Diet number 5: table of products, menus, diet principles
The 5 table diet is one of the specialized methods of medical nutrition, created by Dr. M. I. Pevzner. It is great for people who suffer from liver, gallbladder and biliary tract pathologies.
This diet does not imply restrictions in kilocalories, but dramatically reduces the presence in the menu of foods containing fats and "bad" cholesterol. But it is allowed to eat a lot of vegetables and sweet baked or boiled fruits. Under a categorical ban is such a method of cooking as frying in a pan or deep fat.
Content:
- Diet principles # 5
- Indications
- What can you eat on diet number 5?
- What shouldn't be eaten on diet # 5?
- Table menu number 5 for the week
- Interesting recipes
- Table No. 5A
- Table No. 5B
- Table No. 5P (1)
- Table No. 5P (2)
- Table No. 5GA
- Table number 5Shch
- Table No. 5Ж or 5Л / Ж
- Table No. 5R
- Table number 5 for children
- Pros and cons of table number 5
- Recommendations of dietitians
- Reviews and results
Diet principles # 5
The goal of the diet is to reduce the burden on the liver and biliary system by introducing healthy food into the body.
The basic principles of diet number 5:
- Sufficient content of carbohydrate and protein foods in the menu.
- Cutting back on foods that contain fat.
- Allowed methods of thermal processing of food are cooking and baking. You can very rarely stew dishes.
- Wipe only foods that contain a lot of fiber. If the meat is stringy, then it should be chopped into small pieces.
- Frying food is strictly prohibited.
- Do not eat foods that contain purines and oxalic acid.
- You cannot include in the menu dishes that increase gas formation in the intestines. These are products containing coarse fiber, extractive substances that provoke the production of digestive juices.
- The amount of salt in the diet should be limited.
- You need to eat food at least 4-5 times a day. The portions should be small.
- Be sure to drink water on an empty stomach.
Indications
The 5 table diet is a therapeutic nutritional regimen, so it has certain indications:
- Hepatitis in the acute stage and in chronic form.
- Cirrhosis of the liver.
- Inflammation of the pancreas (pancreatitis).
- Cholelithiasis.
- Gastritis.
- Colitis with constipation.
- Gastroduodenitis.
- Surgical interventions for the removal of the gallbladder.
What can you eat on diet number 5?
The daily diet involves the consumption of foods that meet a given calorie content and chemical composition:
- No more than 80 g of proteins. Of these, half of the proteins must be of plant origin, and the other half of animal origin.
- No more than 90 g of fat. Moreover, the share of vegetable fats should account for about 30%.
- No more than 400 g of carbohydrates.
- At least 1.5 liters of water, more is possible.
- Not more than 2800 kcal. To clarify the number of kilocalories, an individual calculation will be required.
- No more than 10 g of salt.
In order for the liver to function in full, during the diet it is possible to take hepatoprotective drugs, for example, Essentiale forte or Karsila.
Foods that can be eaten during diet # 5:
Name | Allowed Products |
Beverages |
|
Soups (main dish of the diet) |
|
Porridge and cereals |
|
Pasta |
Any products from the list of permitted products can be added to the paste. |
Meat and meat products, fish |
|
Bread |
|
Fermented milk products, milk and products based on it |
|
Vegetables |
|
Berries and fruits |
|
Oil |
|
Eggs |
You can make an omelet from eggs, boil them. You can not eat more than 2 quail eggs per day and no more than half of the chicken yolk in dishes. |
Snacks |
|
Condiments and sauces |
|
Sweets |
|
What shouldn't be eaten on diet # 5?
Name | Prohibited foods |
Beverages |
|
Soups |
|
Cereals and cereals |
|
Pasta |
|
Fish, meat, meat products |
|
Bread |
|
Dairy and fermented milk products |
|
Vegetables and mushrooms |
|
Berries and fruits |
|
Eggs |
Fried eggs. |
Oil |
|
Snacks |
|
Sauces and condiments |
|
Dessert |
|
Table menu number 5 for the week
The presented menu differs in that it is compiled by professionals, therefore it is as balanced as possible. The body will receive all the vitamins and minerals it needs, but at the same time without stressing the diseased organs.
You should eat in small portions, boil soups well. If tough meat is used for cooking, then it must first be cut into small pieces.
Dishes should not be too hot or too cold, they should be served warm. In the evening, before a night's rest, you can drink a glass of kefir 1% fat, or a rosehip broth. Herbal teas and medicinal mineral water are also allowed.
First meal prim | Main meal | Snack | Last meal | |
Oatmeal porridge with dried fruits, black tea. | Vegetable soup, oven baked chicken, dried fruit compote. | Rosehip broth, cookies. | Mashed potatoes, minced fish cutlet, steamed, tea. | |
Steam omelet, unsweetened tea. | Cabbage rolls vegetable borscht, jelly. | Applesauce, oatmeal cookies. | Buckwheat with beef, rosehip broth. | |
Rice casserole, tea. | Vegetable soup with buckwheat, steamed meatballs, compote. | Vegetable Salad. | Pilaf with meat, kefir. | |
Soft-boiled egg, applesauce, herbal tea. | Boiled turkey meat, pea puree, sauerkraut, peach juice. | Dried biscuit, low-fat kefir. | Buckwheat with butter, bread with butter and cheese, jelly. | |
five | Milk noodle soup, milk tea. | Potato soup, boiled fish, jelly. | Carrots and apples in a salad. | Mashed potatoes with meat, kefir. |
Low-fat cottage cheese with sour cream, soft-boiled egg, compote, | Vegetable soup with noodles, steamed cutlets, rosehip broth. | Fruit juice and biscuits. | Rice porridge with milk and butter, bread and butter, a slice of cheese. | |
Lazy dumplings with sour cream, tea. | Vegetable soup, noodles with meat, jelly. | Banana. | Semolina porridge with milk, herbal tea. |
Interesting recipes
Recipes of the fifth table can be used not only for those people who suffer from liver or gallbladder diseases, but also for those who want to diversify their menu with delicious and healthy dishes. There are many interesting ways to prepare food for breakfast, lunch and dinner, so even while dieting, you can eat delicious and varied.
Vegetable soup with zucchini
To prepare the soup, you will need the following food set:
- Potatoes - 0.3 kg.
- Zucchini - 150 g.
- Carrots - 00 g.
- Vegetable oil - 3 tbsp. l.
- A liter of water and carrot juice.
Zucchini and carrots are peeled, cut into small slices and stewed in vegetable oil. Potatoes are diced and boiled, carrots and zucchini are added to it, salted and brought to a boil. Carrot juice is poured into the soup before serving.
Mixed Vegetable Soup Recipe
To prepare the dish, you will need the following food set:
- Vegetable broth - 0.3 l.
- Potatoes - 2 tubers.
- Carrots - 1 pc.
- Peas - 20 g.
- Zucchini - 30 g.
- Vegetable oil - 2 tbsp. l.
Dice the potatoes and zucchini, grate the carrots and stew. The tomato is also grated to make a gruel. The broth is brought to a boil, vegetables are boiled in it until fully cooked. At the end of cooking, vegetable oil is poured into the soup. Boil for another 5 minutes.
Borscht
To prepare the dish, you will need the following set of products:
- Fresh cabbage - 70 g.
- Beets - 2 pcs.
- Potatoes - 3 pcs.
- Carrots - 2 pcs.
- Vegetable oil - 3 tbsp. l.
- Sour cream - 10 g.
- Sugar - 1 tsp
- Vegetable broth - 0.25 l.
Beets are grated, all other vegetables are cut into strips. Beets are stewed with carrots and added to the broth, which already contains potatoes and cabbage. At the end of cooking, sugar is added to the borscht. After a couple of minutes, turn off the broth and let it brew. Sour cream is added to the plate before serving.
Steam omelet
Since fried eggs are not allowed to be eaten during the 5th table diet, they can be prepared in another way. A steam omelet is a great solution. In the first few days after the operation, you can only eat chicken egg white or quail eggs. When the early rehabilitation period is over, you can eat 1 yolk per day.
To make a steam omelet, separate the yolk from the protein and beat the latter. Then salt and milk are added to the protein. The resulting mixture is placed in a double boiler for 20 minutes. Before serving, you can decorate the dish with herbs.
Cabbage rolls with meat and rice
Cabbage rolls are a dish that is allowed to be eaten while on a 5 table diet, but they need to be prepared correctly.
You will need the following set of products:
- Low-fat meat - 100 g.
- Cabbage leaves - 130 g.
- Rice - 15 g.
- Sour cream - 2 tbsp. l.
- Vegetable oil - 2 tbsp. l.
- Greens - 30 g.
The meat is twisted in a meat grinder, cabbage leaves are boiled. Rice is poured with boiling water and insisted for 20 minutes, after which the water is drained. The meat is combined with rice, vegetable oil and herbs. The resulting minced meat is spread on cabbage leaves and wrapped in envelopes. Spread the leaves in a cauldron, fill with water and stew until tender.
Casserole with noodles and meat
To prepare the dish, you will need the following products:
- Beef 80 g.
- Noodles - 80 g.
- The protein of one chicken egg.
- Butter - 10 g.
The noodles are boiled, the meat is boiled and cut into small cubes. Vegetable oil is added to the egg, mixed with minced meat, and then noodles are added to them. The casserole is steamed.
Pudding with cottage cheese
To prepare this delicious dessert, you will need the following products:
- Cottage cheese - 120 g.
- Milk - 60 g.
- Butter - 5 g.
- Semolina - 10 g.
- The white of one egg.
- Sugar - 2 teaspoons.
Cottage cheese needs to be grated, then beat with a blender. Add protein and sugar to the curd mass, and then put in a baking dish. The dish is either baked in the oven or cooked in a water bath.
Rice casserole
To prepare the casserole, you will need the following products:
- Cottage cheese - 0.2 kg.
- Rice - 1 glass.
- Eggs - 3 pcs.
- Apple - 3 pcs.
- Raisins.
- Milk - 2 cups.
- Sugar - 2 tbsp. l.
- Sour cream - Art. l.
Milk is mixed with water in equal proportions and rice is boiled in this liquid. Grind the cottage cheese, beat the eggs with sugar, cut the apples into cubes.
Combine all the ingredients with each other, knead and put in a baking dish. One egg is mixed with sour cream and a casserole is poured over it. The dish is put into the oven for 20 minutes (temperature - 200 ° C).
Berry jelly
Morse should be drunk warm. To prepare it, you will need various berries: cherries, raspberries, strawberries, blueberries, etc. For 2 liters of water, take 2 tbsp. l. starch, 4 tbsp. l. Sahara.
Before cooking, the berries are thoroughly washed, seeds are removed from them, poured with water and brought to a boil. Then, pre-diluted starch is added to the jelly and boiled until the drink becomes thick.
Slimy soup with oatmeal
To prepare the soup, the oatmeal must be rinsed well and boiled, then filtered, but the cereal should not be washed. The strained broth is brought to a boil again and a little salt is added to it. The final product should not have particles of cereal, and in its consistency it resembles cream.
Puree soup with cauliflower, croutons and rice
To prepare the puree soup, you need to boil cauliflower and potatoes, pass them through a sieve, having previously separated several small inflorescences from the cabbage.
Rice is boiled for at least an hour, after which it is ground and combined with mashed potatoes. Pour the soup with white sauce, add butter, croutons and decorate with cabbage inflorescences. When the acute period of the disease has passed, vegetables can not be ground, but finely chopped.
Savoy cabbage soup
To prepare cabbage soup, you will need to finely chop potatoes, carrots, bell peppers. All vegetables, except potatoes, are simmered in water with a little oil.
Boil water separately, add potatoes and the resulting vegetable mixture to it, boil for a quarter of an hour. Savoy cabbage is added 5 minutes before the end of cooking. The soup is salted and brought to a boil. Before serving, you can put a few pieces of boiled lean meat on a plate.
Blue whiting with vegetables
Boil the potatoes until half cooked, cut the zucchini and carrots. Put all the vegetables in a baking dish and add green peas to them. Top with vegetables fillet blue whiting. Bake in the oven until a crust appears on the fish.
Table No. 5A
Indications for use:
- Acute primary cholecystitis or exacerbation of a chronic disease.
- Acute primary hepatitis or exacerbation of a chronic disease.
- Exacerbation of gallstone disease.
Characteristics of the diet. The diet is balanced. It involves limiting fats within reasonable limits, cutting down on table salt. You should refuse products that mechanically or chemically irritate the walls of the digestive system.
The table should not contain dishes that can increase gas formation in the intestines, or stimulate the secretion of bile and the production of gastric juice. During the diet, you need to refuse food that burdens the liver. Therefore, products containing organic acids, extractives, essential oils in large quantities, cholesterol, purines are considered "harmful". Fried foods are prohibited, as well as those foods in which fats are not completely broken down.
Cooking methods are reduced to boiling or steaming. Sometimes you can include baked dishes on the menu, but they should not have a hard crust on them.
Products need to be wiped or chopped finely. The cereals are boiled thoroughly. You should eat at least 5 times a day, eating food in small portions.
Chemical composition and energy value. The amount of fats, proteins and carbohydrates that are recommended to eat during the 5A diet:
- Carbohydrates - no more than 350 g.
- Proteins - no more than 90 g.
- Fats - no more than 80 g (if dyspepsia has pronounced symptoms, then fats are limited to 5 g per day).
The maximum allowable number of kilocalories per day is 2500 kcal.
Sample menu for a week of diet 5A
Breakfast # 1 | Breakfast # 2 | Main meal | Afternoon snack | Last meal | |
Protein omelet. Boiled rice with butter in milk. Tea with lemon. |
Curd casserole. |
Vegetable soup. Stewed carrots. Boiled meat in the form of a souffle. Compote. |
Biscuit. Tea. |
Noodles with cheese and butter. Mineral water. Kefir before a night's rest. |
|
Meat cutlets with milk sauce. Grated apples and carrots salad. Coffee with milk. |
Apple. |
Boiled fish. Stewed beets. Mashed potato soup. Kissel based on permitted berries. |
Biscuit. Rosehip decoction. |
Buckwheat casserole. Mineral water. A glass of kefir before bedtime. |
|
Oatmeal with milk. Cottage cheese with sour cream. Tea. |
Baked apple. |
Boiled rice. Boiled chicken. Soup with vegetables. Dried fruits compote. |
The juice. |
Mashed potatoes. Steamed fish cakes. Serve cutlets with milk sauce. Rosehip decoction. Kefir before a night's rest. |
|
Pasta with butter. Beef. Tea with milk. |
Lazy dumplings with sour cream. |
Vegetable soup. Stuffed cabbage. Kissel. |
1 banana and 1 grated soft apple. |
Milk rice porridge with butter. Cheese. Tea. Kefir before going to bed. |
|
five |
Buckwheat porridge with butter. Cottage cheese. Coffee with milk. |
Baked apple. |
Borsch with sour cream. Noodles. Meat soufflé. Kissel. |
Biscuit. Tea. |
Mashed potatoes. Boiled fish. A fresh vegetable salad. Mineral water. Kefir before a night's rest. |
Boiled buckwheat. Meat cutlets. Tea. |
Jam from apples. Carrot puree. |
Milk noodles. Curd pudding with sour cream. Compote. |
Kissel. |
Semolina. Mineral water. Kefir. |
|
Figure: Soaked herring. Weak brew tea. |
Baked apple. |
Soup with cereals and vegetables. Noodles with a cutlet with milk sauce. Compote. |
Rosehip decoction. Biscuit. |
Cheesecakes with sour cream. Protein omelet. Mineral water. A glass of kefir. |
Table No. 5B
Diet table No. 5B is indicated for the following diseases:
- Acute course of hepatitis.
- Acute cholecystitis.
- Liver cirrhosis against the background of moderate organ failure.
- Gastritis, stomach ulcer with cholecystitis and hepatitis.
Characteristics of the diet. The diet of table No. 5B is not physiologically complete, it does not have enough nutrients and energy value to satisfy the daily human need.
It is based on the principles of diet number 5, but carbohydrates and fats in it are further reduced. Dishes are cooked exclusively by steam, without adding salt to them. All products are wiped.
You need to eat on a 5B diet every 3 hours, in small portions. This diet is implemented exclusively in hospitals and for no longer than 6 days. Then the patient is prescribed a 5A diet.
Against the background of a 5B diet, a deficiency of vitamin C is possible, therefore, the patient must be prescribed a rosehip decoction.
The 5B diet involves the consumption of the following amount of fats, proteins and carbohydrates per day:
- No more than 80 g of protein, and 45 g of protein must be of animal origin.
- No more than 40 g of fat.
- No more than 250 g of carbohydrates.
- You can consume no more than 1600 kcal per day.
- The volume of fluid consumed, regardless of food intake, is at least 2 liters.
- Salt is removed from the menu altogether.
- The food should be between 20 and 55 ° C Celsius.
Sample menu for the day of diet 5B
The menu for diet number 5B may look like this:
- Breakfast number 1: semolina porridge, egg white omelet, tea.
- Breakfast number 2: vegetable soufflé, compote.
- Main meal: soup with rice, low-fat meat soufflé, baked apple.
- Snack: fruit jelly, milk tea.
- Last meal: fish soufflé, compote.
- Before going to bed, you can drink a glass of jelly.
Table No. 5P (1)
Diet table No. 5P is indicated for the following diseases:
- Chronic course of pancreatitis, stage of remission of the disease;
- The need to normalize the work of the pancreas, gallbladder;
- Restoration of the functions of the stomach, intestines, liver after illness.
Characteristics of the diet. The main goal of the diet is to reduce the painful sensations caused by pancreatitis. The menu is designed in such a way that it relieves the load on the gallbladder and pancreas, does not irritate the intestinal mucosa.
The diet is physiologically complete, the fat content is slightly limited.
Dishes are steamed or boiled. Products should be finely grated and semi-liquid.
The patient should drink at least 6 times a day, in small portions. The diet is recommended after a forced medical hunger strike.
The diet assumes the following daily set of fats, proteins and carbohydrates:
- No more than 90 g of proteins, 45 g of which must be of animal origin.
- Not more than 80 g of fat, where 1/3 of it comes from vegetable fats.
- No more than 350 g of carbohydrates per day.
- Not less than 2100 kcal per day, nor more than 2500 kcal.
- Water, regardless of food intake, you need to drink at least 1500 ml
- Salt is limited to 10 g maximum.
- Vitamin A (retinol) - 0.3 mg, beta-carotene 10 mg, Vitamin B2 (riboflavin) - 2 mg, Vitamin B1 (thiamin) - 1.3 mg, Vitamin B3 (PP, nicotinic acid) - 6 mg, vitamin C (ascorbic acid) - 150 mg.
- Trace elements: iron - 30 mg.
- Macronutrients: calcium - 0.8 g, sodium - 3 g, magnesium - 0.5 g, phosphorus - 1.3 g.
- Food temperature range: 20-50 ° C Celsius.
Sample menu for the day of diet 5P (1)
A menu for one day might look like this:
- Breakfast number 1: omelet of proteins, steamed, viscous and mashed oatmeal in water, tea.
- Breakfast number 2: fruit jelly and tea.
- Main meal: slimy rice soup with vegetable broth, chicken dumplings, berry soufflé.
- Snack: steamed cottage cheese soufflé, rosehip broth.
- Last meal: fish soufflé, vegetable puree, compote.
- Before going to bed, rosehip broth and crackers.
Table No. 5P (2)
Indications for use. This diet is recommended for patients who suffer from acute pancreatitis in the extinction stage, or when the exacerbation is not too severe. Perhaps its appointment to patients with chronic inflammation of the pancreas.
Characteristics of the diet. The main purpose of the diet is to prevent relapse of the disease. It is also aimed at bringing metabolism back to normal.
During the diet, a person should consume an increased amount of protein foods, but somewhat limit fast carbohydrates and salt.
You can not include in the menu products containing extractives and dishes rich in coarse fiber.
The main method of heat treatment is steam. Also, products can be boiled, stewed and baked. If there is such a need, then the dishes should be wiped.
Food is eaten at least 5 times a day, in small portions.
You need to stick to the 5P (2) table for 8-12 weeks. If the patient begins to feel worse, then this table is canceled and returned to the one that preceded him.
The daily energy value and chemical composition of foods when following diet No. 5P (2) is as follows:
- The amount of proteins should not exceed 120 g, and half of them should be of animal origin.
- The amount of carbohydrates should not exceed 90 g, with 1/3 of vegetable fats.
- The amount of carbohydrates is not more than 350, and simple carbohydrates per day should not be consumed more than 40 g of this amount.
- Water should be drunk at least 1.5 liters per day.
- The salt limit is no more than 8 g per day.
- Vitamins: vitamin A - 0.4 mg, beta-carotene - 13 mg, vitamin B2 - 2.6 mg, vitamin B1 - 1.3 mg, vitamin B3 - 17 mg, vitamin C - 250 mg.
- Macronutrients: sodium - 4 g, calcium - 1.3 g, magnesium - 0.5 g, phosphorus - 1.9 g.
- Trace elements: iron - 35 g.
- The food temperature should be 15-60 ° C Celsius.
Sample menu for the day of diet 5P (2)
When compiling a menu, you can focus on the following diet:
- Breakfast number 1: steamed cottage cheese pudding, milk porridge, tea.
- Breakfast # 2: boiled tongue, tea and crackers.
- Lunch: soup with rice in vegetable broth, beef stroganoff, vegetable puree, compote.
- Snack: soufflé from permitted fish, jelly.
- Last meal: cottage cheese, chicken dumplings, rosehip broth.
- Before going to bed, you can drink kefir.
Table No. 5GA
Indications for use. Table No. 5GA is based on the dietary table No. 5 menu. However, there are some differences.
For example, you need to remove products such as:
- Processed cheese;
- Eggs;
- Fish and seafood;
- Ice cream;
- Sweet pepper;
- Sauerkraut and all pickles;
- Hazelnuts and peanuts;
- Seeds and sesame seeds;
- Citrus;
- Strawberries, raspberry grapes;
- Peaches, apricots, pomegranates;
- Sea buckthorn;
- Melon;
- Kiwi;
- Semolina, millet;
- Milk;
- Fruit drinks containing chemical additives;
- Chocolate, cakes, candy, marshmallows.
Such prohibitions are explained by the fact that the diet is hypoallergenic.
Characteristics of the diet. A hypoallergenic diet helps to flush out toxins from the body, which will help reduce allergy symptoms. A person begins to feel much better from the very first days of transition to table 5GA. You can achieve maximum results when working with an allergist.
The daily chemical composition and energy value of the menu should look like this:
- Protein: no more than 90 g per day, with 45 g of protein from an animal basis.
- Not more than 80 g of fat per day, where 1/3 of it is vegetable fats.
- No more than 350 g of carbohydrate food, where only 40 g is allocated to simple carbohydrates.
- The maximum amount of liquid per day is 2 liters, but not less than 1.5 liters.
- It is allowed to consume no more than 10 g of salt per day.
- Vitamins: vitamin A - 0.5 mg, beta-carotene - 10 mg, vitamin B2 - 4 mg, vitamin B1 - 4 mg, vitamin B3 - 20 mg, vitamin C - 200 mg.
- Iron - 15 mg
- Sodium - 4 g, calcium - 1.2 g, potassium - 4.5 g, magnesium - 0.5 g, phosphorus - 1.6 g.
- The temperature of the dishes during their serving should vary between 15 and 60 ° C.
Approximate menu for a week of diet 5GA
First meal | Main meal | Last meal | |
Oatmeal porridge, tea, sweet baked fruits | Soup with cabbage, boiled pork, apple jelly. | Porridge with rice, steamed cutlet, low-fat kefir. | |
Bread with cheese, yoghurt, tea. | Soup with vegetables, compote with dried fruits. | Boiled potato tubers, beef tenderloin goulash, pear. | |
Porridge, apple, tea. | Soup with vegetables and meat, compote. | Boiled fish, apple, tea. | |
Galette biscuits, grated sweet apple salad (or banana), yogurt. | Borscht without meat, steamed cutlet, compote. | Buckwheat with pork, stewed vegetables, tea. | |
five | Millet porridge, tea. | Vegetable soup with beef, salad of mashed sweet apples (or 1 banana), kefir. | Rice with goulash, jelly. |
Bread with chicken, 1 banana, tea. | Soup with meat, banana, compote. | Pasta with cabbage and greens salad, kefir. | |
Casserole with cottage cheese, tea. | Soup with vegetables, steamed cutlet, dried fruit compote. | Buckwheat porridge, cutlet, pear, yogurt. |
Table number 5Shch
Indications for use. This diet allows you to maximally facilitate the work of the digestive system, reduce the amount of bile secreted. Therefore, it is prescribed for exacerbation of chronic gastritis, with postcholecystectomy syndrome, accompanied by duodenitis.
Characteristics of the diet. The diet is aimed at reducing bile production. Therefore, the menu is designed in such a way as to take the load off all digestive organs, and especially from the liver. Patients adhering to this diet will be able to normalize lipid metabolism and reduce weight.
However, diet No. 5SH cannot be called complete, since it imposes a restriction on fats and carbohydrates. In addition, the daily calorie content will be reduced, but in moderation.
The menu should not include products containing extractives, coarse fiber, vegetable fats.
The main method of heat treatment is steaming and boiling. The prepared dishes are wiped.
A fasting day is held once a week.
There should be at least 5 approaches to the table per day, and portions should not be bulky.
The daily chemical composition and energy value of the table No. 5Shch is as follows:
- Fat - no more than 60 g.
- Proteins - no more than 90 g.
- Carbohydrates - no more than 300 g.
- You cannot exceed the norm of 2200 kcal per day.
- Water should be drunk at least 1.5 liters.
- The maximum amount of salt is 6 g.
- Vitamins: vitamin A - 0.3 mg, beta-carotene - 7 mg, vitamin C - 100 mg, vitamin B2 - 1.5 mg, vitamin B1 - 1 mg, vitamin B3 - 13 mg.
Approximate menu for the day of diet 5Sch
When compiling a menu, you can focus on the following option:
- Breakfast # 1: curd pudding with fruit-based gravy, meat soufflé, compote.
- Breakfast number 2: fruit mousse, rosehip broth.
- Main meal: soup with vegetables and pureed oatmeal, cutlets with fish fillets, mashed potatoes and juice.
- Afternoon snack: crackers and jelly.
- The last meal: boiled chicken, stewed zucchini with sour cream, juice.
- Before bedtime: rosehip decoction.
Table No. 5ZH or 5L / ZH
Indications for use. The diet allows to normalize the intestinal circulation of bile and enhance the process of its separation. Therefore, diet No. 5J is indicated for patients with stagnation of bile in the liver and gallbladder, people with hypotension of the gallbladder, patients after removal of this organ.
Characteristics of the diet. The main goal pursued by the 5G diet is to normalize the circulation of bile in the body. With its help, it is possible to normalize fat metabolism.
This diet is physically complete and contains normal amounts of protein and carbohydrates. Moreover, the proportion of fat is even slightly increased.
The menu should include foods that contain high-quality proteins and polyunsaturated fatty acids.
Frying is strictly prohibited, dishes can be cooked, baked, steamed. There is no need to wipe the food.
You should eat at least 5 times a day, in small portions.
The daily energy value and chemical composition of diet No. 5ZH is as follows:
- No more than 90 g of proteins.
- Not more than 120 g of fat, and vegetable fat in this mass should be 50 g.
- Not more than 350 g of carbohydrates, of which simple carbohydrates should not exceed 40 g.
- Calorie content per day should not exceed 3100 kcal.
- You need to drink at least 1.5 liters of water per day.
- The maximum amount of salt consumed per day is 6 g.
- Vitamins: vitamin A - 0.3 mg, beta-carotene - 10 mg, vitamin B1 - 1.7 mg, vitamin B2 - 2.5 mg, vitamin B3 - 19 mg, vitamin C - 200 mg.
- Sodium - 3.5 g, calcium - 4.5 g, potassium - 4.5 g, magnesium - 0.5 g, phosphorus - 1.6 g.
- Iron - 40g.
- Food temperature should be between 15 and 65 ° C Celsius.
Sample menu for the day of diet 5G
When compiling a menu, you can focus on the following option:
- Breakfast number 1: semolina porridge with butter, boiled soft-boiled egg, coffee.
- Breakfast number 2: tea and berries.
- Main meal: soup with rice groats, vegetable salad with vegetable oil dressing, juice.
- Afternoon snack: rosehip broth and cottage cheese.
- Last meal: boiled meat, pumpkin soufflé, tea.
- You can end the day with a glass of kefir.
Table No. 5R
Indications for use. This diet is prescribed for dumping syndrome, after resection of the stomach and against the background of peptic ulcer disease.
Characteristics of the diet. The diet is intended for patients who have undergone surgery on the stomach. It allows you to recover faster by reducing the production of gastric juice, which means that the intestines and stomach will not be subject to chemical and mechanical irritation.
The diet is physiologically complete. In this case, the patient eats an increased amount of protein products, but is limited to carbohydrate foods. Moreover, simple carbohydrates are removed from the menu altogether, and complex carbohydrates are minimized.
Dishes can be boiled, steamed. Food is not consumed too hot or too cold.
You need to eat at least 7 times a day, but in small portions. At one time, you should drink no more than 200 ml of liquid, half an hour after eating. Do not drink water while eating.
The daily energy value of the diet and the chemical composition of meals are distributed as follows:
- No more than 120 g of protein per day.
- No more than 90 g of fat per day.
- No more than 400 g of carbohydrates per day. Moreover, simple carbohydrates should be 20-30 g.
- The maximum daily calorie content is 2800 kcal.
- Liquids should be drunk 1500 ml
- The maximum amount of table salt is 8 g.
- Serve food in the temperature range 20-55 ° C.
Approximate 5P diet menu
There are three menu options for the 5P diet:
- All dishes are wiped.
- Meat products are chopped up and side dishes can be left sticky.
- Dishes are not rubbed. This option is possible in the case when the patient feels well for a long time.
An example menu of an uncleaned version for home use might look like this:
- Breakfast # 1: boiled meat, grated fresh carrots with olive oil dressing, tea.
- Breakfast # 2: crumbly buckwheat porridge, rosehip decoction.
- Breakfast # 3: steamed meat cutlets, fresh sweet apple.
- Main meal: boiled meat, minestrone soup, compote.
- Afternoon snack: cottage cheese and fruit jelly.
- Last meal: steamed chicken egg white omelet, boiled fish.
- Before going to bed, you need to drink a glass of kefir and eat a few crackers.
Table number 5 for children
Children more often than adults suffer from disturbances in the work of the biliary system, but at the same time, inflammation of the gallbladder and bile ducts is much less common. However, even such seemingly insignificant problems can provoke serious malfunctions in the liver and pancreas. Therefore, the kids are also assigned a table number 5.
Children's dietary food scheme is not much different from the adult menu. Dishes are also boiled and steamed. The more often food enters the digestive tract, the better the biliary system works. Therefore, meals should be frequent, but in small portions. It is good if the child has a diet that should not be abandoned.
It is important that the menu meets the needs of the child's body, depending on its age. For example, five-year-olds need to be given proteins that are easy to digest. First of all, we are talking about milk, fish, eggs, but provided there is no allergic reaction. Fat is limited in case of sphincter dysfunction against the background of an increase in their tone (up to 0.5 g per kg of weight). The emphasis should be on vegetable fats, and refractory fats should be removed from the menu. If the child has hypomotor dyskinesia, then the daily intake of vegetable fats is increased to 1.2 g per kg of body weight.
Sample menu for a child on a diet number 5:
First meal | Omelet with steamed milk, buckwheat porridge with the addition of vegetable oil, tea with milk. |
Breakfast # 2 | Rice pudding, baked apple. |
Main meal |
Soup with vegetables and sour cream. Chicken soufflé. Mashed potatoes. Fruit juice. |
Snack |
Cheese casserole. Pumpkin juice. |
Last meal |
Fish with milk sauce. Oatmeal. Rosehip infusion. |
Before bedtime | A glass of kefir. |
Pros and cons of table number 5
Diet Pros:
- The diet is balanced, restrictions are easy to tolerate.
- Allows you to regulate the work of the liver and gallbladder.
- It is an excellent prevention of disease recurrence.
Cons of the diet:
- Some dishes require a complex and lengthy preparation process.
- The diet will have to be followed for a long time.
Recommendations of dietitians
- The 5th table diet is not intended to restore diseased organs, but to eliminate those causes that provoke an exacerbation of the disease. With its help, it will be possible to speed up the healing process.
- You cannot prescribe a diet on your own. A doctor should recommend it. During the diet, the patient needs concurrent medication.
- Bread should only be eaten when dried. Fresh baked goods from the menu should be eliminated.
- It is impossible to lose weight with the help of this diet, it is prescribed for diseases of the liver and gallbladder, and not for obesity.
- With the help of a diet, you can quickly recover, remove excess fluid from the body, and eliminate joint pain.
- Medical nutrition is an important component of the treatment of diseases of the digestive system, so you should endure restrictions on the menu for your own health.
Reviews and results
Patients often refer to the 5-table diet as the hepatic diet, as it is designed to solve problems in the functioning of this organ. Reviews about this power system are only positive. It allows you to get rid of many troubles: eliminate constipation and belching, reduce gas formation in the intestines, eliminate heaviness and pain in the right side. Patients say the only drawback of the diet is that some dishes take too long to cook.
“I am always prescribed this diet when I go to the hospital with an exacerbation of cholecystitis. Then for 3 months I stick to it at home. During this time, the condition improves significantly: the taste of bitterness in the mouth disappears, belching disappears, and it becomes very easy in the stomach. It is impossible to stick to this diet for longer, as it is too difficult to cook for yourself separately, and for the family separately. It takes a lot of time"
“Table number 5 is my constant diet after my gallbladder was removed. I feel good, the excess weight is gone. I deviate from the diet very rarely, basically, I follow all the rules. This keeps you healthy. But cooking only for yourself is quite problematic."
“I have cholecystitis and pancreatitis. Therefore, the doctor prescribes the same diet for me, but with a high protein content. When a bitter taste appears in my mouth, I begin to strictly monitor my diet. When it gets better, I gradually remove the restrictions. I cook food for a couple, all my household members eat with pleasure with me."
The author of the article: Kuzmina Vera Valerievna | Endocrinologist, nutritionist
Education: Diploma of the Russian State Medical University named after NI Pirogov with a degree in General Medicine (2004). Residency at Moscow State University of Medicine and Dentistry, diploma in Endocrinology (2006).