Plan a high-fibre menu for a 45-year-old woman with chronic constipation and calculate its energy, protein and fibre.
How to lay out the answer. Follow the frame, then write it in your own words.
1 · Aim. To plan a high-fibre menu for Mrs. C and calculate its energy, protein and fibre.
2 · Principles.
Fibre 25-40 g, raised gradually
Fluid 2.5-3 L
Regular meals and a fixed toilet time; daily walking
Limit refined foods; use figs, papaya, curd
3 · Nutrient prescription. IBW = 54 kg; energy 54 × 30 ≈ 1600 kcal; protein 54 g; fibre 30-40 g; fluid 2.5-3 L.
4 · Foods to include and limit. Include unsieved atta, broken wheat, whole grams, greens, salads, guava, papaya, figs, buttermilk; limit maida, white bread, biscuits.
5 · Sample menu. [Table: Time | Menu | Amount, starting with warm water and figs]
6 · Calculation. [Table: food group | amount | energy | protein | fibre] Total about 1619 kcal, 54 g protein and 43 g fibre.
7 · Result. The menu gives about 1619 kcal, 54 g protein and 43 g fibre, meeting the prescription.
8 · Preparation tips. Do not sieve atta, keep skins on, raise fibre slowly, water with every meal.
Scoring tip: Add a fibre column to your calculation table; it is the number the examiner checks first in this case.
