Fact sheetDiet specifications

Published on 1 Mar 2017


Protein 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 at least 105g protein per day (i.e. ~120% of the full diet)

Characteristics

Full diet plus addition of extra high protein or protein-fortified foods and supplements. Often combined with a high-energy diet.

Mid meals should contain at least 10g protein.

Examples of midmeals:

  • AM: Half sandwich + flavoured milk + extras as desired
  • PM: Cheese and biscuits + flavoured milk + extras as desired
  • Supper: Portion-control liquid nutritional supplement + extras as desired

Milk-based desserts should be available at both lunch and dinner.

Indications

  • unintentional weight loss or inadequate food intake
  • protein energy malnutrition
  • high protein requirements (e.g. liver disease, burns)

This diet could be combined with the low energy diet for people with higher protein requirements but low energy requirements.

Nutritional adequacy

Nutritionally adequate.

Precautions

Dietitians may need to order high-protein supplements.

Paediatrics

Not suitable for use in paediatrics. Refer to the Therapeutic Diet Specifications for Paediatric inpatients: Protein - High Paediatric.

Specific menu planning guidelines

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

High-protein mashed potato
-
VegetablesAll-
SoupsOffer a Band 1 soup at each mealClear soups
SandwichesOne Band 1 sandwich offered at least twice per day-
Salads, dressingsSalads with at least 10g protein per serve-
Breads, cereals

All

-
SpreadsAll-
Hot breakfast choicesAll

Preference for protein containing foods (e.g. eggs, baked beans, yoghurt, cheese, sausages, bacon)
-
FruitAll fruit -
YoghurtAll yoghurts-
Desserts

Band 1 or 2 desserts should be offered at lunch and dinner

-
Milk and cheeseAll-
Beverages

All

Offer milk with all main meals and mid meals

-
BiscuitsAll-
Miscellaneous

High protein nutritional supplements, snacks, milks and beverages to be available

Sugar, salt, pepper, nuts and seeds, sweetener, cream, herbs and spices

Chocolate, lollies

-

References

  1. Dietitians Association of Australia. Nutrition manual. 9th ed. Canberra: DAA; 2014.
  2. Agency for Clinical Innovation. Nutrition Standards for adult inpatients in NSW hospitals. Sydney: ACI; 2011.
  3. Maher AK, editor; Iowa Dietetic Association. Simplified diet manual. 10th ed. Ames: Blackwell; 2007.
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