bariatric diet guidelines: pre-testing tricia mah ms,rd and aisling mc ginty ms, rd....
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Bariatric Diet Guidelines: Pre-testing
Tricia Mah MS,RD and Aisling Mc Ginty MS, RD. Dietitian/NutritionistThe Center for Bariatric Surgery and Metabolic Disease
Topic: Summary
Stage 1 Diet: Clear Liquid Diet
4 x 4 Rule
Protein Supplement
Daily Vitamin & Mineral Supplements
Physical Activity
Stage 1 Diet: Clear Liquids
Gastric Bypass: 1 week of clear liquids
Lap Band: 2 weeks of clear liquids
Stage 1 Beverages: Clear Liquids
Crystal light® Herbal tea( decaf) Diet Gelatin DIET Twister DIET Snapple ® DIET Ocean Spray
Cranberry Sugar free Kool-Aid Broth/Consommé
Diet V8 Splash ® Country Time Diet
Lemonade ® Wyler’s diet
lemonade
Sugar free ice pops
Flavored Water Options
Water Dasani Flavored Water Hint Flavored Water Fruit20
Aquafina Flavor Splash Propel Water Smart Water
READ the nutrition label!!!
*NO calories (<5-10kcal)
*NO sugar
*NO carbonation
What to Find on the Hospital Tray
Clear Liquid Diet: Tray ContentsWaterDiet Jell-oTea (non-caffeinated)Soup/Broth Juice
Must dilute 1:1 with water Recommend: Avoid juices once discharged from hospital
4x4 Rule
4 x 4 Rule
Drink 1 oz per hour for the first 4 hours. Remember to sip slowly!
= 1 oz
Drink 2 oz per hour for the next 4 hrs.
=2 oz
4 x 4 Rule
Drink 3 oz per hour for the next 4 hrs.
= 3 oz
Drink 4 oz per hour for the next 4 hrs.
= 4 oz
4 x 4 Rule
Start with 1 oz/ hr- sipped slowly.
Increase in 1 oz increments every 4 hoursGoal rate: 4 oz per hour
Fluids
Drink 48 to 64 oz each day
Avoid sweetened, caffeinated, carbonated beverages
Do NOT use a straw
STOP drinking if you feel fullness, pain or discomfort
Fluid Journal
Record ALL liquids consumed
4 oz EVERY hour for 12-16 hours per day.
Record total ounces per day
Protein Shake
Begin the day after you go home from Hospital
Minimum protein goal 70grams per day
May be mixed with Skim milk, Skim milk plus, 1% milk, Soy milk, Water, Crystal Light.....
Nutrition FactsServing Size: 1 level scoop (~24g)
Amount per Serving
Calories 90 Calories from Fat 15
% Daily Value *
Total Fat 1.5g 2%
Saturated Fat 1g 5%
Cholesterol 30mg 10%
Sodium 80mg 3%
Potassium 160mg 5%
Total Carbohydrate 2g 1%
Dietary Fiber 0g 0%
Sugars 0g
Protein 18.0g 37%
Protein Supplement Worksheet
Protein Powder Name:
Nutrition Label: Serving Size: 1 scoop Protein Grams
Designer Whey Protein
_____18____
Protein Content: BeveragesBeverage Type: Protein Content in 4oz:
Skim Milk Plus 5.5 grams
Skim Milk 4.0 grams
Soy Milk 3.0 grams
Lactaid Milk 4.0 grams
Water 0.0 grams
Crystal Light 0.0 grams
X
Protein Supplement Worksheet
_______Grams of Protein in Beverage
_______Grams of Protein in 1 Scoop
_______Grams of Protein in ONE SHAKE!!!!
5.5
18
23.5
+
Protein Supplement Worksheet
Circle One:
1 2 3 4 5 Shakes Needed Per Day to get at least 70 grams of Protein!!
Daily Multivitamin and Mineral
Schedule
Daily Vitamin and Mineral Schedule
My schedule Time Sample Schedule
Time:
Multivitamin 7:00am
Calcium: 500mg
12:00pm
Calcium: 500mg
5:30pm
Iron 9pm
Daily Vitamin and Mineral Schedule
MultivitaminMultivitamin Chewable or Liquid form Chewable or Liquid form
Calcium CitrateCalcium Citrate with with vitamin Dvitamin D
Do NOT take calcium with iron Do NOT take calcium with iron Take 2-4 hours apart!Take 2-4 hours apart!
500mg of calcium at one time. 500mg of calcium at one time.
Multivitamin and Protein
Begin your daily vitamin/minerals and protein shake the day AFTER you get home!
You will need to take multivitamins for the rest of your LIFE!
MOVE!
Immediately following surgery get up and move!
Helps get rid of excess gas
Decrease potential health risks- pulmonary embolus, blood clots
MOVE!
At home: walk inside and outside. This is your responsibility!Record exercise in journal and bring to visits.
As tolerated slowly incorporate treadmill,
stationary bike, elliptical, chair exercises.Swimming: incorporate once wounds heal.
Summary
Only clear liquids are allowed
Juices in hospital must be diluted 1:1 with water
Do NOT use a straw
Avoid caffeinated and carbonated beverages
Start off with 1 oz of liquids sipped slowly over 1 hr. Use the 1 oz cups provided.
As tolerated, fluids will be gradually increased in 1 oz increments every 4 hrs to a goal rate of 4 oz/hr while awake (4x 4 rule).
Important!
Bring to Hospital: Booklet “Your
Guidelines for Food Choices and Nutrition”
Pen or Pencil
4x4 Worksheet (today’s handout).
Watch or clock
Bring to EVERY
office visit: Booklet “Your
Guidelines for Food Choices and Nutrition”
Food and Exercise Journal