Health educational background in the nutritional therapy of women after Gastric Plication in the age of 25 - 40 years

This Dissertation aims to document the influence of a nutrition therapist on the diet of female subjects in their reproductive age after gastric plication. The theoretical part clarifies the term "morbid obesity", it provides explanations for the main diagnostic criteria for this type of obesity, its risks, and last but not least it provides also a list of basic types of medical examinations of obese subjects. Another section of the theoretical part deals with weight-loss (bariatric) surgery where this term is described not only at a general level, but also specifically with the principle of gastric plication, indications as well as contraindications to this intervention. At the same time the Dissertation presents a Prague-based bariatric centre - OB klinika a.s., which is the only entity in the Czech Republic that deals with these activities. The last section in the theoretical part is focused on nutrition therapy and explains energy demands of human organism, describes healthy nutrition and clarifies essential features of obesity treatment, and it deals with the most important aspects as well - eating regime in the case of subjects after gastric plication. The practical part deals with 10 female subjects selected on a random basis, in the age category of 25 - 40 years of age, who underwent the gastric plication. Five of these subjects have been selected for the project entitled "New Chance" and they are monitored at a detailed level and follow the prescribed regime after gastric plication. The remaining five subjects undergo a standard post-operative regime. The five selected subject use menus prepared by a nutrition therapist and they are invited, in regular intervals, to visits with consultations regarding eating habits, drinking regime as well as any possible issues which may occur in the course of their treatment. With the help of tables and charts this part documents developments of weight reduction and at the same time it provides comparisons of changes before and after operation, especially in the areas important for a nutrition therapist