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Prevention of osteoporosis in malabsorption syndrome
Křížková, Ivana ; Zikán, Vít (advisor) ; Raška, Ivan (referee)
Introduction: The topic of this thesis is the Prevention of Osteoporosis in Malabsorption Syndrome. The thesis is divided into two parts; theoretical and practical. The theoretical work in the first part deals with osteoporosis and osteoporosis risk factors with a focus on nutritional factors. Osteoporosis is a systemic metabolic disease of the skeleton characterised by decreased bone mass and changes in the quality of bone tissue. The etiology of osteoporosis is multifactorial. Malabsorption syndrome causes the small intestine, which is essential for absorbing nutrients, to malfunction. In the second part of the theoretical work, attention is paid to malabsorption syndrome and diseases that lead to its development. Objective: The objective of this work is to draw a comparison between the intake of calcium and other important nutrients in relation to bone metabolism for people with lactose intolerance, and compare this with recommended values and a control group of people without lactose intolerance. Methods: Dietary habits were evaluated using a questionnaire method and a detailed analysis of a four-day diet. The Nutriservis Professional programme was used to evaluate diets (determine energy values, amount of essential nutrients, fibre, calcium, plus other minerals and vitamins). Bone mineral...
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Primary, Secondary and Tertiary Prevention in Children with Coeliac Disease.
PAPOUŠKOVÁ, Helena
Celiac disease is a lifelong disorder characterised by permanent intolerance to gluten and typical inflammatory changes in the small intestine. These changes lead to malabsorption of all nutrients, minerals, vitamins and water. The first attack of this disorder mostly occurs in childhood because the small intestine is greatly stressed by other nutrition supply. The only effective treatment is a lifelong gluten-free diet. This thesis, called Primary, secondary and tertiary prevention in children with celiac disease, consists of two parts; a theory part for which both professional publications and internet have been used and an empirical part, that comprises research itself with its results. The research target of this thesis was the sector of celiac disease occurring in children. Within the research, there were determined four objectives. The first objective was about to find out how primary, secondary and tertiary prevention is provided to children with celiac disease in GP ambulances for children and teenagers. Another task was to trace what profits the regime education brings to parents of children having celiac disease. We also dealt with the impact of the disease on the life of the child, his/her family and surrounding society. Then we investigated whether respondents take the help from outside, state support, institutions and in-kind assistance. In the empirical part of the thesis we used a method of qualitative research. For this research we chose a method of questionings through individual semi-structured interviews with two groups of respondents. The first group was made of nine nurses working in GP ambulances for children and teenagers having celiac disease. The second group was formed by nine children with celiac disease and their parents. The outcome of the research indicates that for quality health care supply it is important to obtain family anamnesis, carry out regular physicals in stated intervals within growth measurement monitoring and breastfeeding education and add other nutrition to diet. Monitoring suspicious symptoms, such as failure to thrive, inexplicable weight loss, growth retardation, abdominal pain, recurrent diarrhoea, digestive discomfort, dermatitis, stomatitis, anaemia, can soon detect celiac disorder. The secondary prevention is expressed by the work of nurses, such as biological material analysis, education, advice, help and support. Great urgency is given to risk factor monitoring, such as diabetes mellitus, Down syndrome, thyroid disorder, or genetic predispositions. The tertiary prevention is focused on the adaptation support of the child and his/her family to this chronic disorder, normal growth, and whole constitution examining and complication prevention. The outcomes indicate that the biggest problem of celiac people is financial burden of gluten-free food and also frequent limits in out-of- home eating. The financial burden of the diet influences, for example, vacation planning. It is necessary for the society to respect their disease, for example, canteens and teachers should have knowledge of the diet restrictions and provide suitable feeding. Furthermore, our findings show that only few families use financial support, because they are afraid of negative allowance examination because of their comfortable income. They mainly use allowance from Health Insurance Companies. On the grounds of the acquired information has been created an informative handout for the parents of the children with the celiac disease. The results of our research will be provided to the nurses who work in general practitioner ambulances.
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