Making food more nourishing

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1 University Teaching Trust Information for Cardiovascular Rehabilitation patients Making food more nourishing Cardiovascular Rehabilitation Dietitian All Rights Reserved Document for issue as handout.

2 If you ve lost your appetite or are losing weight, it s important to choose nourishing foods and drinks. Eating more at mealtimes can often be hard. Your dietitian or doctor may recommend that you have energy drinks called nutritional supplements. They contain on average calories (kcals) and between 10-16g protein per carton or sachet. Under each recipe title are the calories and protein it contains, along with the amount found in the original product. Creamy Milkshake 320kcals +14g protein (compared with 200ml semi skimmed milk - 88 kcals + 7g Banana Milkshake 320kcals + 14g protein (compared with 200ml full fat milk - 123kcals + 7g There are some simple things that you can do at home to increase the amount of calories (kcals) and protein in your food without having to eat bigger meals or use nutritional supplements. Using full fat products or adding small amounts of every day nourishing foods to your meals and drinks will make every mouthful more nutritious. This leaflet gives recipes for high calorie drinks, nutritious cereals, soups and puddings. They contain similar amounts of energy and protein to a nutritional supplement and can be prepared at home. l 150mls full fat (blue top) milk l 15g milkshake / syrup (e.g. Crusha or Nesquick ) l 20g l 50g ice-cream OR 2 tablespoons double cream Method: Mix together all ingredients with a blender, fork or whisk. l 150mls full fat (blue top) milk l Small banana (+ handful strawberries / blueberries) l And / or scoop of ice-cream Method: Chop banana and mix together all ingredients with a blender. 1 2

3 Fruit Smoothie (serves 2) 240 kcals + 10g protein per serving (compared with 250ml standard smoothie 137kcals + 1.5g Hot Chocolate 400kcals + 13g protein (compared with hot chocolate made with water - 115kcals + 2g Extra Creamy Yoghurt 300kcals + 5g protein (compared with low fat yoghurt 100kcals +4g l 1 thick and creamy style yoghurt Method: Stir double cream into the yoghurt. Chocolate Mousse (serves 4) 310 kcals + 9.5g protein per serving (compared with 1 pot shop bought chocolate mousse 120kcals + 5g Energy Soup 335kcals g protein (compared with 1/2 can cream of style soup -120kcals + 2g l 300ml full fat (blue top) milk l 1 heaped tablespoon of l 1 pot thick and creamy style yoghurt l Fruit i.e. 1 banana/ 3 pineapple rings/ ½ tin peaches/ handful frozen berries Method: Blend all ingredients together using a liquidizer / stick blender. l 150 ml Full fat (blue top) milk l 1 heaped tablespoon of l 3 heaped teaspoons hot chocolate * Method: Add warmed milk to hot chocolate and milk. Mix well then add in double cream. *swap hot chocolate for 1 serving of malted drink i.e Horlicks / Ovaltine 450 kcals + 15g protein. l 1 sachet Cup-a-soup or ed soup l 220ml full fat (blue top) milk Method: Mix a small amount of warmed milk to Cup-a-soup and skimmed milk to make a paste. Add the remaining warm milk and double cream. l 1 packet of instant dessert i.e. Angel Delight / supermarkets own brand l 4 heaped tablespoons of l 150ml double cream l 150ml full fat (blue top) milk. Method: Mix instant dessert with skimmed milk. Whisk in double cream and milk. Chill and allow to set. 3 4

4 Energy Porridge 400 Kcals g protein (compared with porridge made with full cream milk - 230kcals + 5g l 1 sachet or 30g porridge oats 200ml warm full fat (blue top) milk l Sugar / honey / jam / berries etc. can be added to taste Method: Make up porridge as usual with full cream milk. Mix in milk and double cream then top with sugar / honey or topping of your choice. Energy Weetabix 420kcals g protein (compared with 2 x Weetabix plus full fat (blue top) milk - 200kcals + 7g l 2 Weetabix or supermarket own brand l 100ml full fat (blue top) milk l Sugar / honey / jam etc. can be added to taste Method: Add skimmed milk to a small amount of milk and stir into a paste. Mix with the rest of the milk and stir in the double cream. Pour the milk mixture over the Weetabix and top with sugar, honey or topping of your choice. This table shows the calories and protein in everyday nourishing foods. Why not try using it to create some recipes of your own? Food Amount Energy Protein (Kcals)* (g)* Dried skimmed 3g or 1 teaspoon milk Dried skimmed 9g or 1 tablespoon milk Sugar 5g or 1 teaspoon 20 0 Honey 17g or 1 heaped teaspoon 50 0 Maple / Golden syrup 20g or 1 tablespoon 55 0 Jam / Marmalade 15g or 1 teaspoon 36 0 Hazelnut spread 20g or 1 tablespoon Double cream 10g or 1 teaspoon Ice-cream 50g or 1 serving Raisins 1 Handful Nuts (plain) 10g or small serving Peanut butter 10g or 2 teaspoons 62 3 *all figures are approximate and depend on brand / make. For further food fortification advice, please refer to Nourishing Diet booklet or telephone your dietitian with any queries or concerns. Cardiovascular Rehabilitation Dietitian

5 G W. Design Services Salford Royal NHS Foundation Trust All Rights Reserved 2016 This document MUST NOT be photocopied Information Leaflet Control Policy: Unique Identifier: CS 59 A (14) Review Date: January 2017 University Teaching Trust For further information on this leaflet, it s references and sources used, please contact Copies of this information are available in other languages and formats upon request. If you need this interpreting please telephone In accordance with the Equality Act we will make reasonable adjustments to enable individuals with disabilities, to access this treatment / service. InterpretationandTrans@srft.nhs.uk Salford Royal operates a smoke-free policy. For advice on stopping smoking contact the Hospital Specialist Stop Smoking Service on Salford Royal NHS Foundation Trust Stott Lane, Salford, Manchester, M6 8HD Telephone If you would like to become a Foundation Trust Member please visit: for-members If you have any suggestions as to how this document could be improved in the future then please visit: for-patients