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Dietetic measures in children with cow's milk intolerance
SOLDÁTOVÁ, Kateřina
The thesis focuses on dietary measures for children suffering from intolerance to cow´s milk. This topic is still relevant since there is a continuous increase of children suffering from CMPA or lactose intolerance, and dietary measures serve as the elemental medical treatment. The purpose of the thesis was to become familiar with dietary measures suitable for children who are affected by the illness alongside with symptoms, diagnosis and the course of the intolerance to cow's milk. The thesis is divided into two parts, theoretical and practical one. The theoretical part describes the proper nutrition for children in the neonatal, infant and toddler age. Futher, it is stated what are the benefits of breastfeeding for both the baby and the mother, and what complications may cause the inability to breastfeed. Futhermore, the thesis describes in detail the composition of breast milk, cow's milk and the distribution of artificial milk. There is also the availability of the artifical milk for the Czech market introduced in the practical part. In addition, there are generally reported adverse reactions to food. In the section of adverse reactions to food I focus mainly on food allergy where I concentrate on CMPA. Simultaneously I focus on food intolerance where I describe lactose intolerance. The qualitative research method was used for the practical part of the work. It was executed with in-depth semi structured interviews with mothers of children suffering from the illness. These interviews consisted of two sets of questions. The first set of questions was aimed to mothers of children with CMPA and the second one to mothers of children with lactose intolerance. The research group contained 5 children from birth to age of 5 from South Bohemia and interviews were held with their mothers. These interviews were conducted anonymously and mothers of the children were identified as respondents no. 1 5. R1, R2 and R3 where mothers of children with CMPA and R4, R5 were mothers of children with lactose intolerance. To find respondents for the research the "snowball" method was used. Based on the goals of the thesis two research questions have been established. The first question dealt with how mothers were familiar with their children's diet and the illness itself. Research also revealed that almost all mothers were not satisfied with the approach of doctors to health problems of their children. Several mothers have even changed doctors. In most cases they searched for detailed information about the illness as well as dietary measures on the internet because the information received from the doctor were insufficient. Finally almost all of them investigated the worsening state of health by themselves serving given food to their children. Using this method the mothers found out whether the given food should have been omitted from the diet. The interviews have shown that all respondents have received at least brief background information from the general practitioner. The second question was, what were the components of diet for children suffering from the illness. In all the interviews, mothers of children with CMPA identically stated that they excluded all of mammalian milk and dairy products from their children's diet. Solely a breastfeeding mother eliminated these food products also from her diet. The research also revealed that all respondents eliminated other potencial allergenic foods from the diet. Two respondents also substituted calcium with tablets in their diet. Mothers of children with lactose intolerance consistently stated that they excluded all food and products that contained lactose from the child's diet and were still looking for what products and foods that could become a part of their child's diet. They also indicated that they had to stop breast-feeding a baby and establish a milk replacement in the form of low lactose artificial milk since their child had had health problems even when exclusive breastfeeding.
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Nutrition of infants and toddlers with allergies to cow's milk protein
VAVEROVÁ, Petra
The main objective of the thesis titled Nutrition of Infants and Toddlers with Cow's Milk Allergy is to outline the course of the disease and to present solutions to it. Another objective is to determine the frequency of milk allergy in the paediatrician's office. The thesis also aims to present a list of medical products for this type of disease. The theoretical part of the thesis deals with the classification of milk allergy in food allergies. Further, it discusses breast milk as the most important food for infants and the difference between breast milk and cow's milk. Finally, it discusses the very disease of cow's milk allergy, its prevalence, where and how it manifests most, methods of its diagnosing, and treatments available. In the end of the theoretical part, we deal with a list of artificial infant food suitable for children with cow's milk allergy. The research part of the thesis was developed by using qualitative research conducted through interviews with a dual focus with paediatricians. The first type of interviews with various paediatricians and a specialist physician were devoted to their knowledge, opinions, and information interesting for cow's milk allergy. The second type of interviews was aimed at patients with cow's milk allergy. These aimed to determine the course of the disease and diagnostic tests to identify the presence of the disease. Furthermore, they addressed the question of nutrition and current status of such patients. The theoretical part also includes an overview and evaluation of products of artificial infant food suitable for children with cow's milk allergy and in Nutriservis profesional I created a weekly diet for a child with an allergy to cow's milk protein.
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