National Repository of Grey Literature 7 records found  Search took 0.00 seconds. 
Eating disorders in pediatric patiens with type 1 diabetes mellitus
Jodasová, Daniela ; Floriánková, Marcela (advisor) ; Kosheleva, Svetlana (referee)
English abstract: Aim: The primary objective of my bachelor thesis was to find out, what proportion of pediatric patients with type 1 diabetes have an increased risk of developing an eating disorder according to a standardized specialized questionnaire. Another aim of the work was to compare, whether the scores of these patients in the SCOFF questionnaire differ significantly, compared to their peers without diabetes. The secondary objectives were to determine, whether anthropometric data of patients and children from the control group correlated with the level of risk of eating disorder according to questionnaires and whether there is a correlation between the rate of diabetes control (expressed by glycated hemoglobin level and % glycaemia in the recommended range) and the results of the questionnaire survey in patients with diabetes. Methods: The data were obtained in a questionnaire survey in the diabetes outpatient department of Mrs. Jitka Kytnarová, MD, Ph.D. at the General University Hospital in Prague and in the diabetes outpatient department of Mrs. Magdalena Kubíková, MD at the Regional Hospital in Liberec. The questionnaire survey involved 36 patients with type 1 diabetes mellitus (DM1). The control group, which was paired by age and gender, also included 36 children and adolescents. Data...
Eating disorders in children before starting school
Zdeňková Kroužková, Pavlína ; Floriánková, Marcela (advisor) ; Kosheleva, Svetlana (referee)
Introduction: We have still too little information on the diagnostic, therapeutic procedures and nutritional risks of eating disorders in preschool children. Picky or evasive eating behavior can significantly affect the health and quality of life not only of the child, but also of his parents. Aim: The aim of this thesis was to identify possible risk factors that contribute to the development of eating disorders in preschool children. Methods: This is a questionnaire-type research work, carried out on individual cases, in which 21 preschool children with a psychiatrist-confirmed eating disorder were followed and then compared with a group of healthy children, paired by age and gender. The results were statistically processed in the STATISTIKA 12 software and MS EXCEL. Sample: The research group consisted of 21 children with eating disorders, a control group of 22 healthy children, paired by age and gender with the research group. Participants were selected using a simple deliberate selection based on availability and voluntariness. Results: The most significant risk factors, that may contribute to eating disorders (ED) in preschool children, were shorter period of exclusive breastfeeding, lower maternal weight gain during pregnancy, and psychiatric illness in the family. Mothers of children with ED...
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...
Nutritional disorders in patients with Huntington's disease
Procházková, Tereza ; Klempíř, Jiří (advisor) ; Kosheleva, Svetlana (referee)
OF THE BACHELOR THESIS This thesis deals with the issue of nutritional disorders in Huntington's disease. Huntington's disease is an incurable, neurodegenerative, autosomal dominant inherited disease. The prevalence of Huntington's disease in Western society is 10.6-13.7 / 100,000 individuals. The disease is manifested by disorders of free motor control, speech, swallowing, postural instability, cognitive deterioration and various behavioral changes. An integral part of the disease is unwanted weight loss. In the various stages of the disease, the causes of the development of nutritional disorders may differ and combine with each other. In the theoretical part, the chapters are devoted to the etiology and pathogenesis, pathology, clinical manifestations, forms and stages of the disease, nutritional disorders and their classification, methods of nutritional status examination and specific causes of nutritional disorders that occur in each stage of the disease. A special chapter focuses on the classification of nutritional disorders according to the European Society for Clinical Nutrition and Metabolism, which was applied in the research. The practical part aims to examine the nutritional status and evaluate eating habits in a group of patients with Huntington's disease through clinical and...
Anorexia nervosa in children and adolescents with a focus on clinical manifestations and anthropometric changes
Mikhaylova, Olga ; Floriánková, Marcela (advisor) ; Kosheleva, Svetlana (referee)
This diploma thesis deals with the issue of mental anorexia (AN), clinical and laboratory manifestations of the disease. The theoretical part is focused on summarizing the existing knowledge about the diagnosis, complications and treatment of AN. Attention is paid to the effects of the disease on individual organ systems and clinical and laboratory consequences. The practical part deals with the evaluation of laboratory parameters and clinical symptoms of patients monitored at the Department of Pediatrics and Inherited Metabolic Disorders, 1st Faculty of Medicine, Charles University and General Hospital in Prague. The performed clinical examinations include anthropometric measurements, bioimpedance, measurement of resting energy consumption by indirect calorimetry, measurement of skin algae with a caliper and comparison of the results of methods for determining the proportion of adipose tissue using a caliper and bioimpedances. All patients underwent EKG and cardiological examination, blood pressure measurement, heart rate. The laboratory examination was focused on the determination of serum protein levels, lipidogram, electrolyte levels, triiodothyronine and vitamin D. The aim of the practical part of the work was to find out what are the most common clinical manifestations and laboratory...
Nutritional Status in Patients with Huntington's Disease and Nutritional Support
Kosheleva, Svetlana ; Klempíř, Jiří (advisor) ; Růžičková, Lucie (referee)
Huntington's disease is a dominantly-inherited autosomal neurodegenerative disease manifested by disorders of motility, cognitive function, behaviour, and weight loss, which is conditioned multifactorially. The aim of the study was to determine whether there are eating disorders in Huntington's disease, as well as its etiology and severity. Neurological scaling, anthropometric examinations, evaluation of three-day diet records, measurements with a manual dynamometer, bioimpedance analyses, indirect colorimetry and predictions of energy expenditure were performed on 10 patients. Algorithms were applied for the diagnosis of sarcopenia and malnutrition. Unwanted weight loss was observed in all patients and 4 out of 10 showed malnutrition. No difference was found between the values of measured resting metabolism and calculated according to the predictive equation. However, it has been shown that strict nutritional recommendations based on this data can be misleading for some patients with HN, as real energy consumption can be significantly higher. All our patients had a positive energy balance. A new diagnostic algorithm for the early diagnosis of sarcopenia has proven its worth. Using bioimpedance analysis and examination of the force of the handshake, we identified possible sarcopenia and already-present...
Vitamin D and Its Determination in Patients with Type 1 Diabetes Mellitus
Kosheleva, Svetlana ; Kytnarová, Jitka (advisor) ; Flekač, Milan (referee)
Type 1 diabetes mellitus (DM1T) is a chronic autoimmune disease that leads to progressive loss of pancreatic β-cells. The incidence of this disease is effected by genetic factors and external environment. One of the possible non-genetic factors associated with the risk of DM1T is vitamin D deficiency. The purpose of this bachelor thesis was to determine the possible connections between serum levels of glycated hemoglobin-HbA1c and 25OH Vitamin D in pediatric and adult patients of the Clinic of Pediatric and Adolescent Medicine and 3rd Medical Department of the 1st Faculty of Medicine Charles University and General Fakulty hospital in Prague with diagnosis of diabetes mellitus 1.The group consisted of 57 patients: 17 pediatric patients with DM1T, 20 adult patients with DM1T and a control group of 20 adult patients with DM2T. Patients were randomly assigned to regular checkups as part of ongoing clinical examination. Serum levels of 25-OH vitamin D <10 ng/ml were evaluated as deficient, 10-30 ng/ml as insufficient and 30-80 ng/ml is sufficient. The results showed that vitamin D insufficiency occurs in all groups of the monitored patient population. The mean value of 25OH Vitamin D (25(OH)D) was 18.01±5.23 ng /ml in DM1T pediatric patients, 20.15±10.83 ng /ml in adult patients with DM1T and T...

Interested in being notified about new results for this query?
Subscribe to the RSS feed.