Nourishing drinks Try to have drinks which contain lots of calories, rather than tea and coffee. A cup of full cream milk provides the same calories as drinking eight cups of tea! Suggestions are given on some moderate and higher calorie drinks. Low (less than 50 calories) Water, tea, coffee, sugar free/ diet drinks, squash with water. Moderate (50-100 calories) Lemonade/cola, lager/beer, sherry, fruit juices, squash made with lemonade, semi and skimmed milk. Practical tips to increase your calorie intake: • Pour 2 tablespoons of double cream over some cake/icecream (extra 250 calories) • Add 2 teaspoons of jam or honey to milk pudding (extra 100 calories) • Melt grated cheese (a small match box size) into soup (extra 125 calories) Adapting meals to prevent weight loss • Add a tablespoon of double cream to hot chocolate or malted drink (extra 125 calories) High (100-200 calories) Cider, full cream milk, milkshakes/coffee/hot chocolate/malted drinks made with full cream milk, Build Up, Complan. focus on Is part of the Nutrition & Dietetic Services at South Durham, Darlington and North Durham If your weight has decreased by more than 4lb (2kg) in a month, whilst following the recommendations in this leaflet, please contact the person who gave you this leaflet for further advice. This document is available upon request in large print, audio cassette, and other languages. Please telephone 01388 455712 (South Durham) or 0191 333 2568 (North Durham). focus on Adapting meals to prevent weight loss Published February 2008 County Durham Primary Care Trust Darlington Primary Care Trust "Focus on Food" is funded by County Durham Primary Care Trust and Darlington Primary Care Trust If you are experiencing a poor appetite, it is important that you still eat and drink adequately to prevent you from losing weight. This leaflet contains ideas for nourishing snacks, drinks and recipes for adapting your meals to increase the calorie and nutrient content. This is called “food fortification“. Suggestions for a poor appetite: • Eat a “little of what you fancy” Eat three small meals a day two to three nourishing snacks between meals each day • At each meal fortify one dish • Drink nourishing drinks • Take one multivitamin and mineral tablet each day • Always try to eat full fat products • Avoid reduced sugar products, unless you have diabetes • Check your weight at least once a month • • Eat Nourishing snacks Try to eat two to three small nourishing snacks between meals each day. A plain biscuit is not a nourishing snack as it only contains 35 calories. Better choices of snacks are shown below and listed as the equivalent to eating four, six or eight plain biscuits. Equivalent to 4 plain biscuits (140 calories): A fairy cake, slice of malt loaf, half a hot cross bun, half a scone and jam, medium sausage roll, packet of crisps, scoop of ice cream, slice pizza, a cereal bar, handful of dried fruit, pot of custard or rice pudding, small matchbox cheese, ham/cheese sandwich (1 slice), jam tart. Equivalent to 6 plain biscuits (210 calories): A crumpet, half a teacake, slice of fruit/sponge cake, mini pork pie, an individual bakewell tart/fruit pie, doughnut, pot of trifle, individual cheesecake, pot of rich chocolate mousse, pot of thick and creamy yoghurt. Equivalent to 8 plain biscuits (280 calories): Small slice flapjack, 2 slices malt loaf, half a scone, jam and cream, 2 crackers and cheese, a danish pastry, chocolate bar, handful of peanuts (50g). Use generous amounts of margarine/butter on snacks. focus on Fortifying your diet It is important to add small quantities of everyday foods, such as cream, milk powder or butter to a food dish to increase the nutritional content. This means every mouthful you eat will be full of nourishment. We call this "fortifying food". Everyday foods you could add to food dishes are: milk powder (1 heaped tablespoon), double or whipping cream (1-2 tablespoons), butter or margarine (1 teaspoon) or jam (1 teaspoon). When adding milk powder to dishes, mix it into a paste with some cream or milk, Fortified otherwise it may not mix well. custard/porridge/ milk pudding/soup • 1 ladle of normal custard/porridge/ milk pudding/soup • 1 heaped tablespoon milk powder • 2 tablespoon double cream Normal versions: 150 calories, soup 80 Fortified versions: average 450 calories soup 350 Fortified instant mousse • 1 packet of instant dessert • 1/4 pint (150mls) double cream • 1/4 pint (150mls) full cream milk • 4 heaped tablespoons milk powder Mix the milk powder and instant dessert powder together in a bowl. Whisk in the double cream and milk. Divide between 4 bowls, serve when set and chilled. Fortified milk • 1 pint full cream milk • 5 heaped tablespoons milk powder Mix milk powder with some milk to make a runny paste and add to remainder of pint. Standard milk: 375 calories Fortified milk: 630 calories focus on Adapting meals to prevent weight loss Adapting meals to prevent weight loss
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