Most patients with cystic fibrosis require a
a. low-fat, low-energy diet and hormone re-placement therapy.
b. high-fiber diet, supplements of wa-ter-soluble vitamins, and diuretics.
c. high-protein diet, sodium restriction, and supplements of fat-soluble vitamins.
d. high-kcal diet, multivitamin supplements, and enzyme replacement therapy.
D
Patients with cystic fibrosis require a high-kcal diet to compensate for high metabolic rate and malabsorption, multivitamin supplements to compensate for malabsorption, and enzyme re-placement therapy to increase digestion and absorption of nutrients. A low-fat, low-energy diet would result in malnutrition. Patients have impaired secretion of enzymes, hormone production is normal. A high-fiber diet does not have any specific benefit for this population. Diuretics are not needed and could be dangerous because of excessive electrolyte losses. Sodium intake should be liberal, rather than restricted. Protein intakes may exceed the DRI, but needs are met by in-creased food intake.
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