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EXCHANGHTI$T$
MEALfiff-NING
FOIt
KIEATPLANhIING
CONTENTS
Foreutord I
Acknowledgement ii
Ex change Lists C ommittee iii
lll
FOOD EXCHANGE LISTS
FOR MEAL PLANNING
INTRODUCTION
The Exchange Lisrs is one of the basic tools in appiied nutrition and
ciet therapy. ft is used in nreai planning, dret instruction and in estimating
,.. und macronutrient content of normal and therapeutic diets' lt is
"*urgy
a i.aluable tool for teaching patients the principles of basic nuirition,
nutrient
;omposition and caloric ciensity. Il is used as reference material by nutrition
and dietetics, medical and nursing students,
1. Food items which cannot be classified under a specific list are inciuded
in the sectio n Compositio n of Selected f Prccessed F aods By Exchange -This will
faciiitate the incoryoration of a greater variety of foods in a cornputed
diet.
4. Fn-rits with high fiber content are indicated by an a; those with high
vitarnin A content by a b; and those with high vitamin C content by i";
instead of iisted separately.
5. Milk is classified into whole, low fat and skimmed/very low fat. The
measure indicated for fluid milk ls the sLandard measuring cup.
6. The Meat List was renamed Meat and Fish List- The average fat content
of the low fat and mediurn fat sub-groups under this have 6een changed
to 1 gram and 6 granu, respectively. These values are closer estimates
of the fat content of the food items in these sub.groups.
8. Some foods in the vegetables and meat and fish groups are reclassified
based on newer food cornposition data.
10- Alcoholic beverages are included under the Fat Exchange List, since they
are nretabolized in the body like fat.
It should also be noted that the nutrient values per exchange are
day meals
average values and will thus be most appiicable only if the day to
are sufficiently varied.
whole varies
Iow fat 4 tablespoons
72 8 10 77A 711
skimmcd
12 8 5 125 523
varics t2
IV. Rice varics
8 tr B0 335
V. Mcat
23 2 100 418
Iow fat varies
med. fat varies
8 I 47 772
For example:
DBW for men 5 feet tall is 112lbs. Add (subtract) 4lbs' for every inch
above &elow) 5 feet.
DBW for women 5 feet tall is 106lbs- Add (subtract) 4lbs for every
inch above (below) 5 feet.
II. Determine the reasonable energy allowance of the individual by
multiplyirg his DBW with the following values, according to:
For example:
ilI. Determine the carbohydrate (CHO), protein (PRO) and fat by:
A. Percentage distribution
For example:
r To
convert kcal to ki multiply by 4.184
B. Caiculate the number of grams of cHO, PRO and FAT by dividing the
calories for each nutrientbv the correspondingphysiological fuel value
(4 kcal for CHO and PRO and 9 kcal for fat per gram)'
For example:
IV. Design a practical meal pattern by consulting the patient, taking into
consideration paiient's food habits, food behavior and preferences, etc-
1. List al1 the foods furnishing carbohydrates with the exception of rice,
i.e., vegetables, fruit, rnilk and sugar.
4. Follow the same procedure for fat, using 5 as the divisor since one fat
exchange contains 5 g of fat.
55 (prescribed PRO)
-?4 (partial sum of PRO)
=31 + 8 = 4 no. of meat exchanges
\,{"y t" reduced or omitted in diets for patients requiring limited sugar intake. Instead an extra
exchange of vegetable A or B rnay be used'
SAMPLE MEAL PLAN AND MENU FOR ONE DAY
Breakfast
Fruit Ripc Papaya 1 slicc(I0x6x2cm)
or3/4cup
Meat, and Fish or Baked Ham 3 ( 9cm dia
substitute Sausage x .3cm thick)
Rice or Pan Amerikano 2 sliccs
substitute (9xBx1cm cach)
MiIK 1/4 Evaporated lv{ilk 2 tablcspoons
for Coffee
Sugar WhiteSugar 2 teaspoons
Mid-A.l|{. Snack
Rice or Pan de Lirnon 1 piece (6x5x4cm)
substitute
Meat Cottage Checse 1/3 cup
Lunch
Sorp Clear Broth from
Chickcn Tinola
Meat and Fish or Chickcn Tinola I small leg -
substitute '13-1/2 cm long
x 3 cm diametcr
Vegerable A 2 Green Papaya 1 cup
& Sili Leaves
Rice 7-7/2 Boiled Rice 3/4cup
Fruit 1 Wat'ermclon I slice (l2x6x3cm)
or I cup
Fat 1 CookingOil I teaspoon
for Tinola
10
Mid-PM Snack
Ricc or Pan de Monay I picce (10x9x4cm)
substitute
Fat
Fruit
1 Cream Cheese I tabicspoor.
I Pineapple Juice
Sugar 1
t /3 cup (undiluhed)
White Sugar 1 teaspoon
Supper
Sorp Parsleyed Bccf
Broth
Meat and fish or Broiled Bangus 1 slice (7x3x2cm)
substitute w/ Kalamansi
Vegetables B 1 Sautced
Squash 'l/2cup
Rice 1-t /z Boiled Rice 3/4 cup
Fruit Lakatan 1 picce (9x3cm)
Fat I Cooking Oil 1 teaspoon
for Squash
Bed-Time Snack
Rice or 1
Galyetas dc
substitute
i0 pieces of
Patatas 4x4x7/2 cm each
Milk 3/4 Evaporatcd Milk 1/3 cup (undiluted)
Sugar White Sugar 2 teaspoons
SAMPTE FORM FOR
PATIENT'S MEAI PLAN IN EXCHANGES
Meal Plan For
Energy Carbohydrate Protein Fat
kilocalories grams grarns Erams
-
Total Food for the Day
Lunch:
Meat and Fish
Vegetable A
Vegetable B
Rice
Fat
Fruit
Sugar
12
Supper:
Meat and Fish Exchange(s)
Vegetable A
Vegetable B
Rice
Fat
Fruit
Sugar
Between Meals:
Mid-morning
Mid-afternoon
Bedtime
13
14
THE FOOD GROUPINGS
VEGETABLE EXCHANGES
Vegetabres are important sources
of minerars and vitamins. Incrude
two to three servings, one of n'hich
shourd be dark green or yenow.
Dark green vegetabres are among the best sources
r11.,^:qrelrow
pro-r'itamin A such as beLa-carotenelnd of
bles such as cauliflower, cabta-gf 'gi"un
other caroterioids. some vegeta_
peppers, turnips and tomatoes
contain vitarnin (
marunsgayil*r,"il?::",].-:fl.:i.q,T*ti:"1T1."ffi?fl#f,,:*t:{;,
are good sources or
i3filii;ltji::':#*,:T1": "itu*i,, 8,. rurnips aid
o so u rce" or z ni
reen bea n s . o, ro o i whle
"'iil,llj?iJJT,T T",?f,l,f;.
s ;
"
vegetables are good sources of
various types of dietary fiber. Fibers
which nray be sorubr"e or i*oi"ure*are
inaigesfiute carbohydrates which
vield no enerqv to.the.body u"i p"rio.*
rlbers Iike cetuiose facilitate'trr. rpeciar functions- Non-soluble
p"Gs" gr r,ioa ,h.;;il*;; digesrive tract
a nd fa vor n o rma r erinri
na ti on rn'"y r,"?" u.un
of d iverticurosis a nd bracae. Jo*n tiio #u, *,e incidence
ha ve been shown to aid
pil
cancJ.. Ior,rur* ;tb;;;; the orher hand,
ll-1"*t:*J ir.r*" gr,r.or..on.untration presum_
ll'r"jl:]:*:1s?rdecreasirigtr',"'u"piJuu*'!ii"r"rgffi
an rmporrant factor in contro-iling ;".rheyarearso
biood .t orl*i.ioii3;ll."
Fibcrs are best gken frorn food.
indiscrirnina te us€ of fiber suppil;; Excessive fiber intake such as from
much fiber rnay srow or decrdJr"
,,*y have some adverse effects. Too
as proteins, calcium, iron and
til;;"rption of important nukienLs such
otheii.a-ce *,u*"n*r.
serve vesetables cooked or raw.
deduct the equivalent amount rro*in*.rut ff f1t is added to the preparation,
a'o*J iilr,Jal,. The average
;-T##flrAffi"rH:*i:#:v*g*iu;t'e*.i,u,,lu.ooi.-J'*itnratr".g.Es
vinegar, lemon cr tomato iuice rnay be usedas desired. other dress-
amounts'
ings includledin the Fat Exchange List may be used in prescribed
FRUIT EXCHANGES
In-
Fruits are important for their vitamin, mineral and fiber contents'
which should
clude at least two to three exchanges daily in the diet, one of
be rich in vitaminC.
some f resh
Fruits rnay be used iresh, d ried, canned, fro zen or cooked'
may be
fnrit iuices llke kalamansi (Phitippine lemon'), dayap and lemon
or when diluted and
*t*a'* -free food" when used is flavoring, sauce a ternporary increase
sweetened with artificial sweeteners. Fruits rnay cause
mel litus allow no
io uooa *gars, thus meal plans for pa tients with diabetes
more tlran 5 exchanges a daY'
Fruitiuicecoraistsofunfermentedbutfermentableliquidobla1ed
frrom mtive fresh fruit, with nothing added or
subtracted' Fruit iuice is-also
and kuit iuice
comrrercially availabie in the form of fruit iuice,drink
beverage prepared by
concentrate. Fruit iuice drink is a ready-to-drink
mixing water with fruit concentra te and into which su gar and citric acid may
be added to adjust the soluble solid content and acidity of the product. The
main ingredients consists of fruit juice ccrncenlrate, essential oils, essences of
extracts, with or without added sugar. Concentrated fruit juice is the fruit
iuice which is concentrated by the removal of part of water but not dried.
MILK EXCHANGES
Milk is an excellent source of protein and calcium. It is also a good
source of phosphorus, some of the B-complex vitamins, and vitamins A and
D. Miik also contains some magnesium.
The milk allowance in the meal plan can be used as a drink, added to
cereals, cr mixed with coffee or tea and other foods.
RICE EXCHANGES
Rice, other cereals and products made from these are the ma jor sources
of carbohydrate which is the cheapest source of calories. In addition, whole
grains or enriched rice and cereals are good sources of iron, thiamin and
riboflavin. Whole grain products have more fiber than products made from
refined flours.
In addition to protein, maiority of the foods in the list are also good
sources of iron, zinc, and other B-complex vitamins. Those from animal
origin are particularly rich in vitanrin B,r. Seafoods, nuts, legumes and
soybeans are good sources of magnesium, zinc and iron. Organ meats like
liver as well as egg. clams, soybeans and nuts are rich in iron.
17
Meat and fish exchanges are furttrer suHivided into 3 subgroups
bas€.d on theamount of fat afu calories :low fat,medium
fat and high fat
meat and fish exchanges.
meats,
when planning a diet low in sahrrated fat arut cholesterol,lean
of medium fat
chicken without stcii and fish are to be used. Limit the use
is less than 30
meai and fish exchanges when the patient's fat aliowance
iist'
;a and avoid food; in the high fat meat and fish exchange
If meat is fried, use the fat allowancein thediet. fuup stock from
improve
meat (withfatremoved)maybe usedwith the meat orvegetableto
flavor. Measure meat after it has bem cooked'
FAT EXCHANGES
to fat'
Margarine, butter and €ream contain sorne vitamins in addition
potassium and
Peanut butter it putti."furly a good source of magnesium'
zinc and contains Protein.
Fatsmaybec}assifiedintopolyunsaturated'.lonounsaturatedor
saturated . The fats found in animal sources except
fish consist mainly of
oil contain more
saturated fatty acids while vegetabte oils except coconut
of unsaturated fatfY acids-
Coconutoilisuniqueinthatithasshorterchainlengthfattyu.i9:19
is the only vegetable oil *,"t t * ls'?fi%medium
chain triglycerides (MCT)'
fats rich in
coconuioil isnotconsideredin thesameclass as saturated
Th*,".h.it
fatty acids such as those found in animal sonrces' MCT
is
rr"g
&e&..d, transported easily and oxidized rapidly as so=19 of
energy antl"f*d;;;
has *ty tot" tendency to be deposited in adrpose
and other
tisstres.
Somevegetableoi|s,particulariyoliveoilandPeanutoilaregood
sources of rnonounsahrrated fatty acids'
The role of unsaturated (poly and rnono) fatty acids in iorvering
plasrna cholesterol level has been demonstrated in patients s/ith diabetes"
atherosclerosis and hyperlipidemia. However, excessive intake of poly'un-
saturated fats is not recornmended as they may lower HDL cholesterol,
commonly known as "good cholesterol". They have also been found to be
carcinogenic in animals.
one exchange of meat and fuh when fried or sauteed will absorb
approximately ONE exchange of fat.
ALCOHOLIC BEVERAGES
Alcohol furnishes 7 calories per gram. it is metabolized like fat and
shouldbe computed as fat exchange when used. Its use should be planned
by the dietitian inconsultation ra'ith the physician taking into corsideration
the patient's food habits. The high caloric density should be considered
when used by obese individuals, since alcohol inhibits gluconeogenesis, it
can cause hypoglycemia in the patient with insulin-dependent diabetes.
19
SUGAR EXCHANGES
sugar and sweets are good sources of carbohydrates in the diet. All
slgars provide the same amount of energy per unit weight but differ in
degree of sw€etness and solubility.
20
THE FOOD EXCHANGE LISTS
Group A
Group B
GroupAvegetablescontainnegiigiblecarbchydrates.'proteinand
are used, compute as
energy* if 1 exchanfe or less is used. WhLn 2 exchanges
the portion size for one
or,u dro,rp B Vegetable. unless otherwise specified,
vegebable exchange is:
Vegetable A: 1 exchange = Lcupraw(25g)
or 1l?cup cooked ( 45 g )
Vegetable B: 1 exchange = 1/2cupraw(408)or
\l2atpcooked(a5g)
vegetable ex-
This tist shows the kinds of vegetables to use for one
change.
Processed:
Asparagus tips
90 1 cup
DaDv corn t\ 2(Scmlongx E-l/Zcm
circumference each)
peas, canned
15 1 tablespoon
"r""n nakalata)
(Gisantes,
Golden sweet corn, canned"
2A 2 tablespoon
Mushroom, canned
110 1 /3 cup
Tornato juice, cannod
60 1/7cup undiluted
Water chestnut, canned
25 3 (2 cm diameter each)
a
Thctse vegetables are rjch
sources of liber.
b
These vegebables are rjch
sources of pro vitamin
A.
LIST 2 - FRUIT EXCHANGE LIST
This list shows the kinds and amounts of foods to use for one fruit exchange'
Eresh:
Anofiasa' 65 35 1/2ofSx8cm
Apple 86 65 'l/7 of 8 crndiameter
or 1 (6 cm diameter)
Atis' 70 45 I (5 cm diarneter)
Balimbin{ IJJ 135 1-1./zof9x5cm
26
Meion knstiln Jt/ 1 slice (12 x 10 x 3 cm)
or 1-1 /3 cup
. Papaya, ripeur 133 d) I slice (10 x 6 x 2 cm) or 3/ Acup
Peaf 118 85 1 {6 cm diameter)
_ Pineapple 1?9 lslice (i0x6x2cm)
or tr /2 cup
Rambutan 139 50 I (3 cm diameter each)
SantoI' 727 75 1 (7 cm diarneter)
Singkamas tuber 124 110 1/2 of 9 cm diarne ter or 1 cup
Siniguelas 78 trn
5 (3 cm diameter each)
Star appie i23 65 1/2 of 6 cm diameter
Straw.berr1ts,' 168 165 1-1,/4 cups
Suha' 160 90 3 segrnents (8 x 4 x 3 cm each)
Tan'urind, ripe J{ 4-
2 of 6 segmenis each
Tiessu,bt 41 JU 1/ 4 of 10 cm diameter
Watermelon" 140 lslice (i2x5x3cm)or
1*P
Csnnul, drained:
Apple sauce 45 3 tablespoons
Fruit cocktail 40 3 tablespoons
Peach halves 65 'l-1/3 halves
Pineapple, crushed OU 3 tablespoons
Pineapple, sliced 35 1 slice (7 crn diameter)
Died:
Champoy, salted 10 4 (? cm diameter each)
Dates, pitted 15 3 (3 x 2 crn each)
Dikyaw IJ 2(3x3x1cmeach)
Ir4ango chips 10 2(2x8 cm each)
Prunes, seedless IJ 3 pieces
Raisins, seedless 15 2 tablespoons
*Unless
specified, all measures refer to whole fruit
'These fruits are good sources of fiber.
blhese fruils
are good sources of pro-vitamin A.
Thesc fruits are rith sources of vitamin C. Include at least one
Irlitt.s;,
Canfied:
Sweetened 60 1 /4 cup
(apple, mango,
pineappie-grapefruit,
pineapple-orange)
Unsweetened 80 1 /3 cup
{orange, pineapple, prune)
Botttred (szpeetenedl:
Orange, guwayabano, 80 1/3 cup
manSo
Others:
20 '1,/2 of 9-1/2 x 4 cm
Banana cue
Buko rvaler i80 1 cup
Maruya 20 l/4 o{ l0-1/2x9-7/2 x I cm
Turon 20 | /2 of 9-7 /2 x 3-1. /2 x "lcm
Sherbet 35 3 tablespoons
28
LIST 3 - MILK EXCHANGE LIST
One exchange of each of the sub-groups of milk contains :
WholeMilk:
Milk, evaporated, 1?S 1./2 up
undiluted
Milk, evaporated, 7?S 7/2$P
filled, undiluted
Milk, evaporated, 125 7/2ciry
recombined, undiluted
. Milk fresh carabao's 250 1 cup
Milk, fresh cor,r/s 250 1 cup
30 1 /4 cup or
Milk, powdered
4level tablespoons
ttlg€.ir,,
This list shows the kinds and amounts of rice, rice equivalents, bread
and bakery products to use for one rice exchange.
31
3. Rice Products
Native Rakanin:
Amyau:Pinipig 25 3 (9 x T1,/2 x 2 cm each)
Rice ?5 1(9x3-1/2x2cm)
Bibirgka: Galapang 45 1 slice Q/4 of 15 crn
diameter,2 cm thick)
Malagkit 40 lslice(6x3x3cm)
Biko 40 lslice(10x5xlcm)
Cassava cake 45 1/2oti5x3x2cm
Espasol! 35 2 (11 x ?.-1,/2x1.-1/2 cm each)
Kalamay:I-atik 50 1(4x6x2cm)
Ube 55 1 slice (7 x 3 x 1-112 cm)
Kutsinta 60 1'(5 cm diameter x 2-'l / 2cm)
Palitaw,zualang niyog 55 4 (7-1/2 x 4 x 0.3 cm each)
Puto:Bumbong 40 2(11x2xlcmeach)
Pula 45 3 (4 x 3 cm each)
Pttti 45 1 slice (9-1/2x3x}l/Zcm) or
l-1,/2 round of 5 cm
diameterx 3 cm thick
Seka,bilog z5 3 (3-1 l?crl:tdiameter
x1-l/Zcm thick each)
Sekohnba, 25 5 (5 crn long x 2 cm
may niyo{ diameter each
Sapin-sapin 75 lslice(5x3x4cm)
Suman:Ibos 60 1(8x4x2cm)
Kamotengkahoy 45 1/2of15x3x2cm
Lihiyd 55 1(8x4x2cm)
Maruteko{ 50 2(9x3x2crneach)
Taffialcs 100 2 (7 x 6 cm each)
Tikoy I 1 slice (10 x 3 x 1-112 cm)
Tupig 35 l/2of.14x3x 1cm
32
B. RICE EQUIVALENTS:
1. Bread
Pan amerikano 40 2(gxBxlcmeach)
Pan dp bonetd 40 1 (6 cm diameter base
x 7 cm thick)
Pan de leche 40 1(3x8x8cm)
Pafl de limon 40 1(6x5x4cm)
Pan de ffianaY
AA
ltU 1(10x9x4cm)
Pan de sal 40 3 (5 x 5 cm each)
Rolls (hotdog/ +U 1(11x4x3cm)
hamburger)
Whole r+'heat bread" 2{17-1/2x8-1/2 x"l cm each)
2. Bakery Products
Cakes:
Jelly roll 35 lstice(11 x4x2 cm)
Sponge cake 40 lslice(5x5x5cm)
Caokies:
Galyetas de Patatas 10(4x 4x7/?cm
diameter eachi
PasensiYa 30 22 {3 cm diameter each)
Masapudrida 25 1(7x1cm)
Marie JU 22(+1, /2 crndiameter
x 0.3 cm thick each)
lady fingers 5 (9 x 4 cm each)
Others:
Apas 25 6 $-112x 12 cm each)
Matnon tostado 30 3(8x3x3cmeach)
+
Unless specified, all measures refer to piece.
t These foods are good sources of fiber.
Hopia hapon 1-7/2of 3x2-1/2x2-l/2
cnr, diced
or 7/2 of 7 cm diameter
x'L-1, /?cm thick, round
Ensaymada 1, t8-'l/?cm diameter
x 2 crn thick)
Binato{ 90 | /2 c.tp
Com/rice curls and the like 25 1-1,/4 cups
Corn flakes 25 l cup
Com, boiled" 120 65 i(i2x4cm)
Baby corn 90 1 cup
Colden corn, cannedu 145 1 cup
Corn pudding" 85 lslice(5x4x2cm)
(maha, mab)
4.Noodles, cooked:
Bihon, macal'cni," l cup
sotanghon, spaghetti
5.Rootcrops
Sw-eet potato 91 I/2of ll cmIongx4-1/2
cm diamcter
or 1/2 cup
Cassava' 115 1(5cmlongx 4-1/2cm
diameter) or 1 cuP
T.Others
Breakfast cereals )\ 'l/2anp
Cornslarch 25 5 teaspoons
Flour, all purpose ?5 3 tablespoons
Ice cream, regr-rlar 90 1/3 cup
Saga, cooked 120 1/2ct1p, cooked
35
36
LIST 5 . MEAT AND FISH EXCHANGE LIST
This list is sub-divided into 3 sub-groups based on the anrount of fat
and calories: low fat, medium fat and high fat meat and fish.
:irl:l:i:i
1. Lean meat
a. Beef
Shank (bias),lean meat (Iamsn), 1 slice, mabchbox size
Round (piernn corta at pietna latga), $ x3-1/2
tenderloin (solowilY o), x1-'l12cm)
porterhouse steak (tagiliran, gi.tna)'
iitloit't steak(tagf I iran, hulihan),
cen terloin (t agiliran, un ah an)
b.Carabeef
Shank (biasJ, rcund (hita), t slice, matchbox size
(5 x3-1/2
meat (laman:bahagYn,
katamtaman at walang'taba), x1,-1,llcm). ^
pork
c. Lean
Tenderloin.well trimmed 1 slice, rnaLchbox size
(6-1/2x3
{lomo)
x 1-112 cm)
d. Chicken
Leg(hita) or l small legfi3-'I/2crn
longx3cmdiameter)
meat(Iaman) or 1 slicg matchbox size
(5 x3-7 /2
x7-'I/2cm)
breast meat (Pifso) 1/4 breast - 6 crn long
2. Variety rneats/lnternal orgara JJ 3/4 cup
Biood (dugd - pork, tbef, chicken
Gizzard (balun-balunan) - chicken
Heart @uso) - pork, beef, carabeef
Livef (atay) - pork, beef, carabeef,
chicken
Lungs {baga) - pork, beef, carabeef
Omassum UibrtI:to) - beel carabeef
Small intestine tb itukang matiitY
pork, beef, carabeef
Spleen {lnpay) - pork, beef, carabeef
Tripe lgoto) - beef
Uterus (bahay guya) - pork, beef
3. Fish
Large variety 35 1 slice (7 x3 x 2 cm)
te.g. bakoka, bangus,
d ala g, lab ah it a, lap u -Ia pu, etc.l
Medium variely:
Has a-ha sa, d alagang b ukid 35 1 (18 x 4-'l /7cm)
Galunggong 35 1 (14 x 3-1l2 cm)
Hito J} 1/2of22x5cm
Small variety:
Sapsap JJ 2 (10 x 5 cm each)
Tilapya 35 2(72x 5 cm each)
Tamban 35 2(12-1,/2x3cmeach)
Dilis J5 1/4 cap
4. Other Seafoods
Alamang, tagunton 30 1-1/ + tablespoons
Aligue: Alimango 15 1 tablespoon
Alimasag 50 3 tablespoons
AIiw at gol alima s a g, laman 2A 7/4srp or
1/2pier:e medium
39
B. MEDII.IM FAT MEAT AND FISH EXCHANGES
This list shows the kinds and amounts of medium fat mea t and fish to use
for one medium fat meat and fish exchanges'
a" Beef
Flank (kabilagan), 30 1 slice, matchbox size
brisket (punta y pechol, $x3-7/7x 1-1l2cm)
plate (tadyang),
chuck @aypay)
b. Pork
Leg(pata) 30 slice (4 cm diameter
x 2 cm thick)
3. Fish
35
'l slice(15x7x2cm)
Karpa
4'Eggo
Chicken 60 1 piece
70 9 pieces
Quail's egg
Salted duck s egg 60 1 piece
5. Cheese
Cheese, cheCdar 35 lslice(6x3x2cm)
6. Chicken
Wings tpakpak\ 75 1 medium or 2 small
Head (ulo) JJ 2 heads
8. Proces.sed Foods
a. Fish Products
Sardines canned in oil/tomato sauce 45 1 (10x 4-7/2cm)
Tuna sardines 50 1,-1lZ.of6x4x3cmeach
Tuna spread, canned JU 2 tablespoons
b. Meai Products
Corned beef 40 3 tablespoons
Ham sausage 55 3 of 9 cm diarneter
x 0.3 cm thick each
c. Bean Products
Soybean cheese, soft (fofu) 1m 1/2 cup
Soybean cheese, sofr (tokwa) 60 1(6x6x2cmi
Forother MEDIUM FATMEATFOODSsee APPENDIX C; COMPOSITION
OF SELECTEDIPHOCESSED FOODS lN EXCHANGES starting on
page 58.
1.Pork
Harn @igue) 35 1 slice (3 cm cube)
3.Egg
Duck's egg 7g 1 piece
Balut 65 1 piece
Penoy 60 l piece
4.Nuts
Peanuts, roasted 75 1/3 cup
5.Cheese
Cheese, filled 50 /Zcm)
1 slice (6 x 3 x?-'I
Cheese, pimiento flavored 40 lslice(6x3x2cm)
6.Processed Foods
Meat Prorducts
a, eh o ri zo stYle
Lo n g an b 25 1(12x2 cm)
Frankfurters ffi 1-'l/7of l2x1-1l3 cm
Salami 50 3slicesofSxSxlcmeach
Vienna sausage 70 4(5x2x2cm)
SATURATED FATS
Bacon 10 lstrip-10x3cm
Butter 5 1 teaspoon
*tCoconut, grated 2A 2 tablespoons
*rCoconut cream IJ 1 tablespoon
**Coconut oil 5 1 teaspoon
Cream cheese l3 1 tablespoon
*Latik 10 2 teaspoons
Margarine 5 1 teaspoon
POLYUNSATURATED FATS
MONOUNSATURATED FATS
Avocado 65 1/2of12x7cm
Peanut butter 10 2 teaspoons
Pili nut 5 5 pieces
Peanut oil, olive oil 5 1 teaspoon
Shortening 5 1 teaspoon
46
ALCOHOLIC BEVERAGE LIST
This list gives the fat equivarents of some commonly ,sed alcohoric
,oeverages.
+ Unles qpedfied: 1 glane = E oz; brandy glaso = 1 oz; ooc*tait gtas = 2 o4 igger = l-l /Zoz;wine gtas
=!l12oz
48
LIST 7 - SUGAR EXCHANGE LIST
1 exchan$e,,,,=,,,, $iarns cafbohf-drate
5,
o 20 Kcalories
49
Flard candy 5 1(3x2x0.5cm)
Honey 5 1 teaspoon
Jams, jellies, pr€s€rves 10 2 teaspoons
lrdaraschino cherries ?n 2-l /2 oI2 cm diametcr each
lv{arshmallow 5 | (2-1/?cm diameter)
Matamis sabso 5 1 teaspoon
Nata de coco 15 2 tablespoons
Nata de pirya 10 2 tablespoons
Pakaskas J 1 teaspoon
Paautsa, grated 5 1 teaspoon
Pastillas, duryan J 1(5xlx1cm)
Pastillas, gatas 5 1(5xlx1cm)
Pastillas, langka 5 1(5x1x1cm)
Sampaloc candy 5 | (1-l/2 cm long x 1 cm thick)
Sugars (white, brown, 5 1 teaspoon
Pure cane, syrup)
Taho with syrup & sago 40 'l/4 c'tp
Tira-tira 5 1 piece
Toffee candy 5 1(2-1/2x'I-1,12x 1cm)
Wqhaleya 10 1 teaspoon
Yema 5 1(5 x 1-114 cm)
+
Unless spedfi€4 a[ meeures refer to piece.
50
FREE FOODS
The following foods rnay be used freely unless specificalty prohibited by
the physician. These foods may be used with other foods in the diet.
Bagoan{ Kamyas'
Bouillon (fat free soup) Karamay
C-arbonated drinks, sugar - free Lemon
Carbonated water Mustard
Candy, hard, sugar - free Onion
Chiii powder Oregano
Cinnamon Paprika
Clear brobh Pepper
Coffee Pickle, dill or sour (unsweetened)*
Curry Pimiento*
Drink mixes, sugar - free Spices
Fish sauce* Soy sauce*
Flavoring extract Tomato iuice*
Garlic Tomato paste*
Gelatin (unsweetened) Tomato sauce*
Gum, sugar - free Tonic water, sugar-free
Herbs Tea
Hot pepper, sauce Vinegar
Kalamansi Worcestershire sauce'
51
BEVERAGE LIST
ThLs list gives the sugar equivalents/nutrient composition of some
cornmoniy used beverages.
E. Yoghurt Drinkt
53
F. Fruit Flavored Yoghurt'
FRUIT:
Buko meat" 100 1,/2anp 1 fruit, 1 fat 85
55
Gem cookies, plain 15 (2-712 cm diameter 1 rice, 'l /2fat 122
x
cm thick each)
1
Mamon 35 (6
2 x 3 cm each) L rice, T12fat 172
Mongo bread 40 1 siice (10 x 8 x 1-112 cm) 1 rice, 1/7fat 122
Oatrneal, rart" 30 5 tablespoons 1 rice, 1/?fat 122
Oatmeal, cooked' 1. rice, 1/2fat 122
*'thick consistcncy 185 1 cup
'*'thin consistency 255 1-1,/2 cups
Ogay-ogoy 30 6 (5 x3 x 1 cm each) 1rice, 1/2fat 1,72
Pan de caco 40 'l(7x6cm) 1 rice, 1/2fat 122
Pretzels 30 9 t9-1/2 x 0.7 cm L rice, 1/2f.at 1,?2
each)
Rosquillos 30 (5
7 cm diamcter each) 1rice, 7/2fat 122
Salted crackers 30 I (5 x 4 x l/2 cm each) 1rice, 1l2fat 122.
Sweetened popcorn 30 2 cups 1rice, 1/2faf 772
Tugi^ IJJ 2 (11 x 3 cm each) 1rice, 1/2fat 7?2
Banana cake 50 1 slice V x6-1/2 1 rice, 1 fat 145
x2cm)
Bilso-&itso 40 1(13 x 5 cm) 1 rice, 1 fat 145
Buko pie 60 1/2slice of 10 1 rice, 1 fat 145
x 3-1l2 cm
Butse, Monggo 50 1(7x1cm) rice,1
1 fat 145
Canton 100 1 cup 1 rice,-[ fat 145
Chocolate cake 40 lslice(3x2x2cm) 1 rice,1 fat 145
Cinnamon roll A^
'tt l 1(9x6cm) 1 rice,1 fat 145
Coco honey biscuit 30 4 (8-1 /2x5 x 0.5 cm 1 rice,1 fat 145
each)
Crackers 35 I (5 x 4 x 1/2 crn each) 1 rice,1 fat 145
Fruit cake 45 1 slice (4 x7 x 2 cm) 1 rice,1 fat 145
Hopia: Babay Jf, 1 (5x3x2cnr) 1 rice, 1 fat 145
Munggo 35 1 (5 cm <iian'reter) 1 rice, 1 fat 145
Hot cake 55 1 (10 cm diarneter) 1 rice,1 fat 145
Karyaka 40 3 (4 cm diarneter each) 1 rice,1 fat 145
56
Miki 100 1 cup 1 rice,1 fat 145
Pilipit 30 1(10x3cm) 1 rice,1 fat 145
Pretzels, chocolaie 35 10 (10 cm long each) 1 rice,1 fat 145
Salted popcorn 35 2 cups 1 rice,1 fat 145
Spanish bread 40 1(10x4cm) 1 rice,1 fat 145
Brownies 40 1/2 slice of 8 1 rice, 168
x7 x2-1/2cm) 1-l /7 fat
Cheese cake 4A 1 (5 cm diameter) 1 rice, 168
1,-',t /2 fat
Coruick 'l /2cup 1 rice, 168
't-1 /2 fat
French fries 1 cup 1 rice, 168
'l-1 /2 fat
Instant noodles 40 1/2of 80 gm. pack 1 rice, 168
(chicken/beef flavor) 1-1/2 fat
Skyflakes 35 4 pieces 1 rice, 168
1-1/2 fat
Cheese roll 50 "l (10-1/2 x 51l2 cm) 1 rice, 184
1/2HF'"'* meat,
fat'1../2
Butter cookies 35 7 (8x2 cm each) 1 rice,2 fat 190
Doughnut 45 'l/2af9x3cm 1 rice,2 fat 190
Gurgurya 35 23 {4 x 1 cm each) 1 rice,2 fat 190
PiIi nut cookies 35 6 (5 x 1 cm each) 1 rice,2 fat 190
Wafer 35 7 (5 cm square each) 1 rice,2 fat 190
Corn chips 40 1-1l3 cups 1 rice, 212
(cheese flavor) 7-1/2 fat
Eclair 100 1(18x2cm) 1 rice, 712
2-7 /2 fat
Sunflower biscuit 40 9 (7-1/2x4-1,/2cm 1 rice, 212
each) 2-1/2fat
Croissant, plain 65 1 (10 x 5-1l2 cm) 1 rice,3 fat ?35
Pork pie 55 1 {7 x'l1x 2 cm) 1 rice,3 fat ?35
Potato chips 45 1-1l2 cups 1 rice,3 fat ns
Muffin 110 1 (8 cm diameter) 2 rice,2 fat ?90
57
MEAT, FISH, POULTRY PRODUCTS, BEANS:
(munggo) 1/2rlce
Oyster 105 ?/3ctry 1 LF meat, 91'
1,/2nce
Salt water mussel 45 1/4c.:p 1 LF meat, 91
(tahong) 7/2rice
Taho,Plain 275 2-3/4 cups 1 LF meat, 91
7/2rjce
55 2 slices 1 MF*** meat, 106
Luncheon meat
(9x5x1 cmeach) 1 tsP'sugar
1 MF meat, 106
Murkon 60 2blices
$-1/2x1-1'/2cmeach) 1 tsP' suga
4 tablesPoons 1 MF meat,
\76
Cheese spread 55
1-'1,/2tsP. sugar
2 slices 1 MF meat, 1'^6
Meat loal canned 7A
(9 x 5 x 1-1l4 cmeach)'L-1 /ztsP' sugar
5 tablespoons 1 MF meat,
1'16
Potted meat 75
1-'l/2tsP' sugar
1/2ar1 1'l2LF meat, 120
Lima beans, seeds,' 75
1 rice
dried (patani,buto)
1 MF meat, 136
Century egg 65 1 piece
7/2rice
Chickpea seeds, 65 7/2anp 1 LF meat, 141
1 rice
boiled (garbansos,
buto, linaga)
piece'
+
Unless specified, all measures re(er to
'These foods are god sources of fiber'
tt Lowfat
+r Mediun fat
Clam (tulya) l/4olp, shelled or 1 LF* meat, L47
5-1/2 cups 1 rice
with shell
Cow pea seeds" 117oap LF meat, 141
1
(paayap,buto) 1 rice
Fishball 6{3-l/Zcm diameter 1 LF rneat, 'j41
each) 1 rice
Hotdog 2 (10 x 4 cm each) 1 HF** meat, 144
7/? fat
Peanut Cracker 1/3 cup 1 HF meat,
167
2 tsp- sugar
Cheese, native 2 slices 1 HF rneat, 167
(4x4x1crneach) lfat
Peanuts, boiled "l /2 €1rp 1 HF meat 167
7/4rice,1.fat
Spam 3 slices 1 HF rneat, '167
(8x5x1crneach) 1 fat
Lite hotdog 1 piece
"l-1./?MF* '.169
meat,
2 tsp. sugar
Chicken spread 5 tablespoons 1 HF meat, 't74
1 /7 fat,
1-1/2 tsp. sugar
Embutido 2-1/2slices 1 HF meat, 787
tSxl-1/?cmeach) 1 f.at,
1 tsp. sugar
Hamburger 2-1/7(4.1/2x 1cm l HFmeat, ''87
each) 1 fat,
1 tsp. sugar
Longanisa,Bilbao 40 2{6x2cm each) 1 HF meat, 2'I2
2 fat
SUGARY PRODUCTS:
This table gives the fat content of the most cornmon fats and oils available
in the rnarket, starting from those with a low saturated fat (i.e-, saturated
fatty acids) content to ihose with a high saturated fat content. All fats and oils
are high in calories (135 Kcalories per tablespoon).
CALCULATED DIETS
FOR QUICK REFERENCE-
FOOD EXCHANGES
tiiil:
5300 kj
1500 kcal
zil.)-)5-J5
67ffikj
1600 kcal )1
260-50-35 7-t /z 3-1/2
7100 ki
1700 kcal
275-65-40
/l 4-t/z 7
7s00 kj
1800 kcal 2 1 4-t /z 1 6_1 /2 }-t/z 3_t /z
290-7A-40
7em kj
1900 kcal LI
31G70-40 3-1/2
84m ki
2000 kcal ,1
3217r45
e2mki
22fi) kcal 21 6-1/2 2 9 9-rl2 4-7/2 4
350-8G50
96mki
2300 kcal 27 72 9105 A
37185-50
lmki
2400 kcal 2l 72 9 1U1/2 5-',t/2 4-1/2
39&9G.55
++low fat
+*Mediurn fat
WEIGHT.FOR.HEIGHT
FOR FILIPINOS
(25-65 Years)
purposes'
ly'ole; Not to be reprinted for commercial