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Changes in nutritional status and body composition in children and adolescents with anorexia nervosa
Kaduchová, Pavla ; Floriánková, Marcela (advisor) ; Kytnarová, Jitka (referee)
This thesis deals with changes in nutritional status and body composition in adolescent girls with anorexia nervosa (AN) during realimentation. The main aim of the thesis (i) is to compare the nutritional status and body composition of 16 patients at the beginning of realimentation and with a 6-month interval. Secondary objective (ii) is to compare the course and treatment success of 20 patients with AN diagnosed before the covid-19 pandemic and 21 patients diagnosed during the pandemic. Patients were also compared (iii) with a control group of 14 healthy age-matched girls. Data were analyzed using Statistica 12 software. Results: (i) In the 16 patients who attended the follow-up examination, there was a significant increase in body weight and BMI (both p < 0,001) from the initial 40,7±6,54 kg (BMI 15,69±1,97) to 48,7±9,0 kg (BMI 18,26±2,60) during realimentation. Significant increase was observed in both fat (p<0,01) and non-fat (p<0,05) mass. Also, a significant increase (p < 0,01) was found in resting energy expenditure measured by indirect calorimetry after 6 months of realimentation. Comparing REE measured by indirect calorimetry and calculated according to the Schofield equation, it was found that while these values were statistically significantly (p < 0,001) different before realimentation,...
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Awareness of food labelling among patients suffering with obesity and diabetes
Hálová, Nikol ; Brunerová, Ludmila (advisor) ; Anděl, Michal (referee)
This bachelor thesis focuses on the awareness of food labelling among patients with obesity and diabetes. The aim of the thesis is to determine the knowledge of these patients about food labelling and their opinions on this topic. Furthermore, the thesis examines the influence of food labelling on the dietary habits of patients with obesity and diabetes, as well as the possibilities for improving awareness of food labelling among these patients. The research was conducted in the form of an anonymous questionnaire, which helped identify the level of knowledge and attitudes of patients with obesity and diabetes towards food labelling. The results showed that awareness of food labelling significantly influences the dietary habits of patients. Patients with higher levels of knowledge about food labelling are more likely to make informed and healthier decisions when choosing foods. The thesis also identified the main barriers that prevented patients from effectively utilizing food labelling, such as small font sizes on labels, complexity of information, and inadequate understanding of labelling. Proposed measures to improve awareness include the implementation of educational programs, practical demonstrations, and interactive workshops focused on proper label reading. Additionally, collaboration with dietitians...
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Effect of diet monitoring on weight reduction in obese patients
Zemanová, Adéla ; Šimková, Simona (advisor) ; Váchová, Alena (referee)
The Effect of Diet Monitoring on Weight Reduction in Obese Patients Abstract The thesis titled "The Effect of Diet Monitoring on Weight Reduction in Obese Patients" I explore weight reduction strategies for obese patients. Specifically, I examine whether respondents who monitor their energy intake using the "Kalorické tabulky" app achieve greater weight loss and changes in body composition. Obesity is a global epidemic, and its prevalence is rising not only in developed countries. According to current trends from the World Obesity Federation, more than 4 billion people may be overweight or obesity by 2035. For this thesis, I chose a quantitative research approach involving 76 participants attending a nutrition clinic. The participants were divided into two research groups. Specifically, research group 2 included those participants who expressed interest in using the "Kalorické tabulky" app for monitoring caloric intake and who also had a smartphone compatible with this app. Participants who either did not express interest in using the app or did not have a suitable phone were placed in research group 1. The research involved taking a medical history, instructing participants on how to write the five-day diet record, providing individual nutritional interventions based on these diet records, and conducting...
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Nutrition after temporomandibular surgery
Machoňová, Natálie ; Machoň, Vladimír (advisor) ; Vlachopulos, Vasilis (referee)
Nutrition after temporomandibular joint surgery is very specific but defined by clear rules. Patients in recovery receive a mixed diet for the first 3 days and then, if there are no complications, switch to a soft food diet. Many patients are concerned about postoperative pain, the overall course of hospitalization, and how the mixed food will not only taste but also look. Therefore, it is important to consider the patient's opinion regarding hospital food and how the intake of recommended food affects weight loss during recovery. The first goal was to compare weight changes in the observed hospitalized patients at the time of surgery and 5 days after surgery. The second goal was to evaluate the patient's diet after surgery and determine how satisfaction affected weight loss. The third goal was to evaluate patient use of nutritional supplements. The practical part was evaluated from the responses of a questionnaire survey, which involved 16 patients hospitalized in the Department of Maxillofacial Surgery at VFN from January 2023 to March 2023, who underwent temporomandibular joint reconstruction by total replacement. The same patients were subsequently monitored for weight changes. The results showed that the average weight difference of patients after temporomandibular joint surgery was 1,2 kg. It...
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The effect of nutrition education on type 1 diabetes control
Křesáková, Nikola ; Matoulek, Martin (advisor) ; Mikeš, Ondřej (referee)
Introduction: The global prevalence of type 1 diabetes mellitus (DM1) is increasing, and despite the availability of new and modern treatments, especially in the field of modern technology, it is difficult to achieve optimal diabetes control in many patients. Properly guided and individualized education in insulin therapy, regimen measures and self- monitoring is now considered an essential part of successful treatment of every patient with diabetes. Objective: The aim of this thesis was to evaluate the effect of nutrition education on DM1 compensation using available and collected parameters (HbA1c, TIR, TBR, coefficient of variation, mean glycaemia) and body weight. Method: The study was conducted in a total of 40 selected patients with DM1 of the Diabetology Centre of the 3rd Internal Medicine Clinic of the VFN Prague, who underwent education in the outpatient clinic of a nutritional therapist between January 2020 and January 2022. The effect of nutritional education on parameters of diabetes compensation over a 12-month period was subsequently examined by retrospective analysis. Results: After 12 months, there was a significant improvement in the parameters measured. TIR increased (68 ± 15 % vs. 75 ± 15 %; p<0.0001), other parameters showed a positive decrease - HbA1c (57 ± 11 mmol/mol vs. 50...
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Nutritional therapy and eating habits of people with tuberculosis
Čadová, Andrea ; Špíralová, Veronika (advisor) ; Mudra, Roman (referee)
This thesis deals with the nutrition of adult tuberculosis patients. The main goal is to map the dietary habits of tuberculosis patients and also to assess the nutritional requirements of specific tuberculosis patients and to compare it with the actual food intake in a tuberculosis sanatorium. The theoretical part is focused on the history, current epidemiology, clinical presentation of the disease, diagnostic procedure and treatment options. It is also focused mainly on clinical nutrition and the latest nutritional recommendations in relation to tuberculosis disease. For this research, I chose a qualitative approach which was attended by ten adult respondents diagnosed with tuberculosis and treated at the Tuberculosis and Respiratory Diseases Sanatorium Janov. The practical part is divided into two subchapters. The first of them is devoted to case reports, where all the basic information about the patients obtained from the medical records is summarized. Recommended total daily energy intake and macronutrients are individually calculated. This total daily energy intake is then compared with the energy intake from the home environment and with the energy intake in the sanatorium. Examples of individual menus are also included. In the second part, respondents' answers to questions asked in a...
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Eating disorders in students of dietetics and nutrition and the effect of nutrition on their nutritional status
ŠTĚPÁNOVÁ, Vendula
The bachelor's thesis deals with the topic of eating disorders in students of nutritional therapy and the influence of nutrition on their nutritional status. This work is focused on the issue of eating disorders (hereinafter referred to as "PPD") and their prevalence among nutritional therapy students and the consequences of eating disorders. These are now very widespread diseases that have not been talked about enough until now. Diseases mainly affect young people, but adults are no exception, as their treatment is both psychologically and often nutritionally difficult. The aim of the work is to determine the risk of pathological eating behavior in nutritional therapy students, how the diet of students with PPP and without PPP differs. Data and results are determined using the standardized questionnaires ORTO-15 and EAT-26 (Eating Attitudes Test-26) and using a self-administered questionnaire. The practical part also deals with the analysis of the obtained menus and then the eating habits of the students of the field of nutritional therapy according to whether they are/have been through PPP or not. Nutrition therapy students who underwent PPP show different eating behavior than students without PPP, especially in controlling their energy intake and reduced carbohydrate intake. Overall, 10.6 % of students achieved a pink score in the EAT-26 questionnaire and even 74 % in the ORTO-15 questionnaire. It is certainly advisable to continue to increase awareness of PPP among experts and the lay public.
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The effect of dysphagic diet on the prevencion of malnutrition risk in the elderly
ZEMANOVÁ, Adéla
This thesis, entitled "Effect of dysphagic diet on the prevention of malnutrition risk in the elderly", deals with the dysphagic diet, which is a diet for swallowing disorders. Swallowing disorders are most commonly seen after stroke, in neurodegenerative diseases, head, neck and oesophageal tumours, and in critically ill patients or the elderly. For this thesis, I chose to conduct both quantitative and qualitative research involving two hospitals and one social service facility for the elderly. I divided the practical part into two subchapters. In the first, I discuss the processing of the observational data. Here I describe what kind of diet is served to patients with dysphagia in a particular facility, what technological procedures are used in its preparation and what meals are most frequently served in the facility. In the second part, the five-day menus of each facility are evaluated and compared with the values from the facility's dietary system. The research showed that if the patient consumed all the food given to him, he would not be at risk of malnutrition, as it is energetically sufficient and covers the needs of the elderly. However, in only two facilities did the patients receive a varied diet, and in one facility the meals or individual foods were more often repeated. The aesthetics of the food in none of the facilities corresponded to my idea of an attractive appearance of the prepared food, nor did the technological preparation of the food in any of the facilities correspond to the requirements of a textured diet - pureed. Therefore, it is likely that patients will not tolerate the diet because of the low variety, poor technological preparation, or the way it is served, because, as they say, we eat with our eyes. The intake would then be insufficient and could lead to a risk of malnutrition. It is therefore not possible to say unequivocally whether a dysphagic diet is a prevention of the risk of malnutrition in the elderly, but if the variety of the diet is maintained and the principles of technological preparation are followed, it could be.
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The Impact of a dietitian guidance on a weight management of obese children
Bučková, Kristýna ; Floriánková, Marcela (advisor) ; Kosheleva, Svetlana (referee)
The bachelor thesis deals with the topic of childhood obesity and the impact of dietitian education on its prevention and treatment. The theoretical part defines owerweight and obesity in children and adolescents, its prevalence, causes, diagnosis, prevention and treatment. The practical part is based on data drawn retrospectively from the medical documentation of the dietitian's and obesitologist's outpatient's department of the Department of Pediatrics and Hereditady Metabolic Disorders of the General Hospital in Prague. Data for the period from 1st January 2018 to 1st February 2022 were examined in 58 patients aged 3 months to 18 years 5 months with overweight or obesity. Only patients whose overweight or obesity was caused by a positive energy balance were included in the study. The data included the pacient's anthropometric parameters at birth and during the treatment, blood pressure, uric acid levels and fasting blood glucose. The patient's parents BMI was found out at the beginning of the child's treatment. The main goal of the research was to assess the effect of dietitian guidance in long-term cooperating overweight and obese patients compared to patients who visited the dietitian's outpatient's department once or not at all (although it was offered). In particular, the effect on changes...
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Calcium intake in patients with disorders beta oxidation fatty acids with long chain.
Ondrová, Ellen ; Floriánková, Marcela (advisor) ; Ješina, Pavel (referee)
The bachelor thesis deals with rare hereditary metabolic disorders, LCHAD (long chain 3- hydroxyacyl-coenzyme A dehydrogenase) deficiency and MTP (mitochondrial trifunctional protein) or TFP (trifunctional protein) deficiency. Deficiencies of these enzymes cause a disturbance in the cycle of β-oxidation of long-chain fatty acids. The basis of treatment for these disorders are dietary and regimen measures. The main goal of the bachelor's thesis was to determine the level of compliance in dietary and regimen measures and calcium intake in patients with LCHAD/MTP deficiency. The theoretical part first describes hereditary metabolic disorders as a large heterogene- ous group of serious hereditary disorders, some of which occur rarely. These rare diseases include LCHAD/MTP deficiency. First, general findings of hereditary metabolic disorders, their history, occurrence, heredity, pathogenesis, diagnosis, clinical manifestations and treatment, are briefly summarized. Furthermore, the theoretical part of the thesis deals with fatty acids as a nutrient, which plays a crucial role in the diet of a patient with LCHAD/MTP deficiency, as well as the β-oxidation process, which is disrupted in these de- ficiencies. The main part of this thesis is devoted to the disease itself, the LCHAD/MTP de- ficiency. It...
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