Getting Enough Protein and Calories Korean 환자교육식품및영양서비스 충분한단백질및칼로리섭취 귀하의치유에도움이되는영양분 귀하가병이들었거나 치료를받거나회복하는 과정또는상처가 치유되려면귀하의신체는 보다많은단백질및 칼로리를필요로합니다. 이책자는귀하에게도움이 될것입니다 : 단백질이많고칼로리가 높은식품을식별한다. 자신의식단에단백질과 칼로리를증가시키는 방도를배운다. 이안내는지침서일 뿐입니다. 영양사또는 영양기사와귀하의특정 규정식필요성에관하여 상담하는것이최선입니다. 적절한영양분은치유과정을도우며귀하의체중을유지하고염증을대항하는데도움이됩니다. 완치가될때까지음식섭취량을제한하거나금하지마십시오. 귀하의신체가잘치유되려면평상시보다더맣은양의영양가를필요로합니다. 귀하의영양분필요성 영양분필요성은귀하의이상적인체중에기준합니다. 귀하의이상적인체중은 : 킬로그램 ( 파운드 ) 입니다. 이체중에기준하여, 귀하는 : 매일그램의단백질이필요합니다. 이는급식양의단백질입니다. 귀하의필수칼로리양은 : 매일칼로리입니다. 단백질원천 다음은고 - 품질의단백질이함유된식품입니다. 주어진양은단백질 1 회급식또는 7 그램의단백질입니다. 조리된생선, 조류혹은살코기 1 온스 스위스또는체더치즈등과같은단단한치즈 1 온스 달걀 1 개혹은액체달걀대용식 ¼ 컵 우유 1 컵 ( 스킴, 1%, 2% 혹은홀 - 밀크 ) 건조분유 ¼ 컵 요거트 ( 저지방혹은무지방 ) 1 컵 깡통참치또는연어 ¼ 컵 땅콩버터 2 큰술 푸딩 1 컵 커스터드 ¾ 컵
페이지 2 식품및영양서비스충분한단백질및칼로리섭취 단백질 1 회급식은약 7 그램 정도의단백질을공급합니다. 단단한두부 ¼ 컵 얼음우유 ¾ 컵 조리된굴중 - 사이즈 6 개 새우, 조개, 가재, 가리비혹은게 2 온스 조리된완두콩또는콩 ½ 컵 견과류 1 온스 카테지치즈 ¼ 컵 단백질보충 다음은귀하의식단에단백질을추가하는몇가지팁입니다 : 홀밀크 1 쿼트에스킴밀크가루 1 컵을추가하십시오 ( 페이지 5 밀크혼합류조리법참조 ). 혼합하여냉장하십시오. 이혼합된밀크를마시거나조리하는데사용하십시오. 더운시리얼을조리할시, 밀크, 밀크혼합류, 수분을뺀밀크혹은크림을물대용으로사용하십시오. 또한인스탄트코코아, 깡통수프, 커스터드와푸딩을만들시, 물대신이러한액체를사용하십시오. 스크램블달걀, 오믈렛또는수프를조리할시, 곱게간여분의고기나다진고기또는두부를추가하십시오. 예를들어, 치킨수프에닭고기, 완두콩수프에햄그리고토마도수프에쇠고기를추가하십시오. 소스, 수프, 케서롤, 치킨또는참치샐러드에단단히삶아서다진계란을추가하십시오. 과일주스, 에그노그또는밀크쉐이크에달걀대용식을혼합하십시오. 커스타드와같은달걀로만든디저트를드십시오. 토스트, 크랙커또는생과일혹은야채에땅콩버터를발라드십시오. 사과조각, 바나나그리고샐러리에땅콩버터를발라드십시오. 소금간이되었거나되지않은견과류혹은볶은콩등과같은간식은귀하의식단에여분의단백질및칼로리를추가합니다. 브렉훠스트바, 그로놀라바그리고요구르트등은식사시간사이에좋은간식이됩니다. 영양보충제혹은특별한음료수를마셔보십시오 ( 페이지 3, 4, 5, 6 참조 ). 야채, 소스, 수프혹은케서롤등에강판에간치즈를추가하십시오. 카테지치즈, 과일, 치즈또는크랙커등은식사시간사이에좋은간식이됩니다.
페이지 3 식품및영양서비스충분한단백질및칼로리섭취 칼로리보충 다음의팁은귀하의식단에칼로리를추가하는데도움이될것입니다 : 작은식사의양을자주드시거나식사를반으로나누십시오. 예를들어, 아침식사로달걀과토스트를드시고오전간식으로시리얼과약간의과일을드십시오. 더운시리얼, 달걀, 조리한야채, 으깬감자, 파스타, 밥, 국수, 크래커, 수프등에버터나마저린을추가하십시오. 고기나야채에그레이비나소스를부어드십시오. 여러종류의혼합소스를식품점에서판매합니다. 과일, 고기, 크림수프및구운감자등에싸워크림을얹저드십시오. 소스나스크램블달걀및오믈렛에도싸워크림을추가할수있습니다. 샐러드, 삶은달걀, 샌드위치등에드레싱이나마요네즈를사용하십시오. 지방질이저하되거나지방질이없는식품은피하십시오. 시리얼, 푸딩, 젤로그리고과일등에크림이나수분을뺀밀크를부으십시오. 푸딩이나커스타드를만들시, 밀크대신에크림이나수분을뺀밀크를사용하십시오. 크랙커혹은잉글리쉬머픈에크림치즈, 젤리또는꿀을발라드십시오. 버터를바른토스트에계피나설탕을뿌려드십시오. 말린과일을간식으로들거나머픈이나빵같은구은음식에추가하여드십시오. 파이, 젤로, 푸딩또는코코아등에윕크림이나아이스크림을얹어드십시오. 샐러드에아바카도를추가하십시오. 과카몰리와칩을간식으로드십시오. 케서롤을많은양을조리한후여분을냉동하여후에즉석간식으로드십시오. 좋아하는쉐이크나수프를냉장고나보온병에가득담아귀하의침대나의자옆에보관하여드십시오. 고 - 단백질, 고 - 칼로리보유식 귀하의칼로리를보충하는데충분한고체음식을드실수없을경우, 식단에액체단백질을추가해보도록하십시오. 이러한보유식은약국이나식품점에서구입할수있습니다. 일반적으로저장하지않는보유식은약사가주문해줄수있습니다. 대부분의보유식은유당이함유되지않은여러종류의맛으로나옵니다. 가미되지않은영양식에시럽, 과일, 인스탄트거피또는이외의맛을추가할수있습니다.
페이지 4 식품및영양서비스충분한단백질및칼로리섭취 다음과같은보유식을시도해보실수있습니다 : Boost* (Nestlé) 보유식 급식사이즈 1 회급식칼로리 240 1 회급식단백질그램 10 팩키지당단백질급식 1½ Boost 플러스 * (Nestlé) 360 14 2 Boost 다이아베딕 (Nestlé) 250 13.8 2 Boost 고단백 (Nestlé) 240 15 2 Ensure* (Abbott) 250 9 1½ Ensure 플러스 * (Abbott) 355 13 2 Enlive (Abbott) 300 10 1½ Resource Boost Breeze (Nestlé) 250 9 1½ Carnation Instant 조식 분말 (Nestlé) 280 12 2 Carnation Instant 조식 즉석으로마실수있음 (Nestlé) Carnation Instant 조식 VHC (Nestlé) Slim-Fast Slim-Fast 고단백 Glucerna 쉐이크 (Abbott) ScandiShake Nepro (Abbott) Benecalorie (Nestlé) Polycose 액체 (Abbott) Polycose 분말 (Abbott) 단백질분말 11 온스. 11 온스. 1 팩키지 1.5 온스. 1 큰술 1 큰술 200 560 220 190 220 440 425 330 30 23 12 22 10 15 10 5 17 7 2 3 1½ 쥬스, 밀크, 수프, 그레이비, 음료수또는섞은음식에추가. 다양한종류의단백질분말이있음. 음식과음료수에섞으십시오. * 이러한보유식을조리하는데밀크대용으로사용할수있습니다. 2 1 1 1 1
페이지 5 식품및영양서비스충분한단백질및칼로리섭취 특별음료수 이러한음료수를귀하의식단에필요에따라보충할수있도록준비하십시오. 몇가지맛을제안하나귀하가선호하는맛에맞추어변경하도록하십시오. 밀크혼합 8- 온스 4 분배량 265 칼로리 18 그램단백질 혼합하십시오 : 보통홀밀크 1 쿼트분말밀크 1 컵차겁게하십시오. 조리시또는특별음료수에보통밀크대용으로사용하십시오. 한컵에함유된조식분량당 10 온스 잘섞으십시오 : 홀밀크혹은밀크혼합 ½ 컵오렌지또는파인애플쥬스 ¼ 컵액체달걀대용식 ¼ 컵바나나 ½ 설탕 1 작은술 에그노그분량당 10 온스 잘섞으십시오 : 홀밀크또는밀크혼합 1 컵액체달걀대용식 ¼ 컵설탕 ½ 작은술 고 - 단백셰이크분량당 12 온스 부드러워질때까지섞으십시오 : 홀밀크 ½ 컵아이스크림 1 컵카네이션인스탄트조식 1 팩키지 기본바나나스무디 1 분량 부드러워질때까지섞으십시오 : 바닐라 2% 저지방요거트 1 컵냉동바나나 1 개얼음 3 조각 홀밀크 : 210 칼로리 10 그램단백질 (1½ 단백질급식 ) 밀크혼합 : 270 칼로리 15 그램단백질 (2 단백질급식 ) 홀밀크 : 210 칼로리 14 그램단백질 (2 단백질급식 ) 밀크혼합 : 320 칼로리 25 그램단백질 (3½ 단백질급식 ) 340 칼로리 10 그램단백질 (1½ 단백질급식 ) 300 칼로리 12 그램단백질 (2 단백질급식 )
페이지 6 식품및영양서비스충분한단백질및칼로리섭취 셔벗음료수분량당 10 온스 잘섞으십시오 : 오렌지쥬스 ¼ 컵오렌지셔벗 ½ 컵 추가 : 소다 4 온스 ( 오렌지, 레몬 - 라임, 크림소다 ) 땅콩버터스무디 1 분량 부드러워질때까지섞으십시오 : 2% 저 - 지방밀크 1 컵땅콩버터 2 큰술냉동바나나 1 개 오도독한오렌지스무디 1 분량을만듬 부드러워질때까지섞으십시오 : 2% 저지방요거트 1 컵농축냉동오렌지쥬스 2 큰술그로놀라 ½ 컵 요거트셰익크분량당 8 온스 부드러워질때까지섞으십시오 : 홀밀크또는밀크혼합 ½ 컵과일요거트 ¼ 컵부드러운생과일또는깡통과일 ¼ 컵 215 칼로리 1 그램단백질 (0 단백질서빙 ) 415 칼로리 17 그램단백질 (2½ 단백질급식 ) 450 칼로리 18 그램단백질 (3 단백질급식 ) 홀밀크 : 255 칼로리 8 그램단백질 (1 단백질급식 ) 단백질밀크혼합 : 310 칼로리 13 그램단백질 (2 단백질급식 )
페이지 7 식품및영양서비스충분한단백질및칼로리섭취 트럼프카드한벌 크기의고기는단백질 3 급식량으로계산됩니다. 질문이있으십니까? 귀하의질문은중요합니다. 우려사항이나문의사항이있으면귀하의의사혹은진료인에게전화하십시오. 워싱톤주립대학진료소직원이도와드리도록대기하고있습니다. 영양사 / 영양기사 : 분량사이즈 이는보통단백질식품리스트입니다. 귀하의단백질섭취량을계량하는데이리스트를사용하십시오. 식품 단백질급식량 평균햄버거패디... 3 스테이크 3 인치 * 4 인치... 4 평균폭찹... 3 작은닭가슴살 ½... 3 닭다리...1½ 닭허벅지... 2 치킨너겟 2 개... 1 생선살코기 3 인치 * 3 인치... 3 생선스틱 1 개...¾ 깡통돼지고기및콩 1 컵... 2 깡통칠리 1 컵... 2 밀크로조리한깡통수프 1 컵... 1 물로조리한깡통수프 1 컵...½ 단단한두부 ¼ 컵... 1 카테지치즈 ½ 컵... 2 단단한치즈 1 온스 ( 스위스, 체터치즈등등 )...1 땅콩버터 2 큰술... 1 조리한콩류 1 컵... 2 주목 Box 356057 1959 N.E. Pacific St. Seattle, WA 98195 University of Washington Medical Center Getting Enough Protein and Calories Korean 12/2002 Rev. 10/2010 Reprints on Health Online: http://healthonline.washington.edu
Patient Education Getting Enough Protein and Calories Nutrition to support your healing Your body needs more protein and calories for wound healing and when you are ill, receiving treatment, and recovering. This handout will help you: Identify high-protein, high-calorie foods. Learn ways to increase protein and calories in your diet. These are guidelines only. It is best to talk about your specific dietary needs with a dietitian or diet technician. Proper nutrition supports the healing process and helps your body maintain weight and fight infections. Do not limit or restrict your food intake until your healing is complete and you have recovered fully. Your body needs more nutrients than normal to heal well. Your Nutrient Needs Your nutrient needs are based on your ideal body weight. Your ideal body weight is: kilograms ( pounds). Based on this weight, you need: grams of protein each day. This is servings of protein. Your calorie needs are: calories each day. Protein Sources This is a list of high-quality protein foods. The amount given is equal to 1 protein serving, or 7 grams of protein. 1 ounce of any cooked fish, poultry, or lean meat 1 ounce of hard cheese, such as Swiss or cheddar 1 egg or ¼ cup liquid egg substitute 1 cup milk (skim, 1%, 2%, or whole) ¼ cup dry powdered milk 1 cup yogurt (low-fat or nonfat) ¼ cup canned tuna or salmon 2 tablespoons peanut butter 1 cup pudding ¾ cup custard
Page 2 Getting Enough Protein and Calories One protein serving equals about 7 grams of protein. ¼ cup firm tofu ¾ cup ice milk 6 medium cooked oysters 2 ounces of shrimp, clams, lobster, scallops, or crab ½ cup cooked peas or beans 1 ounce nuts ¼ cup cottage cheese Boosting Protein Here are some tips for adding protein to your diet: Add 1 cup skim milk powder to a quart of whole milk (see recipe for Milk Mixture on page 5). Blend and chill. Use this Milk Mixture for cooking as well as drinking. Use milk, Milk Mixture, evaporated milk, or cream instead of water for cooking hot cereal. Also use these liquids instead of water to make instant cocoa, canned soups, custards, and pudding. Add extra pureed or chopped meat or tofu to scrambled eggs, omelets, or soups. For example, add chicken to cream of chicken soup, ham to split pea soup, or beef to tomato soup. Add chopped, hard-cooked eggs to sauces, soups, casseroles, and to chicken or tuna salads. Blend egg substitute into fruit juice, eggnog, or milkshakes. Eat desserts, such as custard, that are made with eggs. Spread peanut butter on toast, crackers, or raw fruit or vegetables. Try it on apple slices, bananas, and celery. A snack of salted or unsalted nuts or roasted soybeans will add extra protein as well as calories to your diet. Breakfast bars, granola bars, and yogurt make good betweenmeal snacks. Try supplements or special drinks (see pages 3, 4, 5, and 6). Add grated cheese to vegetables, sauces, soups, and casseroles. Melt a slice of cheese on an English muffin. Cottage cheese and fruit or cheese and crackers are good between-meal snacks.
Page 3 Getting Enough Protein and Calories Boosting Calories These tips will help you add calories to your diet: Eat smaller meals more often, or divide meals in half. For example, have an egg and toast for breakfast and then have some fruit and cereal for a midmorning snack. Add butter or margarine to hot cereal, eggs, cooked vegetables, mashed potatoes, pasta, rice, noodles, crackers, and soups. Use gravies and sauces on meats and vegetables. A variety of sauce mixes are available in the grocery store. Use sour cream to top fruits, meats, cream soups, and baked potatoes. You can also add it to sauces or scrambled eggs and omelets. Use mayonnaise or salad dressing on salads, hard-cooked eggs and sandwiches. Avoid reduced-fat or fat-free products. Pour cream or evaporated milk over cereals, puddings, Jell-O, and fruit. Make puddings and custard with cream or evaporated milk instead of milk. Spread cream cheese and jelly or honey on crackers or English muffins. Sprinkle cinnamon and sugar on buttered toast. Eat dried fruits as snacks or add them to baked goods such as muffins or bread. Use whipped cream or ice cream on top of pies, Jell-O, pudding, fruit, or cocoa. Add avocados to salads. Eat guacamole and chips as a snack. Make large casseroles and freeze extra servings for quick snacks later. Keep a cooler or a thermos filled with a favorite shake or soup by the side of your bed or chair. High-Protein, High-Calorie Supplements If you find that you cannot eat enough solid food to boost your calories, try adding a liquid protein supplement to your diet. You can buy these supplements at most drugstores and grocery stores. Your pharmacist can order supplements that are not generally stocked. Most supplements come in a variety of flavors and do not contain lactose. You can add syrups, fruit, instant coffee, or other flavorings to unflavored supplements.
Page 4 Getting Enough Protein and Calories Here are some supplements you may want to try: Supplement Serving Size Calories in Protein Grams Protein Servings 1 Serving in 1 Serving in a Package Boost* (Nestlé) 8 oz. 240 10 1½ Boost Plus* (Nestlé) 8 oz. 360 14 2 Boost Diabetic (Nestlé) 8 oz. 250 13.8 2 Boost High Protein (Nestlé) 8 oz. 240 15 2 Ensure* (Abbott) 8 oz. 250 9 1½ Ensure Plus* (Abbott) 8 oz. 355 13 2 Enlive (Abbott) 8 oz. 300 10 1½ Resource Boost Breeze (Nestlé) Carnation Instant Breakfast Powdered (Nestlé) Carnation Instant Breakfast Ready-to-drink (Nestlé) 8 oz. 250 9 1½ 8 oz. 280 12 2 8 oz. 200 12 2 Carnation Instant Breakfast 8 oz. 560 22 3 VHC (Nestlé) Slim-Fast 11 oz. 220 10 1½ Slim-Fast High Protein 11 oz. 190 15 2 Glucerna Shake (Abbott) 8 oz. 220 10 1 ScandiShake 1 pkg. 440 5 1 Nepro (Abbott) 8 oz. 425 17 1 Benecalorie (Nestlé) 1.5 oz. 330 7 1 Polycose Liquid (Abbott) 1 tablespoon 30 Polycose Powder (Abbott) 1 tablespoon 23 Add to juice, milk, drinks, soup, gravy, or blended foods. Protein Powder A variety of protein powder supplements are available. Mix with foods or beverages. *These supplements can also be used in cooking in place of milk.
Page 5 Getting Enough Protein and Calories Special Drinks Prepare these drinks at home to supplement your diet as needed. Some flavorings are suggested, but please change them to match your own taste preferences. Milk Mixture Makes four 8-oz. portions Per portion: Combine: 265 calories 1 quart regular whole milk 18 grams protein 1 cup powdered milk Chill well. Use in place of regular milk for cooking or in special drinks. Breakfast in a Glass 10 oz. per portion Per portion: Blend well: With whole milk: ½ cup whole milk or Milk Mixture 210 calories ¼ cup orange or pineapple juice 10 grams protein (1½ protein servings) ¼ cup liquid egg substitute With Milk Mixture: ½ banana 270 calories 1 teaspoon sugar 15 grams protein (2 protein servings) Egg Nog 10 oz. per portion Per portion: Blend well: With whole milk: 1 cup whole milk or Milk Mixture 210 calories ¼ cup liquid egg substitute 14 grams protein (2 protein servings) ½ teaspoon sugar With Milk Mixture: 320 calories 25 grams protein (3½ protein servings) High-Protein Shake 12 oz. per portion Per portion: Blend until smooth: 340 calories ½ cup whole milk 10 grams protein (1½ protein servings) 1 cup ice cream 1 package Carnation Instant Breakfast Basic Banana Smoothie 1 portion Per portion: Blend until smooth: 300 calories 1 cup vanilla 2% low-fat yogurt 12 grams protein (2 protein servings) 1 frozen banana 3 ice cubes
Page 6 Getting Enough Protein and Calories Sherbet Drink 10 oz. per portion Per portion: Blend well: 215 calories ¼ cup orange juice 1 gram protein (0 protein servings) ½ cup orange sherbet Add: 4 ounces soda pop (orange, lemonlime, or cream soda) Peanut Butter Smoothie 1 portion Per portion: Blend until smooth: 415 calories 1 cup 2% low-fat milk 17 grams protein (2½ protein 2 tablespoons peanut butter servings) 1 frozen banana Crunchy Orange Smoothie Makes 1 portion Blend until smooth: 1 cup 2% low-fat yogurt 2 tablespoons frozen orange juice concentrate ½ cup granola Per portion: 450 calories 18 grams protein (3 protein servings) Yogurt Shake 8 oz. per portion Per portion: Blend until smooth: With whole milk: ½ cup whole milk or Milk Mixture 255 calories ¼ cup fruit yogurt 8 grams protein (1 protein serving) ¼ cup soft fresh or canned fruit With Milk Mixture: 310 calories 13 grams protein (2 protein servings)
Page 7 Getting Enough Protein and Calories A portion of meat the size of a deck of cards counts as 3 protein servings. Questions? Your questions are important. Call your doctor or health care provider if you have questions or concerns. UWMC clinic staff are also available to help. Dietitian/ Diet Technician: Portion Sizes This is a list of common protein foods. Use this list to help estimate your protein intake. Food Protein Servings Average hamburger patty... 3 3-inch x 4-inch steak... 4 Average pork chop... 3 ½ small chicken breast... 3 Chicken drumstick... 1½ Chicken thigh... 2 2 chicken nuggets... 1 3-inch x 3-inch fish fillet... 3 1 fish stick... ¾ 1 cup canned pork and beans... 2 1 cup canned chili... 2 1 cup canned soup prepared with milk... 1 1 cup canned soup prepared with water... ½ ¼ cup firm tofu... 1 ½ cup cottage cheese... 2 1 ounce hard cheese (Swiss, cheddar, etc.)... 1 2 tablespoons peanut butter... 1 1 cup cooked legumes... 2 Notes Box 356057 1959 N.E. Pacific St. Seattle, WA 98195 University of Washington Medical Center 12/2002 Rev. 10/2010 Reprints on Health Online: http://healthonline.washington.edu