engleski

Mediterranean diet in Croatian hospitals – step in treating obesity

Background: Overweight and obesity rates have been increasing over the recent decades, and today are considered to be one of the major causes for a number of chronic diseases, including diabetes, cardiovascular diseases and cancer. According to Croatian Institute of Public Health, 57.4% of Croatians have excessive body mass, of which 18.7% are obese. European obesity guidelines point that Mediterranean-type dietary pattern have benefits in reducing weight, but only if associated with regular physical activity. Study conducted in University Hospital Dubrava on 24 obese patients showed results in implementing energy restricted Mediterranean diet, using computer program “Dietitian”, UH Dubrava, in body weight reduction along with other biomarkers. Methods: Department of Nutrition and Dietetics participates in group treatment of obesity along with individual treatment with Division of Endocrinology, University Hospital Centre Zagreb. Primary goal of dietetians is to educate patients to establish healthy eating and lifestyle habits to improve health outcome. Mediterranean diet is considered to be most beneficial in achieving mentioned dietary and lifestlye habits. During their stay in 5-day group treatment, patients are adapted to energy restricted Mediterranean diet, complied with personal energy requirements and health status and in accordance with Croatian Standard for Nutrition of Patients in Hospitals. Results: Mediterranean diet menus are made using computer program “Dietitian”, UHC Zagreb. They are 15–30% decreased in energy intake from habitual intake in a weight-stable individual. Also evenly distributed macronutrient intake, adequate intake of vitamins, minerals, fiber and essential nutrients were assured. Patients are educated how to implement Mediterranean dietary regimen tailored to their individual needs in everyday life. Conclusion: A total of 190 patients in 5-day group treatment in period of 3 years lost together arround 849.4 kg. Special designed Mediterranean diet in hospitals, can have the best chance for long-term success in reducing weight.

Mediterranean diet ; Obesity ; Croatian hospital

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