Example diet for Gastroesophageal Reflux Disease

Example diet for Gastroesophageal Reflux Disease

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Premise

The following indications are for informational purposes EXCLUSIVELY and are not intended to replace the opinion of professionals such as a doctor, nutritionist or dietician, whose intervention is necessary for the prescription and composition of PERSONALIZED food therapies.



Gastro-oesophageal reflux disease

Gastroesophageal reflux disease (GERD) is a disorder linked to the ascent of the gastric contents into the esophagus which, not having the necessary protections against such an acid pH, can be damaged in the long term, causing symptoms characterized by: retro-sternal heartburn, regurgitation gastric material (NOT always noticeable at night) and epigastric pain; NB. gastroesophageal reflux disease is often linked to an anatomical alteration called a hiatal hernia.
Gastro-esophageal reflux is a PHYSIOLOGICAL manifestation (about 50 episodes per day), but what determines GERD is the alteration of the balance between aggressive agents (gastric acid content) and preventive-defensive agents of the esophagus; the latter are: the anti-reflux barrier (consisting mainly of the lower esophageal sphincter - SEI - which activity, in GERD, is partially compromised) and mucosal trophism (stratified paving epithelium that prevents the passage of acid ions to the submucosa - in GERD greatly worn out by the chemical stress of the gastric contents).
The diagnostic criteria of gastroesophageal reflux disease are mainly related to the symptoms: reflux episodes that last at least 3-5 minutes and are associated with heartburn, regurgitation and pain. However, especially in the initial phase, gastroesophageal reflux disease is almost totally asymptomatic and for the diagnosis are necessary: ​​an associated pH-metric evaluation and, possibly, an esophagogastroduodenoscopy.
NB. GERD occurs more frequently in obese than in normal weight subjects.



Useful supplements for gastroesophageal reflux disease

There are no real supplements useful in preventing or treating gastroesophageal reflux disease; on the other hand, considering that the drug therapy consists mainly of inhibitors of gastric secretion, the subject with GERD could benefit from herbal products useful in case of gastritis.

Diet for gastroesophageal reflux disease

The diet for gastroesophageal reflux disease is aimed at:

  1. Eventually, reduce overweight
  2. Divide meals more by reducing their volume
  3. Eliminate foods that promote gastric secretion (nerves: coffee, tea, alcohol)
  4. Eliminate spices and carbonated drinks
  5. Eliminate / minimize high-fat meals
  6. Eliminate / minimize poorly digestible protein foods, therefore raw or with prolonged cooking
  7. Eliminate / minimize very cold or very hot foods
  8. Eliminate / minimize chocolate, mint, onion and garlic.

Gastro-oesophageal reflux disease must also be associated with some very specific habits; for example: abolition of cigarette smoking, elimination of clothes that are too tight, maintenance of upright posture during and after meals, prolonged chewing, going to bed at least 3 hours after a meal and not performing physical exertion immediately after a meal.



Diet Example for Gastro-Esophageal Reflux Disease

  • Overweight auto electrician who often sleeps on the sofa after meals.
Gender M
Age 40
Height cm 182
Wrist circumference cm 18,1
Constitution Robust
Height / wrist 10,1
Morphological type Normolineo
Weight kg 85
Body mass index 25,7
Evaluation Overweight
Physiological body mass index desirable 24,1
Desirable physiological weight kg 79,8
Basal metabolism kcal 1805
Physical activity level coefficient NO from 1,41
Energy expenditure kcal 2545,1
Diet IPOCALORIC - 10% 1780 Kcal approx
Lipids 25% 445kcal 49,4g
Protein 1,2g / kg * physiol. 383kcal 95,8g
Carbohydrates 53,5% 952kcal 253,9g
Breakfast 15% 267kcal
Snack 10% 178kcal
Lunch 35% 623kcal
Snack 10% 178kcal
Price 30% 534kcal

It was decided to invert the foods commonly used for lunch with those for dinner in order to obtain a lower gastric commitment in the hours preceding sleep; in this way it is possible to sleep with the stomach almost completely empty, reducing gastroesophageal reflux to a minimum.




Anti-Reflux Diet Example - Day 1


Breakfast, about 15% kcal TOT
Low-fat milk, 2% of the total 150ml, 75kcal
Bitter cocoa 10g, 39,8kcal
Muesli 30g, 102,0kcal
honey 10g, 30,4kcal
Snack, about 10% kcal TOT
Light yogurt 125g, 70,0kcal
Strawberries 150g, 48,0kcal
Rusks 15g, 63,9kcal
Lunch, about 35% kcal TOT
Grilled pork chop
Braciola, carne magra 200g, 254kcal
zucchini 200g, 32kcal
Whole grain bread 90g, 218,7kcal
Extra virgin olive oil 15g, 135kcal
Snack, about 10% kcal TOT
Light yogurt 125g, 70,0kcal
Sour red cherries 100g, 50,0kcal
Rusks 15g, 63,9kcal
Dinner, about 30% kcal TOT
Pasta with tomato sauce
Semolina pasta 60g, 213,6kcal
Tomato Sauce 100g, 24,0kcal
Parmesan 10g, 39,2kcal
Fennel 100g, 62,0kcal
Whole grain bread 30g, 72,9kcal
Extra virgin olive oil 15g, 135kcal

Anti-Reflux Diet Example - Day 2


Breakfast, about 15% kcal TOT
Low-fat milk, 2% of the total 150ml, 75kcal
Bitter cocoa 10g, 39,8kcal
Muesli 30g, 102,0kcal
Honey 10g, 30,4kcal
Snack, about 10% kcal TOT
Light yogurt 125g, 70,0kcal
½ apple, with peel 100g, 50,7kcal
Rusks 15g, 63,9kcal
Lunch, about 35% kcal TOT
Veal steak
Loin of veal 200g, 232kcal
Carciofi 150g, 70,5kcal
Whole grain bread 90g, 218,7kcal
Extra virgin olive oil 15g, 135kcal
Snack, about 10% kcal TOT
Light yogurt 125g, 70,0kcal
½ apple, with peel 100g, 50,7kcal
Rusks 15g, 63,9kcal
Dinner, about 30% kcal TOT
Rice with zucchini
Brown rice 60g, 217,2kcal
zucchini 100g, 16,0kcal
Parmesan 10g, 39,2kcal
Melanzane 100g, 48,0kcal
Whole grain bread 30g, 72,9kcal
Extra virgin olive oil 15g, 135kcal

Anti-Reflux Diet Example - Day 3


Breakfast, about 15% kcal TOT
Low-fat milk, 2% of the total 150ml, 75kcal
Bitter cocoa 10g, 39,8kcal
Muesli 30g, 102,0kcal
Honey 10g, 30,4kcal
Snack, about 10% kcal TOT
Light yogurt 125g, 70,0kcal
Kiwi 100g, 61,0kcal
Rusks 15g, 63,9kcal
Lunch, about 35% kcal TOT
Hard-boiled eggs
Chicken eggs 100g, 143kcal
Potatoes 250g, 192,5kcal
Whole grain bread 90g, 218,7kcal
Extra virgin olive oil 10g, 90kcal
Snack, about 10% kcal TOT
Light yogurt 125g, 70,0kcal
Kiwi 100g, 61,0kcal
Rusks 15g, 63,9kcal
Dinner, about 30% kcal TOT
Boiled beans and carrots
Dried beans 50g, 155,5kcal
carrots 200g, 82,0kcal
Parmesan 10g, 39,2kcal
Whole grain bread 30g, 72,9kcal
Extra virgin olive oil 15g, 135kcal

Anti-Reflux Diet Example - Day 4


Breakfast, about 15% kcal TOT
Low-fat milk, 2% of the total 150ml, 75kcal
Bitter cocoa 10g, 39,8kcal
Muesli 30g, 102,0kcal
Honey 10g, 30,4kcal
Snack, about 10% kcal TOT
Light yogurt 125g, 70,0kcal
Strawberries 150g, 48,0kcal
Rusks 15g, 63,9kcal
Lunch, about 35% kcal TOT
Baked sea bass
Sea bass, various species 200g, 194kcal
zucchini 200g, 32kcal
Whole grain bread 90g, 218,7kcal
Extra virgin olive oil 20g, 180kcal
Snack, about 10% kcal TOT
Light yogurt 125g, 70,0kcal
Sour red cherries 100g, 50,0kcal
Rusks 15g, 63,9kcal
Dinner, about 30% kcal TOT
Pasta with eggplants
Semolina pasta 60g, 213,6kcal
Melanzane 100g, 24,0kcal
Parmesan 10g, 39,2kcal
Fennel 100g, 62,0kcal
Whole grain bread 30g, 72,9kcal
Extra virgin olive oil 15g, 135kcal

Anti-Reflux Diet Example - Day 5


Breakfast, about 15% kcal TOT
Low-fat milk, 2% of the total 150ml, 75kcal
Bitter cocoa 10g, 39,8kcal
Muesli 30g, 102,0kcal
Honey 10g, 30,4kcal
Snack, about 10% kcal TOT
Light yogurt 125g, 70,0kcal
½ apple, with peel 100g, 50,7kcal
Rusks 15g, 63,9kcal
Lunch, about 35% kcal TOT
Baked sea bream
sea ​​bream 200g, 180kcal
Carciofi 150g, 70,5kcal
Whole grain bread 90g, 218,7kcal
Extra virgin olive oil 20g, 180kcal
Snack, about 10% kcal TOT
Light yogurt 125g, 70,0kcal
½ apple, with peel 100g, 50,7kcal
Rusks 15g, 63,9kcal
Dinner, about 30% kcal TOT
Rice with radicchio
Brown rice 60g, 217,2kcal
radicchio 100g, 24,0kcal
Parmesan 10g, 39,2kcal
Melanzane 100g, 48,0kcal
Whole grain bread 30g, 72,9kcal
Extra virgin olive oil 15g, 135kcal

Anti-Reflux Diet Example - Day 6


Breakfast, about 15% kcal TOT
Low-fat milk, 2% of the total 150ml, 75kcal
Bitter cocoa 10g, 39,8kcal
Muesli 30g, 102,0kcal
Honey 10g, 30,4kcal
Snack, about 10% kcal TOT
Light yogurt 125g, 70,0kcal
Kiwi 100g, 61,0kcal
Rusks 15g, 63,9kcal
Lunch, about 35% kcal TOT
ricotta cheese
Semi-skimmed milk cow ricotta 100g, 138kcal
Potatoes 250g, 192,5kcal
Whole grain bread 90g, 218,7kcal
Extra virgin olive oil 10g, 90kcal
Snack, about 10% kcal TOT
Light yogurt 125g, 70,0kcal
Kiwi 100g, 61,0kcal
Rusks 15g, 63,9kcal
Dinner, about 30% kcal TOT
Chickpeas and boiled celery
DRIED chickpeas 60g, 200,4kcal
Celery 200g, 32,0kcal
Parmesan 10g, 39,2kcal
Whole grain bread 30g, 72,9kcal
Extra virgin olive oil 15g, 135kcal

Anti-Reflux Diet Example - Day 7


Breakfast, about 15% kcal TOT
Low-fat milk, 2% of the total 150ml, 75kcal
Bitter cocoa 10g, 39,8kcal
Muesli 30g, 102,0kcal
Honey 10g, 30,4kcal
Snack, about 10% kcal TOT
Light yogurt 125g, 70,0kcal
Strawberries 150g, 48,0kcal
Rusks 15g, 63,9kcal
Lunch, about 35% kcal TOT
Cod in the pan
Cod fillets 200g, 164,0kcal
Endive 200g, 34kcal
Whole grain bread 90g, 218,7kcal
Extra virgin olive oil 25g, 225kcal
Snack, about 10% kcal TOT
Light yogurt 125g, 70,0kcal
Sour red cherries 100g, 50,0kcal
Rusks 15g, 63,9kcal
Dinner, about 30% kcal TOT
Pasta with spinach
Semolina pasta 60g, 213,6kcal
Spinaci 100g, 23,0kcal
Parmesan 10g, 39,2kcal
Fennel 100g, 62,0kcal
Whole grain bread 30g, 72,9kcal
Extra virgin olive oil 15g, 135kcal

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