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Evaluation of the nutrition diversity and fulfillment of nutritional requirements of clients in a selected medical facility
JÍLKOVÁ, Kateřina
The thesis is focused on the evaluation of dietary diversity and nutritional composition of menus in a psychiatric hospital. The aim is to assess the level of dietary diversity of the clients and the fulfilment of their nutritional requirements in terms of energy and nutrient intake. The theoretical part introduces the topic of rational nutrition, according to which the diet that patients eat in the facility is drawn up, and the link between alcohol consumption and the absorption of major nutrients and micronutrients is also highlighted. The actual follow-up took place in the selected psychiatric hospital in 2022 and 2023. In terms of dietary diversity assessment, one month was selected in each season (January, March, June, September) and within this month, the third week was always selected in which the nutritional intake from the daily diet provided by the facility was determined. The nutritional composition of the weekly diets was determined using publicly available databases. The weekly nutrient intake was compared with the nutrient requirement standard for the adult population as determined by DACH (2019). Based on the results, it can be concluded that protein intake was higher than the established norm in all months. On the other hand, carbohydrate intake was found to be deficient in all the four months. Magnesium intake also proved to be deficient and did not reach the recommended intake in any of the months. The intake of thiamine was positive and was almost identical to the recommended daily intake. An assessment of the diversity of the monthly diets revealed that almost all food groups (milk and dairy products, fruit, vegetables, fish) were under-represented in the diet. The inclusion of legumes in the diet was met in the summer, winter and spring months. In the statistical evaluation, no significant differences were found between the months studied.
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