Diet number 5: a detailed description, a list of permitted and prohibited foods

Diet table number 5 is an integral part of the whole system of medical nutrition developed in the 30s of the XX century by the Russian doctor Manuel Pevzner. In total, Pevzner developed a system of 15 diets for groups of diseases.

The effectiveness of the developed system of health food has been proven by numerous studies and practical applications for more than 80 years. At the same time, it is important to understand that the diet itself will not restore the organs affected by the disease, but will only create favorable conditions for recovery, eliminating the causes of aggravating.

Usually it is prescribed in addition to medical treatment and physical therapy procedures.

Indications for use of diet

For which diseases is this diet prescribed?

  • acute cholecystitis and hepatitis in the stage of recovery;
  • chronic hepatitis without exacerbation;
  • gallstone disease in remission;
  • in case of liver cirrhosis (in the absence of liver failure);
  • chronic cholecystitis (without exacerbation).

Advantages of a diet:

  1. The diet is balanced, restrictions are easy to carry.
  2. Allows you to adjust the liver and gallbladder.
  3. It is an excellent prevention of disease recurrence.

Cons diets:

  1. Some dishes require a complex and lengthy cooking process.
  2. Diets will have to follow for a long time.

Recommendations of dietitians:

  1. Diet 5 table is designed not to restore diseased organs, but to eliminate the causes that provoke the aggravation of the disease. With its help, it will be possible to accelerate the healing process.
  2. Independently prescribe a diet can not be. She should recommend the doctor. During the diet, the patient requires parallel medication.
  3. Bread should be eaten only dried. Fresh pastries from the menu should be eliminated.
  4. It is impossible to lose weight with the help of this diet, it is prescribed for diseases of the liver and gall bladder, and not for obesity.
  5. With the help of a diet, you can quickly recover, remove excess fluid from the body, eliminate pain in the joints.
    Medical nutrition is an important component of the treatment of diseases of the organs of the digestive system, so you should suffer restrictions in the menu for your own health.

What can you eat on diet number 5?

The daily ration involves eating foods that meet the specified caloric and chemical composition:

  1. Not more than 80 g of proteins. Of these, half of the proteins must be of plant origin, and the other half - of animal origin.
  2. Not more than 90 g of fat. Moreover, the share of vegetable fat should account for about 30%.
  3. No more than 400 g of carbohydrates.
  4. At least 1.5 liters of water, more can be.
  5. Not more than 2800 kcal. To clarify the number of kilocalories will require an individual calculation.
  6. Not more than 10 g of salt.

It should be eaten in small portions, the soups are well cooked. If for cooking hard meat is used, then it must first be cut into small pieces. Meals should not be too hot or too cold, they should be served in the form of heat. In the evening, before a night rest, you can drink a glass of kefir of 1% fat, or broth hips.

Herbal teas and medicinal mineral water are also allowed.

Manuel Isaakovich Pevzner

Diet number 5 - a table of permitted and prohibited foods

In the table below you can visually see what you can eat and what can not be on the sparing food of diet No. 5. Use this information when composing a menu for the week.

On the left in the table are the products that you can eat, and those on the right are not recommended.

Soups
  • Soup - this is the main dish in the diet, but not on the broth;
  • Vegetarian soups - mashed with potatoes, zucchini, pumpkin, carrots, semolina, oatmeal or buckwheat, rice, noodles. It is allowed to add 5 g butter or 10 g sour cream;
  • Fruit soups;
  • Dairy soups with pasta;
  • Borsch (without broth);
  • Soup vegetarian;
  • Beetroot soup;
  • Pea soup (liquid, with minimal addition of peas);
  • Barley soup.
  • Broths cooked in meat, fish and mushrooms, as well as broths based on legumes, sorrel or spinach;
  • Okroshka (on kefir, on kvass, any).
Meat / Fish / Meat Products
  • Low-fat beef, veal, rabbit, chicken, turkey (all poultry without skin). Meat is cooked in boiled or steam form, ground or chopped (burgers, soufflé, mashed potatoes, dumplings, beef stroganoff, soft meat piece);
  • Cabbage rolls, pilaf with boiled cape (not sour sauce);
  • Milk sausages (very limited);
  • Prepare low-fat varieties of fish (zander, cod, hake, pollock, tuna) as follows: boil or bake after boiling. You can make quenelles or meatballs, fish souffles, or a whole piece of fillet. Consumption is limited to three times a week;
  • Fresh oysters;
  • Shrimps, squids, mussels - limited;
  • Salmon is limited in fat content and as an appetizer rather than a main course;
  • Dumplings with veal or chicken (dough, lean meat, water, salt) - very limited in fat content and not necessarily fried;
  • Horsemeat (boiled and baked);
  • Chicken breast cooked or steamed.
  • Kidneys, liver, tongue, all sausages, smoked products, as well as canned meat;
  • The use of pork fat is limited, and cooking oils, along with beef and mutton, are completely excluded;
  • Canned fish
  • Salted and smoked fish
  • Fat varieties of fish (salmon, trout, carp, eel, sturgeon, sturgeon, beluga, catfish, etc.);
  • Caviar granular (red, black)
  • Sushi;
  • Beef tongue;
  • Crab sticks.
Kashi / Groats / Pasta
  • Low-fat paste with approved products,
  • Rubbed porridges and semi-viscous buckwheat, oatmeal, semolina, and rice, boiled in water or in half with milk;
  • Various products from cereals: soufflé, casseroles, puddings in half with cottage cheese, casseroles of noodles, cottage cheese;
  • Pilaf with dried fruit;
  • Muesli (without additives prohibited in the diet)
  • Oatmeal (without additives);
  • Couscous, Bulgur;
  • Millet porridge;
  • Flax seeds.
  • Fatty pastes;
  • Pasta with prohibited ingredients in the diet;
  • Pasta with spicy, creamy or tomato sauces,
  • Legumes are excluded from cereals (as an independent dish);
  • Pearl barley, barley, corn grits are limited;
  • Lentils
Dairy / Fermented Milk Products
  • Sour cream (minimum fat content) and cheese (not sharp and in very limited quantities);
  • No more than 2% fat kefir, yogurt and bold or low-fat cottage cheese, milk - 200 grams. You can also cottage cheese dishes, souffles and casseroles, lazy dumplings and cheesecakes, sour milk, puddings;
  • Feta cheese - limited in fat content;
  • Yogurt (without preservatives).
  • Cheeses of salted varieties are excluded;
  • Fatty dairy products;
  • Cream, milk 6%, ryazhenka, fat cottage cheese;
  • Milk serum.
Bread
  • Bran bread;
  • Rye bread;
  • Crackers;
  • Wheat bread from flour of the 1st and 2nd grades dried or yesterday's pastries, crackers;
  • Unsweetened dry biscuits, biscuits;
  • Baked fancy products with boiled meat and fish, cottage cheese, apples;
  • Dry biscuit;
  • Slices (crackers) wheat;
  • Bread (without preservatives);
  • Bran.
  • All products from puff and sweet dough;
  • Fried donuts;
  • Fresh bread;
  • Pancakes;
  • Fried pies;
  • Crackers from pastry.
Vegetables / Fruits / Berries
  • Apples - only ripe, soft and non-acidic, grated raw, baked;
  • No more than 1 banana per day;
  • Pureed compote from fresh and dry fruits, jellies and mousses on sugar substitutes;
  • Pomegranate (do not abuse), with the exception of hemochromatosis;
  • Prunes;
  • Watermelon, no more than 2 x small pieces per day;
  • Dried papaya, dried melon, dried apricots;
  • Melon, papaya, pineapple (in salads in very small quantities, in its pure form - it is impossible);
  • Fruit puree (from the fifth table fruit only).
  • Starchy vegetables, boiled and baked in a shabby look: potatoes, cauliflower, carrots, zucchini, pumpkin, beets, Chinese cabbage;
  • Salads (Romain, Corn, Iceberg and other neutral to taste salads) in limited quantities;
  • Bulgarian pepper (in limited quantities);
  • Avocado;
  • Sea kale;
  • Cucumbers;
  • Tomatoes (in very limited quantities, in case of aggravation - exclude);
  • Green beans - the pods themselves can be steamed or baked;
  • Celery, broccoli (better after heat treatment).
  • Virtually all raw fruits and berries, including sweet ones (for example, figs and raspberries), as well as cranberries, lingonberries, grapes, dates, kiwi, oranges, tangerines, pears, persimmons, melons, pumpkin seeds, etc;
  • Nuts in any form (sunflower seeds and almond kernels, as well as walnuts and hazelnuts);
  • Ginger and lemon.
  • Vegetables are excluded from: mushrooms, corn, sorrel, spinach and rhubarb, radish, radish, turnip, eggplant, garlic, onion, asparagus;
  • Green onions, pickled vegetables, canned products, including canned peas;
  • Herbs and salads are bitter, sour, spicy (parsley, dill, spinach, chicory, arugula, frieze, etc.) - not as a main component or main dish, only as decoration or for flavor in a minimum quantity;
  • Tomato paste;
  • White cabbage in raw form (for cooking with heat treatment in the minimum amount allowed).
Butter / Eggs
  • Butter (up to 30 g);
  • Refined vegetable oils (up to 10-15 g) added to dishes;
  • Olive oil (in limited quantities).
  • Eggs in the form of protein omelets, hard boiled eggs and quail eggs - up to two
  • proteins per day, yolks no more than 1/2 in dishes.
  • Unrefined vegetable oil;
  • Pork, beef, lamb fat, cooking oils.
  • Fried whole egg dishes.
Sauces / Condiments / Snacks
  • Vegetable mild sauces, milk sauces and sour cream;
  • Fruit gravy. Flour can not be fried;
  • Salt on the diet number 5 is limited - no more than 10 grams per day (!);
  • Parsley, dill, cinnamon, vanillin (a small amount as a seasoning for the flavor)
  • Soy sauce (in very small quantities)
  • Vegetable salads, fresh with vegetable oil and fruit salads (in very limited quantities, as Snacks, and not the main dish);
  • Squash caviar;
  • Fish jellied only after boiling;
  • Soaked herring is lean;
  • Stuffed fish
  • Salads from seafood and boiled meat;
  • Vinaigrette with permitted products, squash caviar, non-spicy and low-fat cheese;
  • Sauerkraut (without the addition of vinegar), preferably washed.
  • Mayonnaise;
  • Ketchup;
  • Mustard;
  • Horseradish;
  • Pepper;
  • Vinegar;
  • Adjika;
  • Any spices;
  • Fatty snacks;
  • Smoked products;
  • Acute and fat
  • Pickled ginger (for sushi and rolls);
  • Canned foods in any form;
  • Olives, olives;
  • Dried tomatoes;
  • Canned artichokes.
Sweet
  • Berries and fruits not sour, boiled and baked;
  • It is allowed to eat dried fruits (but better is compote from dried fruits), jelly, jelly, mousse;
  • You can eat meringue cookies and marshmallows (in very limited quantities);
  • You can marmalade and sweets without cocoa and chocolate;
  • Jam (non-sour and not very sweet and better to dissolve in light tea or hot water), marshmallow, honey;
  • Sugar only in small quantities;
  • Dumplings with berries, potatoes, cabbage (dough: flour, water, salt);
  • Gingerbread (but not chocolate, no additives and no more than 1 st per day);
  • Lollipops;
  • Turkish delight without nuts;
  • Nougat - without nuts;
  • Sweets made of soft caramel without sesame and without nuts and seeds;
  • Regular sponge cake (1 small piece per day).
  • Chocolate and cream products, ice cream;
  • Halva;
  • Any fatty desserts and pastries with cream;
  • Chewing gum (especially with GERD).
  • Muesli Bars;
  • Sesame candies;
  • Popcorn;
  • Hematogen;
  • Waffles with cocoa;
  • Chuck Chuck and Sherbet;
  • Condensed milk (condensed milk);
  • Sunflower seeds;
  • Kozinaki.
The drinks
  • Weak black tea with lemon, semi-sweet or with sugar substitute (xylitol), milk;
  • Dogrose broth;
  • Juices diluted with water (for tolerability);
  • Pureed compote from fresh and dry fruit;
  • Jelly;
  • Mousses on a sugar substitute (xylitol) or semi-sweet on sugar;
  • Morse and Kissel (not sour);
  • Brewed chamomile.
  • Coffee;
  • Cocoa;
  • Carbonated and cold drinks;
  • Alcoholic beverages (everything is strictly prohibited, including
  • low alcohol);
  • Chocolate and coffee;
  • Green tea, stevia leaves, knotweed herb, stevia extract;
  • Milk serum;
  • Chicory;
  • Karkade;
  • Fresh and squeezed juices;
  • Carob.

Having a list of acceptable foods and products, you can make health food. It is recommended to make a menu in advance, at least 2 days in advance. So you can stock up on necessary products and pick up recipes, and the preparation will take less time. The exact implementation of all the rules of the diet will protect against exacerbation of the disease and speed up recovery.

Diet 5 table: delicious recipes for every day

Since diet food is designed for a long period of time and it needs to be diversified, the hostess often has a question: what to cook? We offer some simple and tasty recipes.

First meal. Mucous and pureed soups:

  1. Soup from savoy cabbage. Carrots, potatoes, parsley root, onions are cut. Onions, parsley and carrots separately boiled in water with the addition of vegetable oil. Potatoes and prepared vegetables are dipped in boiling water, boiled for 15-20 minutes. 5 minutes before the end of cooking, add shredded Savoy cabbage and fresh tomatoes without skin. Salt to taste and bring to a boil. Serve with slices of boiled meat.
  2. Slimy oatmeal soup. Oatmeal grits well, strain without rubbing grits. Bring broth to a boil and salt a little. The finished dish has a uniform consistency of cream and contains no particles of products.
  3. Barley soup. Ingredients: potatoes, cereals, carrots, onions, butter, sour cream. Pearl barley cook. Cut carrots and onions in a bowl. Combine the grits with vegetables, pour in vegetable broth, add potatoes, salt. Serve with parsley and sour cream.

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.
  • Tomato paste - tsp.
  • Vegetable oil - 3 tbsp. l
  • Sour cream - 10 g.
  • Sugar - tsp.
  • Vegetable broth - 0.25 l.

Beets are grated, all other vegetables are cut into strips. Beet stew with carrots and add to the broth, which already contains potatoes and cabbage. At the end of the preparation, tomato paste and sugar are introduced into the borsch. After a couple of minutes, the broth is turned off and allowed to infuse. Before serving, add sour cream to the plate.

Recipes for main dishes

  1. Fish souffle. Boiled fish fillet is passed through a meat grinder, milk sauce, butter (vegetable oil) and yolks of eggs are introduced. A lot of knead, salt, and then injected with whipped proteins. The mass is spread on a baking sheet (optionally in molds) and boiled for a couple or baked.
  2. Chicken and zucchini casserole. Chicken meat, butter, milk, flour, zucchini, egg white, salt. Cut boiled chicken meat, add a portion of milk sauce (made from milk and flour) and whipped protein. Mix the minced meat with grated raw zucchini, salt, put in the form, and pour milk sauce on top. Bake in the oven.
  3. Omelette. Omelets are natural and protein, mixed (with fillers of stewed carrots, chopped boiled meat) and stuffed. The beaten mixture of eggs with milk is slightly salted, poured into molds, oiled and steamed in containers with mesh inserts. The omelet should have a delicate, homogeneous consistency, slightly elastic, and the shape should be well preserved. Steam omelets are light yellow in color. In the diet n5 limit the yolks, so you need to cook a protein omelet, taking only eggs for the dish.

Curd pudding

To make this delicious dessert, you will need the following products:

  • Cottage cheese - 120 g
  • Milk - 60 g.
  • Butter - 5 g.
  • Semolina - 10 g.
  • Protein single egg.
  • Sugar - 2 teaspoons.

Cottage cheese to grind, then beat with a blender. Enter in the curd mass of protein and sugar, then put in a baking dish. The dish is either baked in the oven or cooked in a water bath.

Cabbage rolls with meat and rice

Stuffed cabbage is a dish that is allowed to eat during the observance of the diet table 5, but you need to cook them properly.

The following set of products will be required:

  • 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

Meat is twisted in a meat grinder, cabbage leaves are boiled. Rice pour boiling water and insist for 20 minutes, after which the water is drained. Meat is combined with rice, vegetable oil and greens. The resulting stuffing spread on cabbage leaves and wrap them, giving the form of envelopes. Spread the leaves in the cauldron, pour water and stew until done.

Salads

This diet provides for salads from raw vegetables, but when cooking them, turnip, radish, radish, sorrel, rhubarb, spinach, onion, pickled vegetables, and garlic are excluded. It can be traditional salads from tomatoes and cucumbers, seasoned with vegetable oil (sour cream). You can cook it from green leaf lettuce, add any seeds and use a dressing made from vegetable oil and lemon juice.

Cabbage salads from finely chopped cabbage are seasoned with lemon juice, sugar and butter. You can add tomatoes and cucumbers, grated carrots or apples. For the preparation of carrot salads, the roots are rubbed, seasoned with sugar (honey) and sour cream. Enter the sliced ​​apples and boiled dried fruits.

Vinaigrettes consisting of steamed potatoes, carrots and beets are allowed. They are mixed with chopped non-sour sauerkraut, peeled pickles.

  1. Salad from meat. Fresh cucumbers, peppers, boiled meat cut into strips. Salt to taste and fill with vegetable oil. Lay a slide in a salad bowl, if desired, decorate with boiled egg slices, lettuce leaves. You can enter boiled potatoes and carrots.

Menu for the week

The menu of the diet 5 table is quite rich and varied. We give an example of a weekly menu for patients who are assigned this power system.

Monday:

  • For breakfast - semi-viscous oatmeal, cottage cheese, a piece of biscuit.
  • The second breakfast is a large pear.
  • For lunch - rice soup, bread, steamed fish meatballs, steam vegetables, fruit and berry compote, biscuits.
  • Tea time - crackers and a glass of yogurt.
  • For dinner - a salad of boiled vegetables, such as a vinaigrette with sour cream dressing, protein omelette, dogrose broth.
  • Before going to bed - a glass of low-fat yogurt without additives.

Tuesday:

  • For breakfast - semi-viscous rice porridge with fruit, a glass of milk.
  • Lunch - sponge cake with weak tea.
  • For lunch - vegetable soup, bread, steam cutlets from poultry meat, beet salad, tea with crackers.
  • Snack - baked apples with cottage cheese.
  • For dinner - rice casserole, a glass of yogurt, sponge cake.
  • Bedtime - banana or banana puree.

Wednesday:

  • For breakfast - steam curd-rice pudding, coffee with milk, crackers.
  • The second breakfast is a fruit or vegetable salad with sour cream dressing.
  • For lunch - cereal soup, bread, boiled meat, boiled or fresh vegetable salad, compote and biscuits.
  • Tea time - sponge cake with a weak tea.
  • For dinner - steam fish, baked vegetables, weak tea with marshmallows.
  • Before bed - a glass of acidophilus.

Thursday:

  • For breakfast - buckwheat porridge, rosehip broth with biscuit.
  • The second breakfast - cottage cheese with fruit.
  • For lunch - borsch, bread, fish stew with vegetables, weak tea with crackers.
  • Safe, - vegetable casserole.
  • At dinner - boiled tongue, cereal casserole, herbal decoction.
  • Before bedtime - a glass of yogurt.

Friday:

  • For breakfast - soufflé of semolina, a glass of milk, fresh fruit.
  • The second breakfast - crackers and coffee with milk.
  • For lunch - vegetable soup, bread, buckwheat porridge, steamed meat chops, carrot salad, jelly and biscuit.
  • Snack - cottage cheese with fruit and sour cream dressing.
  • Dinner - rice casserole, dogrose broth, biscuit.
  • Before going to bed - a glass of yogurt without fillers.

Saturday:

  • For breakfast - rice pudding, weak tea, crackers.
  • The second breakfast is a vegetable salad.
  • For lunch - cereal soup, bread, milk sausages, mashed vegetables, weak tea, biscuits.
  • Tea time - a glass of yogurt and sponge cake.
  • For dinner - steamed cabbage rolls, herbal decoction and crackers.
  • At bedtime - 1 banana or a glass of tomato juice.

Sunday:

  • For breakfast - rice pudding with fruit, coffee with milk.
  • The second breakfast - baked or boiled protein omelet, vegetable juice.
  • For lunch - soup with pasta, hotpot, biscuits and weak tea.
  • Tea time - lazy dumplings, compote.
  • Dinner - fish souffle, salad of boiled vegetables, weak tea and crackers.
  • Before bed - a glass of acidophilus.

The diet regimen for children and adult patients allows not only to normalize the biological functioning of the pancreas, liver, gallbladder, biliary tract and restore the optimal functioning of the digestive organs, but also to lose weight. According to reviews of patients on diet No. 5 - weight loss occurs harmoniously, smoothly and permanently.

Significant lipid restriction is useful to all people who need to keep the organs of the gastrointestinal tract. By sticking to this menu over a long period of time, you can get rid of pain and discomfort in the right hypochondrium, as well as improve and cleanse the entire body.

Watch the video: Top 10 Fruits for Diabetics (November 2019).

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