Fibre modified diet - moderate < 20g
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 moderately low in dietary fibre.
Characteristics
A diet providing less than 20g dietary fibre per day by avoiding foods that are high in dietary fibre and resistant starch.
Indications
- acute phases of inflammatory bowel disease and diverticulitis.
- gastrointestinal symptoms after radiation therapy or gastrointestinal surgery
Nutritional adequacy
Not nutritionally adequate; nutrients that may be inadequate include fibre, folate and magnesium.
Precautions
None.
Paediatrics
Suitable for use in paediatrics when combined with an age-appropriate diet.
Specific menu planning guidelines
| Allowed | Not allowed | |
|---|---|---|
| Hot main dishes | Main meals <3g fibre per serve Plain roasted and grilled meats, poultry and fish Plain omelettes Tofu Other wet dishes with low vegetable content | All dishes containing nuts, legumes or high vegetable content |
| Sauces, gravies | All | - |
| Starchy vegetables / pasta / rice | <1.5g fibre per serve, e.g. mashed and boiled potato, white rice and pasta | Jacket and roasted potato Brown rice or pasta |
| Vegetables | <1.5g fibre per serve, e.g. well-cooked cauliflower florets, pumpkin, green beans, zucchini, squash, carrots | Vegetables with >1.5g fibre per serve |
| Soups | Soups with <1.5g fibre per serve e.g. Clear broths, chicken noodle soup Strained cream soups | Soups with >1.5g fibre per serve |
| Sandwiches | Sandwiches made on white bread with meat, fish, egg and / or cheese fillings | Wholemeal, wholegrain, rye or high-fibre white bread Vegetables (e.g. tomato, pickles) |
| Salads, dressings | None | - |
| Breads, cereals | White bread Breakfast cereals providing <3g fibre per serve (e.g. Corn Flakes®, Rice Bubbles®, rolled oats, semolina) | Wholemeal, wholegrain or rye bread High-fibre white bread Other cereals (e.g. Weet-Bix™, muesli, bran cereals) |
| Spreads | Honey, Vegemite™, jam, mayonnaise | Marmalade, peanut butter |
| Hot breakfast choices | Eggs, plain omelette, grilled bacon, tinned spaghetti, mushrooms, tomatoes (vegetables <1.5g/serve), sausages | Baked beans |
| Fruit | Up to two serves per day: canned fruit <2.5g fibre per serve (e.g. peaches, apples, two fruits, pears) | All fresh and dried fruit Canned pineapple, apricots, plums, fruit salad, cherries, berries, prunes |
| Yoghurt | All yoghurt, fruit and plain | - |
| Desserts | Plain milk puddings, e.g. custards, creamy rice Ice-cream, jelly Plain cakes and puddings | Any desserts containing fruit, e.g. sultana custard Cakes made with wholemeal flour, fruit, nuts, coconut or bran Vegetables |
| Milk and cheese | All | - |
| Beverages | Tea, coffee, milk, cordial, soft drinks Milo®, Aktavite® Other juices | Prune juice |
| Biscuits | All others (e.g. Milk Arrowroot™, Milk Coffee™ | Biscuits made with wholemeal flour, fruit, nuts, coconut, bran or vegetables (e.g. carrot) |
| Miscellaneous | Cream, sugar, salt, pepper Sweetener | Psyllium, oat bran, nuts |
References
- Dietitians Association of Australia. Nutrition manual. 9th ed. Canberra: DAA; 2014.
- American Dietetic Association. Nutrition care manual. Chicago: ADA; 2009.
- Maher AK, editor; Iowa Dietetic Association. Simplified diet manual. 10th ed. Ames: Blackwell; 2007.
- Food Standards Australia New Zealand. NUTTAB 2010 Online searchable database: foods that contain total dietary fibre.