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What to eat when malnourished for a healthy recovery

4 min read

Malnutrition affects millions worldwide, often leaving individuals feeling weak and tired. For those with undernutrition, a strategic dietary approach focused on energy-dense and nutrient-rich foods is crucial for a healthy recovery. The right food choices can help to rebuild muscle, restore energy, and support the body's healing processes.

Quick Summary

A recovery diet for malnutrition focuses on frequent, energy-dense meals and snacks. Prioritize high-calorie foods like full-fat dairy, nuts, and starches, alongside protein-rich options such as eggs, fish, and legumes. Food fortification and nourishing drinks are key strategies to boost nutrient intake and promote gradual weight restoration.

Key Points

  • Start Slowly with Small, Frequent Meals: Eat three small meals and two to three substantial snacks daily to avoid overwhelming a small appetite and ensure a steady energy supply.

  • Increase Caloric Density Through Fortification: Add extra calories to foods by stirring in butter, oil, cream, or cheese to soups, potatoes, and porridge without increasing portion size significantly.

  • Prioritize High-Calorie and Nutrient-Rich Foods: Focus on energy-dense foods like avocados, nuts, dried fruits, whole grains, and full-fat dairy to boost caloric intake and provide essential vitamins and minerals.

  • Boost Protein Intake to Rebuild Muscle: Include protein-rich foods such as lean meats, oily fish, eggs, and legumes in your diet to help repair and rebuild lost muscle mass.

  • Choose Nourishing Drinks: Avoid low-calorie beverages and opt for milky drinks, milkshakes, and homemade smoothies to add extra calories and nutrients between meals.

  • Consult a Healthcare Professional: Always seek medical advice and work with a registered dietitian to create a tailored and safe nutritional recovery plan.

In This Article

Recovering from malnutrition requires a focused, high-calorie diet designed to replenish lost body tissue and restore energy reserves. Unlike standard dietary advice for the general population, the priority here is to consume energy-dense foods, even those typically considered less healthy, to aid recovery. This guide covers the essential components of a diet to help those struggling with what to eat when malnourished.

Focusing on Energy-Dense Foods

The cornerstone of a malnutrition recovery plan is increasing caloric intake without causing discomfort or overwhelming a small appetite. Eating little and often, with three small meals and two to three snacks per day, is recommended to avoid feeling too full. Energy-dense foods are those that pack a lot of calories into a small volume.

  • Healthy Fats and Oils: Healthy fats and oils are some of the most calorie-dense foods. Incorporate extra virgin olive oil, avocado oil, and nuts like almonds, walnuts, and macadamia nuts into meals and snacks. A handful of nuts can add hundreds of calories quickly.
  • Dried Fruits: Dried fruits such as raisins, dates, and prunes are packed with natural sugars and calories, making them an excellent choice for a quick energy boost.
  • Starchy Carbohydrates: Starchy foods are a vital source of energy. Opt for wholesome options like potatoes, sweet potatoes, brown rice, and whole-grain breads to provide sustained energy release.
  • Red Meats: Fatty cuts of red meat, such as beef and lamb, are rich in protein and calories. They also contain iron, which is often deficient in malnourished individuals.
  • Avocados: Avocados are full of healthy fats and vitamins. One large avocado can contain over 300 calories, making it an ideal addition to salads, smoothies, or toast.

Food Fortification Techniques

One of the most effective strategies is fortifying everyday foods to increase their nutritional value. This process is particularly useful for those with poor appetite, as it adds extra calories and nutrients without significantly increasing food volume.

  • Fortified Milk: Whisk skimmed milk powder into whole milk to create a fortified drink with extra protein and calories. Use this milk in cereals, porridge, or creamy sauces.
  • Additions to Meals: Stir butter, margarine, or cream into hot dishes like mashed potatoes, soups, and porridge. Sprinkle grated cheese generously over pasta, scrambled eggs, or vegetables.
  • Sauces and Spreads: Use mayonnaise, salad cream, and other high-calorie dressings on sandwiches and salads. Add peanut butter, avocado, or hummus to toast, crackers, or bagels.

Nutrient-Rich Foods for Essential Vitamins and Minerals

While high-calorie foods are important for weight gain, incorporating a variety of nutrient-dense options ensures the body receives the vitamins and minerals necessary for recovery and repair.

  • Oily Fish: Salmon, mackerel, and sardines are rich in protein and omega-3 fatty acids, which have anti-inflammatory benefits.
  • Eggs: Eggs, particularly the yolk, are an excellent source of protein, healthy fats, and vitamin D. They are also versatile and easy to prepare.
  • Legumes and Pulses: Beans, lentils, and chickpeas are good sources of fiber, protein, and various minerals. These can be added to soups, stews, and salads.
  • Whole Grains: Choose whole grains like brown rice, oats, and whole-wheat bread for added fiber and nutrients compared to their refined counterparts.
  • Dairy Products: Full-fat dairy products like milk, cheese, and Greek yogurt provide calcium, protein, and beneficial probiotics.

Comparison of High-Calorie Foods

Food Item Primary Benefit Sample Calories (approx.) Recipe Idea
Fortified Milk Protein & Calories 625 kcal per pint Use in hot chocolate or creamy porridge.
Avocado Healthy Fats & Calories 322 kcal per large Add to smoothies or mash on toast.
Oily Fish (Salmon) Omega-3s & Protein 250 kcal per 170g fillet Grill with butter and serve with mashed potatoes.
Nuts (Almonds) Protein & Healthy Fats 170 kcal per 1/4 cup Sprinkle on oatmeal or yogurt.
Rice Carbohydrates & Energy 204 kcal per cup (cooked) Cook with fortified milk and serve with cream.
Cheese Protein & Calcium 110 kcal per ounce Grate over vegetables or scrambled eggs.

Considerations for a Malnutrition Recovery Plan

A successful recovery goes beyond simply increasing food intake. It involves a systematic and manageable approach to refeeding.

The Importance of Frequent Meals and Snacks

Eating three main meals with two to three substantial snacks in between helps prevent the stomach from being overwhelmed and ensures a steady stream of nutrients. This is particularly important for those with a small appetite or who feel full quickly. Snacks could include fortified yogurt, nuts, dried fruit, or cheese and crackers.

Prioritizing Nourishing Drinks

Avoid filling up on low-calorie drinks like water, tea, or coffee before meals. Instead, opt for nourishing beverages that provide additional calories and protein. Milky drinks, milkshakes, and smoothies with added ice cream, yogurt, and nuts are excellent choices.

Building Muscle Mass

Protein is vital for rebuilding lost muscle mass. A diet focused on protein-rich foods alongside appropriate exercise, like light resistance training or yoga, can aid muscle regrowth and improve appetite. Sources include lean meats, fish, eggs, dairy, and legumes.

Conclusion: A Path to Recovery

Treating malnutrition requires a deliberate, step-by-step approach to restore a healthy balance of calories, protein, and micronutrients. By prioritizing energy-dense foods, employing food fortification, and eating frequent, nourishing meals, individuals can begin the journey toward healthy recovery. It is important to remember that progress is gradual and to seek guidance from a healthcare professional for a tailored and safe nutritional plan. The focus is not just on quantity but on the strategic quality of food consumed to repair and rebuild the body from the inside out.

For more in-depth information on recovery protocols, medical supervision is recommended. The World Health Organization offers guidelines for the management of severe acute malnutrition, particularly for children, focusing on a careful, multi-stage approach to refeeding and stabilization.

This content is for informational purposes only and is not a substitute for professional medical advice. Always consult with a qualified healthcare provider or a registered dietitian before making significant changes to your diet.

Frequently Asked Questions

Full-fat milk is recommended over semi-skimmed or skimmed milk for a malnourished person because it provides more calories and fat. Fortifying it further by whisking in skimmed milk powder significantly increases its calorie and protein content.

To increase calories without a large appetite, focus on high-calorie, small-volume foods and fortification. Add butter, cream, or cheese to dishes, snack on nuts and dried fruit, and drink fortified milk or smoothies.

Oral nutritional supplements (ONS) are a good way to help boost calorie, protein, and micronutrient intake, especially if appetite is poor. They are designed to be taken in addition to a healthy diet and are available at most supermarkets and pharmacies.

Ideal snacks are high in calories and protein. Good options include full-fat yogurt, nuts, dried fruit, cheese and crackers, homemade milkshakes, and cereal bars.

Yes, during malnutrition recovery, it is generally recommended to avoid foods labeled as 'diet,' 'low-fat,' or 'sugar-free'. These foods have reduced caloric density, which is counterproductive when trying to gain weight and nutrients.

Recovery time from malnutrition varies greatly depending on the severity and underlying causes. It can be a gradual process, and consistent intake of high-calorie, nutrient-dense foods is key for steady, healthy progress.

If your appetite is very poor, focus on liquids and fortified foods, as they are often easier to consume. Small, frequent meals are essential. If your appetite does not improve, it is crucial to speak with a healthcare professional, who may suggest medical interventions or special therapeutic foods.

Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.