Fact sheetDiet specifications

Published on 1 Nov 2015


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 -
SandwichesAll, 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 -
DessertsAny, served with fruit

Jelly or custard without fruit

Plain cakes

Milk and cheese All -
Beverages All -
BiscuitsAll, 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

  1. Dietitians Association of Australia. Nutrition manual. 9th ed. Canberra: DAA; 2014.
  2. American Dietetic Association. Nutrition care manual. Chicago: ADA; 2009.
  3. 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.
  4. Slavin JL. Position of the American Dietetic Association: health implications of dietary fiber. J Am Diet Assoc 2008;108:1716-31.
  5. Food Standards Australia New Zealand. NUTTAB 2010 Online searchable database: foods that contain total dietary fibre.
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