Fact sheetDiet specifications

Published on 1 Nov 2011 ; Partial revision Jul 2019


Energy diet - high

This document is part of the ACI Diet Specifications for Adult Inpatients. It is not to be used for patient education.

Aim

To provide a diet containing more energy than can be achieved on the full diet alone.

Characteristics

Full diet plus extra foods and supplements. Often combined with a high-protein diet.

Typical default mid-meals:

  • AM: Half sandwich + flavoured milk + extras as desired
  • PM: Cheese and biscuits + flavoured milk + extras as desired
  • Supper: Flavoured milk + extras as desired

Indications

  • unintentional weight loss or decreased food intake
  • anorexia nervosa
  • in combination with other therapeutic diets that may result in reduced energy intake (e.g. low protein).

Nutritional adequacy

Nutritionally adequate.

Precautions

Dietitians may need to consider ordering high-energy supplements. An additional protein source (e.g. a boiled egg) may be offered at a main meal for people with high protein requirements or large body weight. For anorexia nervosa patients, care may be required to limit low-energy vegetable intake.

Not to be combined with diets that restrict fat or sugar.

Paediatrics

Not suitable for use in paediatrics.

Specific menu planning guidelines

Allowed Not allowed
Hot main dishesAll-
Sauces, graviesAll-
Starchy vegetables / pasta / riceAll

High-energy mashed potato
-
VegetablesAll, with added margarine-
SoupsAll othersClear and low-fat soups
SandwichesAll-
Salads, dressingsSalads offered once a day only-
Breads, cereals

All bread

Cereals served with cream

-
SpreadsAll-
Hot breakfast choicesAll-
FruitCanned fruit + glucose / dextrose polymer available at all meals-
YoghurtFull-fat yoghurtsLow-fat and diet yoghurts
Desserts

All

Serve thin cream with cakes

-
Milk and cheeseAll, preferably full fat-
Beverages

All others, including soft drinks

Juice with glucose / dextrose polymer at all meals when juice is available

Low-joule cordial
BiscuitsAll-
Miscellaneous

Glucose / dextrose polymer (e.g. Polycose®) added to foods and beverages

Nutritional supplements

Sugar

Sugar substitutes

References

  1. Dietitians Association of Australia. Nutrition manual. 8th ed. Canberra: DAA; 2009..
  2. American Dietetic Association. Nutrition care manual. Chicago: ADA; 2009. [accessed 26 April 2010].

Change log

July 2019

Section updatedChange
Specific menu planning guidelines - Miscellaneous In Not Allowed, deleted Low-fat dressings
Specific menu planning guidelines - Desserts In Allowed, deleted others (i.e. will be just All)
In Not Allowed, deleted Fruit or jelly served without milk dessert, ice-cream or cream
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