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MyPlate for Dysphagia1

Jamila R. Lepore, Nancy J. Gal, and Wendy J. Dahl 2

 

What is MyPlate?

MyPlate is the dietary guidance icon from the United States Department of Agriculture based on the 2010 Dietary Guidelines for Americans. It is an easy to understand image that focuses on building a healthy plate. Resources and tools at ChooseMyPlate.gov can be easily adapted for people with swallowing difficulties (dysphagia) that require texture-modified foods. Although lean and low-fat foods are generally recommended, those with swallowing difficulties may need higher-fat foods to ensure acceptability and ease of swallowing, and also to help them meet their energy needs.

How to Use MyPlate

The MyPlate image (Figure 1) consists of divided a plate with one-half fruits and vegetables in addition to moderate amounts of whole grains, protein foods, and fat-free and low-fat dairy foods.

 

Figure 1. 
Figure 1. 
Credit: ChooseMyPlate.gov

 

  • Make half of your plate fruits and vegetables. Choose a variety of nutrient-rich fruits and vegetables. Consider red, orange, and dark-green vegetables complemented with fruit as part of the entrée or for dessert.

  • Make more than one-quarter of your plate grains. Select grains that are primarily whole grains, such as whole wheat, brown rice, whole cornmeal, oatmeal, and barley. Make less than one-quarter of your plate lean protein foods. These include animal sources such as meat, poultry, seafood, and eggs. Vegetarian alternatives would include beans, processed soy products such as tofu, tempeh, and texturized vegetable protein (TVP).

  • Also, add one dairy serving to each meal.

Don't forget: Add some color to your plate! Not only does it make it more appetizing, the nutrients from deep-colored fruit and vegetables help support good health.

Other Factors to Consider

Choose foods that are low in sodium

  • Limit commercial soups and instead prepare homemade with salt-free or low-sodium broth.

  • Drain and rinse canned vegetables before puréeing or choose lower-sodium options.

Get lots of fiber

  • Eat a variety of puréed vegetables and fruits daily.

  • Make at least half your grains whole. Puréed whole-grain breads, crackers, and fortified cereals can be used as thickeners for many purées.

  • Choose more beans, peas, and lentil purées.

  • Consider adding fiber ingredients to grain and meat purées.

Stay hydrated

  • Puréed foods are all high in water and thus help with hydration. If thin liquids are safe for swallowing, choose water, low-sugar fruit/vegetable juices, and low-fat and fat-free milk to increase your fluid intake.

Putting It All Together...

Sample Puréed Breakfast

 

Figure 2. Sample puréed breakfast: Cinnamon French toast with maple syrup and puréed pears, vanilla Greek yogurt, and a strawberries-and-cream smoothie.
Figure 2.  Sample puréed breakfast: Cinnamon French toast with maple syrup and puréed pears, vanilla Greek yogurt, and a strawberries-and-cream smoothie.
Credit: UF/IFAS

 

Sample Puréed Lunch

 

Figure 3. Beef burger with bun (both puréed), topped with ketchup and mustard, served with shaped purées of corn and sliced pineapple as side dishes, and coconut-milk custard for dessert.
Figure 3.  Beef burger with bun (both puréed), topped with ketchup and mustard, served with shaped purées of corn and sliced pineapple as side dishes, and coconut-milk custard for dessert.
Credit: UF/IFAS

 

Sample Puréed Dinner

 

Figure 4. Roasted turkey with gravy served with sides of stuffing, baby carrots, and blueberries (all purées), and a white-chocolate cream for dessert.
Figure 4.  Roasted turkey with gravy served with sides of stuffing, baby carrots, and blueberries (all purées), and a white-chocolate cream for dessert.
Credit: UF/IFAS

 

MyPlate Featuring Puréed Foods

 

Figure 1. 
Figure 1. 
Credit: ChooseMyPlate.gov

 

Learn More

Swallowing Problems and the Older Adulthttps://edis.ifas.ufl.edu/fs164

Puréed Foods for Swallowing Problemshttps://edis.ifas.ufl.edu/fs168

MyPlate for Older Adultshttps://edis.ifas.ufl.edu/fy1260 [22 March 2013]

Tables

Table 1. 

MyPlate featuring puréed foods.

 

Publication #FSHN12-14

Date: 1/20/2020

Fact Sheet

About this Publication

This document is FSHN12-14, one of a series of the Food Science and Human Nutrition Department, UF/IFAS Extension. Original publication date November 2012. Revised March 2016 and January 2020. Visit the EDIS website at https://edis.ifas.ufl.edu for the currently supported version of this publication.

About the Authors

Jamila R. Lepore, RD, MS, Food Science and Human Nutrition Department; Nancy J. Gal, Extension agent IV, Food and Consumer Sciences, UF/IFAS Extension Marion County; and Wendy J. Dahl, RD, associate professor, Food Science and Human Nutrition Department; UF/IFAS Extension, Gainesville, FL 32611.

Contacts

  • Wendy Dahl