Fibre modified diet - high > 25g
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 with increased dietary fibre.
Characteristics
A diet providing at least 25g dietary fibre per day by including plenty of wholegrain breads and cereals, vegetables, fruits, nuts and legumes. Daily menu provides prunes and dietary fibre supplement at breakfast, and fresh fruit or fruit dessert choice at other main meals.
Indications
- constipation
- diverticular disease
- irritable bowel.
Nutritional adequacy
Nutritionally adequate.
Precautions
A generous intake of fluid (at least two to three litres per day) should accompany a high-fibre diet. A fibre supplement (unprocessed bran or psyllium) should be offered at breakfast.
Paediatrics
Suitable for use in paediatrics when combined with an age-appropriate diet.
Specific menu planning guidelines
| Allowed | Not allowed | |
|---|---|---|
| Hot main dishes | All | - |
| Sauces, gravies | All | - |
| Starchy vegetables / pasta / rice | All | - |
| Vegetables | All | - |
| Soups | All | - |
| Sandwiches | All, made on wholemeal bread | - |
| Salads, dressings | All | - |
| Breads, cereals | Wholemeal / wholegrain and high-fibre white bread Breakfast cereals providing >3g fibre per serve (e.g. Weet-Bix™, Sultana Bran®, rolled oats, muesli) | White bread Other cereals (e.g. Corn Flakes®, Rice Bubbles®) |
| Spreads | All | - |
| Hot breakfast choices | All | - |
| Fruit | All fruit Prunes offered at breakfast each day | - |
| Yoghurt | All yoghurts | - |
| Desserts | Any, served with fruit | Jelly or custard without fruit Plain cakes |
| Milk and cheese | All | - |
| Beverages | All | - |
| Biscuits | All, preferably >1.5g fibre per serve (e.g. oatmeal, Shredded Wheatmeal™, Granita™) | - |
| Miscellaneous | Unprocessed bran, psyllium Nuts, coconut Sugar, sweetener, salt, pepper, herbs, spices | - |
References
- Dietitians Association of Australia. Nutrition manual. 9th ed. Canberra: DAA; 2014.
- American Dietetic Association. Nutrition care manual. Chicago: ADA; 2009.
- Anderson JW, Baird P, Davis RH, Ferreri S, Knudtson M, Koraym A et al. Health benefits of dietary fibre. Nutr Rev 2009;67:188-205.
- Slavin JL. Position of the American Dietetic Association: health implications of dietary fiber. J Am Diet Assoc 2008;108:1716-31.
- Food Standards Australia New Zealand. NUTTAB 2010 Online searchable database: foods that contain total dietary fibre.