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The role of dietitian in education of patients with histamine intolerance
Erban, David ; Humlová, Zuzana (advisor) ; Meisnerová, Eva (referee)
Aim of thesis: The aim of the research was to evaluate whether individual education by a clinical dietitian has a positive effect on the overall treatment of patients suffering from histamine intolerance. Methods: Eighteen patients with histamine intolerance attending the allergy outpatient clinic of the Department of Immunology and Microbiology of 1st Medical Faculty and General University Hospital in Prague were selected for the study. All eighteen of them completed the study. Before education, the patients filled in a questionnaire and blood was taken for subsequent analysis. This was followed by an approximately one-hour consultation with a clinical dietitian, from which each patient also received an individually created output. Patients also had the opportunity to contact the clinical dietitian with any questions via email. After three months, the patients again completed the questionnaire and blood was drawn again for subsequent analysis. Based on this information, it was compared whether or not the patients with histamine intolerance had improved their clinical symptoms and quality of life due to education by the clinical dietitian. Three respondents developed the acute respiratory disease at the beginning of the study, so it was not possible to collect blood from them before education. In...
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Diet of Patients with Histamine Intolerance and General Knowledge about this Issue in the Czech Republic
VRÁNKOVÁ, Jana
The topic of this thesis is nutrition in patients with histamine intolerance and the general knowledge about this issue in Czechia. The theoretical framework describes the hista-mine function in human body, following chapters are dedicated to the mechanism of histamine intolerance itself, its clinical manifestation, diagnostics and treatment. In the practical part, two goals were established. The first goal was a comparison of knowledge about this issue between general public and expert community. The second goal was to determine knowledge about this topic in patients with histamine intolerance. For the first goal, quantitative research using scored questionnaire was used. This form was answered by 280 respondents from both expert and general public fields. For the second goal, qualitative method was chosen, using a questionnaire with broader scope. The questions were focused on clinical manifestation, diagnostics, treatment and general knowledge regarding histamine intolerance. Sampling in qualitative research consisted of 20 respondents, patients with histamine intolerance. Also, as part of the qualitative research, the diet of the respondents with histamine intolerance was analyzed using "Nutriservis" software. In the quantitative research, comparing awareness of histamine intolerance, the experts proved to be more successful based on the points scored. This difference, however, was not very significant. In the quantitative research, the fundamental results corresponded with the data from other professional studies in this field, citing gastrointestinal issues as the most common. Also, the difficulty in diagnosing HIT was affirmed, given that in 60% of respondents it took years before HIT was diagnosed. The dietary analysis has shown substantially lower energy intake in patients following the initial strict elimination diet. My work can, to some extent, increase the public awareness about histamine intolerance.
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