Izrada planova prehrane za djecu s alergijom na proteine kravljeg mlijeka

master's thesis

• Title (english): Development of menu plans for children with an allergy to cow's milk proteins
• Author: Adrijana Gudelj
• Mentor: Jasenka Gajdoš Kljusurić (mentor)
• Committee member: Suzana Rimac Brnčić (predsjednik povjerenstva)
• Committee member: Ana Jurinjak Tušek (član povjerenstva)
• Granter: University of Zagreb; Faculty of Food Technology and Biotechnology; (Department of Process Engineering); (Laboratory for Measurement, Regulation and Automatisation); Zagreb
• Defense date and country: 2022-09-28, Croatia
• Scientific / art field, discipline and subdiscipline: BIOTECHNICAL SCIENCES; Nutrition

Abstract

Cilj ovog diplomskog rada je bio izrada zamjenskih vrtićkih jelovnika u aplikaciji „Dijetetičar“ kod djece s alergijom na proteine iz kravljeg mlijeka u dobnoj skupini do 3 godine te utvrđivanje u kojoj mjeri se oni mogu nutritivno i organoleptički uskladiti sa standardnim vrtićkim jelovnicima. Obzirom da se većinom kravlje mlijeko zamjenjuje biljnim napitkom, glavno pitanje je bilo koji je biljni napitak najbolja zamjena obzirom na nutritivne vrijednosti, ali i senzorsku prihvatljivost. Prilikom istraživanja korišteni su standardni jelovnici dječjeg vrtića „Radost“ u Splitu. Navedeni jelovnici su u aplikaciji „Dijetetičar“ evaluirani na energetsko-nutritivnoj razini. Prilikom unosa trenutnih jelovnika dječjeg vrtića „Radost“ u aplikaciju uočen je značajan energetski suficit. Nadalje, prilikom zamjene kravljeg mlijeka sa zobenim, najboljom referencom biljnih napitaka, u korigiranim jelovnicima uočen je minimalni deficit u eneregiji i vrijednosti masti koji su nadoknadljivi te se ustanovilo da se zobeni napitak može koristiti kao adekvatna zamjena. Althera je ekstenzivno hidrolizirana, hipoalergena formula na bazi sirutke koja se smatra najadekvatnijom zamjenom u prehrani dojenčadi i djece alergične na proteine kravljeg mlijeka. Prilikom zamjene kravljeg mlijeka s Althera napitkom u korigiranim godišnjim jelovnicima dobiveni su minimalni energetski deficiti od 0,47% obzirom na Pravilnik o izmjeni i dopuni Programa zdravstvene zaštite djece, higijene i pravilne prehrane djece u dječjim vrtićima, koji su zanemarivi. Udio kalcija i vitamina D u Altheri je veća nego u biljnom napitku- zobenom, međutim, i dalje nedostatna ukoliko ju uspoređujemo s vrijednostima kalcija i vitamina D u kravljem mlijeku.

Abstract (english)

The goal of this thesis was to create substitute kindergarten menus in the “Dietitian” application for children with an allergy to cow's milk proteins in the age group up to 3 years, and to determine to what extent they can be nutritionally and organoleptically harmonized with standard kindergarten menus. Considering that mostly cow's milk is replaced by plant based drink, the main question is which vegetable milk is the most suitable terms of nutritional values, as well as sensory acceptability. The standard menus of the “Radost” kindergarten in Split were used for study. The mentioned menus were evaluated in the "Dietitian" application on the energy-nutritional level. When entering the current menus of the "Radost" kindergarten in the “Dietitian” application, a significant energy surplus was observed. Furthermore, when replacing cow's milk with oat milk, determined to be the best representative of plant milks, a minimal deficit in energy and fat value was observed in the corrected menus, which are compensable, and it was established that oat milk can be used as an adequate substitute. Althera is an extensively hydrolyzed, hypoallergenic, whey based formula that is considered the most appropriate substitute for feeding infants and children with cow's milk proteins allergy. When replacing cow's milk with Althera drink in the corrected annual menus, minimal energy deficits were obtained with regard to the Ordinance, which are negligible. The value of calcium and vitamin D in Althera is higher than in plant based drink- oats, however, it is still insufficient if we compare it with the values of calcium and vitamin D in cow's milk.

• Keywords: alergija; proteini kravljeg mlijeka; djeca; plan prehrane
• Keywords (english): allergies; cow's milk proteins; children; diet plan
• Language: croatian
• URN:NBN: urn:nbn:hr:159:704372
• Study programme: Title: Nutrition; Study programme type: university; Study level: graduate; Academic / professional title: magistar/magistra nutricionizma (magistar/magistra nutricionizma)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2023-06-16 09:09:23