this thesis refer about the impact of polymorphisms in selected genes on anthropometric and metabolic parameters of the patients of the Institute of Endocrinology and of healthy volunteers who underwent functional tests. Our cohort includes a representative sample of Czech children (COPAT...
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Impact of bariatric surgery on Diabetes mellitus
Skalická, Iva ; Matoulek, Martin (advisor) ; Hvižď, Robert (referee)
This bachelor project is focused on the issues of obesity, diabetes mellitus and its influence after the performed bariatric surgery, it is divided into two parts, theoretical and practical. Theoretical part deals with obesity and its treatment, consider the obesity complications, especially the accompanying metabolical complication so called diabetes mellitus of the second type. Moreover it introduces various types of bariatric surgery with positive influence on health status of second type diabetes patients. It also describes new trends in this field and takes into account activities before and after bariatric surgery such as preparation for the operation or post operational care. Practical part is dealing with the influence of bariatric surgery on body mass and metabolical parameters of the patients. For purpose of this study the research was conducted, representative sample of 162 patients was chosen, 68 people suffered from diabetes, the rest did not. Patients of both groups have reduced their weights significantly after the bariatric surgery of all kinds. The surgery with the biggest second type diabetes mellitus compensation is gastric bypass. The results confirmed the positive impact of bariatric surgery for the obesity treatment namely the weight reduction and metabolical parameters,...
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Choice of bariatric procedures and their effect on the weight change of obese people
Vorudová, Jana ; Matoulek, Martin (advisor) ; Hvižď, Robert (referee)
Introduction: Bariatric surgery is one of the methods of treatment of higher degrees of obesity. It helps patients to reduce the weight if conservative methods of treatment are not effective, or if it is still necessary to deepen its effect. Bariatric procedures are divided according to the the way how they are carried out - restriction, malabsorption and combined performance. Objective: The aim of this work was to determine who gave the incentive to the patients to undergo the bariatric treatment, where they received further information and how many times they managed in the time before the operation to lose weight. Further information was obtained on subjective patient satisfaction with the results of surgery and furter the weight loss data were assessed and compared the changes of BMI after bariatric surgery. Methods: An anonymous questionnaire was sent out to collect the necessary data from 39 patients after various bariatric surgery. These data were subsequently processed and analyzed. These data were subsequently evaluated and processed using graphs and tables for better clarity Results: It was found that the doctor was the one who gave the incentive to undergo bariatric performance in 79 % of patients. It was also confirmed that 80 % of patients reduced their weight of at least 5 kg before...
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Quality of life after bariatric surgery.
Jankovská, Dominika ; Hošťálková, Monika (advisor) ; Hakenová, Renata (referee)
Dominika Zákoutská Quality of life after bariatric surgery This bachelors thesis is focused on the treatment of morbid obesity by surgical procedures and determining the quality of life after undergoing bariatric surgery. Obesity brings with it a number of different diseases and health complications. All complications lead to a deterioration in the quality of life and it also increase the risk of premature death. If it is not possible to treat obesity by conservative routes (non-invasive methods) it is necessary to proceed to surgical treatment. The most commonly used surgical procedures as adjustable gastric banding, gastric plication, sleeve gastrectomy, gastric bypass and biliopancreatic diversion. This thesis deals with the first three mentioned types of operations which are adjustable gastric banding, gastric plication and sleeve gastrectomy. The main aim of this bachelors thesis is to determine the quality of life for different types of bariatric surgery at least one year and no longer than 10 after the bariatric surgery. The quantitative questionnaire investigation of 73 clients was carried out at clinical center ISCARE I.V.F. a. s., where in front of one to ten years underwent bariatric surgery. Results of the questionnaire showed significant improvement in quality of life after bariatric...
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Bariatric Surgery and Obese Patients' Motivation
Laštovičková, Jitka ; Tollarová, Blanka (advisor) ; Šmídová, Olga (referee)
This diploma thesis deals with obese patients' motivation to undergo or refuse a bariatric surgery in obesity treatment. The aim of the thesis was to create an overview of patient's motivation to undergo or refuse a bariatric surgery, to show an obese patient's situation (a candidate for a bariatric surgery) from a closer perspective and offer recommendations for the work with obese patients. The qualitative research method in a form of a semistructured interview with the obese patients, who are being treated in obesity ambulances, and with the psychologists, who work with obese patients, was used to analyse the theme of the research. The eight interviews were conducted and analysed with open coding. Obese patients are motivated to undergo a bariatric surgery by improvement of their health, increased attractiveness and by expectation of their obesity's final solution. Obese patients don't want to undergo a bariatric surgery because they're convinced, that they could manage to lose weight and keep it without undergoing a bariatric surgery. Also because they are worried about the bariatric surgery, its complications, its restrictions, required anesthesia and about the failure after undergoing bariatric surgery. Obese patients' motivation to undergo or refuse a bariatric surgery is also influenced by...
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Post bariatric surgery diet
HOSKOVCOVÁ, Klára
This bachelor thesis on the topic of Post bariatric surgery diet is focused on current recommendations for short-term diet after bariatric surgery and mainly for long-term post bariatric surgery diet. Aims of this thesis are as follows: to map common types of bariatric surgery, describe causes of nutritional complications resulting from bariatric surgery and observe the form and recommendations for a Post baraitric surgery diet. The theoretical part compiles information on obesity and bariatric surgery, as well as the diet before and after bariatric surgery. For the practical part I used the method of combined research. The survey was carried out with a weekly food record and a semi-structured interview, which focused on the influence of the operation on the dietary habits and lifestyle of the respondents. Food records were analysed individually using post bariatric surgery diet recommendations, interview responses were transcribed and evaluated collectively. The research results show that respondents are sufficiently informed about the regimen and diet recommendations before the procedure, but their compliance varies individually. The most frequent variations include inadequate energy and nutrient intake, consumption of inappropriate food, distribution of food during the day and lack of physical activity. Six of eight respondents adhere fully to the dietary regimen recommendations, two respondents follow with difficulties: one due to a mental illness and the second due to dropping out of the regimen after losing weight. All respondents showed overall satisfaction with undergoing bariatric surgery and would undergo it again. Two respondents reported improvement in type 2 diabetes.
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The effect of different bariatric operations on the weight loss in the treatment of obesity
Janoušková, Eva ; Matoulek, Martin (advisor) ; Svačina, Štěpán (referee)
Introduction: Bariatric procedures belong to modern methods of therapy of obesity, especially in patients with higher degree of obesity. Currently, different procedures are performed, among those gastric banding, sleeve gastrectomy and gastric bypass. Our research investigated the effect of various bariatric procedures on the weight loss and some other metabolic values in the treatment of obesity. Methods: The data collection for quantitative research was carried out at the 3rd medical department of 1st faculty of medicine of Charles University and General Faculty Hospital in Prague, partially retrospectively and mainly prospectively. We monitored the change of weight and compensation of type 2 diabetes mellitus in the first year after operation in group of 54 patients of which 32 patients had a two-year monitoring as well. For monitoring changes of weight throughout a particular period of time after operation, the conversion on % EWL a % EBMIL was used. The data was evaluated by basic statistical methods. Results 1: In our reference group (n=54) average value of EWL was found 37,58 % in the first year after the surgery. The value of EWL for sleeve gastrectomy was 47,52 %. The value of EWL for gastric bypass was 39,82 %. The value of EWL for gastric banding was 23,28 %. Results 2: In the subset of...
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