Protein Enriched Diet
Description
The Protein Enriched Diet is elevated in protein from both animal and vegetable sources and exceeds the Dietary Goals recommendation of 15% of the calories as protein. It is designed to provide more than 1 gram of protein per kg (2.2 lbs.) of body weight and provides 120 grams of protein in nearly 3,000 calories of food intake.
The Protein Enriched Diet is used to treat protein malnutrition and patients in hypermetabolic conditions such as burns, fractures and some fevers. It is also used to manage some forms of reactive hypoglycemia which are not responsive to the high complex carbohydrate approach - see Carbohydrate Intolerance Diet. This diet is commonly used before and after surgery to promote wound healing, increase resistance to infections, and to protect the liver against the toxic effects of anesthesia.
The Protein Enriched Diet supplies more than adequate levels of all nutrients as established by the RDA's. However, individuals with kidney disease or liver dysfunction may not respond well on this diet because of elevated protein intake. If additional protein is required within a limited caloric level, non-fat milk or dehydrated milk can be added to such foods as mashed potatoes to increase the protein level. One and a third cup of non-fat dry milk to milk will double its protein content.
Sample Menu
Menu for One Day
Breakfast
1/2 c orange juice
1 tsp margarine or butter
1 egg (any style)
1 tbls jelly
1/2 c cooked oatmeal
Hot, noncaloric beverage
1 c whole milk - fresh
1 slice toasted whole wheat bread
Lunch
| 4 oz sliced turkey breast | 2 slices whole wheat bread |
| Sliced lettuce and tomato | 1/2 c steamed carrots |
| 1/2 banana | 1 c whole milk - fresh |
| 2 tsp margarine, butter, or mayonnaise |
Mid-Afternoon Snack
1/2 c grape juice
Dinner
| 5 oz broiled halibut | 1 c dark whole buckwheat (kasha) |
| 1/2 c steamed broccoli | 1 slice whole wheat bread |
| 4 apricot halves (no sugar) | 1 c whole milk - fresh |
| Hot, noncaloric beverage | 2 tbls oil and vinegar dressing |
| 1 c salad: romaine or Boston lettuce; sliced carrot, cucumber, mushroom, bell pepper, celery |
Bedtime Snack
| 1 c whole milk - fresh | 1 slice whole wheat bread |
| 1 tsp margarine or butter |
Total Calories For The Day: 3,100
Nutrient Content:
| Calories: | 3100 | Fat: | 30% |
| Protein: | 18% | Cholesterol: | 400mg |
| Carbohydrate: | 52% | Fiber: | 14g |
Food Exchange List
Bread and Cereal Exchange List: 7 or more servings/day
Recommended
| Whole wheat bread | White Bread (enriched) |
| Enriched Cereals | Enriched grains |
| Enriched pastas | Gelatin |
| Potatoes | Sweet potatoes |
| Beans (dried) | Green peas |
| Lentil |
Avoid
None
Fat Exchange List: 5 or more servings/day
Recommended
All
Avoid
None
Fruit Exchange List: 5 or more servings/day
Recommended
Fresh, frozen, or canned fruits, both whole and juice
Avoid
None
Meat and Meat Substitute Exchange List: 10 servings/day
Recommended
| Meat | Peanut butter | Fish |
| Poultry | Shellfish |
Avoid
None
Milk Exchange List: 4 or more servings/day
Recommended
Cream
Whole milk - fresh
Products made with whole milk or cream
Avoid
Skim milk
Milk - 2% fat
Vegetable Exchange List: 3 or more servings/day
Recommended
Fresh, frozen or canned vegetables, both whole and juice
Avoid
None
Miscellaneous Exchange List
Recommended
Soups made with cream or whole milk - fresh
Avoid
Alcoholic beverages
Fat-free soups and broths
Note: Include six to eight cups of fluids, such as water, per day.
References
Alpers, D.H., R.E. Clouse & W.F. Stenson. 1983. Manual of Nutritional Therapeutics. Little, Brown, and Company, Boston. 457 pp.
American Cancer Society. Facts on Prostate Cancer.
Committee of Dietetics of the Mayo Clinic. 1971. Mayo Clinic Diet Manual, 4th ed. W. B. Saunders Co., Philadelphia. 67 pp.
Iowa Dietetics Association. 1984. Simplified Diet Manual: with Meal Patterns, 5th ed. Iowa State University Press; Ames, Iowa. 108 pp.
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