Manual of Clinical Nutrition

(Brent) #1
Medical Nutrition Therapy for Disorders of Lipid Metabolism

Manual of Clinical Nutrition Management C- 54 Copyright © 2 013 Compass Group, Inc.

Food Guide - LOW SATURATED FAT, LOW CHOLESTEROL OR TLC DIETS (Cont.)
FOOD GROUP FOODS ALLOWED FOODS EXCLUDED
Fats & Oils
Limit to 6 to 8
tsp or portions
a day,
including fat
used in cooked
products.

Unsaturated trans fat free vegetable oils:
canola, safflower, sunflower, corn, peanut,
olive, soybean. Margarine in which the
first ingredient is “liquid” oil.
Diet margarine. Nonfat butter substitutes.
Nonstick spray. Nonfat or fat-free salad
dressing or mayonnaise.
Fat-free cream cheese and sour cream

Saturated fats & oils: butter, coconut oil,
cocoa butter, palm kernel oil, lard, or bacon
fat. Margarine or shortenings in which the
first ingredient is a partially hydrogenated
oil or animal fat. Margarines containing
trans fat. Dressings made with egg yolk,
bleu cheese, or sour cream. Coconut,
chocolate, commercial dips.
Low-fat or “light” cream cheese or sour
cream

 Olives* (5 large)
 Nuts (1 oz = 3 tsp fat)
 Avocado (1/8 med)
 Mayonnaise-type dressing (2 tsp)

Foods with hidden fat:
 Biscuit* (2”) 1 tsp of fat
 Cornbread* (2” cube) 1 tsp of fat
 Muffin (small) 1 tsp of fat
 Salad dressing (1 Tbsp)
 Peanut butter (2 Tbsp =3 tsp of allowed
fat)

 Pancakes (2) 1 tsp of fat
 Stuffing/dressing (½ cup) 1 tsp of fat
 Cake (3” square) 1 tsp of fat
 Fruit pie (1” wedge) 1 tsp of fat
 Cookies (2 to 2”) 1 tsp of fat
These foods are acceptable if prepared
homemade with oil or “liquid” margarine.
Count the “hidden” fat in these foods
toward the daily fat allowances.

Soups Broth type made with allowed ingredients.
Cream soups. Condensed cream soups.*

Sugar & sweets
“Fat-free” frozen desserts, cakes, and cookies;
angel food cake; sherbet, sorbet, gelatin;
occasionally ice milk, low-fat yogurt
Syrups: chocolate (made with cocoa),
strawberry, etc.
Cookies: graham crackers, gingersnaps,
animal crackers, fig bars, vanilla wafers
Pudding made with fat free milk
Hard candy

Commercial baked goods: pies, cakes,
cookies, doughnuts, pastries; ice cream,
brownies, fudge topping, milk chocolate
candy

*High in salt. Individuals limiting their salt intake should avoid these foods.


For patients on sodium restrictions, use the following sample daily meal plans.

Food Group Number of Servings
2000 mg sodium

Number of Servings
1500 mg sodium
Bread, Cereals, and Grain Products
(150 mg/serving)

6 regular bread or cereal items 5 regular bread or cereal items

Vegetables/Fruits (10 mg/ ½ c
serving)

5 5


Meat, Fish, Poultry and Eggs (60
mg/ 1 oz)

6 6


Milk and Dairy (150 mg/serving) 3 2
Fats (100 mg/serving) 1
7 - 8 unsalted

0 (regular)
7 - 8 unsalted
Soup (unsalted only) Calculate into diet Calculate
Sugar & Sweets Read label and calculate into diet Read label and calculate into diet
Total Sodium 1760 mg 1460 mg
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