Fact sheetDiet specifications

Published on 1 Nov 2012


Protein diet - high

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

Aim

To provide a diet containing approximately 120% protein (average 15g extra per day) than can be achieved on the full diet alone. This diet also provides approximately 125% energy of the full diet.

Characteristics

Full diet plus addition of extra high protein foods and supplements. Often combined with a high energy diet. Extra serves and large serves to be available. Mid meals should contain protein.

Mid-meals:

  • AM: Half protein containing sandwich + full fat protein enriched milk + extra as desired
  • PM: Cheese and biscuits + full fat protein enriched milk + extras as desired
  • Supper: Yoghurt + extras as desired

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

Indications

  • weight loss or decreased food intake
  • protein energy malnutrition
  • failure to thrive
  • inability to eat sufficient volume (e.g. disability, may be combined with texture modified)
  • oncology
  • burns
  • respiratory conditions
  • congenital cardiac anomalies
  • liver failure.

For Cystic Fibrosis, see separate CF diet.

Nutritional adequacy

Nutritionally adequate.

Precautions

Dietitians may need to order high-protein nutritional supplements.

Specific menu planning guidelines

Allowed Not allowed
Hot main dishes

All

Extra serves to be available

Add cheese to main dishes where appropriate

-
Sauces, gravies

All

Include white sauces/cheese sauces

-
Starchy vegetables/pasta/riceAll. High-protein mashed potato made with skim milk powder and milk and/or cheese topping -
Vegetables All -
Soups

Cream soups, high-protein soups made on milk and added skim milk powder

Offer Band 1 soup containing at least 5g protein at 2 meals per day

Clear soups
Sandwiches

All with protein containing filling such as meat, chicken, fish, eggs, cheese or peanut butter

All Band 1 sandwiches providing at least 10g protein per serve

-
Salads, dressingsOne Band 1 salad per day containing at least 20g protein, all others to be Band 2 providing at least 10g protein per serve -
Breads, cereals

All

-
Spreads All -
Hot breakfast choicesAll to contain protein (e.g. eggs, baked beans, bacon, sausage) -
Fruit

All fruit

Preferably served with yoghurt or custard

-
Yoghurt All -
Desserts

All others

High-protein custards made on milk and skim milk powder/egg

Offer one Band 1 dessert at 2 meals per day

Fruit or jelly served without milk dessert, ice-cream
Milk and cheese

All

Fortify milk with skim milk powder

Offer milk drink with every meal and at mid-meals

All cheeses

-
Beverages

All

-
Biscuits All -
Miscellaneous

One choice per midmeal to contain protein (e.g. cheese/Band 1 dessert/milk/Band 1 sandwich)

Extra midmeals to be available

High-protein nutritional supplements

Sugar

-

References

  1. Agency for Clinical Innovation. Nutrition standards for paediatric inpatients in NSW hospitals. Sydney 2011.
  2. Agency for Clinical Innovation. Nutrition standards for adult inpatients in NSW hospitals. Sydney 2011.
  3. Dietitians Association of Australia. 2009. Nutrition Manual 8th ed. Canberra: DAA.
  4. American Dietetic Association. Paediatric Nutrition Care Manual. Chicago: ADA.
  5. Iowa Dietetic Association. 2007. Simplified Dietetic Manual. 10th edition. Ames: Blackwell.
  6. Sydney Children’s Hospital Network factsheets: High Energy Eating for Infants and High Energy Eating for Children.
  7. Shaw V and Lawson M. 2007. Clinical Paediatric Dietetics. 3rd Edition. Blackwell Publishing.
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