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IBDNutrition

CDED Diet · Meal Ideas

High Demand

Active adults / athletes · Phase 1 · Induction

High DemandPhase 1 · InductionActive adultsActive profilePortions to individualise50% EN

Indicative portion references:

Fresh chicken breast: the protocol daily reference is 150–200 g. The treating team decides whether that reference is appropriate and records the individual portion. “½ of the daily chicken portion” means dividing that same amount between two meals, not adding another portion.

Fish: 100–150 g fresh white fish on one day per week, replacing chicken for that entire day. Chicken and fish are weighed raw as edible portions, without skin or bones; they are not equivalent to the same cooked weight.

Base foods distributed across meals: 2 eggs, 2 potatoes, 2 dessert bananas (not plantain) and 1 peeled apple per day. Peel, boil and refrigerate potatoes before use; follow the storage instructions. Individualise size, texture and preparation.

Rice, noodles, oil and vegetables: agree amounts with the treating team and count them towards the daily total and phase limits. Optional extras need a written, accounted amount: they are not automatically added on top of the plan.

This example does not specify calories or guarantee individual requirements are met, including for active adults. Do not increase formula to compensate for differences between dishes; review the combined diet and enteral nutrition with the treating team.

This list does not confirm daily protocol compliance. The nutrition team must review portions, substitutions and textures before using these examples.

Portion and frequency references:
  • ·Fresh chicken breast: protocol daily reference of 150–200 g; the team decides whether it is appropriate and records the portion; replaced by fish on Wednesday
  • ·Eggs: 2/day
  • ·Potatoes: 2/day as a 2019 protocol reference; cooked and refrigerated before use
  • ·Base fruit: 2 bananas + 1 peeled apple/day
  • ·1 glass of fresh orange juice/day maximum

Clinical note: If a second snack or late-evening meal is needed, the treating team should adjust its composition and portions to the energy target, PEN intake and the phase’s daily limits. Do not automatically double a whole snack.

Monday

BreakfastIllustrative · AI

Fully set 2-egg omelette with tomato + 1 dessert banana. Optional: up to 1 glass of fresh orange juice per day, only in a written individual amount counted in the daily total.

LunchIllustrative · AI

Cooked white rice and spinach with ½ of the daily chicken portion, weighed raw and thoroughly cooked. Individualised sides. Optional: up to ½ avocado per meal, only in a written amount counted in the daily plan.

SnackIllustrative · AI

1 peeled apple + 1 dessert banana. Optional: up to 5 ripe strawberries per day, only in a written individual amount counted in the daily total.

DinnerIllustrative · AI

2 peeled, boiled and refrigerated potatoes + ½ of the daily chicken portion, weighed raw and grilled until cooked. Individualised tomato and oil.

Tuesday

BreakfastIllustrative · AI

Individualised cooked white rice with 1 fully set scrambled egg and tomato + 1 dessert banana.

LunchIllustrative · AI

Cooked rice noodles and carrot with the whole daily chicken portion, weighed raw and thoroughly cooked. Individualised sides. Optional: up to ½ avocado per meal, only in a written amount counted in the daily plan.

SnackIllustrative · AI

1 peeled apple + 1 dessert banana. Optional: up to 1 slice of cantaloupe melon per day, only in a written individual amount counted in the daily total.

DinnerIllustrative · AI

Fully set 1-egg omelette + 2 peeled, boiled and refrigerated potatoes + individualised spinach and oil.

Wednesday

BreakfastIllustrative · AI

2 fully cooked hard-boiled eggs + individualised tomato + 1 dessert banana. Optional: up to 1 glass of fresh orange juice per day, only in a written individual amount counted in the daily total.

LunchIllustrative · AI

100–150 g fresh white fish, weighed raw and boneless, thoroughly cooked, with individualised cooked white rice and spinach.

SnackIllustrative · AI

1 peeled apple + 1 dessert banana. Optional: up to 5 ripe strawberries per day, only in a written individual amount counted in the daily total.

DinnerIllustrative · AI

2 peeled, boiled and refrigerated potatoes with individualised peeled cucumber and olive oil.

Thursday

BreakfastIllustrative · AI

Fully set 1-egg omelette with individualised tomato + 1 dessert banana.

LunchIllustrative · AI

Homemade patty made with the whole daily chicken portion, weighed raw and thoroughly cooked, and spinach. Serve with 2 peeled, boiled and refrigerated potatoes and individualised cooked white rice. Optional: up to ½ avocado per meal, only in a written amount counted in the daily plan.

SnackIllustrative · AI

1 peeled apple + 1 dessert banana. Optional: up to 1 slice of cantaloupe melon per day, only in a written individual amount counted in the daily total.

DinnerIllustrative · AI

Individualised cooked rice noodles with 1 fully set scrambled egg and individualised tomato and oil.

Friday

BreakfastIllustrative · AI

Individualised cooked white rice with 2 fully set scrambled eggs and spinach + 1 dessert banana.

LunchIllustrative · AI

½ of the daily chicken portion, weighed raw and grilled until cooked, with 2 peeled, boiled and refrigerated potatoes. Individualised tomato and oil.

SnackIllustrative · AI

1 peeled apple + 1 dessert banana. Optional: up to 5 ripe strawberries per day, only in a written individual amount counted in the daily total.

DinnerIllustrative · AI

Individualised cooked white rice with ½ of the daily chicken portion, weighed raw and thoroughly cooked. Individualised peeled cucumber and oil.

Saturday

BreakfastIllustrative · AI

Fully set 2-egg omelette + individualised tomato + 1 dessert banana. Optional: up to 1 glass of fresh orange juice per day, only in a written individual amount counted in the daily total.

LunchIllustrative · AI

Cooked white rice with ½ of the daily chicken portion, weighed raw and thoroughly cooked, and 1 peeled, boiled and refrigerated potato. Individualised rice, carrot, spinach and oil.

SnackIllustrative · AI

1 peeled apple + 1 dessert banana. Optional: up to 1 slice of cantaloupe melon per day, only in a written individual amount counted in the daily total.

DinnerIllustrative · AI

½ of the daily chicken portion, weighed raw before cooking and shredding, with 1 peeled, boiled and refrigerated potato. Optional: up to ½ avocado per meal, only in a written amount counted in the daily plan.

Sunday

BreakfastIllustrative · AI

1 fully cooked hard-boiled egg + individualised cooked white rice + 1 dessert banana.

LunchIllustrative · AI

Individualised cooked rice noodles with the whole daily chicken portion, weighed raw and thoroughly cooked. Individualised spinach and oil.

SnackIllustrative · AI

1 peeled apple + 1 dessert banana. Optional: up to 5 ripe strawberries per day, only in a written individual amount counted in the daily total.

DinnerIllustrative · AI

Fully set 1-egg omelette + 2 peeled, boiled and refrigerated potatoes + individualised tomato and oil.

How to interpret portions and alternatives

These are meal ideas, not an individual energy plan. White rice is adjusted to the target and appetite; there is no universal portion weight. Distinguish protocol ranges, limits and individual instructions: a range is not an open-ended minimum. Recipe portions do not replace a whole-day assessment, especially for children.

In phases 1 and 2, fish dishes are alternatives for a single day per week, not instructions to repeat fish on every day where it appears. The team must select the meals for that day and adjust the chicken substitution; combining both in one dish does not justify extra fish days.

Distinguish dry or raw ingredient weight from cooked weight. Soup or purée volume does not specify how much of an ingredient it contains. Where a measure is missing, specify it when personalising the recipe rather than inferring it from the image.

⚕ Clinical notice: This menu is a reference example and does not replace individualised dietary prescription by the medical team.

These are general sample menus. They must be individualised to each person’s needs, tolerance, age, disease phase and treatment. They do not replace advice from their doctor or dietitian.

References

[1]Levine A, et al. Crohn's Disease Exclusion Diet Plus Partial Enteral Nutrition. Gastroenterology. 2019;157(2):440-450. PMID: 31170412

[2]Sigall Boneh R, et al. Dietary Therapy With the Crohn's Disease Exclusion Diet. J Crohns Colitis. 2017;11(10):1205-1212. PMID: 28525622