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High Fiber Diet What is fiber? Fiber is a type of carbohydrate that our body is not able to break down. Foods that are highest in fiber are fruits, vegetables, and unprocessed grains. Why does my child need a high fiber diet? Increasing the amount of fiber that your child eats can help with constipation, diarrhea, and irritable bowel syndrome. Fiber does this by helping with the movement of the GI tract and increasing the volume and weight of the stool. How much fiber does my child need? A general rule of thumb for children is to take their age in years and add 5 grams. For example, a 10 year old child will need 15 grams of fiber per day. Once a child begins to consume 1500 calories/day, fiber intake should increase to 25-30 grams per day. How do you determine how much fiber is in a food? First look at the serving size on the food label of the item you are going to eat. Then look to see how much fiber is in that one serving. The more processed a food is, the lower the fiber content of the food will be. What if a child will not eat enough fiber? Several over the counter fiber supplements (such as Benefiber) are available. These supplements can be mixed with foods or liquids. Check with your doctor first before giving them to your child. Speak to your child’s health care team about the use of stool softeners and laxatives if the problem is constipation. Tips for Adding Fiber to the Diet 1. Include fiber from a variety of sources throughout the day. 2. Slowly increase the amount of fiber your child is eating by replacing low/no fiber foods with foods higher in fiber. Over the span of a few days, increase fiber by no more than 5 grams. Increasing too quickly may cause gas and bloating. 3. Have a consistent amount of fiber each day. 4. Try to have your child eat 5 servings of fruits and vegetables each day. 5. Read food labels to determine the fiber content of the foods you eat now, and new foods you will try. Look for 3 or more grams of fiber per serving. 6. Be sure your child is drinking enough fluid: 6-8 cups per day. Not taking in enough fluid may cause constipation 7. Mix a high fiber cereal with a cereal your child likes. 8. Offer raw vegetables such as carrots, cauliflower, and cherry tomatoes for snacks and with meals. 9. Use whole wheat bread, brown rice, whole wheat crackers, bran muffins, barley and bran cereals or oatmeal. Use fewer refined white flour breads, cereals and other starches. 10. If your child is constipated, offer 4-6 ounces of prune, apple, orange or pear juice each day. (Remember that fresh fruit has more fiber than juice). 11. Add flaxseed to foods. Start with 1 tablespoon ground flaxseed or flaxseed meal added to cereal or applesauce. 12. Try snacks of dried fruit (such as prunes, raisins, dried cranberries). 13. Drink plenty of water and other fluids to help the fiber move through the body. Below is a list of the fiber content of some foods for your child to eat. Fruits Food Apple with skin Banana Blueberries Cantaloupe Grapes Mango Nectarine Orange Papaya Peach with skin Pear with skin Plums Strawberries Dried fruit (raisins ) Amount 1 med 1 med ½ cup 1 cup ½ cup 1 cup sliced 1 med 1 med 1 cup 1 small 1 med 2 small 1 cup 3 Tbsp. Fiber (grams) 3 2 2 1 1 3 2 3 3 1 4 2 3 3 Amount ½ med ½ cup ½ cup 1 med ¾ cup ½ cup ½ cup 1 med ½ cup 1 cup 1 med Fiber (grams) 2 2 2 2 2 <1 1 4 2 1 4 Vegetables Food Avocado Broccoli Cabbage Carrots Cauliflower Cucumber slices Mashed potato Baked potato with skin Peas Romaine lettuce Sweet potato Bread/Grains/Pasta Food Bagel White bread Whole wheat bread Pasta, cooked White rice, cooked Brown rice, cooked Whole Wheat Crackers Corn Tortilla (6 inches) Amount 1 med 1 slice 1 slice ½ cup ½ cup ½ cup 4 1 Fiber (grams) 1 <1 2-3 1 1 2 1.7 1.6 Amount 24 pieces 1 cup 1 cup 1 cup 1 cup ½ cup ¼ cup ¾ cup ¾ cup ½ cup ½ cup ½ cup 1 cup 1 cup 1 cup Fiber (grams) 6 4 3 7 5 2 2 2.3 2.7 14 4 12 13 9 11 Breakfast Cereals Food Frosted Mini- Wheats Raisin Bran Crunch Multi-grain Cheerios Multi-Bran Chex Wheat Chex Oatmeal Granola with raisins Cheerios Total Wheat Flakes Fiber One Original Cracklin’ Oat Bran 100% Bran Fiber One Honey Clusters Fiber One Carmel Delight Fiber One Raisin Bran Clusters Miscellaneous/Snacks Food Baked beans Beans (Pinto, Kidney, Black, Lima) Popcorn Peanuts, dry roasted Chewy Brand Granola bars Lentils Fiber One Bars Fiber One Yogurt Fiber One Toaster Pastry Fiber One Pancake Mix Snyder’s Honey Wheat Sticks Snyder’s Multigrain Pretzel Sticks UTZ Organic Seven whole Pretzel Sticks Amount ½ cup ½ 1 cup ¼ cup 1 bar ½ cup 1 bar 4 oz. 1 pastry 3 pancakes 7 sticks 7 sticks 7 sticks Fiber (grams) 3 4-7 1 3 1 4 9 5 5 5 3 3 3 Sample Menus 10 Grams of Dietary Fiber Breakfast: ½ small banana ½ cup Cheerios ½ -¾ cup milk Morning Snack: vanilla pudding Lunch: 1-2 oz. sliced turkey 1 slice whole wheat bread ½ med. orange ½ -¾ cup milk Fiber: 1 1 0 0 Afternoon Snack: 4 saltine crackers American cheese slice Fiber: 0 0 Evening Meal: 1-2 oz. baked chicken ½ cup mashed potatoes ½ cup green beans ½ -¾ cup milk margarine 0 1 1 0 0 Evening Snack: ½ - ¾ cup milk 1 medium apple 0 3 0 2 1 0 15 Grams of Dietary Fiber Breakfast: ½ small banana ½ cup Cheerios 1 slice whole wheat bread margarine ½-¾ cup milk Morning Snack: ½ - 1 cup juice 3 whole wheat crackers Lunch: 1-2 oz. sliced turkey 1 slice whole wheat bread ½ med. orange ½ -¾ cup milk Fiber: 1 1 Afternoon Snack: ½ med. apple Fiber: 1.5 2 0 0 Evening Meal: 1-2 oz. baked chicken ½ cup mashed potatoes ½ whole wheat roll ¼ cup green beans ½-¾ cup milk 0 1 1 1 0 Evening Snack: 2 graham crackers ½ - ¾ cup milk 2 0 Afternoon Snack: 1 med. apple Fiber: 3 Evening Meal: 2-3 oz. baked chicken ½ cup mashed potatoes whole wheat roll margarine ½ cup green beans 1 cup milk 0 1 2 0 2 0 Evening Snack: 2 graham crackers 1 cup milk 2 0 0 1 0 2 1 0 20 Grams of Dietary Fiber Breakfast: ½ small banana ½ cup Cheerios 1 slice whole wheat bread margarine 1 cup milk Lunch: 1-2 oz. sliced turkey 2 slices whole wheat bread 1 lettuce leaf 1 med. orange 1 cup milk Fiber: 1 1 1 2 0 0 0 4 0 2 0 25 Grams of Dietary Fiber Breakfast: ½ small banana 1 cup Cheerios 1 poached egg 2 slices whole wheat bread margarine 1 cup milk Lunch: 2-3 oz. sliced turkey 2 slices whole wheat bread 1 lettuce leaf 1 med. orange 1 cup milk Afternoon Snack: 1 med. apple Fiber: 1 3 0 4 0 0 0 4 0 2 0 Evening Meal: 3-4 oz. baked chicken 1 cup mashed potatoes 1 whole wheat roll margarine ½ cup green beans ½ cup lettuce & tomato 2 Tbsp. salad dressing 1 cup milk Fiber: 0 2 2 0 2 1 0 0 Evening Snack: 2 graham crackers 1 cup milk 2 0 3 Additional Information: If you have questions, call: Phone: (717) 531- , Registered Dietitian or (717) 531-8406 Copyright American Dietetic Association. This handout may be duplicated for client education.