Fel Updated Nursing
Fel Updated Nursing
Fel Updated Nursing
TABLE 3
FOOD EXCHANGE LISTS
Foods that are alike are grouped together in lists. The seven exchange lists help to make your meal plan work. All the foods on a list
have about the same amount of carbohydrate, protein, fat, and calories. In the amounts given, all the choices on each list are equal.
Any food on a list can be exchanged or traded for any other food on the same list. The seven lists are: Vegetable, Fruit, Milk, Rice,
Meat, Fat, Sugar.
The exchange lists and the meal plan will provide you with a great variety of food choices, and they will help you to control the
distribution of calories, carbohydrate, protein, and fat throughout the day so that your food will be balanced.
The reason for dividing food into six different groups is that foods vary in their carbohydrate, protein, fat, and calorie content. Each
exchange list contains foods that are alike; each food choice on a list contains about the same amount of carbohydrate, protein, fat, and
calories as the other choices on that list.
In the food exchange lists, commonly used foods are divided into seven groups or "lists". Each list or group contain approximately the
same amount of carbohydrates, protein, fat, and therefore, calories per exchange. A food in any one group can thus be substituted for
or exchanged with another food in the same lists or sub-group This food list can be used in our meal plan by substituting each foods in
the same group. You can use this list to give yourself more choices. For example: a patient who is allowed 4 exchanges of low fat meat
and fish (List 5 A) per day might select the following: 1 medium sized fish, 3/4 cup chicken liver, 3 tablespoons corned beef and 1 slice
(11x4x0.5cm) of well-trimmed tenderloin
Food Pyramid is a diagram developed by nutrition experts to illustrate the balance of foods needed for a healthy lifestyle. It serves as a
nutritional guideline in the wise choice of food to obtain the best balance of nutrients in the diet. The major food groups are placed in
the Food Pyramid with indicators to healthy eating habits in terms of what food one must eat.
Vegetable B: 1 exchange = 1/2 cup raw (40g) or 1/2 cup cooked (45g)
(1) These vegetables are rich sources of fiber. (2) These vegetables are rich sources of pro Vitamin A.
Group A CARBOHYDRATE (g) PROTEIN (g) FAT (g) Energy (Kcalories)
0 0 0 0
Ampalya fruit
Cabbage
Cauliflower
Celery
Chayote fruit(2)
Chayote leaves
Cucumber
Eggplant
Tomato(2)
Upo
Carrot (2)
Kamansi (1)
Squash fruit
This list shows the kinds and amounts of foods to use for one fruit exchange. Fruits are important for their
vitamin, mineral, and fiber
contents. Include at least two
(1) These fruits are good sources of fiber. (2) These fruits are good sources of pro-vitamin A. (3) These fruits are sources of vitamin C. Include at least one exchange
to three exchanges daily in
in the diet daily.
the diet, one of which should
Food Wt. (g) Edible Portion Measure be rich in vitamin C.
Anonas, kamatsile, cashew,
A.P E.P. tiesa, datiles, guava, pomelo,
guwayabano, siniguelas,
Fresh:
strawberry, atis, and
dalanghita are good sources
Apple 86 65 1/2 of 8 cm diameter or 1 (6cm diameter)
of vitamin C. Mango and
Atis (3) 70 45 1 (5 cm diameter)
papaya contain both vitamin
A and C. Tiesa is also an
Balimbing (1) 153 135 1-1/2 of 9 x 5 cm excellent source of
provitamin A. Bananas,
Banana: oranges and dried fruits are
sources of potassium.
Lakatan 51 40 1 (9 x 3 cm) Bananas contain magnesium
and vitamin B6.
Latundan 55 40 1 (9x 3 cm) Fruits may be used fresh,
dried, canned, frozen or
Saba 70 40 1 (10 x 4 cm) cooked. Some fresh fruit
juices like Kalamansi
Cashew (3) 78 70 1 (7 x 6-1/2 cm) (Philippine lemon), dayap
and lemon may be rated as
Chico 54 45 1 (4 cm diameter)
“free food” when used as
flavoring, sauce or when
Dalanghita (3) 300 135 2 (6 diameter each)
diluted and sweetened with
Datiles (1)(3) 61 50 1 cup artificial sweeteners. Fruits
may cause a temporary
Duhat 80 60 20 (2cm diameter each increase in blood sugars,
thus meal plans for patients
Durian 150 30 1 segment of 6-1/2 x 4-1/2 cm with diabetes mellitus allow
no more than 5 exchanges a
Grapes (1) 69 55 10 (2 cm diameter each) or 4 (3 cm diameter each) day.
Marang 45 35 1/2 of 12 x 10 cm
Canned, drained:
+ Equivalent to 1 cup cow's milk plus 2 exchanges of fat or 1/2 cup evaporated milk plus 2 exchanges of fat.
++ Buttermilk refers to pasteurized skim milk that has been sourced by lactic acid producing bacteria.
1 exchange of each of the sub-groups of milk contains: CHO (g) PRO (g) Fat (g) Energy (Kcalories)
Whole Milk 12 8 10 170
Low fat milk 12 8 5 125
very low fat milk 12 8 80
Milk, evaporated, recombined, undiluted 125 1/2 cup Milk is an excellent source of
protein and calcium. It also a good
+ Milk, fresh carabao's 250 1 cup source of phosphorous, some of
the B-complex vitamins, and
Milk, fresh cow's 250 1 cup vitamins A and D. Milk also
contains some magnesium.
Milk, powdered 30 1/4 cup The milk allowance in the meal
plan can be used as a drink. Added
to cereals, or mixed with coffee or
Low fat Milk: tea and other foods.
This list shows the kinds anf amount of rice, rice equivalents, bread and bakery products to use for 1 exchange.
Rice equivalents
Bread
Bakery products
Corn products
Corn boiled 65 1 pc
Baby corn 90 1 cup
Noodles, cooked:
Others
Penoy 60 1 pc.
4. Nuts
Peanuts, roasted 25 1/3 cup
5. Cheese
Cheese, filled 50 1 slice (6 x 3 x 2-1/2 cm)
Cheese, pimiento flavored 40 1 slice 6 x 3 x 2 cm
6. Processed Foods
Meat Products
Longanisa, chorizo style 25 1 (12 x 2 cm)
Frankfurters 60 1-1/2 of 12 x 1-1/3 cm
Salami 50 3 slices of 8 x 8 x 1 cm each
Vienna sausage 70 4 (5 x 2 x 2 cm)
MONOSATURATED FATS
Some vegetable oils, particulary oilve oil and
Avocado 65 1/2 of 12 x 7 cm peanut oil are good sources of monosaturated
Peanut Buter 10 2 tsps fatty acids.
Pili nut 5 5 pcs
Peanut oil, olive oil 5 1 tsp
The role of unsaturated (poly and mono) fatty
acids in lowering plasma cholesterol level has
been demonstrated in patients with diabetes,
atherosclerosis and hyperlimidemia. However,
excessive intake of polyunsaturated fats is not
recommend as they may lower HDl cholesterol,
Shortening 5 1 tsp commonly known as "good cholesterol".
Alcoholic Beverages
This list gives the fat equivalent of some commonly used alcoholic beverages.
The following list shows the kinds and amounts of sweets and other forms of sugar to use for 1 sugar exchange.
Caramel 5 1 (2 x 2 cm)
Champoy 5 1 (2 cm diameter)
Honey 5 1 tsp
Sugar Exchanges
Jams, jellies, preserves 10 2 tsps
Maraschino cherries 20 2-1/2 cm diameter each Sugar and sweets are good sources
of carbohydrates in the diet. All
Marshmallow 5 1 (2-1/2 cm diameter) sugars provide the same amount of
energy per unit weight but differ in
Matamis sa bao 5 1 tsp degree of sweetness and solubility.
Nata de coco 15 2 tbsps
Pure Sugars are most concentrated
Nata de pinya 10 2 tbsps form of carbohydrates. Jellies, jams,
and candies are made up largely of
Panutsa, grated 5 1 tsp
carbohydrates.
Pastillas, duryan 5 1 (5 x 1 x 1 cm)
Sweets are useful in enhancing the
Pastillas, gatas 5 1 (5 x 1 x 1 cm) palatability of diets, but well planned
meals can be nutritionally adequate
Pastillas, langka 5 1 (5 x 1 x 1 cm)
even without them. Individual who
Sampaloc candy 5 1 (1-1/2 cm long x 1 cm thick)
need to reduce or avoid sugar may
use artificial sweeteners.
Sugars (white, brown, pure cane, syrup) 5 1 tsp
Tira - tira 5 1 pc
Pulvoron 10 1 (4 x 2-1/2 x 1 cm 2 40
Beverage List
10
+ Ntritional information taken from product label. ++Nutritional information taken from distributor company.
Concentrate
Grape 5 1 tsp 1 20
Powder 5 1 tsp 1 20
Tetra-brick +
Plastic Bottle
Fruit
D. Powdered Drink
Cocoa 25 5 tbsps 68 5 5 12
E. Yoghurt Drink +
REFERENCES:
www.fnri.dost.gov.ph
FNRI-Food and Research Institute DOST
http://online-fel-mealplan.tripod.com/foodex.html